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Home My WebLink About11628-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No.Z. J J).1.5. .......... Date ..... .J.a.n.u..a.~.y..7. ................. 19.8.3. THIS CERTIFIES that the building .atqlcl.i.t.J~olu ...................................... Location of Property 1365 Aquaview Drive East Marion h~s~ k/ol ................ Street Ham/et County Tax Map No. 1000 Section . 9.2.2. ....... Block . 9.2 ............ Lot ...0.0fi. ........... Subdivision....X ........................... Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated · .P~ p r' %.1. l 9 .......... , 19 ¢ .2. pursuant to wtfich Building Permit No..1.1.~..2 .8..g. ............ dated .... ./ip?.~, ~..2.6 ............... 198..2., 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 ......... .a.s. 9.con. d' ~.lqo..p .a.n.d..d.e.c.k...~t.d.~.~.o.n t.o..one .family dw?.l, lin.g.. ........ The certificate is issued to FRED H. & GEORGIA LAMBROU ..................... ?o¥.'& ~;~'~;,,¢~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ...n./.a. .................................... UNDERWRITERS CERTIFICATE NO .......... ~.. 5 ? .2.3.2.6. .............................. Rev. 1/81 Building Inspector FORM NO. 6 TOWN OF SOUTHOLD BuiMing Departmen~ Town Hall $outhoid, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and subr~itted in duplicate to the Building inspec- tor whh the following; for new buildings or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or toaograohic features. 2, Final approval of Heaith 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 building~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy 8nd 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 dwelting or land use $5.00 3. Copy of certificate of occupancy $1.00 Date New Building .......... Old or Pre-existing Building(X) ......... =/Vacant Land - Location of Property ................ ~¢..i.~..~.. Hou,~e No. ' ........ -"' Owner or Owners of Property.,........ County ~ax Map No ~000 Section .Q~?-, ........ BIo~ ...~..-~. ........ Lot ................ SubDivision .......~ .................. 'P ...... Filed Map'No...; ....... Lot No, .~-~.// ....... Oateof."ermit Health Dept. Approval ........ ; .......... Labor Dept. Approval ...................... ~.. Underwriters Approval ........................ Planning Board Approval Request for Temporary Certificate ..................... Final Certificat~ ........ - Fee ~ubmitted $.. ,~:% .(~..(~.' .................... Construction on above described building and~p~r~'i~'meets all a~p~cable~Codes and regu ations. ¢o- ~- z~ '. ' 1000221 THE NEW YORK BOARD OF ~FIRE UNDERWRITERS Zl{~ BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1OOS$ ~ A~glls~ 10~ 1982 171185 - 8~ ~.,~.c,,.o.. ,,,o. o..s,,e N 572326 THIS CERTIFIES THAT F~r~, n/s ~1~ ave. ~ ~'~. ~. ~ ~..~ ~. ~ ~ ~10~ N;~. A~t 5, 1982 FIXTURE FIXTURES RANGES OVENS EXHAUST OUTLETS FLUORESCENT MEI~CURy SYSTEMS NO. OF FEET S E OTHER APPARATUS: Eleo. Rocml Heater/s~ 2-1.5, 2-1.0, 1-.5 K.W. 2-Smoke Detectors AWG, OF CC COND. C NO. OF HI-LEG AWG OF Hr-LEG NO. OF NEUTRAL A. WG OF NEUTRAL retorter Elec. Co. P.O. Box 452 ~liverhead, N.Y. 11901 lic. 643-E COPY FOR ANY MANNER. FIELD INSPECTION.~ COMMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBI (2nd) INSULATION PER N. STATE ENERGY pDE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TCWN OF SOUTHOLD BUILDING DEPARTNriENT TOWN HALL SOUTHOLD, I'i.Y. 11971 TEL,: 765-1802 Examined 4'{./.-- .., 19 ¢1'~... h. Permit NO../. ....... Disapproved a/c ....... : .qT... j; ..................... (Building Inspector) APPLICATION FOR BUILDING PERMIT · . ///~/~ Apphcatmn No,/. ( ?.~.. ~. {,. ..... Date . ~.ff~. ~. ......... 19~ INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build 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 or areas, and giving a detailed description of layout of property must be drawn on the dia~am which is part of'this ap cation. c. The work covered by this applkation may not be commenced before issuance of Building Permit. d. Upon approval of this application, thc Building Inspector will issue.a Building Permit to the applicant. Such pen shall be kept on the premises available for inspection .throughout the work. e. No buildJag sha!l be occupied or used in whole or in part for any purpose whatever until a Certificate of Occ~xpar shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th& issuance of a Building Permit pursuaat i'o Building Zone Ordinance of the Town 'of Soutbold, Suffolk County, New York, and other applicable Laws, Ordinance.~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descrilz The applicant agrees t~ comply with all applicable laws, ordinances, ,b'cri~lding code, ho~,is,i, ng code, and regulations, and admit authorized inspectors on premises and in buildings for necessarljf..,ffi~pe~t~ns.,O · ,( ignatt q-eof applicator, or name, if a corporation) (Marling address of applicant) State whether applicant is owner, lessee, agent, arc'fitect, engineer, general contractor, electrician, plumber or build Nancofownerofprcmises '77~<~.,,Q ' ~, ~eor ~ ................. . ..... ' .................. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... - Plumber's Licens~ N ................. 'Other Trades Lieen;e No. I. Location of land on which proposed work wiil be done ................................................ House Number Street Hamlet County Tax Map No. 1000 Section .~. ~ ........ Block .. ~, .Q~ ....... Lot .~.~ ~'. ~ .... Subdivision ..................................... Filed Map No ............... Lot ............. (Name) 2 State exi ~ .... , - , s-,,s ,,~e and occupanc7 ofprem see and intended Us~and occt pancy of proposed construction: S. If dv,'elling, number of dwelliog units It' garnge, hum bet of cars .,. ...... ~. If b~siness, commerciM or mi~ed occu 7. DHnension~ of existing stmctflres if a~ Hmght .~ .......... Nmnber o~ Dimensions o~30me structure with alt, Depth .. ~ ........... ;~ .... He ~. Dimensions of entire new con:structior Height ~.~.9 ......... NUmber o[ 9. Size'of lot: Front ...~4~.i .... ~ 10. Date 6f Purcbas~ I 12. Does proposed construction v~olate an' I~. Wil lot be regraded . ~ .. . i4. Name of Ox~ net of prem~ses~e~ Name or Architect ........ ~ ...... N~ e o~ Contractor ........ ~ ...... Locate clearly ~d distinctly 4AI build property fines. Give street and b~ock nun:b, ',~[erior or corner lOt. Nature of work (check whic},i applica e): New guUding ........ Addition ..... Alteration ....... Repair .............. Removal ..... 0 ........ D0molit[on .............. Other Work ............. ' ~~ .~.~'./,.f~..Z~. . .~../.f'~'~ (Description) E F ~ stimated Cost, .. .. , , ~ (to be paid on filing this application) ............. Number of dwelling units on each floor .............. pancy, specffy.nfltur2 and extent of each type of use .................. ~y: ~ront...~ ....... Uear .............. Depth &~. Stories . ./~ ......................................... ~ rations or additions: Front ... ~ .......... Rear ............ W~t ......................Number of Stories ................ ~ : to., ....... .... ............... .... StoNes ......................................-' ....... Rear ...................... Depth ...~.~ .... ............ :Nume otFommr Owner N~.~.~.~'.. ~re situated ....... '... ........................ [:; ................ zoning law, ordinance or regulation: ............................... ·.. ~ ......... Will excess fill be removed from premises' Yes N ve~ ~/~e.~c~. AddressZ~.~ ~~Phone No ............... ......... '.. Address ............ f~g ... Phone No ............... ........... Address ................... Phone No ............... PLOT DIAGRAM ~' gs, whether existing or proposed, and, indicate fll set-back d~ensions froz : or description according to deed, and show street names and indicate wh~th, ~TATF.,-O;R' NEW YO RIC./2.· ' COU/ V, F s.s (Nfime oF-inthWidual sigidng con~ract) said bwner or own'ers, and is du'ly authc ol~plication; /&at all statements coniaiaed in[ ~ork will be performed in the manner set fo~ ~worn to before mc this ..... ~' '/: 7~ ..... day o~.. : ...... being duly sworn, deposes and says that he is tl~e applicon (Contractor, agent, corporate officer, etc.) . -izod to perform or have performed the said work and to make and file thi this application are true to tim best of his knowledge and belief; and that th :h h~ the application filed ~!,ercwith. -,~Ucant