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Home My WebLink About11850-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEFARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g. 1. ! .45.~. ......... Date ..... Jan.u,~ry..26 ................ 1983. THIS CERTIFIES that the building ................................................ 445 Vanston Road Location of Property . 2. 7.5.0. ............ ~J~s~q.a.U. ~.o.J, rt~..t~Q~Ct ........... C~cho.g.u.e... House No. Street Hamlet County Tax Map No. 1000 Section .. 1. .0.~ ....... Block .1.2. ............ Lot ....03.5. .......... Subdivision...N..aS.s.a.u.. ~.q~..n.t .............. Filed Map No.. ! .5.6 .... Lot No. 3.7.6. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .A.~q.u.s.t;.. ~ ......., 19 .8.2. pursuant to which Building Permit No...13.8.5.0..~ ............ dated ...... A.u. gcz.s.t;. 9 ............. 19.8.2., was issued, and conforms to all of the requirements of the applicable provisions of the law. The pccupancy for which this certificate is issued is ......... ..... a.n...a.d.4 ~..t.~.o.n...tg. ,o.~:-.~.a..m.~.~., c~.~.e.~. ~..~.n~... ................................. The certificate is issued to ...... .G.E..O.R.G.E.. ~..E.L.E..A.~9.R...B.:r.S?.H. 9F?. ...................... (owner, I~ ~arr~ of the aforesaid building. Suffolk County Department of Health Approval .... n. [.a. .................................. UNDERWRITERS CERTIFICATE NO ............ N...5.8. 7. ? ~.9. ............................ Rev. 1/81 Building Inspector FOruM NO. 2 OWN O~ SOUTI40~D ~, BUILDING DEPART~EN? Town ItALL · $OUTHOLD, N~ ¥. BUILDING PERMIT (THIS PER~IT ~UST BE KEPT ON THE P~EM S~S UNTIL ~ULL COMPLETION OF THE WORK AUTHOR/ZED) N°. 11850 Z ~ate ..,~ / Permission is hereby granted to: ....Z~..~ ....... ~...~.~ ........ ,~.:....~. ................ .... ...... ,~ ..?,~.~.~.~ ....... ~.~.~.~..=~...~.~.~ .................. ................ ~ ....................... ~.~.7.~..~....~.~.~.~...~...~....~.., ............ ~ ~k ~....~.~ ...... ? ~ No. ~...~ ....... Cou~ Tax Map No. 1000 Section ...J~.~....., : '; pursuont fo opplic~tion d~t~d ... . ~ ..... .......... , ........ {..~.;.... ~..~,~ ~o~ ~ ~ Building Imspector ~e~ ~../.:~ ............... Rev~6/30~80 Building InSPector 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 subr~ittad in duplicate to the Building Inspec- tor ,czi[h [he following; for new buJ!dings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or tooograohic features. 2. Final approval of Health Dept. of water suoply and sewerage dis~osal--(S-9 form or equal). 3. Approval of electrical installation from Bo'~rd of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buiiding~ and instalta~ tions, a certificate of Code compliance from the Architect or Eng[neer 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 a~d "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. Daze of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. / Co Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $%00 $5.00 Date.. New Building ............ ,.Old or Pre-existing Building(X) /Vacant Land ..... ............. ' '~ ~ ~ '~ . ~ Homier Owner or Owners of Property ~¢3~ ~)~ ~ ~)~/~ ~¢/.%(J ~/~' . County Tax Map No..1000 Section ............... Block ............... Lot. . . '~ ................ ,'M ...... rued Map'No. ,/~ ...... Lot No. .,' ........... Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~vriters Approval .............. , .......... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ ........ Fee ~ubmitted S ............................. C~t'~°vedosor'bed. bu'ld'nga~*~"meetsb~/Oesand ~.,~ . ¢~ · ~- ~ , ~//- - .............................. 1".~.::.. , ., -,.. ..,, ... , .,,.: .' ~ .' . . . . 1oo1o93 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~- '[3~ 85 JOHN STREET, NEW YORK, NEVV YORK 1DUMB Oa,e December' 23, 1982 AppUcatlo, No.o,,fUe 1926~5-8Z N587749 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Mr. George Bischoff, 445 Varmton Rd., Cutchogu~, N.Y. # in the followlng location; [] llasetnent [] 1st FI. [~ 2nd FI. Section Block Lot was examined on D~ce~r ~0, 19~2 and found to be in compliance witk the require~nents of this Board. FIXTURE FIXTURES RANGES OVENS DISH WA~li~$ EXHAUST FAN OUTLETS IECEPTACLES SWITCHES FLUORESCENT i7 15 i7 DRYERS OTHER APPARATUS: SYSTEMS NO. OF FEET S E R V I C E NO' Oi~ERC~,COND NO O~ Hr-lEO jof A'W'G'HI'JEO NO, OFNEUTRALS 1-~ke Detector C~ry Doro~ki 42/) Mon~ell Lane Cur. cho~..,t,e, N.Y., 11935 LiC.~2941-E GENERAL MANAGER T ' , Per his cerhflcate must not be altered in any manner; return to the office of the Board f incorrect nspectots ma be i ' ' ~~,,~,~,~,~d,~,~.~' , , . y dentmfled by their credentials. COPY FOR BUI 'DING DEPARTMENT. THIS COPY OF ~E TI I ,A~E ~, $ i NOT B~E TREED I~, ANY MANNER. F~EI~I)'~INS PECT ION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE COMMENTS FINAL ADDITIONAL COMMENTS: Disapproved a/c /.'_..-/5~.~ .:~'...~'~.~'.i~ ..... 5... . APPLICATION FOR BUILDING PERMIT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Application No. d//.~..,5.."~.. ....... Date..~.~.~. ........... , 19~..~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted?m-&:iFi;;_~.~_¢ 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 insvections. ~_r~3c~' ~)c:~ appl~~:~'c~>rporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate o/[ricer) Builder's License No ............... Plumber's License No - ' Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on wtnch proposed work will be done. F/). .5'.5'.~..t/.&~..tin./.. '.57/d' .t".F'.~..L./~...L'. t..,...'-~.. ?..~".~. ......... .... ............................. }louse Number Street ,n~x. ~ .... -~"Hamlet County Tax Map No. 1000Section~.... ~)~..0 Block Lot 1~-~ Subdivision...~...~ f~ Filed Map No. Lot.../'.7.~ (Name) 2. State exisfing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .~..~. Iff..~.T. ~. ff.o..~.-./& ..... '. :.~ ......................................... b. ~nt~nd~a ~ ~nd o=p~,~, ./~- ?r~.&.~ ~.. M~...(7..~)... 3. Nature of work (check which applicable): New Building .......... Addition 10. 11. 12. 13. 14. / ........ Alteration .......... Repair .............. Removal .............. Demolition .......... Oth~er Work ............... · / (Description) Estimated Cost .../.~t ~..~.~. 4 ...................... Fee .......................... .: (to be. paid on filing this ~_~lication) if dweiling, number of dwelling iunits .... .~ .......... Number of dwelling umts on each floor ................ If garage, number of cars .... 2 ................................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ } ........ Dimensions of existing structures, if any: Front.. ~.,~'. t. ....... Rear . .~ .( ....... Depth. ~:~ Height .].~.~/2.~. ....... Number of Stories .... ,~ .................. ,t.. ................... t ............ Dimension~of same structure with alterations or additions: Front .. 3.~. ........... Rear . ,~.~ .......... ~... Depth... t~5-.t ............ i.. Height~..D...~. ~ ................ Number of Stories..~..~.~...,,._../ ...... '... Dimensions of entire new construction: Front...x.~.: ....... Rear .... .~..' ...... 'Depth .~.. .......... }!eight ............... Number of Stories ................. ~ .......... ' ........................... Size oflot: Front: '.l~..., .-- .~,...'~'--' .Rear ...... /..~..2~. .......... Depth . .~..~Yc~.. t._~ ............ Date of Purchase i i ~(9~.~'.' i i ..... Name of Former Owner ~ .2-~/~ .... )~/.~.f~-*f~.~...~..~.... Zone or use district in which premises are situated ....................... ~ t ............................ Does proposed construction violate any zoning law, ordinance or regulation: . fi, I.e. ...................... Will lo.t be regraded .. ~.tp.. j ................... Will-excess fill be removed from premises: . Yes Name of Owner of promiNeNt..' ~./.~.'/~P..~ ....... Address .~.~. 7"~.~.~.~q.. ~. .... Phone No~2~.'~t.x' Name of Architect ........................... Address ................... Phone No .... i ....... r.... Name of Contractor ......................... Address ................... Phone No ................ PLOT DIAGILkM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block!number or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF. ~~.~_'~ · ~Y.. ;5'.~.'d ./~. ,..~f::~ .............. being duly sworn, deposes and says~Ss'the above named. applicant He is the ................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application~ that all statements contlained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworu to before me this : Notary Public .~,...'..~-~. · ounty . QI:: NOTIFY BUILDINB 765-180~ 9 AM TO 4 P~ FOR THE FOLLOWING iNSPECTIONS: ~. FoUNDATiON ' ~0 R~QUIRED ~. R~UGH - FRAMING & pLUMBING ~. FiN~,L _ CONSTRUCTION '1