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Home My WebLink About11994-zFORM NO. 4 TOWN OF SOUT.~OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z~ ~5.8. fi ......... Date V.u.%y. 3 .......................... 19.8.zL THIS CERTIFIES that the buildingO.n.o...fg.m.i..ly, dw. ell. in.g with attached 2 car ~arage ]Location of Property . 79..H.a..rp.e.r...R.o.a.d.. West Southold Hous~ No. Streot Hamlet County Tax Map No. 1000 Section .. ~.3 ........ Block ...0.7 ........... Lot 01 2 Subdivision .H.a.r..vp.s.t...H 9.m.e.s' . .E.s.t.:..S.e.c.:..1.Filed Map No. 5.3~3..7 .... Lot No...1.0. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...0,c. ~.,. ~.Q .......... 1~.2.. pursuant to which Building Permit No. 1. 1. .9.9p.Z dated .. N o.v.~. 1 ................... 19 b.~, 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 ......... .O. rlo. f.~,m~,~[y, clh'~l.],ing with. att.ached 2. car' ara e The certificate is issued to RICHARD & BELL? .BIS,H.O.P {ownar,xIfFRrl{ ~CWl~nO of the aforesaid building. Suffolk County Department of Health Approval ,..1[ 2. .-.S.qx ! J ,3 ............................. ~)N617025 UNDERWRITERS CERTIFICATE NO .................. Building Inspector Rev, 1/81 1~0I~ ~NO. TOWN O~ $0~ BUILDING ' DEPARTMJ~NT TOWN HALL' SOUTHOLD, N~. Y. BUILDING I~ERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL ~FULL COMPLETION OF THE WORK AUTHORIZED)~ N? ~9~q4 z Do~..~(,~~~ ...... :./.. ......... , ,,.../d ~ermission is hereby granted to: ..__.. ~ ............. ~..//.~...L~.,~o,~ ............ ~....~ : . ,,/ ~,,~ c,, ...................................................................... · ~..~....;....~! ............... .~......~ .... ~ ......... ~,, ...i .............................................................................. ~..., .......... i~...,,..-.-,~t,z'..~z~(~.. ~.~...~... -.~ ~t~~..x~..~ ....... .~.e~m . ~ : ~./. ...... /.. ............... n, ~ :;... ~, ..... ~Lot No..~d../../.~- ........ Co.~ty T~× Map No. lO00 ~Sec.on ....-------......:. ~,o~,. r~urs~uant to application dated ...6.~ '~...d~...~..~:~....'?...?:....., ,9..~-'ond approved by the Building Inspector. ' Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao This application must be filled in typewriter OR ink, and submitted in duplicate :~o 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 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 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 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 t 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $I.00 --Pre-Existing C.O.. $15,00 Vacant land C.O. $ 5.00 New Building ./.~. · ....... Old or Pre-existing Building ............ Vacant I~and ............. Location of Property ....................................................... Hogse No. Street Hamlet /5:// Owner or Owners of Property /4~.d~24~OQ...~.~{.//..~. .... ~. .... .op ....................... County Tax Map No. 1000 Section .. ¢.~ ......... Block . ~ '~ .......... Lot ..... ~ .......... .... No.. Zq ........ PermitNo.//~.~. Date of Permit /~.Applicant .~ ~/~O~ Health O~t. Approval ....... ~. ~[~ .... Labor Dept. Approval ..................... Unde~riters Approval..7~/~2.. ~ ~ ~-~ Planning Board' Approval Request for T yCertifi ate~J/ ~[0 ~/e~ 'J emporar c .. .,.., ,.. ...Fi~alCertificate . .................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-I0-78 Applicant ...... toootm, THE NEW YORK BOARD OF FIRE UNDERWRITERS ~t BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 1OO38 THIS CERTIFIE~ THAT only the electrical equipment as described below and introduced by t~ applicant ~d on the able application number in the premises of Ri~i Bi.p, ~ ~er ~r ~. W~ ~ ~ ~th, ~t~d, N.Y. wus examined on ~. ~ ~ ~ and ~ound to be Dt compl~a~ce with the requirements o~ this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS NCANDE$CENT FLUORESCENT TIME CLOCKS SYSTEMS NO, OF FEET OTHER APPARATUS: 2-~e Detectors E R V I ' C NO, OF CC COND. A, W, G. NO, OF HI-LEG A W.G. NO. OF NEUTRALS A W G PER ,~ OF CC COND. OF HI-LEG OF NEUTRAL 1 2/0 1 2,/0 D. J. Eleot. 3 ~nchaated W¢~ C~. Miller Place, N.Y., ~L~764 #510 This certificate must not,be altered in any manner; return to the office of the Board if incorrect. InspectoYs may be COPY FO~ ~BU LD NG DEPARTMENT TH S COPY OF CERT F MANNER. COMMENTS E%D INSPECTION FOUNDATION ( 1 s t) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~BE FINAL ! 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~UNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR FO.M "O. TOWN OF SOUTHOLD BUtLDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-18013 Examined .~.~..../. ...... , 19 Approved . Disapproved a/c ..... .~ :.: ....................... (Bffil~ng Inspector) APPLICATION FOR BUILDING PERMIT Application No. /. ~' 7' '~' ....... Date ........ :D/~.q .... 19 .d:'.o.~' INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 issued 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 building for necessary inspej~tions. (-~ -. ....... ...................... (Signature of applicant, or name, if a corporation) ......... ....... >/y .... . ..... ,. .... . ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ....................................................................... ................................ Name of owner of premises .,.,...~ ...... ' . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... ~. ~ {..~ ............... Electrician's License No. ' ~ Other Trade's License No. I'~ PERMIT INCLUDES APPROVAL TO FEMOVE EXCESS FILL FROM /d:;OVE PREMISES BY REGRADh~G Lr',T ~/ / DR]VEW;'y C(2;',~ /PdJCTION CESSPOOL (?~NS ~ RUCTION CELLAR CONSI-KUC FInN OTHER ~ 1. Location o f land on whi~,,~ronos~4 ~,orl~,w. ilJ, be done .................................................. ! A ~= ~'~ ] ~d/~zL~' ~u,.~kT~l House Number Street Hamlet County Tax Map No. 1000 Section (~ ~ Block ~ Lot... ~ ~ Subdivision..~ .~.~.?~... ~ ~.~5~ .... Filed Map No..&~.~. ~ ...... Lot.. ~(~ ......... (Name) ~'~o,~ l 2. State existing use and occupancy of promises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~¢.'~.~. ...................................................... b. lntended use and occupancy .~.':~/~.....~/~.~...... ......~....~/~J .~ ....... .~ 3. Nature of work (check which applicable): New Building ....~f,~... Addition .......... Alteration .......... Repair . ............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ..~..~,~.oo 6 Fee~..~.~7..~. ~,-~o~ (Description) : (to be paid on filing this application) 5. If dwelling, number of dwelling Units ... / .......... Number o f 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. Bimen~ions of existing structures, if any: Front .,r4d..~ g.~ .~.- ..... Rear Depth . ~' ............. Height ............... Nun~ber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. r)epth .................... !.. Height ...... .~).. ............. Number of Stories ...................... 8. Dimensions of entire new construction: Front . (~>....~ ........ Rear . .~0.,. G ........ Depth . ~S', .......... Height ............... Number of Stories o2, .................................................. 9. Size of lot' Front ] .~ 5.'~ . . Rear ~ ~. Denth I 9. 11. Zone or use distract m whmh prem~ses are s~tuated., r~... .......................................... 12. Does proposed construction violate any zoning law, (~rdinance or regulation: ,)y.O. ........................... 13. Will lot be regraded . .~. d'.~5 ...................... Will excess fill be removed from premises: 14. Name of Owner of prem~ isej ...i .... ,~..., ......... Address ................... PhoneNo./~.~.-:.7.~5.-/.r~.~o Name of Architect ./f/f.,~A~,~.'~? .. ~..~.t/./?.~.4/. Address ,~ff, qP~.q~.. ~.~ .... Phone No .~.~.-. Name of Contractor. ~.~-~ J~,. ................ Address . .~..A.r.~..~.~ Pr~f~. Phone Nol ....... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from prope~y lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STA*l OF N 0P/v ,< 'S S COUNT~, ,/~,, ,.,.~(Name of ha~ ....... i,~i..~.~,}~(signing_.~_~.~, cont.W~c}~.~ .......... being duly sworn, deposes and says t e is the applicant above named. ~e is the ........... ~ ................................................................. ' (c ) ; ontractor, 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 ~,, .knowledge and belief; and that the work will b~ performed in the manne~ set forth in the application filed therewith. Sworn to before me this ......... .~..~ ..... day of... ~.~ .... , 19 .~v , net~ttll~o~v (Signature of applicant) PUBU(I, Stutu of New Yorl 'No. 52-8125850, Suffolk County. Term Expires March 30~ 19,~_~?c ~ ~ ~ ~e a~sge disposal ~d rater supply ~WN ~ SOUTHOLD SCALE: / " SUFFOLK COUNTy~ NEW ~RK ~O. ~-/~7 DEPARTMENT-DATA F~ APP~O~ TO C~STRUCT ,.o ~ HI, BEHALF ~ TH~ TfT~ C~"~Y, GOV~N- , ir ~ ~ ~j~ ~ YOUNG YOUNG RIVER~AD,~O'~ERAVE~ENEW YORK E~E~/wE/O~ ~P ~/~ /~ ~ OFF/CE ~F ~ CZE~ OF~~ ALDEN W, YOUNG, PROFESSIONAL ENGINE ER ~ ~ L~t~ ~ ~L(W), ~IC T4NK(ST)~ CE~OLS(~) ~N ~R[~ ~ I N.Y.S. LICENSE NO.45893 SRAND;S & SONS, INC, 1618 SUFFOLK CO. HEALTH DEPT. APPEOVAL T~ WATER SU~Y AND S~AGE DtS~AL ~STEMS FOR THIS RESID~CE WiLL ~F~K CO. DE~. OF HEALTH 1 SUFFOLK ¢0. HEALTI~ AT~ [ ' ' ~AT[~NT or ~N:FO~ TO T~ BTA~AR~ OF THE ~FFOLK CO. DE~. * (S) ~A~T . ~FFOLK COUNTY ~T. ~ HEALTH C~$T~UCTION ~LY ' GR~N~T NEW Y~K , .Ii ]~'. STATEMENT OF INTENT ~ /,, ~/'~ SERVICES -~ ~OR APPROVAL O . ., ,'. ' , ' /., ,: : I ' , :" / ' :' "-- :: ';' VE~OR;~.. .I APPRO%?D AS NOTED 765-1802 9 AM TO 4 PM FOR FOLLOWING IN?ECTIONS ]. FOUNDATION - TWO R~QUIRED FO~ p~UP~D CONCRETE 2. ROUGH - FRAMING ~ pLUMBiNG 3. INSULATION 4. FINAL - CONSTRUrTION MUST DE COV,Pi rTE FOR C O. ALL CONST~ JCTI, O~4 SHALL ~EET THE REOU/R~MEN~S OF THE N Y STATE CONSTRUCTION & ENERGY C~DE~. NOT RESPONSIBLE FOR DESIG~/~R CONSTRUCTION ERRORS. '1' ~ //E?.t 2"/_:,g /- II STONY BROOK,~t,~,~ 11790 ,~I0 R M AN F. PAt. JL.~ ,¢~R~-tlTE CT / d