The URL can be used to link to this page

Home My WebLink About12456-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15613 Date April 9, 1987 THIS CERTIFIES that the building ADDITION TO EXISTING DWELLING ...1.!.0.9 Huntington Blvd. Peconic, N.Y. Location of Property t-rouse mo. Street Hamlet County Tax Map No. 1000 Section 0 6 7 ...Block 0 2 .Lot 2 1. I Subdivision..M.a.p..(/.2.,. Peconic Shores .Filed Map No. 117 ' .LotNo. 36 conforms substantially to the Application for Building Permit heretofore filed in this office dated July 8, I983 12456z ..................... pursuant to which Building Permit No ...................... July 29, 1983 dated ............................ 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 ......... ADDITION 'TO EXISTING DWELLING The certificate is issued to GEORGE J. & MARILYN Q. HOFMANN ..................... ?o¥.'o;, x .................... of the aforesaid building. Suffolk County Department of Health Approval N / A N734872 UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 ~0El1~ NO. ~ 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? 12456 Z Dote ................................... ~.. ................. , Permission is hereby granted to: ..~.~...~.:z~.....~..~.~.?:...¥o~.~....~ ..... ~. .~..~.....~.~Z: ........................................ ...... ~'~..~.~.~.~...~...~..:...~ .............. ........... .... .~------~ at prem,se, I~ated at ...ZZ~.~ ....... ~~Z~...-~......~...~....,. ......................... ' ............................................................................................................... Coun~ Tax Map No. 1000 Section .... ~.~ ..... Bilk .....~.~. ...... Lot pursuant to application dated .... ~.~.....~. .................... , 19~ and approv~ by the Building Inspector, Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bu tiding Department Town Halt Southold, N.Y. 11971 765- 1802 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 disposal-(S-9 form or equal). 3. Approval of electricat 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 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 New Dwelling. $25.00. Accessory ..$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 $ 50.00 Date ..../~..~....~../~.~..~ ........ 6~.U~dated C.O. )%iteration $25~00 New C o n s t r u c t i on ...... Old or Pre-existing Buitding ............ Vacant [.and ............. Location of Property /.<~ .o House No. Street Ham/e( Owner or Owners of Property County Tax'Map No. 1000 Section , .M./~'~..'~"...~'. .. Block ............. Lot ............ Subdivision ................................. Filed Map No. J~. ..... Lot No .............. Permit No./2~/.A-g ~ .......... Dat0 of Permit.. ....... ~...~pp i a ............. Health Dept Approval ."TT" Labor Dept Approval iters App oval Underwr r ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ...Y~. :- ................ Fee Submitted $.. ~ ,'-~;.'.- .~, ', ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant Rev. 10-10-78 #lono;t=.~ THE NEW YORK BOARD OF FIRE UNDERWRITERS J~L BUREAU OF ELECTRICITY ['~ob~*%[~,~v ~0 ~ ~HN STREET, NEW YORK, NEW YORK 10038 ~ ~,~..o.~.o.s.~ ~/~ N734872 THIS CERTIFIES THAT only the electrical equipment ~ d~crlbed below and introduced b~ t~ a~plicant ~ed on the above application number ~n t~ premises of Geo~ge Ho.fmann~ ~ntington ~lv~.~, 8oun~ Ave,~ ~econlc~ in the foltowlng location; L Basement ~ lst Fl. ~ 2nd F,. Section Block Lot was exa,nmed on~ c~.rlzal~ ~ ~ and found to be in com~llance with the requirements of this Board. FIXTURE OUTLETS DRYERS ~ECEPTAC£ES SWITCHES FIXTURES RANGES ' OVENS EXHAUST FLUORESCENT SYSTEMS NO. OF FEET E S E R NO ERC%,COND. OF '~C COND. · C Hi-LEG A W G. NO OF NEUTRALS A, W. G. NO. OF ] OF HI-LEG OF NEUTRAL 27~ .q3~wn Harbor Lone Southold~ N,Y~ 11971 GEN$I~A~ MANAGER must .or ~e oJlered in ~.¥ m~nner, relorn to the office of the Boord f ~¢oi?ect I.spectoi, mm. be de.t fed b- th~ ~{ '~ '~ ~ FIELD INSPF~TI(~ COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS LOT I ~., I 1 1 1 t LOT '~S -o Lo'~ Iz P~oPg~T~ Of: LoT "~ p~.OP~.TY ~ TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 permit no.12456Z issued to on 7/29/83 for Addition"' is completed a final inspection has ( ) has not ('X ) been done. and in order to complete this file, it is necessary that a Certificate of Occupaacy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom tile Certificate of Occupancy ia to be mailed, and arrange with this office for an inspectio~ date Occupancy or use is unlawful without a Certificate of Occ,,pancy. l'leaae help us to clear up thia~ matter au that legal action does not have to be taken. Thank you for yonr prompt attention. Very truly yo~, Victor Lessard Executive Administrator VL:gar encl. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H.Y. 11971 TEL.: 765-1802 Examined ~..o.'./'.~...?.~. ..... ^pproved .... , l.&.. ?ermi,,%.. Disapproved a/c ...... ' ..... ' APPLICATION FOR BUILDING PERMI'I INSTRUCTIONS Al~plication No, ./d .c'~..~.~.~.... ;dB 19 a. Th~s application mLIst be completely filled in by typewriter or in ink and submitted in triplicate to the Build 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 stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap' cation. c. The work covered by this application may not be commenced before issuance of BuildingPermit. d. Upon apprc,'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such per shall be kept on tile premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever unti~ a Certificate of Occupar shall have been granted by tile Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to ' Buildiug Zone Ordinance of the Town ~)f Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and admit authorized iuspectors on premises and in buildings for neceyary inspections. (Signature of applicant, or name, if' a corporation) (blailing address of applicant) [1¢l¢1' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build (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...~. ..................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~.(~¢.q~i¢,..~. [atOl~f~.~. :T..~.~.~ ............ ltOnu.' . ...BkOO .... - House Number Street Hamlet County Tax blap No. ~000 Section ~q Block ~.~ Lot . ................. Subdivision .~ ~ ...... ' ..... ~ ~ ~ ~ 6, ~ ¢a~4i~ ~ (Name) ~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Repair Rcmoval Demolition Other Work --' (to be paid on filing this application) If dwelling, number of dwelling units ....... 4 .. Number of dwelling units on each floor ............... I[ garage, number of cars ..... ~ ................................................................. If business, commercial or mixed occupancy, spec~y ~ature and extent of each type of use ........ ............ t-Ie~ght ............. Number ct Stones . .I.~ .......................................... '' -'"- Dimensions of same st~cture with alterations or additions: Front ... ~ ........... Rear .,.. ~. Depth ..... ~ .......... : ....Height ...... }¢ .............. Number~" of Stories ... ~ ............. D mens OhS of entire new construction: Front' Rear Depth Number of Stories ' Height ........................................................... Size of lot: Front ....... I.q~.'..'., ......... Rear l~.l ........... Dep[h ~.~ Date 6f Purchase 0~0~.~ ................... Name of Former Owner .~,' ....... Zone or use district in which premises are situated...~L~.~ ........................... ' ....... Does proposed construction violate any zoning law, ordinance or regulation: .. ~. .................... Will lot be regraded . .'~ ..... ' .....~ ............ Will excess fill be removed from premises: ' _ ~ ' Name of Owner of premises ~o.*~[k~ ~ddress . ;,~MI'6. ......... Phone No.~k~..~ .... Name of Archit~ct ........................... Address ............... Phone No ....... Nama of Contractor~kO~.i~.'~.~,~ .... Address ~?~ ~ .. .... Phone No. Qk~ .'.. ~.~2~. PLOT DIAGRAM Locate clearly and distinctly all buiklings, whether existing or proposed, and,indicate all set-back dimensions fron roperty lines. Give street and block number or description according to deed, and show street names an'd indicate whethe ~terior or corner lot. TATE OF NEW YOzRIG,/ ,,, ,o "S .l~.k'~[.-:~/~ .-~ ~ ~1, ~,t.~ .................. being duly sworn, deposes and says that he is the applicat~ (Nan/e of indMdual signing contract) love named. e is the (Contractor, agent, corporate officer, etc.) f said owne~ or owne~, and is duly authorized to perform or have performed the said work and to m0&e and file )pl[cation; fl~at all statements contained in this applicatiou are true to the bcst of his knowledge and belief; and that tk :ork will be performed in the man~er set forth in the application filed therewith. worn to before me this/ ~ · . /~..-- day of.. ~ lo~ ...... -- ..... ..... f '5' ....... ' ..... ota~Pubhc ,. t.~~ Cotmty {,.;}Zi~ .1. ~ Notaw Publ c, Stat6 of NeW York,. , ~ ~ ....... [ ............. 5 , ~ .... " "' ~mmi~sion ~p~ms ~Mafch 30, l~ OCCU~AHC¥ OR iJNLAWFUL CERTIFICATE OF OCC~]?/~HC¥ 165-18o'2 ~ ~ pEcTIONS: FOLLOWING ,,.S 2, ROUGH - ~ING ~ ~. iNSULATlgN 4~ N~L - Co~U~N MUST ~ CON~P~U~i0N ~n~,. k~ V THE REQUIF~m~ ENERGY coDES N~ R~NSIBLE FOR D~I~ ~ CON~ION ERZO~,