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Home My WebLink About11662-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z .1.1.4. 2. ! ......... Date ........ J.a.n..u.a.pff... ] .1 ............. ,19.8 .3. THIS CERTIFIES that the building ................................................ Location of Property .1.3.6.7. ................ A.l.d..p~.qh...L.a.n.e. ............ Laurel House No. Street Hamlet County Tax Map No. 1000 Section ...1.2.5, ...... Block .. 9.2 ........... Lot. p..a.p.~., o..~..0.0. ] :.0.10 H±nop Subdivision ... F.P.a..n.k. .H. qTp.h.y. ............. Pitert-~'Iap-No...1 .5.0....Lot No...4 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... H.a~y.. 6 .......... ,198..2. pursuant to which Building Permit No. 11662 Z dated ...... H.a.7...1 ~ ............... 198..2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occnpancy for which this certificate is issued is ......... deck ...m ~r.i.~te. 9.~.e-~f.a.~.~z.~..d.~q~..~.i.n~,..wA.t.~' .at.t..a.chqd' ...... . The certificate is issued to DAVID BENNETT & DIANA HUBBARD BENNETT (owner, fe~o~ of the aforesaid buil~ting. / Suffolk County Department of Health Approval . .12.-.S. 0 .-.45.,.. 9/.1.3./..8~.,..~ 9.b.~. UNDERWRITERS CERTIFICATE NO.. N 580394 Building Inspector Rev, 1/81 UNTIL F DLL (THIS PERMIT MUST BE KEPT ON TH,E PI~EM~IS~ COMPLETION OF THE WORK AUTHORIZED) No. 111~2Z Dat~ Pe~ ssion is hereby granted to: .... /~.....Z~..~ ........ ........ ,o..., ........ ~.~.....~.~..~...~d~.~::...,.~.....~... .......................... ...:...~ ......... : ....................... ::..Z~¢..~..~.~ ~...~ ~ ~.~ ......... at premise~ located at ..Z..Xd..Z ........... ~//~"~"4 ~'~": .......... ~' ............ : ........... .................. } .................................................................... :~,...,~7.f....~:....~..: ..................... ~,~ ...................... Coun~ Toi Map No. 1000 Section ...~ ...... ' ~ approved by the Building I~ector. Fee ............. Rev. /ou/,~u FORM NO. 6 TOWN OF SOUTHOLD Buiiding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subn~itted in duplicate to the Building Inspec- tot with the following; for new buildings or new use: 1. Final sunzey of property with accurate location of aU buildings, property lines, streets, and unusual natural or topograohic 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 building~ and installa- t/ohs, 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 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 informa- tion required to prepare a certificate. / Fees: 1. Certificate of occupancy SB,O0 2, Certificate of occupancy on pre-existing dwelling or land use 2. Copy of certificate of occupancy $ ~.00 $5.00 Date ..... , .. New Building .,,,....,..,, ~' Old or Pre-existing Building(X).._.,_.. -- = /Vacant Land House No. Srree [ Ham/et Owner or Owners of Property ,~, ........................... County Tax M,ap No..1000~Section ,.. !, ,-~..~.~. ..... Block ...~ .......... Lot .~,~/'~t~ .... _ ....... ..... ~.~m ~. ~.ro~ .~...I.'~...C %. ~ .... ~o, ~;. ~o~ ...................... ,.. Unde~riters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificate ...... - ......... Fee Submitted $ .~..aq . .7.. ~. , ¢ ~ ~O.~ Construction on above described,buildin~r~iCme~ll app~cabl~o~es and regulations. 0~O, ~[ ~ Applicant .~.~~~ ' ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'003~98 BUREAU OF ELECTRICITy ~J~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO3J~ B. te ~TO~= 22, ~982 ~.."~.,,o.~o. onyi~. 178515--82 N 580394 THIS CERTIFIES THAT only the electrical equipment as described below and introduced b~ the applicant ~d on t~ above application nu tuber in the premises of Mr. Bennett, Aldrich Lane, W/S In woods~ Rt. 25 & Soun~ Ave., L~urel~ was exa,nined on O~tober ~5, 1982 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORESCENT 24 33 26 24 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTIkOUTLE1 DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Motors: 1-Smoke Detector3 C E NO'O~E~COND OF AccW'O'COND. NO-OF HI-LEO ~ 4/0 AW.G, NO OF NEUTRALS O~ NEUTRAL 4/0 819 Meadow Rd., sm~thtown, No¥o 11787 This ~ertJfJcate must not be altered in any manner; return Jo the office of the Boa~d if incSrrect. Inspedqrs ma~ be identified by their credentials ---PV FOR BUI'DI-' -E ~~'~;~! ~ ~ N~ D PARTMENt. THIS COPY OF CERT FI~T~~; US NOT-BE ~D [N ANY MANNER. FIELD -INSPECTION FOUNDATION (1st) FOUNDATION (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS: FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1803 ^pproved/ , 45 .... , Disapproveda/c.. .... ............ , Application No..//~..c?~-~. ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 of property must be drawn on the diagram which is part of this appli- cation. 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 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 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. ~ .... (Mailing address of applicant) / (q ~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~..~..~-~. ~...~....~..~. ~..~7~.~.c .......... (as on the tax,ell or latest deed) / If apg!Lc~nt is a co~ffo'r~ation, signatl~re of duly auth~ed officer. ..... (N~and fftle of corporate officer) " Builder's License No .......................... Electricians License No. ~ ~ ~./~. ~ Other Trade's License No ...................... 1. Location ~>f'land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map N;. 1000 Section .. l .¢.~. .......... Block .. ~ ............. Lot. ~/~...././.~ ....... ~:. Subdivision .............................. ' ....... Filed Map No ............... Lot ...~. .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................. . ................................ - b. Intended use and occupancy ........ ~ *: ?' ;,: ',',.';, -.... 3. Nature of work (check which applicabl$): New Building ........ Addition .......... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... : (Description) 4. Estimated Cost ............................ Fee ................................. ' (to be paid on filing this application) 5.If dwblling, number of dwelling units, i/ ............ Number of dwelling units on each floor ........ If garage, number of cars .... i .... ~ ..................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... /. 7. Dmaenslon,s ?..f~.xistlng structures, if any,: Front..."7..-P&-~.. ..... Rear W.;..~. ........ Depth .'~.~... Height . .~YT.. ......... Nulnber of Stories. ~ .................................... -.. Dimensions'of same structure With alterations or additions: Front ................ .. Rear ................. Depth ................... ,i... Hai~ht ........ t. ~4, .......... Numbet' of Stones ........... ~ ......... 8. Dimensions o[ entire new consiruction:iFront . .7/...~x.". ...... Rear . .~./...~..~. ..... Depth . .~.~ .......... Height ..! ~. .......... NumberofStories .... it .. 9. Size of lot: Front ~'~-'~'~'~'i"! ....... i ..... Rear...-'~..~.~ ........... .... Depth .~.~.~ ............ 10. DateofPurchase ~i .'~,~, ~ l~ ~?%. Name of Former Ow~er ~__A~_~AJt~ /¥o/g~/~/l/ 11. ~one or use msmc~ ~n wmcn premises are snuateo .................................................... 12. Does proposed constructinn.v~61ate any~zoning law, ordinance or regulation: .#.D. ......................... 13. Will lot be regraded ..... l[/~. ...... ............. Will excess fill be removed from premises: Yes ~lo) 14. Name of Owner ofpretnises~t¥~.t>..}~:g/&r~.F',ff. Address ................... Phone No ................ ~'~ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocl: number~or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE'~!k ~ORi , ........ ~~'.. ~ ~' ~~.. berg duly sworn, deposes ~d says that he is tho applic~t (Name of individ~g~ing contract) above named. - He ~s the ................... ~r~t' ............. of said owner or owners, ~d is~y~d to ?~ or have perfomed the said work and to m~e ~d file ~is application; that all statements {ontdned ~ ~ a~pii~ion are true to the best of his knowledge and belief; and that the work will be perfo~ed in the mhnner set for{h ~ the application filed therewith. Sworn to before mo this or Francis ~ j~lizO~tfl Idurpt~y formerly . ..~ fOr"~' ;oO;,rtO; ¢°r°'- HEA~TH DEPARTMENT-DATA FOR APPROVAL. TO CONSTRUCT NTHEM A~[ NO DWELLINOI WITHIN I00 FEET OF TfllE PROPI[RTY SuRvEY FOR DAVID BENNETT 8 DIANA AT / A U/~-/ TOWN OF $OUTHO/.D, SUFFOLK COUNTY, NEW YORK HUBBARD -#UN&UTHONIZED ALTERATION OR ADDITION TO 1~41E SURVEY I~A VIOLATION ~ ~ECTIOM ~ZOe M THE ND SMKES SH~N HEREON FR~ PR~ERTY UNES TOEXJSTIN~ STRUC~R[S ARE FOR A IeEClFIC PUReOSE ~MD ARE NOT TO ~ USED TO ESTABLISH DATE: ~P~. 15, 19~ SCAB' / . = ~o. ~- 190 YOUNG ALDEN W. YOUNG) PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. UCENSE NO. 1~845 HOWARD W. YOUNG, LAND SURVEYOR N,~S. LICENSE N0.4§89~ AVENUE YORK · ~ ~urp~ . . ~ . formerly Fra"Cis" ~l'za~t../ . ~ '. A ~ -r for I oolY Area = 94,197 sq. f~,. ~ D~V~D B~TT ~ DIANA HUBB~D 5UFFO~ COUNTy D~ART~EN7 OF H~ALTH SER~IC6~ [ AT LA URE~ DATE: FO~ APPROVAL ~ COH$T~T;ON ONLY ] DATE S ~EF. No..__L~ :~:__ . SOFF~ COUNTY, NEW ~K APPROVED ~_ ~, I SURV~RS INKED ~AL OR EMSOSSE~' HE~ DEPARTMENT-DATA F~ A~RO~ ~ C~STRUCT I AND ~ Hms K~LF ~ THE ~TLE C~Y, GOVMN- ~NEARESTWM~AIN~MI.~ NSOURCE~WATER, ~I~TE~P~IC~ [ M~TAL A~NCYANDLEH~INGIflSTITUTIONLIS~D oF ~L~H ~1~. .... I PURPqS~ ANO An~ NOT TO e~ ..... I~ jj ~ ~ j ~ow~.o w.~ou.e, ~.~ su~w~o~ OF OCCUPANCY DATE:~ ' '' ~ 'egz I q°xl° o.H, ~'~:. od T I,I