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Home My WebLink About11862-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Occupancy NO 7.122,.507 Date I?.y .3. I. ........... , 19 .~.4. addition THIS CERTIFIES that the build,n§ ................................................ 9680 Nassau Pt. Rd. Cutchogue Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section .... .I.I,8. .... Block .... 6 .Lot ' 9 N~ss~u Point 156 88&89 Subdivision ............................... Flied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August 121 82 II862Z ...................... ] 9... pursuant to which Building Permit No ...................... · dated ...A.u.g..u.s. '.~..I.7. ...............19B.2.., was issued, and conforms to an of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... addition to existing dwelling The certificate is issued to MR. & HRSo GARY VALK (owner, le~;o¢ of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N58668I UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN OF $OUTH~D ~i BUILDING DEPARTMENT TOWN HALL SOUTHOI, D, N, YJ ~ BUILDING PERMi'r~ ~- (THIS PERMIT MUST BE KEPT ON THE RR£~IS~S UNTIL ULL COMPLETION OF THE WORK AUTHORIZED): N°. ~88~ Z Dote Permissiort is hereby granted to: · ...... ~.~...~.~LZ ........................ .......................... ...: ............. :.....::.:::.....~:..: at premises located at ..Z~.Z .................. Couh~ Tax Map No, 1000 Section ..... ~/..~.;.,. Block ~ ............. ;Lot NO.~ .................. pursbant fo application dated ~C~'~'~"'."~;...~.....,': 19.~ and ~Pprov~r by . i~u,omg ~jnspector Rev. 6/30/80 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 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. 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 topograph ic 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 ~r 3. Copy of certificate of occupancy $1.00 land use $ New Building ............. Old or Pre-existing Building(X) v' ZVacant Land ' Location of Property .,~.~,~_O, p~<~/~.~ 0""[', t~'t'3 House No. Street Hamlet Owner or Owners of Property ..... County Tax Map No. 1000 Section I,I ~' Block (~ Lot .~. Subd v s °n · - ~..~[ ,~ ~.~t~- ...................... Filed Map No, I*~1. .Lot No. Permit No ~l ~'(' ~ ~ Date of Permit .~!?{ ?.'~..Applicant ~ ~---~ Health Dept Approval ~'- Labor Dept Approval '- Underwriters Approval ........................ Planning Board Approval ....... '7. .......... Request for Temporary Certificate ..................... Final Certificate ........ - ......... Fee Submitted $ ~ Construction on above described building and per,~m, eets and regulations. ~4b "~ ~ ]F- Apphcant ...... ~,~.._.~'ffT._,."..,,..~.~_.~~,z" ........................... xt°, xzz 2 ' FIELD INSFECTION FOUNDATION FOUNDATION (1st) (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL DATE COMMENTS ) .. ADDITI~AL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 pm BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW Y~)RK 1OO3~ rate I~em~r 15 , 1982 ~p~..e.tio. No. o./ile 1,~733-82 N 586881 THIS CERTIFIES THAT in the following location; [~ Basement [] 1st FI. [] 2nd Fl. Section Block Lot was examined on I)f~De]7 9 ~ 19~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS OUTLETS SWITCHES FLUORESCENT 23 16 DRYERS SYSTEMS E EXHAUST FANS OTHER APPARATUS: E R NO. O~E~C COND A W G* OF CC. COND. 2/O ~lec. tk~m Heater/s:l-2.0KW,l-l.5~W,l-l. ZSg~,l-.7~gW 1-G.F.G.L OF HI LEG OF NEUTRAL R-_land Elec. Co. P.O. Box 143 Mat~ituck, N.Y. 11952 COPY fOR BUlL )lNG ANY MANNER. ICC. po I ,'N'"T' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:;] Disapproved ~'c .... .':. '. ....................... '..;. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled iu by typewriter or ih inl~ and submitted in triplicate to the Buildi 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 stre{ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[ 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 pern 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 d~g,m~olition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, hou~,~g.j;tSde, and regulations, and admit authorized inspectors on premises and in buildings for necessaw inspections. (Signature of applicant, or name, if a corporation) (~aili. n~ address o f applieaut) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild, (as on the tax roll or latest deed) If applicant is a corporation, signature of duty authorized officer. ~' (Name and title of corporate officer) Builder's License No ...... 1.~..1~ .. . Plumber's License No ............... Electrician's License No... ~.~.~4'"~ Other Trade's License No ...................... 1. Location of land on which proposed work will be do~.. ~,..~ .......................................... ¢.¢.. ,¢o lc.,, ............ House Number Street Hamlet County TaxMap No. 1000 Section ....... /.'(...~..... Block ........ ~.. ......... Lot ..... ¢ .......... Subdivision. /tx//Y~-~PttJ ~DtNT Filed Map No. ['J'J~. Lot ~'~?.F'..~. (Nalne) 2. State existing use and occupancy of premis~iytZed use and occupancy of proposed construction: a. Existing use and occupancy ....... ! .... .. .... ~'i .~.~... ......... x ........ ~ ...................... ....... ..................... Nature of work (check which applicable): New l~uilding .......... Addition ......... Alteration Repair .............. Removal ............ Estimated Cost ............................ If d~velllng, number of dwelling tinits I Demolition .............. Other Work ............... ~ ~../~. ty~ (Description) ..... Foe ..................... -r ........... (to be paid on filing this application) Number of dwelling units on each floor.. J ............. If garage number of cars If business, commercial or mixed occupancy specffl? notnre and extent of each type of use ................... Dimensions qf existing structures, if any: Front..'~..~..-~...--. ..... Rear . ..~ ..... ,? .... Depth . . .~.'~..~..~... Height ...I.~..-~...~ .... Number of Stories ....... 1 ..... : ............ ~ .......................... DDie~;?sions' o.~a.~.~t .~,~ture ,viii: ~lt~ons ~{~ti?.~.s: Front..Oi ~u~b~'7~ ~i;~i;sRear' f''~' "'~': ...... " Rear Depth Dnnenslons o! entire ne.w construction:. ?rent, ........................................... Height: ............... Number of Stories .................................................... Size of jot: Front ..... ~ .~.t~..,-~..~ ....... Rear .... I:.~..~:~.."~....'~.. ...... Depth ...'~..(~.~..~.~....'~ ....... Date o'f Purchase Name of Former Owner Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation: .............................. Wit.~ lot be regraded .... ~?. ~i .................... Will excess fill be,removed from premises: Yes Name of Owner of premises s~..~.1~..~.~..~.~f. ,O..~..1~. Address ~..0~. $..&N..[~.~. ~ .... Phone No."~ .~.ff.~..'~ .~. [.. Name of Architect . ,.~.. ""- . Address ......... , ......... Phone No .... Name of Contractor ~.:. ..~.. ............ Address ."~....~.l).l.I..~.o. ~'.s4:,..~,... Phone No."~b.~ ...... PLOT DIAGRAM Locate clearly and distinctly ,all coperty lines. Give street and block terior or corner lot. buildings, whether existing or proposed, and. indicate all set-back dimensions from mmber or description according to deed, and show street names and indicate whether rATE OF NE~kk'~RK, / . x i s.s (Nah~e of indMdual sigl]ing contrak:t) )eve named. eisti e.. ................... ................... i( ..QC°~tract°r~gent' c°rp°rate ° ffic~r' et~') f aid owner or owne~, ~d is du[y[autho~orm or have penformed the said work ~d to make and file fids ~plication} that all statements contaified in this application are trne to the best of his knowledge and belief; and that the 'ork will b6 performed in the manner set forth h~ the application filed therewith. worn to before me this ........... ~ .... day o~ .... o cry Public, ........... " . . County ~ss~0. su,0~ ao~t?, ' (Signature of applicant) OCCIJ?ANCY OR USE IS UNLAWFUL Wl'1'~lJ~T CERTIFICATE OF OCCUPANC~ NOT~ DUILDTNG 765-1802 9 AM TO ~]. FOUNDATION _ ~O ~E~IID~D FOR P~UR~D CONCR~ 4. F~NAL - USE IS IINL~,V~FIJL III: OCCIJPJNNC¥ FOLLOWING INr-~° £C'I'IONS: LI. FOUNPA~ION - FOR p~URED CO~ ~, ROUGH - F~MTNG ~. INSULA ~. FINAL ' C~N~RUCTIO~ BE C~pr ~ ~ FO~ C, O. ~LL CON.RUbeN SHALL ME~ THE DEOUIRE~ O~ ~ N~Y, ~ATE co~u~N COD[S. NOT ~NSIBLE FOR ~[~ OR CoN~U~ION