The URL can be used to link to this page

Home My WebLink About11735-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z..1.5~.0.2. ........ Date November 14 19 86 THIS CERTIFIES that the building ...... ReCto ..................................... Location of Property ..... 41..5..~.o.u..t.h..L.a..n~.' ..................... .ERs. t...Ma..:, i..o.n.' ...... House No. Street Hamlet County Tax Map No. 1000 Section ...0.3.1. ...... Block . 016 .Lot 2.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ..... .J.u.n.e...1.1 ........,19.8..2pursuant to which Building Permit No...1.1.7. 3. .5.Z ............. dated ...... .J.u.n.e...1.1 .............. 19.8..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 ......... D~.q]~ ,g.d~i."~.o.n. to existing dwelling. The certificate is issued to ..... ~9 .r.m.a.n...B....W.e..n.k..I.I..I. and .A~.ril Wenk (owner, le~ or tenant) of the aforesaid building. SuffoLk County Depaztment of Health Approval ........ N,/A .............................. UNDERWRITERS CERTIFICATE NO ................ N./A .............................. Rw. 1/81 '~'I~s~ector " F~ NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 11735 Z Permission is hereby granted to: ~ / .............. ...... :~....Z~ ........................................... ~ ~-, ~ ....... ~"' ."-'"'~:':"'"7" .......... ~'"".~' -- ~o ..... ./....o......~:.o..~..~.(..~.~.....,;7:...~...¢...~.....~..~.,~_ ........ ~ ......... ~ .......... ........... /.~. ....... ~.,e~.L/z .......... ~.,..=...z¢~,~.~.. ..~.~,~.....~..~,~ z~ at premises located at ..... .~.../. ..s~,.(,~..~....~.......~~. ........................................ pursuont to opplicotion doted ........ ,,.~,,~..~. ...... ,C( ..................... , 19..~,,.,,, ond opproved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depa, [,~tent Town Hall Southold, N.Y. 11971 76_5 - ].802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions This application must be filled in typewriter OR ink, and submitted I ~ 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 disposel-(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 p=operty 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 oc~_upancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 NewConstruct,ion ...... Old or Pre-existing Building .... .~...... Vacant Land ............. Location of Property . /Jl' J~" . .~..t) L.I'T~. '~'~.U..'~. .~,T~...~.~..~.'.0..~".3.1 ..~J..~ House No. Stoat Hamlat ' Owner or Owners of Prope~y ~a~6~. f3.....tooO.~..~.....~.~Q..~. ~.c.....c~... ~ ...... -- ~'~1 .! (.. .~ County Tax Map No. 1000 Section .......... Block ............ Lot ......~ ..... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ...~. L~ ......... Health Dept Approval Labor Dept Approval .......... Underwriters Approval Planning Board Approval · · · Request for Temporary Certificate Final Certificate .~. ............ Fee Submitted $ ~". 0 0 Construction on above described building and permit meets all applicable codes and regulations. Applicant ............................... Rw. 10-10-78 ,,In/~ FIEL~ INSPECTION . DA~E COMMENTS "} ADDITIONAL COMMENTS: FOUNDATION (lst). FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY FINAL N~ ~OR[ S~ATE OEPA~TMF.?rr OF ~WZRO~E~TA£ CO~E~VATIO~ 8~d~. 40, SUNY--Roo~ 219 Stony Brook, NV 1 ! 794 (5161 Po 8~ '?g 5 A revZev ha~ been n~:tde o{ t./ou,~, p,'wpo,~a.t. ,fo: ~"le,u YoM'z $,,+..a.~e Pe. pa,,r,Onot,~ o~ Env, Oto~n~ Con~e,'tua;bi. on ha6 ~ound ,~pan. ccl pn. ojeo.~ to be_ Ionda.~,*,d c,~. o. ~,..b~,'l-ent,',l ~n-rned,e. The,,re{o~e, no penm~ u. nc(e~ ~¢ 25 (TZda,e. tUe,Ce, an~ } o6 ~e Enu. i.,,tonme, n,~ Conae.rva.;Ci. on Lau~ Z,a ,'cequ,,,~ .6Znce. ,O~e p,,topo,sa, e. Z6 beganE $~u~ manda:t, ec[ ju.n~dic,C~n pun~aan~ ~ ~ aoX. 'O../L: RNT: cz FORM NO. 1 TC"."tH GF SOUT:'iOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ./ .......... , 19~** .2-- .......... , No./.( ....... Di,approved ale ....... '~ ......... L' ' '-7' ' 'X'7 ........ "/ (Bill[ding Inapector) APPI. ICA'I~ON FOR BUlkD1NG PERMIT Application No?./. ~..'~. 5 ..... Date ....... ,19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to th~ Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordiug to schedule. b. Pict plan ~ho'.ving location of lot and-of buildings on premises, relationship to adjoining premises or public sire or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o~his ap' cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc:al of this application, the Building Inspector will issue a Building Permit to the applicant. Suc~ per:, shall be kept on the prenfises available for inspection .throughont the work. e. No buildiag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of O¢cupar shall have been granted by tile Building Inspector. APPLICATION IS HEREBY M^DE to the Bnilding Department for th~ issuance of a Building Permit pursuant, to Buildiug Zone Ordinance of tile Town bf Southold, Suffolk County, New York, and other applicable Laws, Ordinance.~ Regulations, for the construction of btilldings, additions or alterations, or for removal or demolition, as herein desmib The applicant agrees !~ comply with ~11 applicable laws, ordinances, building code, housing cod$~i~d rel~ulation~, admit authorized inspectors on premises and in buildings for necessary iuspections. ¢?F....~.. ~ ~.~...~..c: .%-~....mS'~../c~_./~a~w_a_w~o .... (Signature of applicant, or name, if a corporation) · . ......... (Maihngaddr~ssofapplicant) - State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build .................................. . .................. . ...... (as on the tax roll or latest deed) If applicant is a co~oration, signature of duly a!~ho0zed officer. (Name and title of co.orate officer) Builder's License No..~gr~gVO.. ~gg ......... PI er's Li ' mnb cens~ No ......................... Electrician's License No.' ...................... Other Trade's Licei~se No ...................... 1. Location of land on which proposed work will be done...~-"to:aT...~..A~. OH".... ~:1~'~..~.~.: .................. House Number Street Hamlet County Tax Map No. 1000 Section DO./.-../67z~. Ir.q,.. mock ...... t& ......... Lot...n~ .'.~.'~ ........ Subdivision...' ..... /~ ............................ Filed Slap No .... ~. ......... Lot. ~ .......... (Name) 2. State existing use and occupancy of premises and intended usa, and occupancy of propoaed construction: a. Existing use and occupancy ...~U.~.~ ~O~' ~,. ..... ..b. Intended u.~ and occupancy ' - 3. Nature of work (check whicl, applicable): New Building .......... Addition .......... Alteration ........ Repair Remo;'al D0molitlon Other . (Description) 4 Estimated Cost.. . . . . .. ' (to be paid on filing this application) S. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............. If garage number of cars 6. If business, commercial or mixed occupancy, specify hature and extent of each type of use ............. 'I. Dimensions or existing structure's, if any: Front ~O.~. i ......... Rear .~.~ ........... Depth .~.O .... Height Number of Stories Dimensions of same structure with aJterations or additions: Front Rear Depth ...................... Height ...................... Number of Stories ............. B. Dimensions &entire new construction: Front ............... Rear ............... Depth ...... Height Nun*lber of Stories ' 9 Size oflot: Front ' ' Rear Depth 10 Date dfPurclms~ ' Name of Fore, er Owner ti. Zone or use district in which p. remises are situated.., i .............................. ?'. .......... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..................... ~3. W otber,'~,~aded ~ .... !''" · -~- .. .iD. · :,. · · .. 'tr..'.' ·; 4... ..... Wdl excess.~fill ,be reroofl-,ed from premises: Yes N 14. Name o,., .... c . ~,' ' ' of ..... · m premts.s ~.~.~.O.d.¥/Sf?~.k..f~.~.~.. Address t~.~t..~...,.,.~?.~../'/..~.~... Phone No .... Name of Arc [oct ' Address .~ <rt'~ ){?,.~, m,,._~ ~.t~' ......... Name of Contractor PLOT DIAGRAM Locate clearly ~d distinctly al ct iklings, whether existing or proposed, end, indicate all set-back dimensions frot property lines. Give street and block number or description according to deed, and show street names and indicate wheth~ ;,~terior or corner lot. _see. o..~e.~ {~.,fX~-~ ¢ ~'rATE OF NEWARK, . / ' c.oukVry--oid . ... :s.s (Nanie of indMdual signing contract) o boy,:? named. ........ being duly sworn, deposes and says that he is the applicml the . ~ (Contractor,~gent, corporate officer, etc.) o-f said owner or owners, and is dul~' at~orized to peri'tm or lave performed tht: said work and to hake and file thi ?oPr~C~av~/l~,; tl~te all, !~,:It)'m.c.,}ts con~.,5~-'F'"fff?n are true to the best of/tis knowledge and be el; and that th- ,~ . p r.onact~ m the manncr~aet forth hi the application filed therewith. ->worn to before me tliis .......... /~..~ ....... day Or' ......... .~ .... le~- ~ . · ~ · · .~..~.~..t~... c'ount~ ~/~/ / // k//X// // . ' "9 o,'?.: ',, - '.,, ' '. . ' ~. ~125850, ~ldk ~l~ ..... . ..... ~ 53' lO