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Home My WebLink About12239-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Cerfificate Of Occupancy No...Z12.554 ........ Date ....... June 13 1984 THIS CERTIFIES that the building addit~,o.n. Location of Property 1.380 Beach Road Greenport Hou~ No. Street Hamlet County Tax Map No. 1000 Section .. 9.4.-3. ...... Block ... 9,3. ......... Lot 011 Subdivision ...... X. ........................ Filed Map No . ~ .... Lot No .X conforms substantially to the Application for Building Permit heretofore filed in this office dated March 11 19 .8.3pursuant to which Building Permit No. 12239 Z dated ....... AP.~7i ~..% }.. .......... 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 ......... ~ secon~ ..... floor addltzon to existing dwelling. The certificate is issued to . . . RICHARD & ,MARILY..N FIEDLER . (owner, fe~oT~ TeR~'r~) .... of the aforesaid building. Suffolk County Department of Health Approval ~I/R Rev. 1/81 Building Inspector Rev. ~6/30~80 Building Bu!l~llng I~spector. Fe· ........ , ............... (THIS PERMIT MUST BE KEPT ON tHE PP, E/~ISiES UNTIL gULL COMPLETI~N OF THE WORK AUTHORIZED)i N~ 12239 Z mt~ .., ............... ,.~ ............ ~ ............. , ~....:.. Permiss,on. Is hereby granted to: ~ ..... ~ ....... ~ ............................,~......,~ ..........~ ........ ~-',"~ ........... ~""~ .................: ~: ..................................................... O*:4~ .................... ~ ' ;' ....... ::~"'"~ ~uh~ T~x ~o~ ~o 1000 S~ction 2 ....... 2 ............. i. Bilk ~.."¢L...~.: ........ ~t ~o. ....... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted-,i~:d~fl~ieet~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 natu rat or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrica~ 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 all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancv and condition of buildings. 3, Date of any housing code or safetv inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 Certificate of occupancy on pre-existing dwelling 2. 3. Copy of certificate of occupancy $1,00 landuse--Fre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building ..... .~, ...... Old or Pre-existing Building ........... Vacant Land ............. Location of Property ..... ...~.O..... o...............~::~--"~C-'~, .... · ............................ House No. Street Ham/et Owner or Owners of Property .... 1~._.1,.~,,,~..~..~.._~.....,~,.....~f~0{j~, [~..~,~ ..... .~,~.~.~_.~..~.~., .~. .... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant . . .~.(~.I~P.. ,~. ~ ~.f~.. ~.1~...F~. ...... Health Dept. Approval ...................... Labor Dept. Approval ........................ Underwriters Approval ...................... Planning Board Approval ...................... THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRIC'ITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~--mg ~ar~ary 23, 1984 248400/83 Ba,. .~p,.l,cat,on No. on.~,,e N 631104 THIS CERTIFIES THAT ~, only the electrical equipment os described be[o~ and introduced by t~ applicant ~m~ on the obove application nu tuber in t~ preodses of ~ Filler, 1380 ~ in the followlng location; ~ Bazement ~ 1st FI. was exarnined on ~;ember 29, 198~t ~ 2nd ~. Section Block Lot a.~ fo~td to be h~ compllonce with the r~quirements of this Board. FIXTURES RANGES cooKING DECKS , OVENS DISH WASHERS EXHAUST FANS FIXTURE ~ SWITCHES 31 ~0 29 31 DI[YEI~S EUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E OTHER APPARATUS~ 1-G~¥.Io~ 3~-~ke I~;ectoz'., 1-4.0kw. Sauna Pa~lelbo~ls: 1-2~oir. 150~r~os. R V I C OF CC COND. 110 NO. OF HI-LEG Of HI-LEG NO, OF NEUTRALS 1 OF NEUTRAL 1/0 B.$. Electric Sttllw~ter Ave~e Cutchogue, N.Y. , N.Y. ].1935 Lic, 2870 This certificate must not be altered [n any manner;, return to the office of the Boord if incorrect, tnspector~ may be identified by their COPY FOR B~U LD {~a DEPARTMENT TH S COPY OF C~ERT]FI~ MANNER. FIELD INSPECTION COMMENTS FOUNDATION (qst) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY qODE FINAL Y e ADDITIONAL COMMENTS: -q If copper tubing is used for water di~tributlng system; pip~ng shall, b ~/~PPROY~D AS NOTE ~. FouNDATIwN - ~y~'~- cmR pmUDFD cONCR~ ~ ~UG~- F~MIN~ & pLUMBI~ 4. FINAL - C~xN BE CoMPLeTE FOR C. O, ALL coNSTrUCTION SHALL THE REQUIREMENTS OF THE N-Y, ~ATE coNSTRU~ION CODES. NOT RES~NSIBL[ D~IGN OR coN~RU~[ON E~ORS, LOIS'! L YORK STATE ~EPARTME,~T 0F ENVIRONME~TA£ CONSERVATION Regulatory Bldg. 409 SU~)Y--Room Stony Bcook, NY 11794 (516) 751-7900 RE: ~o~ D~ J. L~rhln Reglona~ Permit Adm~r ~3L:Rk{T:ez 765:1802 BUILDING DEPT. IN,SPECTION, [ ] FOUNDATION XST [ ] RouGH PLBG. FOUNDATION ZND[ ] INSULATION FRAMING I AL DATE , INSPECTOR BUI~ DEPT. INSPiCTION [ ] FOUNDATION .,ST 1' '] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ,~..~./..~.// ..... , 19d~.. Disapproved a/c -- ~....~i~..~... ~~ /'~ (Building Inspector) APPLICATION :FOR BUILDING PERM IT 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 tmtfl 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 c~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary ins(p~~ (Signature of applicafit, or name, if a corporation) 1380 Beach~ Road Greenport, N.Y. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... .~ ?.h?.r..~. ?.~.e..~.l.e.l~. .................................................. (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..C..h.e.J;..O.r..1.o.~.~..~ ......... Plumber's License No. TO be Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. 1380 Beach Road Greenport House Number Street Hamlet County Tax Map No. 1000 Section 0t~3 Block 03 Lot. 011 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy One Fsmtly E[ome b. Intended use and occupancy ...... ?.ri?...~.~.m.~.l.~..I-I.o.I~. ? ............................................ 3. Nature:of work (check which applicable): New Building .......... Addition ....X. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... i Description) 4. Estimated Cost ........ , .0..0. .................. Fee .... (to be paid on filing this application) 5. If dwelling, number of dwelling Units ... be 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 ..................... 7. Dimensions of existing structures, ifany Front .... .6.0.* ........Rear ....2.~. ....... De~th ...2~'. . Height ~.~? Number of Stories .... .1 ...... - i ' ' ' [ .... Danenmons of same structure wlth alterations or additions: Front · · 60.~ ........ Rear . . ~.0. ~ 26 ' : · 0 ' b" ...... · .............. Depth ...................... Hezght ..... ~. ................ Number of Stones ..... ~. ................ 8. Dimensions of entire new construction: Front...6..0.~ ......... Rear .... .6.0.'. .......Det~th ...2.6. ~ ......... Height .... .3.0.t.6.'~. Number of Stories . .g ........................... ~. ........... Size oflot' Front 1~0' R~ 60' n~nth 180t N 10be' ~ ..... 10. Date of Purchase . . .Agg. ~ ,..1.9. ? ............... Name of Former Owner ...gu.l:~ .a.A..F.~ 9.cl.l.~.z,. .......... 11. Zone or use district in which pr~mises are situated .... 8. o. ~.~.h.o. 1..d...~.o.l?.n ................................. 12. Does proposed construction viol~ate any zoning law, ordinance or regulation: ' . ............. 13. Will lot be regraded ~ ..... NO.. ................... Will excess fill be removed from premises; ~ No 14. Name of Owner of premises . .R}.o.h..a?.~..P..~9.d.]:..~.I'. Address ...G.I'9.~.I?IPg.I'.t:.... ~77-1665 ·.. Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . .~.h.e.~...O.~&. ,O.'.'.Wi~.k.~. ......... Address ...~.ll.~.O.h.o. I~..e. ...... Phone No7)~'.6..69.) ...... PLOT DIAGRAM Locate clearly and distinctly all] buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and block cumber or description according to deed, and show street names and indicate whether interior or corner lot. ~AVOON?:~I ~j T I f~L INC~ 31 ' STATE OF NEW YORK ..... ............ - · . ! .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... 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 . .~.~..d : .~...~. ·...~. 19..a~. ............. · ~..4__.. ay of ........ , Nota .fy Public, .~. ,.~<.: -.~'. ~_-~-'C .~7~unty JUDITH T. TERRY ~iota~ p.~lic, Stat9 of New York . no. 5:Z-0~440~$ ~uf~oll ,ty~( ' · ' ' ' ' (Signature of applicant) ~ommlsslon Exp[ms Marc~ 30, lg,~' .... .'LiI'I~ILLEIZ NOTE: ELEV.,~,I-IOt'~IL~ A,I~E iilA~t~'D ON AN ELEVAT DN U /I 5,8