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Home My WebLink About11905-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No..Z.! .4.200 Date iq.a.rc3n .2.] ., 19 86 THIS CERTIFIES that the build[tag ......... .0.n.c...f .a.m..i. ],. :~..d.w.. e..1.1 $.n. g ................ Location of Property .,..1.1. ? 0. J5~ 7~4.aAe. p..s..~ c~ .a .d .................... C. u..~ .c.h.q ~ .u .e ........ /~ouse irc. Street Hamlet County Tax Map No. 1000 Section . .q .1.1 ........ Block ..... 0.3. ........ Lot .... 0 08 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... 4 .u.2Ly.. 2. 9 ........., 198..2. pursuant to which Building Permit No. J .1.9. 0. 5 .Z .............. dated . ~.e p t ,..1.4 ................. 19~32., 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 ......... · Ome..f ~m,i.],~. ~l.~.e. ~, ~.i.n.g, The certificate is issue d to .........~.~.R.O. ~ iq 0 V I C K ....... ?o¥.'o;, .................... of the aforesaid building. Suffolk County Department of Health Approval 1 2 - $ O- 6 6 UNDERWRITERS CERTIFICATE NO. N 6 22 q 05 Rev. 1/81 Building Inspector FORM NO. BUILDING :DEP,~RTMI~N~ TOWN HALL SOUTH'OLD, BUILDING PER~iT~ (THIS PERMIT ,MUST BE KEPT ON THE P~E~IS~S UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED)` ~' ~o. 11905 Z Date .......~.. ,. · Permission is hereby granted tg;' -- ~ ~....~.~..~:.~.,.~.~.~.~....~ ~. · .~,./-.. , f_ ;' ~ ,o .. ~ ~:~.....;~; ~ ~/;~ ~Z~ ~ ~ ~~ ~~ ........................ ....... ~ ........... ~ .................. , ~;~ . .. ............... ................. ~~,.~~...,~.~.~..~: ............ : ........................ ~, re.,,e, ,o~,,~ ~,...Z~ ....... ~'~"'~-"~"~ ........................... ','"'~ ,--...~ ~ . . ~~..~.,.~ ..... :~: ';~ ............... , ....... . ........ ~ ~ ~ ,~ 8u IdlnO I~spoctor. ! '/ Buiidin Inspectdr FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,- ~ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic 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. C. Fees: >~rl. Certificate of occupancy J $5.0,0__~1 2. Certificate of occupancy on tire-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date .... .~7 .~, .~'..~...~. ,~. ......... New Building ~..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property /,/,0,0,...~.~. ~..~..~..~'~..'~.'../~ ........ ,~:. ,~.',r~:,/.~. ,~?, ,o.~,~,. ,~,, .~... House No, Street Hamlet owner or Owners of,roper,y. ............................... County Tax Map No. 1000 Section .... ~{/ ........ Block O ~ Lot. Subdivision ~.~.'V.C~'~'f~,~,t2/~., ./,~./~...~'.2:.o., .~.m~. ?.~..Filed Map No..~..~?'.~. .... Lot No....?. ........ PermitNo. L[c~,0...'~..~.. Date of Permit~//.~. .~.L. .Applicant ,,'~;f~.~....2~...~q~ .6',z3~.~...~-r.'~... / ,~ ';¢;~,-z~SA, ;¢(30tc/~_ .... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ... "" .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ,~, ,'.~, .~, ................... 7/' THIS PAGE BECOMES PART OF AND IN CONFORMANCE WITH PROPOSAL NO. ANDREW MULLER Job Name CONTRACTING CORP. Accepted by Date Submitted by Date _ 19 Accepted by Dante 19 19 1000758 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bat,~ NO"~ 2, 1983 Am, iicatlo. No..nf". 196502-82 N622105 THIS CERTIFIES THAT only the electrical equipment as described belo~ and introduced by the applicant named on the above application number in thepremises of Mr, & ~k~s. Aaron Novick, S/~ Eaywaters Rd. 182' W/O Old Cove Rd., ~atchogue, N,Y. ~., ~,,nlaed o, OcLober 27 , 1983 and found to be in compliance with the requirements of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS [qXTURE OUTLETS SWITCHES FLLJORE$CENT 21 30 29 21 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C 1 2/O 1 2/O OTHER APPARATUS: 1~6.5 K.W. steam Unit 1-4.5 K.W. }bt Water I{eater 2-G.F.C,I. 1-Smoke Detector Track!~ghtimg: 16 ~ -0", 8-1iteSo Rocky Point Elect. 12 Fountain Rd. [~ocky Point, N,Y., 11778 LIC,#333 This certificate m~st not be altered in any manner;, return to the office of the Board if incorrect. Inspecto~ PYOFC GENERAL MANAGER may be identified by their credentials. FIELD INS?ECTION~ COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 72'8 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 January 29,1986 To Whom This May Co~cern, We are unable ~o complete your Certificate of Occupancy because ,of the following reasons. C/ o final inspection has been made. lease contact our office on this matter. Thank you for your cooperation. Building Permit # ~__ ~ q O ~Z An application for Certificate of Occupancy is not on file. No Underwriters Certificate on file. The check is(outdated/not on file.) No Health Dept. Approval on file. Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) Sincerely yours, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. Examined ...... ................... , 1 .~... .... ?~'Permit No ............... proved ..... ....,....,...,.. .................... . Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No...Z~'..~,..~;.Z ......... Date 19.~.:~-... INSTRUCTIONS a. Thi~ alSplication must be completely filled in by typewriter o¢ in ink and~ubr~ltted in triplicate to the Building Inspector, with 3 sets of plans, accui6te p!ot( plan to scale. F~ gccgr(~ ng to scbe~.c~ ,e~ ,. b. Plot ~lan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets o~ 'areaS, and. giVing a detailed descripti6n of layout ofproperty must'-be'drawn on the diagram which is part of this application. c,= Th~ work covered I?y this application~may not be commenced berate issu.anc~ gf Building Permit. d. Upon approval of this application, the Building Inspector will issue o 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 inspections. (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Other Trade's License No ............................................... 1. Location of land on which ro osed work will be done MaD No · ~~ .... L~t ~, " - ~//~/ ~ ~ Municipali~ 2. State exisfihg use and occupancy of premises and in.ended use and.occupancy of proposed construction: a. Exisiting use and occupancy ~ b. Intended use ond occupancy ........ ~.....~.~..~'~..'~....(~.. .................................. ' ................................... /ooo- 3. Nature of work (check which applicable): New Building' ..,..~..., Addition .................. Alteration ................ P, epair .................. Removal .................. Demolition...' ................. Other Work .................................................... 4. Estimated Cost ............. ~'..~..~.'l~..aO.O:,.~..~. ............... Fee .. ..~., .~... x~/~ ,, (Description) /-(to be paid on filing this application) 5. If dwelling, number of dwelling units ......... ~ ............. Number of dwelling units on each floor ..... ,....~.,. ............ If garage, number of cars ...........~?f,..~Ck'~ ........ .u..¢,.:..,~.~....~5~, ....~....~.. .................................................................... 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 ........................ Numb&r of Stories ................................................................................................................. Dimensions of same structure with alterations or additions; Front ....................................Rear ............................ Depth ................................ Height ............................ ~umber of Stories ................................ 8. Dimensions of entire new construction: Front ...... ~,....~,.~.,i../~'./..~.......i.. Rear ........ ,,~.~...~..ZZ'...... Depthc~,~..~G..~..~....~", · Height~,Y.~...?~...~.../.. Number :of Stories ........... /...~.Z-J~..,~...~.. .................................................................................. 9. Size of lot: Front ..............:~.."~"../. ............................... Rear ............... .~..~). ................... Depth ..~;~.~../....4'.~,~r~'.~ {0. Dote of Purchase ........................................................ Nome of Former Owner ........................................................ 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded . .......¥~...~'~' ......... Will excess fill be removed from premises: ( ) Yes 14. Name of Owner of premises ~/'~/~.~..~../........./~...~..~<.~..../~... ....... Address ./~,~,~.~,.~¢. ;.)~4.... Phone No. Name of Architect ..~r~.~.~.,..'x,......~....~:.~z~r,~ .............. Address ~'/~t~.~r~,~,~.-~.~.~x('Phone No. '..~.,~.~..,~,.~...~' Name of Contractor ~./'//.~M,,~m~.~.~..~.~,.f.~ ................. Address .~....~C..~./f~l.~.~.~Phone No...~..~..~. ......... PLOT DIAGRAM Locate dearly and distinctly oil 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 end indicate whether interior or corner lot, STATE OF NEW COUNTY OF ...... ............................................... .~t...~'.~'f4'~'.,/~d..¥./,,/,/m"~ ........ being duly sworn, deposes and SQyS that he is the app(icam '(Name of individual signing eont~aCf) above named. He is the ................................... ~.~.t.~.~.~ ....... ~'-.,-.~ ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have' ~erformed the said work and to make and file this app cation; that all statements contained in this ,aRplication are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fbdh in t~e application filed therewith. Sworn to before me thi~ Public, Notary ...~~~ - , (Signature:of ~pplicant) 3 N40°16' 10"E %. % %. soo. o, LIL23A 0 \ rq i -q 7 8 40°45, 20' '~/~ ' UTILITY POLE ~.he sewaBe dispoSal and water supply ~ac['llttem for this looatloabave been inspected by this depa~%men%audfomnd Ohief of OeneralEnginee~in~ Services 50' 35.8' 38.1' REVISED SUBDIVISION PROPERTY ALONZO JER'~EY¢ APRIL 28,1930 MAP N0~763 GUARANTEED TO ' :' MAP OF LAND LC)CATED AT ,;,, NASSAU POIN% ~ toWN OF sOp~.~oLo, COU,]~,C~ ~K , AARON NOV1,CK ~ I0 N 40°16' I0" E :500.80' 50' 35.8' 3,8.1' REVISED SUBDIVISION PROPERTY ,OF ALONZO JERSEY APRIL 2B,1930 MAP bio. ~6~ TYPIC At_ P~T ·, LAND LOCATED AT "' ~ GUARANTEED TO [~ ¸ rr ' Y IIH ) T CERTIHCkT[ OCCUPAt, tC¥ edt / ~eeeov.o As ,.ot.. ':-. NOTIFY BUIkDI~G ,~T~[~T 765- 802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ~1. FOUNDATION - ~0 REQUIRED FOR POURED CONCR~ 2. ROUGH -F~M~NG & pLUMBING G. INSU~TION . . , 4 FINAL - CON'STRUCTION MUST ,- - BE COMPEETE ~ORC, O. : ~LL CO~STRUCTi0~' SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT REsPONSiBLE ,FOR D~IGN OR, CONS~UCTION ERRORS. Offic~' ,, ," ,' ' Gordon ~". Ahlet.,,- P. E.-, r r