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Home My WebLink About11690-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.g.1.l.885 .......... Date ...... Q9 .~9.b.*. ~.. ~6. ............... 198.2.. THIS CERTIFIES that the building ................................................ Location of Property .. '('~.0 ............... H. ?.n?.7. ~ .~..L.a..n? .............P.~. c..o.n.~.c. ........ House No. Street Hamlet County Tax Map No. 1000 Section .0.7. 4. ........ Block . .0.2. ........... Lot..0. 3. ! ............ Subdivision .... .p.~.c.o.n. $9..H.o..m.~.~ ............ Filed Map No. 4.1. 8..1 ....Lot No. ~.0 ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated · g~.Y.. 1 0 .............. 198.2. . pursuant to which Building Permit No...l .1.6.9 0 Z dated ... ~3r. 2.4 .................. 19.8.7, 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 ......... ...... ,..p.e...t .v.a.~.~..op?.-.r.a.~.~.x.¥..~. ~..~.~.n.S: ...................................... The certificate is issued to ...... ~.o..h.n..&.. ~.a?.y...8.o5o. .................................. (owner, of the aforesaid building· Suffolk County Department of Health Approval . ~. $2' .-.B.O.-..4 .9.,.. 1..0 ./.2.0./..8 .~.,.. UNDERWRITERS CERTIFICATE NO ......... ~..5 7.6.1.'! .9 ................................. / ('? / /, / f/' Building Inspector Rev. t/81 TOWN OF $OUTNOE~ ~ ' BUILDING DEpARTME~qT~ TOWN HALL SOUTHOLD, Ni ¥. BUILDING P, ERMIT,' (THIS PERMIT MUST BE KEPT ON THE PREMISE, UNT L EbLL COMPLETION OF THE WORK AUTHORIZED) No. ~o z ~o~e...~y~ .......... ~, ~ ..... , hereby granted to: ...... /~.~ ...... ~.~...:....L..:...,.~L.; ................ ~ ...... ~~.~....~...~. ~ ....... ~. ...... ~.: ......... J~..¢..~m,..~.~.~o....,~: ........ 2, ......................... ( D. ..... 4 .:.....(...:~ ............... CO~4~ To~ M~p No i000 S,orion ..~. ...... ~...~.... Bilk :.~}; ........ ~0t ~o. ~ .......... BU Id~ng Irjspector. Fee FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor 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 featu res. 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 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: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 October 22~ 1982 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property 720 Henry's Lane~ Peconic, N, Y, House No. Street Hamlet John & ~'~ary Sozo Owner or Owners of Property ............................................................ County Tax Map No, 1000 Section 074 Block 02 Lot .0.31 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1169OZ Date of Permit .5./..~.4/.~..Applicant . .~nla:~d Homes ~ %nc~, John & r4ary ................................ S~zo' Health Dept. Approval 10/20/82 ...Labor Dept. Approval Underwriters Approval .... %~ .5 7.6.1, 7, ? ............ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... 5,00 Fee Submitted $ ............................. Construction on above described building an~d s~ Applicant . . ~~.~. 'I tlC'.' ' Rev. 10-10-7a 1000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8E JOHN STREET, NEW YORK, NEW YORK 10038 ~,. Septanber 14, 1982 ..~p..,~..o,,No.o.~'il,. 179138- ~ N ~ 'THI',~ C~EI~'IFIE~ THAT ~ ~es~ He~y's ~., ~ ~. 27, ~d Ave. W~, P~n~c, ~.Y. ~ ~lAlUS: ~o~/~: [-E i'G. F. I. I-~ Detec~r Richard Relyea Mattituck, N.Y. 11948 This ca~ificate must not be altered in ony manner; return to the office of lhe ~ord if incorrect, Inspectors may be identlfied~ th~ credentials. FIELD INSPECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I'J,Y, 11971 TEL.: 765-1803 Approved ," / (Buildi~-[ns~ctor) Application No../../.o/.7.~. ....... DateMay 10~ 1982 INSTRUCTIONS a. This application must be completely filled in by typewriter or ih ink' and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b. Plot plan showing Iocation'of lot and of buildings on premises, relationship to adjoining premises or public stre{ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apg cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprcval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pens 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe Tl:e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HONES ~ INC. (Signature of applicant, or name, if a corporation) Bo.x 117~ Nattituck, N. Y. 11952 (Mailing address of applicant) State whether ~plicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, General Contractor ,~ N f fp i John & lqary $ozo rune o owner o rem scs ........................................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz~ President (Natne and title of corporate officer) Builder's License No .......................... 517-P Plumber's License No ......................... Electrician's License No.. 2148-E Other Trade's License No ...................... 1. Location of land on which proposed work will be done. I,,9.t. .~.3..O~' .o/.~...o.~.,-.H.e..n.~¥..L..ap.e.,...Pg.e.o.n.i..c~..N.:. )r. ?~ Henry's Lane at Peconic~ T(mgn of Southold, N. Y, House Number Street Hamlet County Tax Map No. I000 Section 074 Block 02 Lot 31 Subdivision ..................................... Filed Map No. 41,~lJ. .......... Lot .............. (Na~ne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · Vacant a. ~×iSting use and occupancy ...................................... ' Family dwellin9 b. Intended use and occupancy l- 3. Nature of work (check whict, applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) (to be paid on filing this application) ;. If dwelling, number of dwelling units... 1 ........... Nmnber of dwelling units on each floor ................ If garage, number of cars ...... .1 ................................................................. If business, commercial or :nixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing :tinctures, if any: Front ............... Rear .............. Depth ............... }leight ............... Number o1' Stories ........................................................ Dimcnsions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... lteight ...................... Number of Stories ...................... Dimensions of,:ntire new construction: Front .... :~"'./'/ .......Rear ...KT.~/ ......... Depth . .~.~' .......... Height ....... .1.8 ......Number of Stories ....1 .................................................... ,. Size of lot: Front .... I)-i%. .............. Rear .... ]}~k .............. Depth .. ]:.~ ................. ). Date Of Purchase ............................. Name of Former Owner ............................. I. Zone or use district in which premises are situated .................................. :'. ................. !. Does proposed construction violate any zoning law, ordinance or regnlation: ............................... I. Wil~ lot be regraded ............................ Will excess fill be removed from premises: Yes No L Name of Owner of premisesJ.°.h.,n. .&..M.a..ry. ,S.o..z.o.. Address .J..ag.k.s..°.n..H.t.s.: .N...Y. Phone NI~.'.A.'.9.7.47.4.~. ..... Name of Architect ........................... Address ................... Phone No ................ Name of ContractorI..N~...N.D. .H..C~..~.. ~...I.N.C.: ..... Address 3.1..5..W.e.s..tp.h.a.l.S.s... Phone No.~.9.8.': 9..6.9.6. ...... Mattituck, N. Y. PLOT DIAGRAM Locate clearly and distinctly MI buildings, whether existing or proposed, and. indicate all set-back dimensions from ;operty lines. Give street and block number or description according to deed, and show street names and indicate whether terior or corner lot. 'FATE OF NEW Y~I~I~OLK S.S OUN~FY OF ................. ............... R~B. IiRT. F-.....I-:I..I.L.T.Z. ............... being duly sworn, deposes and say~ that he is the applicant (Name of indMdual signing contract) )ove named. .. Contractor e is the .......................................................................................... (Con~ractor, agent, corporate officer, etc.) r said owner or owners, and is duly authorized to perform or have performed tile said work and to make and file fids ~plication; that all statements contained in this application are trne to the best of his knowledge and belief; and that the · ork will be performed in tile manner set forth in the application filed t:~ercwith. ,,eom to before me this ............ · ....... ~,.,,4,~.s,,~ ~,_./ - -- - E Hi'''''~- ' / .... ¢,,,,,,,,, u,-,, -0,- '". ~'~7 Kooer'c · .t v,z,....~,e-'~TFIk'rmture of apphcant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 APPLICATION FOR BUILDING PERMIT Application NO../. -/.0/.~. ·O. ....... 1982 Dst ~. .,19. INSTRUCTIONS a. This application must be completely filled in by typewriter or ih ink' and submitted in tripBcate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordlng to schedule. b. Plot plan showing location 'of lot and of buildings on premises, relationship to adjoining promises or public stre~ or areas, and giving a detailed descriptiou of layout of property must be drawn on the diagram which is part of this apl: cation. c. The work covered by this application may not be commenced before issuance of ]Building Permit. d. Upon apprc':al of this application, the Building Inspector will issue a Building Permit to the applicant. Such peru 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 Occupan shall have been granted by tile Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for tile construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. INLAND HOM~S, INC, (Signature of applicant, or name, if a corporation) Box 117~ Mattituck, N, Y. 11952 (Mailing address of applicant) State whether hpplicant is o~vner, lessee, agent, architect, engineer, general contractor, electri~an, plumber or build, General Contractor Name of owner of premises John & Mary Sozo (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert Eo Hiltz~ President (Name and title of corporate officer) Builder's License No .......................... 517-P Plmnber's License No ......................... Electrician's License No. 2148-E Other Trade's License No ...................... 1. Location of land on which proposed work will be done. l,,.o.t..~.~.0. ~-.e/.s...o.~.~.H.o..ngy..L..a.n.e.,.. P..e.c.o.n.i..c,~..N.: . .Y 7~6_) Henry's Lane at Peconic~ Town of Southold~ N. Y. House Number Street Hamlet County Tax Map No. 1000 Section 074 Block 02 Lot. Subdivision ..................................... Filed Map No. 4J,6~ .......... Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Vacant b. Intended use and occupancy 1-Family dwellin? · XX 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... .~../...'"d~... (Description) 4° Estimated Cost ..... , .:??.o. ........................... Fee ~:.. ............................... .' (to be paid on filing this application) ;. If dwelling, number of dwelling units... 1 ........... Nmnber of dwelling units on each floor ................ If garage, num bet of cars ...... .l- ................................................................. i. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... t. Dimensions of existing stmctnres, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ........... ........... Number of Stones ...................... ;. Dimensions of entire new construction: Front .... .~.l/ ....... Rear ...-~.$t ......... Depth . .~.~ ......... HeiSt ....... .1.8 ...... Number of Stories....1 .................... ). Date o'f Purchase ............................. Name of Former Owner ........... .. .................. t. Zone or use district in which premises are situated ................................... ' .................. 2. Does proposed construction violate any zoning law, ordinance or regulation: ............................... ~ I. WiL~ lot be regraded ............................ Will excess fill be removed from premises: Yes No !..Name of Owner of premises0'.°.h.,n. .~..l~.a..~¥..~.o. ~.o.. Address .4.~..e~.~..°.n. .H.~.: .N.,.Y. Phone N~I.*.A.*.9.'7.4.7.4.~. ..... Name of Architect ........................... Address ................... Phone No ................ Name of ContractorI....NL~. · · .H..C.~..Ii;.S.,...I.N.C.: ..... Address ~..J'.~, ~.s..~p.h.a.J: .i.d... Phone No.2.9.8.-.9..6.9.6. ...... M&t~ituck~ No Y. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ter/or or corner lot. rATE OF NEW Y~OLK OUNTY OF ................. S.S ............... R0.1~T. ~.o...H.~.L.~.Z. ............... being duly sworn, deposes mad say~ that he is the applicant (Name of indMdual signing contract) love named. '. Cont,:actor: e is the ......................................................................................... (Contractor, agent, corporate officer, etc.) .r said owner or owners, mid is duly authorized to perform or have performed tile said work and to make and file this )plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this .............. · ~.. ~.~...day i~f . .,~ .... ~ ....... 19... LOCATION ~ ~.~ ~aOJZCT ,V_~'zrs~ ~ I 0~. /-~%~~ /-~.~r 5~ ' ~ ~ .I OCCUPANCY'OR t USE IS UNLAWFUL I ' Wifl-tttUT CERTIFICATE I~.. O:'O OF OCCUPANCY APPROVED ,~S NOTED NOT[FY B01LDING DEPARTMENT AT ~6§-1802 9,AM TO 4 PM FOR THE ~LLOWING INSPECTIONS: 1.,FOUNDATION - ~o REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSU~TION 4, FINAL -. CON~TRLrCTION MUST , ,BE,COMPLeTE FOR C, O. ALE COMS'I RUCTION SHALL MEET THE ~EQUIREMENTS OF THE N, Y. ~T[ CONSTRUCTION & ENERGy ~[~, NOT RESPONSIBLE FOR ~JI~N O~ 6ON~TRUCTION ERRORS.