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Home My WebLink About12415-zFORM NO, 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No...g.l. 2..3.1.0. ........ Date ......... .tVl. a.r..c.h..2. ............... 198.4.. THIS CERTIFIES that the building v.-.'c.q J-..]-.e~. f..a.c.5,.l..J..'c.J..e.s...b.]..d, cj: .................. Location of Property .4.170 Indian Neck Road House No. ' ................... 'S't/e3i ....................... County Tax Map No. 1000 Section ... O 9.8 ...... Block .... O .1 ......... Lot .... 0.0.5. ......... Subdivision ..... g ......................... Filed Map No .... ¥ ....Lot No.. * ........... conforms substantially to the Application for Building Permit heretofore fried in this office dated ..... .4~r~¢..7. ......... 19.8.3 pursuant to which Building Permit No .... .1.2.4.1..5..g .......... -dated ..... ~ql. 7' .1.2. .............. 19..8.3, 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 ......... ...a..'q.q $ .1.~.~.. f..a.c.~.l. $.~.J..e.s.. ~.u.~.l. ql.J..n.c.[..fg.r..a.g.r.5_.qu..lg.u.r.a..1..h.o. 1. p.. ................. The certificate is issued to ...... pATIgI.C.~A. P.~]~L~J2.P.~ .~I&C, GQ ......................... (owner, I~ ~r'terra~ of the aforesaid building. Suffolk County Department of Health Approval . .1.1.7 .S.O.-.1. 0..3 ~ . .1. /. .2 .6 . /. 8. 4. t..R.o.b..~....~.:..V.5_.l..1 .a, UNDERWRITERS CERTIFICATE NO ........... I~...63.4.]:. 4. .3 .............................. iD.E. Building Inspector Rev. 1/81 FOEM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12415 Z Date ....................................... 1 Permission is hereby granted to: .... ~.~,z....- '-~.~...= ~..~.~ .... - . ,.4...~..~ /,-//z--/ ...... ~:~z~.....-.,.N~ ........ /~..~.Zf... ~, ....... ~:~.~..~Zz~::....~.~.z,~......~..~c..~........ ....... ~:~.~~z.~ ............. ..... .. .... .. ............................................................................................................................ ~.~...~.~ ~ ,~ ~,p Uo. ~000 s~,~o~ ...~ .......... ,~k .~ ............. ~ot uo..~ ...... pursuant to application d~ted .... ~ ........ ~ ...................... , 19.~ ~nd opprov~ by the Building Inspector, TO ,~,EMOVE EXCESS FILL FROM ABOVE pREMISES B.~/ REG'RAD~NG LoT DRIVEWAY coNSTRUCTION ~ CE, Gs?OOL coNSTRUCTiON cELL/~,~' coNSTRUCTION ~ OTHI:-R Rev. 6130/80 FORM NO. 6 TOWN OF $OUTHOLD 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 Engigeer 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 peopertv 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. Fees: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 New Building.. ..... .x ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 41~0 .indian Neck ROaG, ?econic, New ¥o~k Hou~ No, Street Ham/et Owner or Owners of Property .[.~.d. ~ .a~..N.e..c~..~a. T.m.s. ~...[~.c... ................................ County Tax Map No. 1000 Section 098 Block 01 Lot 05 Subdivision ................................. Map No ............... Lot No ............... PermitNo. 12415z Date of Permit 7./..[.2/8.3..Applicant Gannett A. St,~,ancj Health Dept, Approval ~g 9~ ........... Labor Dept. Approval Underwriters Approval .... ~, .6 ?,4.~.4..3 ............ Planning Board Approval ...................... Request for Temporary Certificate .................... Final Certificate x Fee Submitted $ .... .5 ...0.0. .................... Construction on above described building and permit meets all applicable codes and regulations. Rev, 10-10-78 Applicant .................................................... GARRETT A. STRANG, as Agent 1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS TIS BUREAU OF ELECTRIClT? ~--- 8E JOHN ETREET, NEW YORK, NEW YORK 1003~B THIS CERTIFIES THAT only the e~tr~ equipment ~ described 6claw a~ i~troduged by tAe appJlca~t named on the abd~e applicatio~ ~u ~ber i~ th~ prem~es of ~ Neck Fa~ S/S Zndi~ Ne~ ~. 1000' S/O ~lEe ~,, P~onic, ~Y~ in the followlng Iocation~ ~ Basement ~ 1st FI. ~ ~ FL Section ~ock Lot was examined on ~ 14 , ~ 983 and found to be in complia~tce with the requirements of this no.~d. FIXTURES RANGES OVENS DISH WASHERS FANS FIXTURE SWITCHES 8 6 SYSTEMS NO. OF FEET OTHER APPARATUS: 2*-Ltte Cells 1-G.F,C.I. Panelboards: 1-6cir. 125~ps ~ g,lectric Room Ilea~rs: 4-1. S E R V I C NO. OF NEUTRALS OF NEUTRAL P. O o ~ox 143 Nattfttlck~ N.Y., 11952 LIC.~242 GE.EllA[ MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspecto~ may be 'deatified by their cr~entiols. COPY FO~ B?~DI~G DEPARTMENT THIS COPY OF CE FIELD ~SPECTION DATE FOUNDATION (1st) FONNDAT~ON (2nd) ~ m .... PLUMBING STATE ENERGY C,ODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ ROUGH PLBG.' FOUNDATION ZND [ ] INSULATION DATE ~/~ ~/,/~ ~ / / / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined . .Id.~. /o~ Approved ......... 1~.4. Permit No.,/J~...ff..~. Disapproved a/c ............................... ~ ..... APPLICATION FOR BUILDING PERMIT Application No.../..~.,/.~.'~. ........ Date ...g..u.n.e..7. t..1.9.8..3., 19... 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. / ~-. // _ (Signature of applicant, or name, if a corporation) ....... P., O. l~,ox..1.4.12. Snuth o. Ld,. N...Y...q .1.9 71 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................. Arckitec~ .................................................. Name of owner of premises .... I.n. ql.i.a.n..N..e.c.l~ . p..a.r.m.s...I.n.q:...~..'..O~... ~. ~. ~~'. ~) (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 .... .N.Q~.. ~.e.l.~C.t~.c! ....... Plumber's License No. " " Electrician's License No...'~. ...... '} ............ Other Trade's License No. " " 1. Location of land on which proposed work will be done .......................................... ..)/ .... / ....4.1.7 0 ............ !~.cli .a~..Neck..l~Qa..d ...... p.e. qg.n.i.c' ............................... ~ ....... House Number Street Hamlet / County Tax Map No. I000 Section ....... 0.9..8 ........ Block . .Q? .............. Lot...0.5. .............. t/ Subdivision ..................................... Filed Map No ............... Lot ....... .k/... ..... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. .Ag.r. ~. 9 .u.l.t.u.r..a.1. .,;.: ~. ,~,: ~-7,:~,3,~ .;,~;%t%: ~.612QPj ...... / ........... b Intended use and occupancy ~ra~ ~:~'~.'~...-.,~.. 3. Nature of work (check which applicable): New Building .. g ....... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... i ~ [~ - ~ (Description) 4. Estimated Cost ....... ~.q ~.0. QQ, 0.0. ................... Fee ...................................... (to be paid on f'ding this application) 5. 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 nature and extent of each type of use . .~OOj..t.~aTy .......... 7. D/mensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... !.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ... ~ B .......... Rear .... 1.8 ......... Depth ... 12..5. ....... Height ... J .4 .......... Nurober of Stories ..... .o. rte ............................................... 9. Sizeoflot: Front ...... 60.3.1' ....... Rear ..... 3.0. QO: ........... Depth ...2~00.' .............. 10. Date of Purchase ........... i .................. Name of Former Owner ............................. 11. Zone or use district in which pr$mises are situated .......... h7Re~.iqler~.~J.o l/Agr ~c.u.l~:ur.al ............ 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: ....... NO ....................... 13. Will lot be regraded ......... '.. NO .... ; .......... Will excess fill be removed from premises: × Yes No 14. Name of Owner of premises I~,~ ~or~..N~c k .E ~rr0,sAddress .BOx..3 ~ 3. ~.e¢ or~.i~ Phone No.7.3.4 v 6 B.8.9 ...... Name of Architect . .a.a.r.r..e.e.e: .3,..s.e.r..a.n.~ ..... AddressB. O..x. fi.4 1. .2..S.o.u..~.h.ql.~hone No.7.6.~':~.4.5.5. ...... Name of Contractor ...... ~.o.~.. $.e.l.~q g.e.4 ..... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all! 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 and indicate whether interior or corner lot. See Attached STATE OF NEW YORK, COUNTY OF.. $.uf f~J.k ...... 'S.S ............. .G.a.r.r.e..t.t..A.:..S.t.r. ,a.n~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....... bx. ct~:L.~.ec ~: .... i ................................................................... (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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Public Notary , . ~~ ~., . County r~mml#i~ Exl~ir~a/~r~h 30,'~9j~t Garrett A. Strang (Signature of applicant) ' · is used copper tubing Jot water distributing system; piplng s~a[I be o~: tYPes K or L only ~ ~' , GARRETT A. STRANG ~A~ architect Main Road RO. Box 1412 Southold N.Y. 11971 OATE ~/=~/e} 516- 765 - 5455 i GARRETT A. STRANG ~A~ ~c~ ~F~/~ ,. architect ~,~: ~ ~ Main Road EO, Box 1412 Southold N.Y. 11971 ~ ~ NOTIFY BUILDING DEPARTmeNT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - F~MING & PLUMBING 3. INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ~ATE CONSTRUCTION & ENERGy COD~. NOT RESPONSIBLE FOR D~IGN OR CONSTRUCTION ERRORS, t' ~J for water distributing system; piping shall be of types K or L only GARRETT A. STRANI architect Main Road P.O, Box 1412 $outhold N.Y. 11971 516- 765 - 5455 ' ~ ,:~% ~ ~ ~ ~ -~, /~ ~ GARRETT .A. STRANG architect Main Road P,O. Box 1412 Southold N.Y. 11971 516-765-5455