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Home My WebLink About9817-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18859 Date MARCH 5, 1990 THIS CERTIFIES that the building. Location of Propert~ 1085 WEST LANE House No. County Tax Map No. 1000 Section 88 Subdivision ADDITION SOUTHOLD Block 006 Filed Map No. Street Hamlet Lot 008 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 1978 pursuant to which Building Permit No. 9817Z dated JULY 5, 1978 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 2nd FLOOR DORMER ADDITION. The certificate is issued to ARTHUR & ISABEL G~ THOMPSON (owner, XXXXXXXXXXXXXXY~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N497760 OCT. 22, 1980 PLUMBERS CERTIFICATION DATED Rev. 1/81 Building In/gpector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL coMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~ ~ ~ .... ~x...~.,.~.:~.....~2..../~ ~~ ~. ..... ....... ........ ~~...~~~ ....................................... to .......................................................... ..........................................--: ........................................... ::.,_:~~~~,~ ..... pursuont to applicotion dated ................ ~ .............. , 19~ ..... ond opproved by the Bufldin~ Inspector. Buildi TOWN OF SOUTDOLD BUILDING DEPARTHENT ~-~ . TOWN HALL SOUTHOL~, NEW :CO~ ~aT~ ,: 765 APPLICATION FOR CERTIFICATE OF OCCUPANCY ......... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET ' ..... ~'Y' ' C°unt'Ta apNo-'OOOS tion..?.LE oc ... .. ot..Z ...... Bubdivio£on ....................... Filed Map ........ Lot .......... Permit :lo. 9817Z .......... Date of Permit 7/5/78 .......... Applicant ................... llealth Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request Fee Submitted: for Temporary Certificate ....... Final Certificate ....... rev. 10/14/88 Memorandum from BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ HAt, L, SOUTHO~.D, N. Y. 11971 765-1802 February 23, 1990 Dear Hr. Thompson: Enclosed is your Certificate of Occupancy for Building Permit #17136. Thank you for your attention to this. When I went to the drawer to pull your file, I came across another outstanding permit. B.P. #9817 for a 2nd floor dormer. Every- thing you need is in the file. I am en- closing another application. Please return it with your check and we can clear up this old permit too. Thank you. Yours truly, Secretary THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the app~ca~{ named~ t{~e ~e application number in the premlses of in the following location; ~'c~ Basement [] /st FI. E~;i:ob,~ 2,0, 19g'O ~ 2nd FI. Section Block Lot and found to be itt compliance with the requirements of this Board. FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: OF CC COND OF HI-LEG Lic. 13 ? GENERAL MANAGER Pe~ This certificate must not be altered in any ~anner; return to the office of the Board if incor~rect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. ~- COPY oF CERT~ AL~~y M~rR,,- 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION ZST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION ] FRAMING ~ FINAL FO~M 1~0. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Application No. Approved ..... ~[: ............. , i9..."i'.i Permit No......~- .~..~.....~......i~ ...... '~r--------,--.. ........ (Building)~spe~c~o r) APPLICATION FOR BUILDING PERMIT ~,~ ....... ........................... , o. This application must be completely filled in by typewriter o~ in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of Iot and of buildings on premises, relationship to adjoining premises or public streets oF 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 not 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 worE. 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 7one 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 demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ........... - - (Signature of applicant, or name, i~'"(~ol~'~;~i~'i ........ ........... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .........------ -' ~/..~-/~.' .~-.....'~..-~.~/~.t,~'i /~...~.. ....... Z/~, ......................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..( ....................... · Plumber's license No ................................................. Electrician's License No. Other Trade's License No ............................................... ]. Location of land on which proposed work will be done. Mop No.: ........................................Lot No.....~.. ................ .......... __,._....................... ............... .r.......,r. .................. Street end Number ~'-~.~ - /~oa~- ~/~',~.~/~'~ ~,~ (/~. ~w/~T) Mumcipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...................................... /.......,~./a~4~.y ............ ~.(-/.~/~...~..../~,..~.....~..~.~).~... .... b. Intended use and occupancy ........................................................ ~.~./.~.z. ...................................................... 3. Nature of work (check which oppllcobie): New Building'. ................. Addition ....~. ............ Alteration ................. Repair .................. Removal .................. Demolitior ..................... Other Work .......... .... (Description) 4. Estimated Cost .................. ..~....~9~..~...~. ....................... Fee ..'~..../...~..~..~ .............. (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 ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front,-..............;.;~/.. .............Rear ............................ ....... ...., ........ .. ...... NUmb r of stories ./..~.. ........ ...... .. ....... ..... Depth ................................ Height e Dimensions of gntire new construction: Front ............. O ................ Rear ............................ epth ........................ 8. Height ...... 7..~..6. ....... Number of Stories .................................................................................... ;...;..~/ .................... 9. Size of lot: Front ......... ~..~.~ ..................................... Rear .......................................... Depth ..~..-~..~ .......... , ............ 10. Date of Purchase ........................................................ Name of Former Owner ........... )(-/~. ~/~.~.~./~. ......................... 11. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ /~.~) .......................................... i3. Will lot be regraded . ........ //~ ............. Will excess fill be removed from premises: ( ) Yes ()~) No 14. Name of Owner of premises....~/~..'.~...]'/J~.~'J/,~'~9.~.. ....... Address/.'.~.~/~.~/..~..~r Phone No~/.~.;'~..~..~..~,~...~ Name of Architect .............................................................. Address~.7~ZT.~...~....: .~/'~(?~.,.. Phone No ....................... Name of Contractor .~.~..~.~..~'~....../~'/~..~...~.~....~...~.. ........... Address/'~.~ .~.~....~.,k../~.... Phone No.4.~.~...~..~...0~'..... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW(~.OI~I</.,,/~ ...... I~.~_..~...C~.~...~.~.....~ ...... being duly sworn, deposes and says that he is the applicom (Na~dividual signin~ contract) ........................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all 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. Sworn t~fore me this ~* / / ..... .................. , / / ................. ...... : ........... ....................... d \ Ii'AP OF LAND FLORENCE HANCOCK' $1TUt1'1-£ ,AT TOWN OF' ,SOU THOL, O ,~UFFO~- K CouPt T'4, N, Y,