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Home My WebLink About9628-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy No.. ~1135.& ........ Date December 16 19 82 THIS CERTIFIES that the building ................................................ Location of Property .... Or. ien.t.a],. Ay.e.r~k~..F..i,s.h.e.r.s...I.s.l.a..n.d ...................... House No. Street Hamlet County Tax Map No. I000 Section . .~0 ........ Block . . .~1.. .......... Lot ...4.: .2 ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ........ F.ebru~r.5?. 215, 19.7.1~ pursuant to which Building Permit No....~.6.2.8. g. ............. dated ........ Mar. ch..8 ............ 19 .7.8., was issued and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... .... addition..t.Q .a..d.w.~ ~ ~.i.n.g, The certificate is issued to ... Allan. and. Fr~rlcq~..~.~.n.l. qh..r ......................... of the aforesaid building. Suffolk County Department of Health Approval . 2,1iA ..................................... UNDERWRITERS CERTIFICATE NO. N/A Rev. 1/81 Building Inspector (THIS PERMIT MUST BE KEPT ON THE P~AISES UNTIL FULL COMPLETION C~ THE WORK AUTHORIZED) lqo. 9628 Z Permi~ion is hereby granted to: ....... ~. ...... ~.:..~.:~.....~...~~......~,~e ~,, ~ o ~ ~ pursuant to application dated /~ /-~ ~ ~ 19...~..~., and c:q)proved by the Bulldl~ In~-t~r. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the foilowing; 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-iS-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: 1, Accurate survey of peoperty showing ail 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 informa- tion required to prepare a certificate. / ' Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date . New Building ............. Old or Pre-existing Building{:~) ........ = ZVacant Land ......... Location of Property ................................................. ~ ........ ~ .......... House No, ~¢~ ,¢ ~Street Hem/er Owner or Owners of Property ............. ~__~-~.: .................... County Tax Map No. 1000 Section ~'..*'~',/,-~-~. ........ Block .... [..~. Lot...~¢:~ ...... Subdivision ................................. Filed MaB No ........... Lot No .............. Permit No. , ate of Permit pplicant ........ Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~riters.Approval ........................ Planning.Board Approval .............. , .., .... RequestforTemporaryCertfc'' '-"ate ..... ~ /~/ ~[~.. F' alCerti~i~t, ~' .......... ~.(. , ....... In ............... ~ ..... - ......... . Fee Submitted $ ~'[ ?~ ..................... Construction on above described building and permit~meets all apP~cable~co.des and regulations. Applicant ~i),-..~,~.~,,~...~.q~-> .,. ~., ~?;~,~,~ ....... Z & S CONTRACTING [nc. BOX 202 ,~ F~BHERS iSLAND, NEW YORK 06390 1 o/2 Dear Mrs. Carey, Please note returned letter enclosed. On the Esenlhr job we constructed a shell completed on interior, open framing interior we neither filed for a permit or did any electrical work on that job. On the Sinclair job, we just remodeled and closed in a sun porch and 2nd floor porch, all wiring existed and nothing new added there also. Please advise Respectfully Yours, 0 Z&S C ntractlng Inc. Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTI~IOLD TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 TOWN OF' -AOUTHOLO OFFICE OF BUILDING INSPECTOR TOWN OLERK~S OFFICE SOUTHOLD, N, Y, 11cj71 TEL. A. LLA~ AMP TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y, proved .., ,;... ermitNo. ? App,cotion o ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. INSTRUCTIONS a. 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 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 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 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 o 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 demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulatibns, and to admit authorized inspectors on premises and in, buildings for necessary inspections. / (Sign~at)~d~,G of Epplicant, or name, if a corporation) ' ........ ............. (Address of applfcant) ~ State whether applic/ant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. If ap~?[icant is a corpor~l:~, signature of duly authorized officer. ! /~ (N~ame and title of corporate officer)/' Plumber's License No..~)..,S...~...~.:'. .......................... Electrician's License No..~..~..~...~ ...................... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Mop No.: ............ ,~ .......................... Lot No Street and Number ...~4~i.hl,~...~,.~..~.....~l,..'~....~..~.~,~.~.;.~. ......... / Municipality 2. State existing use and occupancy of premises and in~.ended use and occupancy of proposed construction: a. Exisiting use and occupancy ~.~.,4~,~.-,~ b. Intended use and occupancy %.¢...~..z~,4, .......... . . .. 3..Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ....~. .......... Repair .................. Removal .................. Demolition .................... Other Work ~.~... ......... -........~. ~. [/(Description) 4. Estimated Cost ............. .~..~...~...~'.~..~... .......................... 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 ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ................... , ................ Rear ............................ Depth ........................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ......¢~..¢..,~...../~.....~. ................Rear ........................................ ~ Depth ..... . ......................... 10. Date of Purchase ...... ..~./..'.~..~.l..~'.~... ......................... Name .,~f~ Former Owner, ..~.~.~.~....~,~,.x. .............. 11. Zone or use district in which premises are situated ............ ~ ~..., .......................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ............ ....'~...~.. .................................. 13. Will lot be regraded ........................... ~Will excess fill be removed frorr>,premises: ( ) Yes ( ) No ~ ~;, .~..,.. ,-~, 14. NameofOwnerofpremisesC~ '.~.~...,~:~....-~...Address ..-: ........ .~..;.~ No. ........ Phone' ' ~' ' ...................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nama of an,raetor ..................... ...... Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn 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 NEWc~ORJ(, , J S S CO~gU~,~// ~ ~_~'~r~J~Z~¥"~ F ....~.~ ......... f ' .......--~.~~.T~ ........................................ being duly sworn, deposes and says that he is the applicam ~ (Na~ of ~div~dual ~igning contmcf) above named. ~ ,, ~h~ ............ ~..~.~..~..~~.~. ....................................................................................................... (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 t~is application are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. Sworn to before me this ........ .~.~.A ..... day,of ................. , 19 ........ ~ P,b,~,. ...... ~.~::-~.~ ......... Co,,~ .......... ~ ........ Quahf~ed in g~fL~lk Coun~