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Home My WebLink About9487-zFOB~ NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy Date ...Q'~ .~ Y .... 9. 19.. 79 THIS CERTIFIES that the building located at .. ~.7.,80D lqaJ. n .Roa~ ...... ~ Map No ............. Block No ........... Lot No .................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .Sep.~embe~ ...~6 ..... , 19 7.7.. pursuant to which Building Permit No....9487Z dated . .0¢tober ...... 5 ......, 19..77, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .P.r.i.v.a. ~;.e..O.n..e. ?i .~..i.i~...D~..e.l.l.~.n. g ?. i.t.h..A. ~. t.a. c?. ~d..qa.r.a.~e.. ~..D.e.c.k.s.. ~. The certificate is issued to ............ ~.c.q .~..L.q .u.S.s..H..a~..r.~.s. ...................... (owner, of the aforesaid building. Suffolk County Department of Health Approval · S.e. pt,ember..1.~..19.T8.. Z-,$0.-.1,26,, Robert A. Villa UNDERWRITERS CERTIFICATE No ..... N4t4021 ................................ HOUSE NUMBER .. ~.7.,.~.Q.O ..... Street ...... _/~.. ~-~. ~8~... ,f. .............. .......... . . : ........ /.--. : ................. Buildihg Inspector ~Correeted December I?, 1992 County Tax Number 1000-020-~-Part of Lot 9 garage & decks tnclude~or~glnal plans. · Forest No. ,2 TO~N OF sOu~HbL'O ,,= ,~ BUILDING DEi~ART/v[E~T!i' · TOWN CLERI('S OFFICE SOUTHOLD, N,. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON :THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9t87 Z Permission is hereby granted to:~..~ ......... ~.~.... ....... /....~2=~.~ .................. ~o- ~ .... ~ ....... ~ ~;~~ · .... ..... ~'J ........... '~ .................. ~ ......... '~ ..... ~ .............................. t' ................. ................... :'""'.'"'. ......... ~2T'"'~"/t~" pursuant to application dated Building Inspector. Fee ,..~..~.....~ FORM NO. 6 TOWbi OF SOUTHOLD Building Delm~fment Town C:lerb Office Southold, bi. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in triplicate to the Building Inspector 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 installations, 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: 1. Accurate survey o~ property showing all property lines, streets, buildings and unusual natural or topographic features. 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 in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 . .~./. ~...//. / Date ........ x. ;.~ ................ New Building ...... ~ ......... OId/,or Pre-existing ~pilding ............................ Vacant Land ............................ ' .... Location Of Property ........ ~/s~.....~/w¢ ....... ~ .................. '...' ................................................... ~ner Or ~ners Of Properly ....... .~C.¢..~ ....... ~......~.C,} ....... Subdwis~on ................... ;~. ........................................ kot ~o ............. Block ~o ............. House ~o ............. Perm,t No....~..~.4z~ Date Of Perm,t ~.~4~/.~Appl,cant ..~J..C~./.~.......4~...Z.Z'~t/~.]. .................. Health Dept. Approval ....... .~...~.~.~ .................. Labor Dept. Approval ................................................ Underwriters Approval ...... ~ ........................................ ................................... Plonmng Board Approval Request For Tempora~ Ce~JfJcote ........................................ Final Certificate ............ ~.. .................. Fee Submitted $ .....~.~.~,.~.~ ............... Construction on above described building qnd permit~eets ol~'opplicable~es and regulati~s. ~:::; :: YZ::: ;:': .................................. ~' (stamp or seal'~ ~ .... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~*~? 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~IFIES THAT o~y t~ ~t~M ~nt ~ ~H~ ~ ~ int~ by t~ ~t ~ ~ ~ ~ ~ ~ i~ t~ ~ of ~eott ~a~ta,Ma~n ~d.,Orlen~,L.L fiXTURE FIXTURES RAHGRS OVENS DISH WASHERS OUTLETS SWITCHES ~ 77 71 6~ DRYERS FURNACE A4OTORS RJTURE APPUANC! FEEDERS TIMECLOCKS LINITHP. ATIEIIS MULTI-OUT~T SYSTEMS SERVICE DISCOHNECT 3-S.F.I. 2-Smoke Detectors Moto~s:I-F F S E R V I C E 1 Sal Prato ~~'~ Wlg~ll~aLane Greenpo~t,N.¥. L/e.10~9 This Cedifi¢~e m.~ ~t ~ =~r~ ;n eny me.n.r~ ~.rn to the off$¢e of t~ ~=rd if in¢orr~. I~pe~tors m~¥ ~ i~$~ by their THIS cOPY OF CERTIFICAT! M~ ~NOT Bi ALTIR!D IN ANY ~MANNilt. NEU YORK STATE DEPARTI.~I~T OF ENVIROnmeNTAL CONSERVATION Environmental ~alysis Unit Building 40, S~Y - Room 219 Stony Brook~ NY 11794 516 751-7900 March 30, 1977 Scott L. Harris Village Lane Orient, NY 11957 Re: Petition No. TW 15278~0111 Gentlemen: Your petition for a Tidal Wetlands Moratorium Permit has been reviewed by this office. As a result~ we have determined that construction of a one-family dwelling and garage on parcel on south side of Main Road, Orient, Town of Soathold, NY, will have no adverse effect upon adjacent tidal wetlands° All work is to be ~onfined to area north of berm. Cesspool must be at least 100' from MI{W. Therefore, pursuant to Section 25-0202 of the Environ- mental Conservation Law and 6 NYCRR, Part 660~3 (c), you are hereby notified that no permit will be necessary. A copy of this determination must be available at the job site at all times during construction activity. Very truly ~yours,/~ $ . Local Tidal Wetland Permit Administrator ~ Region 1 DJL~slm cc~ File ~oS. Army Corps of Engineers, NY District TOWN OF SOUTHOLD OFFICE OF BUILDI~G INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 December 14, 1978 TEL. 765-1802 Scott Harris P. 0. Box 185 Orient, N. Y. Re: Building Permit ~9487Z Final Inspection Dear Scott: Before we can issue a Final Certificate of 0ccupan¢y for the dwelling constructed under this permit number, the A. /4. ,/5. ,/7. /8. /9. following list of items will have to be completed. Passage door to garage, complete trim work. Install ~elf closer on passage door to garage. Complete sheetrock in garage and spackle to comply with fire separation as required by code. Complete handrails for stairs at open sides with substantial railings. Complete setting of all jambs and doors, and all trim work in all rooms. Install moisture resistent floor cover in all bathrooms. Move smoke alarm detector away from dead area in hall at master bedroom. Complete floor at entry to bring up to saddle of entry door and nosing of stairs to cellar Fit and tack trim for entry doorway or complete if you receive new dead lite in time. Also, I would recommend that you go back to the party who measured and furnished the stairs leading from lont entry to ist. floor and have them correct thm stair so that all ri sets will be equal when you complete floor at entry. Yours truly, Ed. Hindermann INSTRUCTIONS a. This aPPlication must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 set~ of plafls, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may nat be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolJtJort, as herein described. The applicant agrees to comply with all applicable.laws, ordinances, building cede, housing cede, and regulations, and to ~admit authorized inspectors on premises and in buildings ~for necessary inspections. State whether applicant i~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporate, signature of duly authorized officer. (Nome and title of corporate officer) Builder's License No ..................................................... Plumber's License No .................... ~ .......................... Electrician's License No. /Oeo- ~0-3- ~ T-So - Other Trade's License No ............................................... Location of land on which proposed work will be done. Map. No.: ...~......:~1...~.....~..~. ............ Lot No. Street and Number ....... ..../~./&t.....~*~..~......C~./K.~t~.~... ......................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. ExJsitJng use and occupancy ........ ...~...~.. ~ ~'* . . 3. Nature of work (check which applicable); New BuildJngl.................. ~ Addition ..... .......... ... Alteration ................. Repair ............ Removal .................. Demolition .................... Other Work ................................................ . .... ..~-- (Description) Cost ................................................................. (to be paid on filing this application) .5. If dwelIing, number of dwelling units ......... / .............. Number of dwelling units on each floor ......... ./... .............. If garage, number of cars ........... ~ ........................................................................................................................... Height ........................ Nu~er of Stories ............................................. ~....~, ............................................................. Dimensions of same structure with alterations 6r additions: Front ....................................R~r ............................ Depth ................................ Height ............................ Number of Stories ................. '1 ............. 8. Dimensions of entire new construction: Front ...... Z~..~ ................... Rear....Z.~ ............... D~th ...~ ................ Height .................... Number of Stories ...... ~ ........................................................................................................... 9. Size of lot: Front ......... .~ ................................ Rear .................................... :... Depth ...=....~.~ ............. 10. Date of Purchase ....~.~ ................................ Name of Fo~er ~ner ..~.~ ...... ~~.~... 11. Zone or use district in which premises are situated .......... ~. ..................................................................................... 12. Does proposed construction violate any zoning law, Ordinance or regulation: ......... ~ ..................................... 13. ~il~t be regraded ...~.~ ............... Will excess fill be remOVed from premises: ( ) Yes Name of Architect ...~.~...~.~ ............ Addre~ ................................ .Phone No ..................... PLOT DIAG~M Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all ~t~k dimensio~ from prope~y lines. Give street and block number or description according to de~, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, [ ¢ ¢ COU NTY/JDF .............~./. .............. ~' ¢"~ ...... ~..~~ .......................................... being duly swor~, de~oses and says that he is the (Name of individual signing contrac~ above named. He is the ........................................ ~~.~ .................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application flied therewith. Sworn to before me this ~ ~ ~ e ~ ..., ........... ................................ ........................ ~/~ ~ / ~ [ J ~ (Signature ~f Bpplicont) · NOTA~IC, State ol New York No. ~4~3721, Suf~k ~up~ Term ~J~es March ~, WILL CONFORM TO ~A~D~ OF SUFFOLK Co. DEFT. ~h~ sewage disposal and wateP suppl~ factlitLes for this location have been ' inspected by t~s department ~d found ~ieff o tO t,4 'I', FLOWN -:-- vEg Id-F %'"~ (oF,[(.. LEFT ~IDE. ~ EL. LT, ~ EVAT IP13, 7/1~," i4 A~.D liD. I:;,. U PPE~. re ~'II, IE WALL ro~ ~,~- IL IT(It E},I Lk~ILIET uTu-cr'y' VAT t ~/t,,t .0" Ftm'~ ,~.,o ,,,, , } !~-o -' ; - ~1~" //'-~FA'C~ m~: .~,~' ~A~F~ ~ ~l~.~,,~fft~,",,~. ' ~ ~ q.SC/ ' . . ~;.,~ 'C,~,~AOS .r~oo~, ~o. ~r .:~,~,N~ to~.~s~ ~oo~ ~o~.~.~ ~[.~_~..s~_.., O¢~"a~toN~,~o~"To ~SWli~/Z' / ,': :' , 12. lO-" I" 0~ UTI L ITY ~ PRO TE~.T Ia ~1 ~- ~,0~- 0'~ ~ L ~:~'' / r~ ? iOL c," o -.' ~ ~' TF P,.A/: [. ~o~'£: MATE-D-1A.L ~LI LCALL$ ~ CEIL, , l.d ?IPE.. ~"A~'~( LE ',./E 12 I x 1~/4"s,c./ ,' I 74-L ~" LP W, E ~_ ,;,, ,, L E',,!'f E L F L~I~ P l' ALI lOL G" JL SHEET- ;5 h -I 2 9 'rOT~L-~ , 7,4:,L C~'' () PipE.- g:," t~q6 .t~)A L L T/8 ELE',/. SHEET-4 TOTAL- 6 h-129 ,,4 rJ 2II' I~qlt.T- O f:' )¢'; I(,="a[/.. ~ I;tO', ' cAF..pC---f' ~ ou)~4E~2.50FTIo~4 /\ h-129 SHEET- 6 TOTAL'- 6 "' , ~ ~, h-129 ~ ,:~ TOTA L-6