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Home My WebLink About11966-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building InSpector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z.l $ 02.2. .......... Date ...N..o..v.e.m.b.e. ?..2.0. ~ ................ 19 .8.4. THIS CERTIFIES that the building . .0..n.c..f..a..m.~.l.y...d.~.ql. 1. ~p%. ....................... Location of Property 20 Third St. New Suffolk House No. Street Hamlet County Tax Map No. 1000 Section ...1.1.?. ...... Block . ...1.0. ......... Lot ....... ! ? ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .S.e.p..~...3.0. .........., 198..2. pursuant to which Building Permit No ...... 11966Z dated ....... .O.c.~.....1.8. ............ 199. 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 ......... · .C.~, ~ .h.L.n.g..s.qa.~. ~ 9.n..q .o .v.e.p. ~..e .d..t.o.. 9.n.c...~.a.m.~. 1. ~..O.b.e..i .i.~.n.~..( .s.u.m..m.e?.. o..c.c.u.p.a..n.c.y. The certificate is issued to ........... ~e. V.~p.n' . .~ p.b.b. ~.n.s ................................ (owner, XO~" X~O~,~ X X of the aforesaid building. Suffolk County Department of Health Approval ......... ~./.A. ............................. UNDERWRITERS CERTIFICATE NO ................. ~)~.~ ~ 95.3.6. ....................... only)· Rev. 1/81 Building Inspector BUILDING PERMIT : (THIS PFRMIT MUST BE KEPT ON THE PRE~IS~S UNTIL dULL~ COMPLETION OF THE WORK AUTHORIZED) ' ? 11966 Z Date~ ....,..~....~....., ............. , Permissiort is hereby granted to: : ..t..~..~..q.~.......'..,~.~...~ .... ~' ' i..~i~..~.~~:~Z'~7...~:.i~...:....~.... : ~ ~ ~.....1...~ County T~'x Map No. 1000 Section ..... t..l...~.,:.:...i.Block ,,...i,~..O. ......... :3Lot No .......... -'r' pursbent {o application dated ..... ..,;~. .......... 19.~.and ~pproved by the . Building Iflspector. ~;; ~..l.~, ;..a.v.. .... ReV. 6/30/80 , , ,. * FORM NO. 6 TOWN OF SOUTHOLD Buildlng Department Town Hall ,~}outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~JpNc;t= 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. Commemial 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 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/ land use 3. Copy of certificate of occupancy $I .00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building .... v~. ....... Vacant Land ............. Location of Property . ¢,~ ....... '7~./. ~ ~. .... .~?'..~.~.T . .~.v~.. ~-. ~/;~_~ ..... House No. ' Stree~ ' ' ' ')' ' Ham/et Owner or Owner of Pro er .. . . O. ! ................................ County Tax Map No. 1000 Section ....~ ./.q ........ Block ..... J. ~) ...... Lot.../,~ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. I.l.~.b~.~-~. Date of Permit ].0./I.~./(~ .Applicant.. i/V~E~",-,~... ~ 0.~..~1/1~. ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Approval ..../.~g~_~ .............. Planning Board Approval ...................... Underwriters / Request for Temporary Certificate ..................... Final Certificate .... .L~... ' ............. Fee Submitted $ ..... 0¢7,'.d. ·~/. ................. THE NEW YORK BOARD OF FIRE UNDERWRITERS ak BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only th~ e~ctrical equipment as des~crib~d below and introduced by the applicant named on the above application number in th~ premises of Capt. 'Jim's Fishing Station, South end,3rd Street, 300' s/o Jack,on ST. New Suffo~J~. L.I. in the~ollowing location; L-I ~asement ~ Ist FI. ~ 2nd FI. Section Block ~t OTHE~ APPARAfUS: W.B. Ruland, ' Mattituck, L.I. Lic. 242E Per_ O This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials 7_~5q 8o2, i9 ~,&,L I l_l i: , PoP, Cd- September'. 27, 1982 Mr. Robert Jewel Environmental Health Division Suffolk County Department of Health Services County Center Riverhead, New York 11901 Dear Nr. Jewels I ma the owner ®f proper~y in New Suffolk, at the foot ef Third Street on Peconio Bay, as deseribed in the enclosed diagram. I am changiug use of the existing building from a fishing station to a one-family dwelling for proposed seasonal cperatioao The point for water is approximately two hundred feet to the nox~h of the bulkhead. Sanitary facilitles have existed for at least forty years° In conneetion wi~h the change in use, will it be necessary for me to file with the Department of Health Services? Your attention is greatly appreciated. Very trulyyours, / Newton Robbins Po Oo Box 1~7 New Suffolk~ No Y, 11958 %O0 FIELD INSPECTION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL DATE COMMENTS ADDITIONAL COMMENTS: Examined .~.. ,-6~.... ['.~.., 19 .~'.~/~- Approved d~t~.... [.~... FORM NO. 1 BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ., Disapproved a/c ..................................... Date .................. 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 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 regulation~h and to admit authorized inspectors on premises and in building for necessary, inspecti (Signature otapplicanr, or na e, if a corl?.o~at_io3t> ,>: (Mailir/g address; f a~iif~Si)' .... ~.. /, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... . .~..~...(-~......~.f~.~...~5~cr..'-"' .......... . ./~..~.. ::'; ;2 '~ . ......................... ................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ,. " ' ' '~' ' ' t~ ' Plumbers License No. ~../~.-~c~'/~ .~/~' ElectrtcmnsLtcenseN:.'~.~'.~...d..~' ' ' ' Other Trade's License No ...................... ' "~' "~, .~.....~. ~.~...~) 1. Locationof,],and on~whichproposedworkr~villbe done ..... ~.~:...~..~... .............. House Etgmber ftmet f Hmlet County Tax Map No. 1000 Section ....... l .~ .~ .... Block .... ~'..~ ........ Lot...~..~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises j~nd intended u~e and occupancy of proposed construction: a. Exisfing use and occupancy ... ~/~~/~_~.1 ...... ~...; ......................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... Other Work ............... Repair.. ...... (.p:~... Removal .............. Demolition ... 4. Estimated Cost .?4/..~.~...~. ,-. ~..~ . Fee .......... )~..'~..' ' ................... (Description) ~ (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ...... .~.. Number of dwelling units on each floor .... Ifgamg~ number of cars 6. If business commercial or mixed: occupancy, specify nature.aru~extent of each type of ll~e ..... 7. Dimensions pf,~xis~g~stfucture~, if any: Front...'%4~..~.. ~Rear ...Gl .~...~e~.. 'D;~t'~ i. Height ~.O~.~1~.... Number of Stories ~ tJ ~ /..~.. /f ..... Dtmensionfi_o>f s~me structure with alterations or a~l~itions: Front . ~ ~... Rear..~ ~ Depth, :,,~, ~ .... i. Height .... c-,~ 9..~;~C2~_YC~umber of Stories ....... .~/.". 8. Dimensions of entire new constrUction: Front ....... ~.'. ..... Rear ....... /~ ..... Depth/....~ ........ Height ..... .~. ....... ~l~mber of,~tories ...... :.~(~ ..................... r/~.-.~ .......... 9.' Size of lot Fro~nt~. ,/m~..C~,,.~/.c;~-~.... Rear...'..x~c..'.e~. C~ ~-2)enth ' ~' '~'.~9 i0. SateofPurc ,as:. .... NameofFo ;;e¥ . . 11. ~,one or use aismc~ in wnioh prerdises are skuatea .......................... ~,.>-~ ........... / ...... 2/. 12. Does proposed construction violate any zoning law, ordinance or iegulation: .... .~.~...~.. ............ ~ .... 13. Will lot be regraded ...... ~...~..~.. t~ v,,.~ z.. Will exc~fill be r,o~oy~j~ frg~ premises: ,~ ~ No 14. Name of Owner ofpremises~~..//~ddress .~.~//,~;~,.9~4 .~Phone No. Name of Architect ' · ......... i ................ Address ........... (//. ......Phone No ................ Name of Contractor ' .r.e: ......... Address ........ t..t ........ Phone No ........ ¢ .t ...... PLOT DIAGRAM Locate clearly and distinctly ail :buildings, whether existing or proposed, and. indicate ail 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. STATE OF NEW/~O..R!~, (Name of individual signing contract) above named. He is the ................. ~ ............................................................... ; (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 ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannei set forth in the application filed therewith. Sworn to before me this ............. ~ .... i ....... uay v~ · ..~ ~. · · ~ ............ , 19 . . ,