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Home My WebLink About12430-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12120 Date ..... December 9 1983 THIS CERTIFIES that the buildi..--new dwelling Location of Property 175 Private Road C)5,(Diamond Lane) Peconic House No. Street Ham/et County Tax Map No. 1000 Section 068 .Block 02 . .~...Lot 014 _ ~:_~ Subdivision.. X. ............................ Filed Map No...X ...... Lot No...X. .......... conforms substantially to the Application for Building Pernfit heretofore filed in this office dated .... q .u .n.e.. 9 ........... 19 .8.3. pursuant to which Building Permit No...1.2.4. 3. .0..Z. ........... dated .. Au. ~. Y..1.8. ................. 19 .~..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 private one-family dwelling. The certificate is issued to JAMES L. & KAREN A. DUPAY (owner, -im~ 7t~,~rrt) of the aforesaid building. Suffolk County Department of Health Approval .].27.~.0.7~.1.,..].2./.T./..~3 Robt. A. ?i.lla., N 622069 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD 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? 12430 Z Permission is hereby granted to: ...... ~_....~...~/~.~.~.... ~.~ .~ ...... ..... ~"'~...'~'7' .............................................. ...w..~~A....w...~.,.......~ ~. /, _ ,o .......... ~~.~.....~..... ~ ~ ~....~/~ ...... ~ ....... .............................................. ~~.._~....~....~C~.~.~....~.~.~ ...... , 0, premises ,~ated at ...~ ...... ~'...~.~.~ .......... ~'~~../ ~) ................................................................................................................ ~q~C~...~.... Co,n~ ~ ~ ~o. ~000 Se=,,o. .... .~.~.~ ..... ~ ...~ ......... ~, ~o..~Z.~ ......... pursuant to application dated ...... ~ ....... ~ ....................... , 19.~.., and approv~ by the Building Inspector. Fee $ ............ Building Inspector 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-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 1 2. Certificate of occupancy on pre-existing dwelling ~r land 3. Copy of certificate of occupancy $1.00 / use $/~/$5.00 Date . .Dece. m_ber 7, 1983 New Building.............XX Old or Pre-existing Building(Z) ......... ~/Vacant Land ' Location of Property 175 Private Rd., #5 Diamond Lane, Peconic, N. Y. Hou~ No. Street Ham/et Owner or Owners of Property James Lo Dupay,~_~&ren A. Dtzpa¥ County Tax Map No. 1000SectionO.6..8 ............ Block 02 LetO14 ' Subdivision ................................ F ed Map No.l.l.1.-.S.-4?O[ot No .............. Permit No. 12430Z Date of Permit .7./..~.8./.8.3...Applicant, INLAND. HOMI~S, INC. Health Dept. Approval 12/7/83 ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval .N.6.~.2. O..6.9 ............. i . .Planning Board Approval .................. Request for Temporary Certificate ..................... Final Cert[ficat~ ............ Fee Submitted $ :5..%0..0 ........................ Construction on above described building an~erm~ee.ts all app~cable_,cope~s and regulations APplicant ; ~ -: ' - , '~ND~',' 'i~.' ......... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 100017~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Oate ~Wov~vl~r 1, l~J 2Z~1310/L~3 ~,,,,~.,,o..~....~,,~ N 622069 THI~ CERTIFIE~ THAT only the electrical equipment as described below and introduc~ by the applic~t named on the abope application number in the premises of in the foll~ing location; ~ Basement ~ 1st ~1. ~ 2nd FI. Section Block Lot was examitted on October L~i, 1983 EIXIUEE ~7 FIXTURES 15 15 75 n~¥ERS FUE~ACE and found to be in compliance with the requirements of this Board. RANGES OVENS FDTURE APPLIANCE FEEDERS TiME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS NO OF ~j~UTRAL$ OF NEUTRAL ~ ~l~ric Corp. ~ C~if£ Coraell ~outholdF N.¥', 11971 LiC~2816 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be THIS MANNER. FIELD INSFECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: /000 - 058- 02 - 014 COUNTY HEALTH The s~ rage d~aue~,,- facilLtios =.,r Chief of Gen~ ' , Se ~'~,~ ~ '\ SURVEY FOR JAMES L. DUPAY ~ KAREN %L DUP~Y AT 50U THOLD I, TOWN OF $OUTHOLD ~ SUFFOLK COUNTY~ N, SCALE ' ~"= $0' FEB. 21, 1985 OCT. 1, 1983 REFERENCE: eUANANTEED TO: N£W NX.$. LtC. NO. ~Zt$ RIVERH'EAD~ N,Y .~..-.~ 111-$-4707 /000- OG8- 02- 01~ SURVEY FOR JAMES L. DUPI~ Y L~ ~ AT SOUTHOLD ' TO~N OF SOUTHOLD SUFFOLK COUNTY~ Ny SCALE i"= $0' FEB. ~1, 1985 ' ~,1~' ~ox/]]7 + m.~,~ ...... , N. Y. ]]9.52 ~ ,~ FIRST 4MERI~N TITLE INStaNCE COMPANY OF NO. R87~5 RIYEMH£A~,. N Y FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 E amined. (Buildin Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No .................. Date . .,?.u.n.~...9 ........... 19 .8.3. a. This application must be completely tilled in by typewriter or iff 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. . .I.N...L~..D...H..O~l~..S., INC. (Signature of applicant, or name, if a corporation) .... .~.o.x..%%7,..~.a..t.%i.t..u.c.k.,. ?.:. X:..x.%9.5. 2. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................................... ~..e.n.e.r.a. %. 9.o.n..t .r .a.c.t..o.r ........................................ Name of owner of premises .J..a.m.e.s...If:..D.u..p.a.y. & Karen Au Dupay (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 .......................... 517-P Plumber's License No ......................... Electrician'sLicenseNo.. ~.8.~ ................ Other Trade's License No ...................... 1. Location of land on which proposed work will be done. n../.o..~.o..u.n.d..g.i.~.w..A. ¥.~.n.u.~. ~..P.~.q .o.n.~.~. ~...S.o.u.~..h.o.l.d.. ...... ........ ....... House Number Street Han~let I 068 O2 014 County Tax Map No. 1000 Section .................. Block ............. : .... Lot ................... Subdivision ..................................... Filed Map No. 111-S-4707 Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 1 £amily dwelling b. Intended use and occupancy .................................................................... 3. Nature of work (check which ap~plicable): New Building ~ ....... Addition .......... Alteration .~ ......... Repair Removal Demolition Other Work 4. Estimated Cost .... ~.~.9.~. ....................... Fee ..... ~ .......................... i (to be paid on filing this application) 5. If dwelling, number of dwelling hnits... ~ ........... Number of dwelling units on each floor....2 ............ If garage number of cars ' 6. If business, commercml or maxed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Nun~ber of Stories ........ 2.. ............................................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... ~.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...... 21~ ...... Rear .... ;2.8. ........ Depth 33 t Height .............. _.~N_umber of Stories I~ . 9. Size of lot: Front ..... ?.o.~...: ........... ',~ ......J~00oS'~ ......................................... . ~tear ...................... Depth . .1.4.8.: .1.6 .............. 10 Date of Purchase ~ Name of Former Owner 11. Zone or use district in which pr6mises are situated ..................................................... 12. Does proposed construction violate any zoning /aw, ordinance or regulation: .. ............. ... ........ . . .... 13. Will lot be regraded ......... i ................... Will excess fill be removed from premises: 14. Name of Owner of premises .J.~.~l.~.~...B~..p.~..y ....... Address .i~oOe~'~d. .~.~:... Phone No................766')~19 No Name of Architect .......... ................. Address ................... Phone No ................ Name of Contractor .I,N..Lt_~,..D, .H. ,1~..E.Sj.. I..N.C.. ..... AddressB. O.~..1.1.7. ~ .l~.~.t.t..~ .t.u.~.l~Phone No.12.9.8.-.9..6.9.6. ...... PLOT DIAGRAM Locate .clearly and distinctly allI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. SZAZ OF S S COUNTY OF .?.~'?'. ........... i ' ........... Rob~.t .1~ o. H~i~:~ .................. being duly sworn, deposes and says that he is the applicant (Name of individual sigu~ng contract) above named. He is the Contracto~.] .... : (Contractor, agent, corporate officer, etc.) of s~d owner or owne~, ~d is duly authorized to perform or have perfomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be performed m the m~ne'r set forth in the application filed therewith. Sworn to before me this ~ .............. ..... ....... ,,m 'NeW Yoik State Department of Environmental Conservation i79 : Stony BrOok, ~.' 4 , , ,, , , ,,, ," . .~ . '. .. October 7, 1977 t'I~ ; Richard Bonenomi ,' ' OWaer~ Davi~ E~oeon ; . ,' , r I ' [ :l' [~ ~ Brooklyn, NY 11201 " ,' /',,i '. ': ,: ' "323 gaa~ 58th Settee "['~ ' ,'~ ~/ ' ' :. ,', :, :,~ .Aa a result of your inquiry'concerning the above'referenced parcel, , . ii;' ' ,itt, '. :-this Department has conducted anon-site inspea~i°n.' ~e ha~e found the '," . ',', :, t~a~x~xk~x ,'extent of conseruction tO be' above e%eva~ion':lO~fee~ and ,' ,':' , ~'"/'elevation.,;,theref°re beyond.,,. ,,Jur$~dicti°n',, No work, is.,, to: be d~e, ,-. b~loW,~, ', ~thts,,: ,, ', ,:, ....... ., ,. 661~ Official Compila~io~ of'Codes,~, ,,: ...... ,' ..',.':, ,' Rules~. and Regulations 'of the $~ate of .New ,York;' Section 661}4 '(b), no :pe~ml~ . * "required,,',, :,,. '','. , ' ',, , ,' .' ~ ':,., I:' ' ~ ', OCCU / flCY OR USE IS BILAWFUL WITI~T CERTIFICATE OF OCCUPANCY If copper tubing is used 4 for water distributing syslem; piping shaJl be o! types K or L o~ly :, .: .Aj~i~P"~)V[D AS NOTED NO"~F~ BL~IL"DING ~EPARTMENT A I' 765-1802 9 AM T0 4 PM FOR THE FOLLOWING 1. p~NDATION ~ ~O REQUIRED 'FOR p~UR~U CONCR~E 2. ROUGH - F~MING & pLUMBING 4. FINAL * CONSTRUCTION MUST ~HE REQUIREMENT5 'O~ THE. N.Y. O STRUCTION CODES NOT RESPONS[~kE,,, F~R DEsigN OR CONSTRU~ION ERRORS,