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Home My WebLink About11867-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...~fl, .fl 7.q2. ........ Date ............. Nay. 3.'q ............. 198.3. THIS CERTIFIES that the building ~w. D~.~ll:i_~g ................................. Location of Property .'~ 3.6.5.. J.o. akey..~re ek. ])ri.~.e .............. S. mu'~hoJ~d ......... House IVo. Street Hamlet County Tax Map No. 1000 Section .... 0.~.0 ....Block .... 02 ........ Lot ..... .Gq 9- d2. .... Subdivision... $,..~e20r~..~s~;a.fie .......... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Fried in this office dated ·.. Av, g~ts.fi .~ 3 ....... ,19.82pursuant to wlfich Building Permit No... Fl.~.SG?Z, ........... dated g,u~u8~b '19 19 ~2 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tkis certificate is issued is ......... New one £amily dwelling The certificate is issued to . .RICI-XFIXtD. g~ .D]gB..~g-~. · O0~t~dr~Y ........................... (owner, leYs~e or tenant) of the aforesaid building. Suffolk County Department of Health Approval ...fl..2.-.~.q-:7.3 .............................. UNDERWRITERS CERTIFICATE NO..lXl.5.9.~ .8.5.3. ........................................ Building Inspector Rev. 1/81 N? ]:1867 7 Permission is hereby granted to: TOWN,OF SOUTHOI~D i' BUILDING DEPARTMENT TOWN HALL ~ SOUTHOLD, N~. Y.~ BUILDING' IXER~IT (THIS PERMIT MUST BE KEPT ON THE PRE/~IS~S UNTIL EULL~ COMPLETION OF THE WORK AUTHORIZED) .......... , dt yremise~s located at ..~../.~z~.~.,,,%..~. ....... ................ ~ .......... : ....... ,.., ................................ ~ ....... ~ ................ .:,...~:....,.,,,,~,~_/.~,... County T4~ Map No. 1000 Section ....~.7~) ...... :Block ~.O~" .......... ~ Lot No....~./...~.~.,./~.~' ,pu~rsuant tO application dated ....y, BU fi:ling I~spector. · I:ee !$ ...... ' / 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-e~ist!ng" 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 $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 / / land use $ Is-/$5.00 Date ....... New Building ............. Old or Pre-existing Building(X) ......... /34;5 ~c/e;~w ~'~K Location of Property ........ ~ .... Hou~ No, Street Ham/et Owner or Owners of Property e O~h ~ / co~.w ~ M~ ,o. ~o0o S.~on O ~ O ~oc~ 0 ~ ~ot..~ i~' ~.~ Subdivision .......................... Filed Ma~ No ........... Lot No .............. Permit No..[ ........ of Perm pp icant . ~0~ ................. Health Dept. Approval. ~.'~. ~. .......... Labor Dept. Approval ......................... U nde~rit~rs A~roval ................. PlannM~ Board ~qu~st for Tem~orar~ ~ertifieat~ ................... Final ¢~rfifi~ate .. Fee ubm tted .... <.... Construction on above described building and permirmeet, s all app~cable~code~ and regulations. FIELD ~SPECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS THE NEW YORK BOARD OF FIRE UNDERWRITERS 100041~ BUREAU OF ELECTRICITY ~' 8.5 JOHN STREET, NEW YORK, NEW YORK '10038 THIS CERTIFIES THAT only the electrical eqNipment ~ ~scribed bel~ and introduced by t~ appllcant na~ on the able application nutttber in the premises of in the following location; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot FIXTURE OUTLETS IECEPTACLES DRYERS and found to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHER SWITCHES FLUORESCENT 41 SYSTEMS OTHER APPARATUS: ~to~; 1-~p. i-a.J~ c~tc~tor R V I C A. WG PER ~t' OF CC, COND 1 2/O NO. OF Hi-LEG OF HI-lEG NO, 0 EUTRAL$ OFA NEUTRAL ~/0 ao~eph ttololob FORM NO. 1 TOWN GF SOUTHOLD BUILDING DEPAR-FMENT TOWN HALL SOUTHOLD, I~I.Y. 11971 TEL.: 765-1802 // / ~p~o~. ~/~ ....... ~ .................. ~.. ...... './~ · · ................ .... (B~ilding APPLICATIOn, FOR BUILDING PERMIT INST RUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug 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 ~this ap1 cation. c. The work covered by this application may uot be commenced before issuance of Building Pe~it. d. Upon apprc'.'al of this application, the Building Inspector will issue a Building Pe~it to the applicant. Such pen shall be kept on the premises available for inspection throughout the work. e. No build/ag shall be occupied or used in whole or in pa~ for any purpose whatever unt~ a Certificate of Occupar shall bare been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance of a Building Pe~it pursuant to Building Zone Ordiuance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, tbr the construction of buildings, additions or alterations, or for removal or demolition, as herein descfib The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, ~d regulations, admit authorized iaspectors on premises and in buildings for necessa~ inspections. . ......... (Si~natnre of applicant~r name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, ~gent, architect, engineer, general contractor, electrician, plumber or build Nmne 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 coG>orate officer) Builder's License No .......................... Plumber's Llcens: No../.kp'.. ~..~~.. Elactrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done ................................................ ............... K~-N ................ g !~5 ........ .J. ?. ?://. .o.~:1~. ............... House Number Street Hmnlet c.~[~. / ~. County Tax Map No. 1000 Section . .~,~. ............. Block ....Z:. ............. Lot.. ~'... g haii¢i ,_u~_.v.,.o),~5'.,..... . .................../~'r~FfZ ...... '.. Filed Map No ........... .... Lot ............. (Name) 2. State existing use and occupancy of premises and intended us~ and occupancy of proposed construction: a. Existing use and occupancy ~ ( ..~:::,?.:_.; ~..n.~,,~ occupancy ...-; ........ -, lO. II. (4. Nature ox :zork (check which ap )licable): New Building .......... Addition .......... Alteration Repair Removal De. molition Other Work I (to be paid on filing this application) Ifd Ih, =, n tmber of dwelling units ............... Number of dwelling units on each floor .............. If garage number of cars If business, commercial or m/xed occupancy, specify ~ature and extent of each type of use .......... Di of th F ' R pth mensions existingstmc res, if any: rent ............... ear .......... De .. Height Nt nber et Stories Dimensions of same stmcturel with alterations or additions: Front Rear Depth ' Height Number of Stories Dimensions of entire new con:struction: Front ... ~; } Rear .~,.$. Depth .2..8 . Height .............. ..., Nu nber of Stories . /? ................... Size of lot: Front ......... : ....., ......... Rear ...... .7/. ....... Depth ..e.. ~ ~ .....2;..~? .... Date dr Purchase ......... : ................ ~... · N,~me of Fom~er Owner . ?.'.q':. f.o, .~..,5'7~..f~~. 'K'. ....... Zone or use district in which premises are situated ' Does pr6posed construction violate any zoning law, ordLmnce or regulation: .. t~..0 .................. ?.,ll lot be regraded ....... ,,.~Y~. :., ....... '.'/ .....Will excess fill b%rem, ovefl From premises: Yes ~a ~e of Ou'ner of pre n scs. t~v-o ................. '-~v.--~ . ...~ Address t.L°o~e~.~ O. ~.0.. . .... Phone No Name of -\rchilect : Address Phone No Name of Contractor Address Phone No property l/nes. Gh'e street and bloqk ',r, terior or corner lot. ./,/ PLOT DIAGRAM Locate clearly mid distinctly all et iklings, whether existing or proposed, and. indicate all set-back dimensions fro~ nrta:bet or description according to deed, and show street naraes and indicate whetN ¼ ~rATE OF NEW YORK, S.S ...... ~-t,., ................................... being duly sworn, deposes and says that he is the applicm-~ . (~;'oflndividual signing ~e is th ' ~ ' .(Contractor, agent, corporate officer, etc.) of said owner or own'em, and is d~dy authoHzed to perform or have performed tho said work and to m~e sad al~plication; amt all statements coat:fined in this application are true to the best of Iris knowledge and Work will be performed in the manner set forth h: tile application ~led therewith. ~wor'n to before me this ............ · ~ . . dav~ ~.~r~ '".' f,Y'V :: '*" . . ;':.. ' ~*m.i,,,.,,,,, ~i,,"~ ,,,"~ '. . . . ~ '. _ ___._ _~:__..:_L. 2;....~..~ TITLE NO, 12103~86 TEST HOLE 0.0 ~ ~ , ~ ~Oo / ~1 ~ I ~/ ¢~ I ~.1 ~ I I /~~ I SURLY FOR SUFFOLK COUNTY DEPA~TMENI OF HEALIH $EWtCE5 RICH~D CONRARDY ~ DEBORAH CONRARDY FOR APPROVAL OF CONSTRUCTION ONt. Y AT SOUTHOLD DATE, DATE '~0 ~ 7 SUFFOLK COUNTY, NEW YORK NO. ~- 372 APPROVED ' HE~TH DEPARTMENT-DATA F~VAL TO C~STRUCT THE ~R~ FOR WHOH THE SU~EY IS PREPARE~ OF HEALTH ~1C[$. PURPOS~ AND ARE NOT TO BE USED TO ESTAeH~u AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 ~ L~T~W~L(W),SEPTIC TANK(ST)aCESS~OLS(CP) SH~N H~E~ ~ ) N.Y.S. LICENSE N0.45895 . TITLE ND.T-12-82-01959 'rEST HOLE LOAM ,' '~ A . ,.,Oo~//2o/o' ~ t,J '"'-~, Oo/ .RAve, /-'"""~'"'~'~0o , 4,'0. ,~- / / 7' / ~ / ~' I ~:~___;~.~__~ x~ I ' / su~o~ eo~ ~u ~P~ SURVEY FOR OA~_ 1~9~ ~. ~. ~. ~~?~~ RICH~D CONRARDY & DEBORAH, CONRARDY MAY AT SOUTHQLD DATE: JUNE ~9,1982 ~he eewa~ dtep~el ~d water s~p~l~ ~N ~ SOUTHOLD SCALE: 1"=40' ~acJl~l. fea ~o~ Ibis loeatloa have been tnspecte<j by thJ~ de~[~eat a~ fo~ SUFFOLK COUNTy, NEW YORK NO. ~~7 ' - u 'SURVEy ~A VIOLATION ~SECTION 7209 OF THE .... ~eno~al nOT e~ eossm~.[o *o K, vAL~ ~Ru~ co.Y ~GUARANT~ES INOiCATEO HEREON ~ALL RUN ~LY m ~. /~'~ ..... ':0~ .~ HEAL~ DEPARTMENT-DATA FOR APPROVAL TO C~STRUCT THE ~RsO~ FOR WHOM THE SU~EY tS PREPARES ~ S~F CO. TAX MAP ~ST /~e,~.SECTiON ~7o B~CK ~ LOT ~/o/~ HERE~. A~D TO ~E A~SI~N~S OF THE LENSING . .~.~ ' OTHER TH~N THOSE ,SHOWN HEREON. OWNERS : ~THEWATERSOP~Y~SE~GE DIS~AL SYSTEMF~THIS~ESIDE~ ~DIST~NC~S SHOWN HEREON FROM PROPERTY LINES I ffi ) V~l Ikl~ m V~l IKI~ ~OSTRANDER AVENUE T~L. I .~ I /~lq~ ~ /~1~ RIVER~AD, NEW YORK ~ ~/ HOWARO W. YOUNG, LANO SURVEYOR ~L~T~W~L(W),SEPTICTAHK(ST)aCESS~OLS(CP)SH~HHERE~ ~ ~ N.Y.S. LICENSE N0.4589~ mE FR~ FIELD ~ATIONS ~ OR, DATA OB,rAINED FROM OTHERS ~ r i' -' F? ' ~APPROVED AS NOTED, ~- 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNr'ATION "TWO REQUIRED FOR p?L RED CONCRETE 2. ROJGH - FRAMING & pLUMBING, 3 INSULAT~ON ~. FINAL ,- CO~TR~CTION MUST BE C~MPLETE FOR~ C. O, 'ALu' CON~' HALL ~EET TME REOUIi ~HE ,N. M. , ENEBGF. ,f