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Home My WebLink About12476-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z ~ 2.2,80 ....... ..... Date ............ F.~BR U A R .Y. ..... 2.1 .......... 19.8.4. THIS CERTIFIES that the building .. A.C.CI~ $ ~.O.R ¥ ................................... Location of Property . .6925. · .i~S£.AU. t.r.,. ~.OAI~ ........... ~ UTCI-IO.G.UE ........... House No. Street Hamlet County Tax Map No. 1000 Section ... 1. 1 ~ ...... Block .... 1, 5 ......... Lot .... 9. ........ :. ~- Subdivision l~,~,~S~g..P.'£ .................... Filed Map No. ,!l.Sfi. .... Lot No...5.1 .......... conforms substantially to the Application for Building Permit heretofore fded in tiffs office dated · · AIJC,-5S ?. h .......... ,19 P,.3. pnrsuant to which Building Permit No .... .1.2.4.7, .6 .Z ........... dated . .AUGUST. ~ ................. 19 8.3., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlds certificate is issued is ......... · · FO.I~ .AN..I. NGRO.[IND. 3,~IMMZC~IG. I~.O.Q L ........................................... The certificate is issued to F. JANE BL.AIKIE (owner, levee or tenant) of the aforesaid building. i~/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ................................................ Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTi~tOLD, N. Y* BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12476 Z Permission is hereby granted ~o~ ..... .~~....m.:....'..~.~.~ ........ ...... .~.~%.....~..~.., ....................... ,o ...~.....~......~.,~....~.~'~...~ ................ ..~.~ ....... ~......~..~.~....~.~ ....................................... ,. ........................................... at premises located at Ce..?...~....~ ~..~o~'~ ~,... ~ ~ County Tax Map No. 1000 Section ....... J..I.J. .......... Block ...... /....~.Z ...... Lot No ....... ..C/. .............. pursuant to application dated ....... ("-~ '~....~....~.......~.. .................. , 19.~.~,~.,'~ and Building Inspector. approved by the Building Inspector Rev. 6/30/80 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 In~ec- tot wi~h 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 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 peoperty showing ali property lines, ~reets, buildings and unusual natural or topographic features, 2. Sworn statement of owner or previous owner as to use, occupancy end 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pr,e,-existing dwelling/ land 3. Copy of certificate of occupancy $1,00 use--?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........./~ Subdivision ................................. Filed Map No ........... Lot No ..... ~ .... ,.. · ...... 7__ . ' , ' Health Dept. Approval ....................... Labor Dept. Approval ................... Underwriters Approval ....................... Planning Board Approval .................. Requeot for Temporary Cert~f~ate ........... / ........ Final Certificate .................... Fee Submitted $ J. 3.....~. ...... .~_;.. :.~..~. ..... Construction on above described build__it meets all appl~i,ceble codes and regulations. Rev. 10-1e-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS [qB BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Bate January 6, 1,98/4 ~pplieatloaNo. o./ile 236050-83 N 629:[31 THIS CERTIFIES THAT only the electrical equip~nent as described below and introduced by the applicant named on the above application number in the premlses of Mrs. Jane ~laike, Massau Point Rd., Cutchogue, .M.Y. in the.following location; [] Basement [] 1st FI. was examined on December 29 , 1983 FIXTURE OUTLETS DRYERS IECEPTACLES [] Z,~d ri. OutsLde s~otlo,~ Olocb and found to be in compliance with the requirements of this Board. Lot SWITCHES FIXTURES RANGES OVENS EXHAUST F 2 FLUORESCENT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET i FUTURE APPLIANCE FEEDERS SERVICE DIS~CbNNECT OTHER APPARATUS: S E NO O~ERCC~COND, R 'V I C E A. WG OF CC COND. NO OF HI-LEG A W.G. NO OF NEUTRALS A W. G OJ: HI-LEG OF NEUTRAL (Swimming Pool) This certificate covers compliance a~ the date of insp only. Because of unusual en'vironments it ~s advisable to have freqnent amd/o~: repairs made by a qualified person. Mr. Dean Blaike Stillwater Ave. Cutchogue, N.Y., 11935 This certificate must not be altered in return to the office Per ,oard if Inspectors may be by fOFCi FIELD INSPECTION FOUNDATION (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE COMMENTS FINAL ADDITIONAL COMMENTS: ~1YOP~ STATE~ DEPAP~NT OF ENVIP. ON~NTAL CONSEF~VATION Regulatory Affairs Unit ...................... Bldg. 40, SUNY--Roo~Z19*~ ~ Stony .~so~ NY "ii794 ............. "(516) 751-7900 .A review has been made of your proposal to: New York State ~par~ment of Environmental Conse~ation has found the -- parcel~ project to be: Greater than 300' from inventoried tidal wetlands. Landward of a substantial man-made structure -- greater than 100' in length constructed prior to September 20, 19~7. , , Landward of 10' contour elevation above mean sea level on a gradual, nat- ural slope. ~)~ Landward of topographical crest of bluff, cliff or dane in excess of 10 feet in elevation above mean sea level. - ....... Therefore, no permit under Article 25 (Tidal Wetlands of the Environmental Conservation Law) is required at this time since the current proposal is beyond State mandated J%*risdiction pursuant to this act. However, any additional work or modifications to the project may r~quire a permit. It is your responsibility to notify this office~ in writing, if such additioual work of modifications are contemplated. Very truly yours, & ~~ Daniel J. Lar~in Regional Supervisor of Regulatory Affairs k ALFI~EP ~. t- F.'. JANE"SLAIKtE Nvf¢ : L.o! n~mbcrs refer to ~t)mended