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Home My WebLink About12088-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z11880 Date August 26 19 THIS CERTIFIES that the building . .n?.E.d.V.e.l. 1..i.n.g ................................. Location of Property ..!2..8.0. North Parish Drive Sou. thold House No.' ...................... 'S'tle3i ...................... hJr3l'oi County Tax Map No. 1000 Section . .q 7. .q ....... Block . .0.1 ............ Lot...0. 2. .7 ....... Subdivision X X ............................... Filed Map No. X .Lot No. conforms substantially to the Application for Building Permit heretofore Fried in this office dated ..... 0. q .6 9 .b.e. t? . .2 .7 ..... , 19 .8.2. pursuant to which Building Permit No... ] .29.8.8...Z ........... dated .... ~).e. C ~ tn.b.c. ~...3,0 ........... 19 .8.2., 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 ......... ~. ~rSyate one-family dwelling. The certificate is issued to SANFORD HANAUER (owner, lessee of the aforesaid building. Suffolk County Department of Health Approval 12-S0-~20, 8/23/$3 Robt. A, ¥i~,la, UNDERWRITERS CERTIFICATE NO N .6 '~ 396 '1 Building Inspector Rev. 1/81 TOWN O. SOUYHC~LD~ BUILDING DEP~ART~ENT TOW~ HALL : SoUTHOLD, No Y~ (THIS PERMIT MUST BE KEPT ON HHE PRE~I$£S UNTIL!FULL COMPLETION OF THE WORK AUTHORIZED). N.° ~20r88 Z :Date .... ~ ...................... , ............................ , Permission is hereby granted to:'~ . ........ ~...~ ................ , . ........ ,~c ............ ~ ............. V*'" ......:" :"'~: ...............;~' 7~ ~TZ ~;~-~.: ............. ........... ; .................................. , ..... :....:.....:~:...~,: ...... , ........ ~. ............ ~.....:.....~., ........... ~, . ~/ ~..o~ Couh~ Tax M~p No. ~000 S~cto~ ............... 8~ ~....~ ............... ~t ~ .' ............... pu~uant ~o appl~cmlon dat~ ...... ~ ...................... ~ ........... ..,}~....},....., 1~.... Building Ihspect0r. , ' ~ ~..., aha ~pp~ by t · ~ ~ Building ~tor 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 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 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. C. Fees: 1. Certificate of occupancy $§.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ..... ~ .... Old or Pre-existing Building ............ acant an ........ Location of Property ... House No, Street Hem/et Owner or Owners of Property ...~../~..~.~.~..../~/~,/~.4~--2~ ............................... County Tax Map No. 1000 Section ....~.'~/. ...... Block ,,, Z:;~,' ....... Lot... ~'¢~-.~. ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. f..Z:.~.~. ~ Date of Permit ./ Applicant . r-~/~ ,/xlE~.. ~¢-,~/~. ........ ,~ Health Dept. Approval ~/~. ~'~.../.~, :'.'~.."~/,~.~,... Labor Dept. Approyal · · · V~J/t~ ............. Underwriters Approval ........................ Planning Board Approval . .~J//~ ............. Request for Temporary Certificate ..................... Final Certificate ..... ~ ............ Fee Submitted $ .... ,~ .~. ..................... Construction on above described building an(~ perm~/~n~ts all applicable/~//~1, ,~_~,.~,. ,~, ~ ~c°des and regulations. Applicant ...... c~u.-~ .'~'~.... ~.. £~,-z,-,~.&~,.~ ....~5.~¢-.~., ..... J 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION / FRAMING ~ ~]/FINAL REMARKS: DATE INSPECTOR 7GS-1802 BUILDING DEPT. i '. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG; FOUNDATION ZND [ ] INSULATION FINAL 1001071 THE NEW YORK BOARD OF' FIRE ' BUREAU OF ELECTRICITY UNDERWRITERS' , FIXTURE SWiTCHES, RANGES OUTLETS: FIELD I N %,P E~ T.I ON FogNDAT£ON /2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERG~ C,ODE FINAL ADDITIONAL COMMENTS. ~ORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examine - .. .... , Approved~.)~..~...~.~..o. ......I .~.. permit No. / ~isapprov~d a/ .. · · ' (lh~ld~g Inspector) Application No../..~. · .d~..~. ........ APPLICATION FOR BUILDING PERMIT a. 'Thl% aPpl/~on must be completely flBe6~qo~ typewnt~m:/~//~' - ~an~ sub~l~' t~Building' Inspector, vnth' 3 sets of plans, accurate plot plan to scale; F~ae~rding to schedule. b. Plot plan showing location of lot and of build/his on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of p~operty 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 w/ii 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 wh~ateVer untiI 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 Pqmit puj~a~mt to the Building Zone Ordinance of the Town of Southold, SUffolk County, New York, and otl~ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regula///l!~. ~ to admit authorized inspectors on premises and in building for necessar ~$~ections. ....... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...-~Z, ~--O~ .... ~g/~M.~-~ .................................... (as on the tax roll or latest deed) If applicantjs a corporation, signature of duly authorized officer. ...... ........ Builder's License No .... ~/. ................. Plumber s License No .......... Electrician's License No.. ~.t~...~... ~' ~'- Other Trade's License No ..... .~'..~.d ............. Location of land on which proposed work will be done ...... ~ ............................ ~ ... ........... · ........ House Number Street Hamlet County Tax Map No. 1000 Section .... .(~..."fi-l ....... Block .... ./~.../ .......... Lot.. ?.. ?..?. ......... Subdivision .... /Y[ ............................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed coi~Stmction: a. Existing use and occupancy .... /~tA~?~l~g..~.. .......................... ; ........... ;'¢ ...... ; ...... b. Intended use and occupancy /. . · : ' 3. Nature of work (check which applicable): New Building .....~..... Addition .......... Alteration ......... ~ Removal Demolition Other Work Repair ......................................................... 4. Estimated Cost . ,~t9 ....... Fee ~... q.: .... ~.~ ........................ ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............. It' 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 i ................... !.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction Front ~;~. ~..#... Rear Hmg t .... ~.~ ........ Number of Stories ....... ~. .............................................. 9. Size of lot: Front ...... /~.,. .......... Rear ...... ./~..O.~ ........... Depth ... d'~. .............. 10. Date of Purchase ........... , .................. Name of Former Owner ............................. 1 1. Zone or use district in which pre~nises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regnlation: ........ .,~.~ .................... 13. Will lot be regraded ...... ~1~.O ......... . ~ ........ Will excess fill be removed from premises: Yes ~. No 14. Name of Owner of premises ~q,~.~'~',~,~.../'~ Address ,~. 29J/~. ~//q4o. ~. .... Phone No..~.2-/. *-/F.7'/. .... Name of Architect .......... .............. 22' Address , ~Sg'~-;r- . Phone No ................ PLOT DIAGRAM Locate qlearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW yORK COVlVrY OF .... C./(.'.. S.S ................. r ............ being duly sworn, deposes and says that he is the applicant (Name of individual signihg contract) above named. -~' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~) 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 his knowledge and belief; and that the work will be performed in the manne~ set forth in the application filed therewith. Sworn to before me this ' ~7 day of Notary Public, ................. NOTARY [ :flLIC, Stere of New York 1258~0, Suffolk Co_,~v~,, 3fr~s March 30, 1~ / (Signature of applicant) SUFFOLK CO. HEALTH DEPT, AI~ROVAL THE WATER ~Y AND ~WA~ DI~SAL ~W F~ THiS COreM TO T~ STANDAR~ ~ T~ ~FFOLK CO. ~. OF HEALTH ~V~ES. ~FFOLK COUNTY ~PT. OF HEALTH SERVICES -- FOR APPROVAL OF CO~TRUCTION ONLY SUFF~K CO. TAX M*" ~SI~NATION: OWNERS ADDRE~: RODERICK VAN T,,...T..I~L, P.C. LICENSED LAND SUR VE'~RS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLKf~G. DEP~. O.E HEALTH SERLVICES. SUFFOLK COUNTY DEPT. OF HEALTH SERVICES ~ FOR APPROVAL Of ..s.~ ~Q 7~ = ~ SUFFOLK CO. TAX MAP DESIG~ON: DIST. SECT. BLOCK PCL, OWNERS ADDRESS: DEED: L.~-.~40 P. 400 TEST HOLE STAMP SEAL ~ OM'T f ,£ ?~LTA I ~ X NOTIFY BUIL~ING DEPARTMENT ~T 765-1802 9 AM TO ,~ PM FOR THE' IVOLLOWING Ih'?FCTIONS: L~. FOUNDATION - TWO REQUIRED ~, ROUGH - FRAMING & PLUMBING ~. iNSULAT~qN ¸7' 'k ...... f ....... ,,o X ? 8 4 i%. 12.. ri ~"--