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Home My WebLink About8199-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. zi5955 Date July 16, 1987 Addition and alteration THIS CERTIFIES that the building ............................................... 570 Rabbit Lane East Marion Location of Property ~3tJ ~ h]ol ........................................................ s Street Hamlet County Tax Map No. 1000 Section 3 I .Block 18 .Lot I I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated s e p t. 16, 1975 foursuant to which Building Permit No. 819. 9 z was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .... ~ .e.c.o.n.d...s.t.q r. ¥..bA d..r ?.o.m' .. ................................................... The certificate is issued to W ILL I AM F. KOHL ..................... ?o;?,,,'o;, ~Oto~ Ytg~ g x .................... of the aforesaid building· Suffolk County Department of Health Approval ............ ~/..A ........................... UNDERWRITERS CERTIFICATE NO .................... ~2..5.4.5.6,7...N.o.v.:..5.,., !.9.7.5 ....... PLUMBERS CERTIFICATION DATED: Rev. 1/81 BUILDING (tHIS PERMIT MUST BE 'KEP* ON., THE PRE~IS~;u~T!E COMPLETION OF THE WORK AU~THORIZED) Permiss~ion is I~ereby granted .... t ............. ............ ~.C~:~LOi~ ....... ~o ~..g~. ~...~,[~...G~.v.~.~. 3~.~.:~L ..P.~L ..~ ~[:~. X;.~ ?,;~;.~...~ ~,;[J~ ,.~( ~l-rJ:~:&.,~ rJ~[:~: x ..................... at promi~os Iocatod at ~.J..~4..~:2~i~ ................ ~ .............................................................................. . pursuant to application ~late~ ~, ~ r, ~,, ................................ ~0:~.....~.6,.,., 19.?:.~.~., and approved by Building Inspector, Fee $..1..g..t..O..O.. ........... - Building Inspector'~l FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,,,~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions 1. Certificate of occupancy New Dwelling $2-5~U0, Accessory ,~ 10.00 Busineas $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4. Vacant Lalld C.O. $ 20.00 :7/_/~.f~.._./~. 5.Updatect C.O. $ 50.00 Date .............. New C on s t r uc t 5 on ...... Old or Pre-existing Bu Uding ............ Vacant Land ............. /IddtT- Location of Property ......................... : ...... House No. Street Owner or Owners of Property .. ~(-J/.//~'~..'f~,... F.:. J~.~..~/-~. ......................... County Tax Map No. 1000 Section ...$J .......... Block .../..~. ........ Lot .... 1. / .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~l.~.~-~.. Date of Permit .~I.-/./?.~" ' ' .. . ............ ·..Applicant .......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. I 76s-~80z BUILDING( ~EPT FOUNDATION 1[ST ! I! ROUGH PLBO. FOUNDATION 2ND[ i iNSUlaTION FRAMING ~L~ R[MARKS: THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- Y,r 85 JOHN STREET, NEW YORK. NEW YORK 10036) THIS CERTIFIES THAT only the electrical equipment as described belo~ a~d introduced by the applicant named on the above appli~agio~ William Kohl, 490 Rabbit Lane,-East ~rion, L.I. inthefollowinglocatlon; [] S~,.~t ~ ~tr~. [] ~,~ r~. outside s~ao,~ a~o~a_ _ rot ,~,~,,,..i.~do. NO ven~o er 3. 1975 andf°undt°beinc°rnptlancewlththereclulrements°fthisB°ard' FIXTURE ECEPTACLESI SWITCHES i FIXTURES I RAtNGES OVENS I DISH WASHERS EXHAUST FANS SERVICE DISCONNECT NO. OF S E R V I C E 1 i t00 CB i ; x ~ i ~ , OTNE~ APPARATUS: Panelboard/s: 1-16cir 125amp. Town Harbor Lane Southold, LoI. 11971 identifie~Jatials. PAUL BURNS Electrical Contractor Suffolk License #282 E Town Harbor Lane Southold, N. Y. 11971 765-9233 10-27-28 2 rooms on seeoma floor. 20} ~am hours Underwriters Materials Install 100 amp service an8 wire l&~.O0 10.00 Please sign and ret~n the enclosed Improvement Certificate. Unterwriters Certificate to follow as soon as it Ks issue4. Capital TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 July 31, 1980 Williams Contracting Inc. Seawood Drive Southold, New York Dear Mr. Williams: : This~is to advise you that th~ job ~under Building Permit No. 8199Z issued to Mr. & Mrs Wm. Kohl on 9/17/75 for 2nd story bedroom appears to be completed as of oUr la's~ inspection. Before you can legally use or occupy this structure a Certificate of Occupancy must be issued. Please fill out the enclosed form and return same to the above o£fice. There is a fee of $5.00 £or a Certificate of Occupancy Thank you for your prompt attention. Very truly yours, GEORGE H. FISHER Sr. Building Inspector encl. october 6, 1976 Mr. William F. Kohl 12 Brookside Lane Dobbs F~rry, NY 10522 Dear Sir: On June 2, 1975, a letter was written tO your contractor, Mr. Edward Williams, concerning the stairs to the second floor renovation, Building Permit %8199Z, Rabbit Lane, East Marion. Mr. Williams was to have discussed Co~rection of the stairs with you and contacted us. To date we have heard nothing. Please advise if the correction has been made or when it will be done so that we can inspect it and issue the Certi- ficate of Occupancy. Yours truly, HT:med Howard Terry Building Inspector October 6, 1976 Mr. William F. Kohl 12 Brookside Lane Dobbs Ferry, NY 10522 Dear sir: On June 2, 1976, a letter was written to your contractor, Mr. Will l~O~l~ NO. TOWN OF SOUTHOL BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~UTHOLD, Approved .................. !.! ....... ~...~....,., 19..?.?.~ermit No.~..L...~..Z~.....~..//~-~-->~- ..................... ............................ ........ INSTRUCTIONS o. This application must be completely filled in by typewriter o ilding~ Inspector, wit~ 3 set~ of plans, accurate plot plan to ~ole. Fee occo~ing to schedule. _.~ b. Plot plan showing location of (at and of buildings on premises~ ~elotionship oreos, and giving o detailed description of layout ofproperty must be drown on the diagram which is po~ of tMis application. c. The ~ork covered by this application may not be commenced before issuance of Building Permit. d. Upon approval o~ this application, the Building Inspector will issue o Building Permit to the applicant. Such permit~ s~oll ~e kep~ on ~e premises available }or inspection tMroug~out tMe e. No building s~oll be occupied or used in w~ole or in port for any purpose whatever until o Certificate s~oll hove been granted by tMe Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of o Building Permit pursuant to the Bud n Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Lows, Ordinances or ~ Regu orions, for the construct on of buildings, additions or alterations, or for removal or demoht~on, os hereto descnbed.~ The applicant agrees to comply with all applicable lows, ordinances, building code, housing code, and regular OhS, and tcr~ admit authorized inspectors on premises and in buildings for necessary inspections. ~ (Signature of applicant, or nome, if o corporation) ................................ i,~l~[' ~ o~plican~i ............ State whether applicant is owner, lessee, ogent, architect, engineer, general contractor, electrician, plumber or builder. ome of o ner of prem,ses .......................................................... If applicant is a corporate, ~signoture of duly authorized officer. (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No ..................... ~,- ..................... E,ectrician's Ueense No. ......... Other Trade s License No ............................................... ~ )~ Location of land on whi,c~ proposed work will be done. Mop No.: ............. ::.: ................ ~ ....... Lot No ..... ~ ................. Street and Number ..,~...~...'~.~..'t.:.~,.......~,..~.~.~, ...................................... ..~.~1~,,%.'~7...~.[-~..~.~(,,. ............................. Municipality State existing use and occupancy of premises~_~ [. \ /[ an,cl, intende~d use and occupancy of proposed construction: o Exislting use and occupancy ....... )..~...k~....(....~........~.~z'~.~.\ki.~.~ .................................................................. b Intended use and occupancy .......~...~..A~-.,,~., ..........-- -,~' ' ' '~- ' '."f'f~' '" :~"~' "~ ................................................ 3. Nature of work (check which applicable): New Building~. ................. Addition ....-.~........=.. Alteration ....~.. Repair .................. Removal .................. Demolition .................... Other Work .................................................. fx:o ,- Fee (Description 4. Estimated Cost ............................................................................................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .....~.~! ................. Rear...............................t ~' Depth ~ ............. Height ........ ~ ............. Number of Stones ................................................. ~ ............................................. ~ ................ ~i~,~io~ of s~e ,t~,t,~e with ,~te~t~, or ~dmo~: ~o~ ....L.~ .......................... ~,~ ...L.~ .................... ................................ , .......................... ....................... 9. S 10. Date of Purchase ........................................................ Name of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................................................. ~ [2. Does proposed construction violate any zoning law, ordinance or regulation: ..... t.~.~ ............................................. ]3. Will Iotbe regraded ..~ ................... -- .~--Willexcess fill beremoved from~ ~ .premises: ( ) Yes (~ No 14. Name of Owner of premises .~..-.~.~.~.~. .................... Address ~.~iR~.... Phone No. Name of Architect ........................................................... Address ................ , ............ Phone No ....................... ,.. PLOT DIAGRAM Locate cieorly ~nd distinctly ~[I buildings, whether existing or proposed, end indicQte ~11 set-back dimensions from property lines. Give street ~nd block number or description according to deed, end show street names end indicate whether interior or corner lot. STATE OF NEW YJ~B.~,/']~ ~ ~ COUI~T~'~ ~ r-- ~-- ~.~.~ rx~OF .,~ ........ ~. f ~'~ (Name of individual signing controcf) above nome~ ~ , He is the ...~.~~ ...................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this application; that a~l statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set foffh in the application filed therewith. / E L F__~/~T ~ ok)