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Home My WebLink About12649-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.. ~.1.2.4~ f ......... Date ........ A,p,r.i,1., ,1,8 ................ THIS CERTIFIES that the building , .-:-~W, ~t,w,~.~_;i.~g .............................. of Property 600 Harbor Road CuLchogue Location h3~s$ )Vol ....................... ~['r'e3i ....................... County Tax Map No. 1000 Section 0 9 7 .Block 0 6 .Lot 016 Subdivision ..... g ......................... Filed Map No...X. ..... Lot No. X. ............ conforms substantially to the Application for Building Pem~it heretofore fried in this office dated Se tember 15 1083 ..... a,~ 12649Z ......... P ........... , ..... v ...... to which Building Permit No ...................... · dated..........-.........Oct°bet 1 .... ....19.8.3.,wasissued, and conforms to alt ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... a private one-family dwelling. SUDHIR P. SAHU The certificate is issued to ..................... ioWrie'r,',¢,~;~ ...................... of the aforesaid building. Suffolk County Department of Health Approval . 3.%:s. 9:'.~.8., · 3./.8. ./.8.4.,...~9.b~ :. 5.-..V. J:?_.l.a. :. Iq 636216 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FO]~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERM, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N? 126~9 Z Permission is hereby granted t.o: ~ / ........... ..~_~.~......)..!.~ ............................................. .. ' ....... ~.:~.~:...l.l.~.~.':.....~- ,o 0t prem,,es,ocated o,....~.~..°.. ...... .~.~...~.~.....~~..~ .............. County Tax Map No. 1000 Section ...... ..C~.,.~.,,~] ....... Block ...... ,,~,.,~, ........ Lot No ........... ~..~,. ........ pursuant to application dated ..?~..~.,.~,Ll'~w~,,,,...,.,~,,.,~,. ........... , ]0.~.,?~,, and approved by the Building Inspector. 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 This application must be filled in Wpewriter 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 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, 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 ! / 2. Certificate of occupancy on pre-existing dwelling er land use $ (5'/$5.00 3. Copy of certificate of occupancy $1.00 ! Date ..Har~:_h. 14~ 1984 New Building ...X. ......... Old or Pre-existing Building(X) ......... ~/Vacant Land -~ ............ Location of Property .,, 600 Harbor Road~ Cut;chogue~ N. ¥. House No, Street Hem/et Owner or Owners of Property Sudhir P. Sahu, " County Tax Map No. 1000 Section .. 97, Block 6 Lot. PCL ~.~. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo .......... Date-ofPermit~O./..I./.8.3. Applicant INI.~ND HONES,, INC. 1264,. 9Z ................................... 3/8/84 Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval N636216 . .Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... Fee Submitted $..5....O.O, ...................... Cons~uction on above described building,~Ci~-l~ts alLapp~c~_,co~de~ a~:J regulations, C", , ~PP' .~~. -- ~ .~ .......... looo~74 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY V-- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Suc~r F. Sahu, W/S ~ La. 600' S/O Rt. 25~ ~, N.Y. was ex~mined on ~ 5 ~ ~ 9~4 a,td found to be in co.~plia,~ce with the requireme~ts of thls Board. FIXTURE OUTLETS 22 DRYERS ~ECEPTACLES 33 SWITCHES 25 FIXTURES RANGES %OOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT OTHER APPARATUS: l~otor s: i-F. 1-GFCi 1-Smoke Detector EECO Elect. Corp. (Cliff Cor~ll) 325 l~illow Point Southold, N.Y., 11971 E R V I C 1 4 1 4 LIC. #2816 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors be identified by CQpY FOR B~U LD I~G DEPARTMENT, TH S COPY OF CERT FICATE MUST .NO~ BE ALTEB~D IN ANY MANNER. FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~,ODE FINAL )DITIONAL COMMENTS: 765.180~- BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH ~pLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: /, //~/~ ,~ ~'~ DATE_~/¢/>~ INspEcT°R 765-],802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ],ST [ ] ROUGH pLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKs: DATE INSPECTOR 76S-1802 BUILDING DEFT. INSPECTION [v~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: -/~), -- /h2~ / INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Approved .(~..~ .I ...... 19~. Permit No. ? .~..~.~ .~.~.. Application No .................. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This applicatibn must be completely filled in by typewriter or £n 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. INL&ND HOMES, INC. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ............................ ,G.e.n.e.r..a .1..C.o..n .t.r.a.c..t 9.r' .............................................. Name of owner of premises ..... ~..ll.d.h.J:.z...P.o..8..a.h.u. .................................................... (as on tlie 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 .......................... 5~'7-P Plumber's License No ......................... Electrician's License No .... 2..8.1.6. .............. Other Trade's License No ...................... Location of land on which proposed work will be done...w./..s..o.~.., .H.a.r.b.o..r, .L.a. ,ri.e!..6.0..0.' .s/.o., .N.a.J:.n., .R.o.a,d..~,. ~2, c3_z.~ Cutchogue, N. Y. House Number Street Hamlet County Tax Map No. 1000 Section .... .9.7. ........... Block ...6 ............... Lg~.l.:..1.6 ............. 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 ..................................................................... 1 Family dwelling., ~ b. Intended use and occupancy ................................. ..,:.......* ........................... 3. Nature 'of work (check which applicable): New Building . ~. ...... Addition .......... Alteration .......... Repair Remo'val Demolition Other Work (Description) 4. Estimated Cost ................................... Fee ...................................... : (to be paid on filing this application) 5. If dwelling, number of dwelling 9nits...· ...........1 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, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories .................................................. ...... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... i.. Height ................... '... Number of Stories ...................... 8. Dimensions of entire new construction: Front ....6.:~ ......... Rear ...... .6.2. ...... Depth ....2.7. ......... Iq.eight ............... Number of Stories ................................................. I50 .... 9 Size ofilot: Front 150 , Rear Depth .3.0.8 10 Date of Purchase Name of Former Owner 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... , ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises l~udh;t4c .P,. ~ahu... Address . B~x. 36b..Glre~npo~l~aXlb..477.-.0722 ..... Name of Architect .......... :. ................ Address ................ Phone No .............. Name of Contractor .I.N...L2~..D..H.O~..E.~.,..I.N.G. ? .... Address ~ M&t'CXtU¢ o " .117., .......... [~llor~ ~X'o. ~90.-.0.690 ...... PLOT DIAGRAM Locate clearly and distinctly all ibufldings, 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. STATE OF NEW YORK, COUNTY OF .... SUF.F. QI~..... .S'S R.o. Bel:~:. B,. Hi.l,g~ ................. being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above named· ~' He is the ...................... !.. ................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements conthined 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 b6fore me this · ~.~7~-77 '~.~.-T-..day o!. -~ .... 19 .~..-~ Notary Public, . ............... :~~')~. /9>unty ~ . /', ~01~i~-ffi~,'~ii'~'~w v~ ' Robert Eo Hiltz ([-Signature of applicant) Ne. 5~..111255r~, SUffolk ~