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Home My WebLink About12722-zFORM Nee4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate eL Occupancy No. Z- 16049 Date August 14, 1987 ,h~+ t lB 1,, ;~r~;,,, SECOND FLOOR ADDITION THIS CERTIFIES .............. s ................................................ 2255 Little Peconic Bay Rd. & Location of Property 5370 Nassau Point Rd. Cutchogue, New York House No. Street Hamlet County Tax Map No. 1000 Section I I I ...Block 08 .Lot 0 19 Amd. Map A of Nassau Point I56 144 Subdivision 'Cl'dl~ 'P~r{l~diii'ds' ............... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...O.c.f.o.'qe.r...3 .... !.9.8.3. pursuant to which Building Permit No.. 12722 Z dated .... N...ovember 2, 1983 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 ......... SECOND FLOOR ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ROBERT FEGER & TERESA TAYLOR ..................... ?o¥.'o; ,xi&lW; x .................... of the aforesaid building. N/A Suffolk County Department of Itealth Approval .......................................... UNDERWRITERS CERTIFICATE NO ................ N 822555 PLUMBERS CERTIFICATION BATED: N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? J2~22 Z Dote ....~ ........................................... , ....... Permission is hereby granted to: ......... ~.~.~...~ m..Z~~~~/~;_. .... ~.~..7...~...~..~...~ .................. .... ~..~..~.~..~ ........ ~.~.x.a.~ ~_ ~o ...... ~.....T../-Z~..c~..........~e~.~....~.~.....~.~ ............ _~ ........ ~. ~.~ .~..~..~.~:..~.~...~~....~..~...~x~...,~~ ~ at premises loc/areal at ....~ ................... ~ ....................... ... -/-,.~. ....... , .......... .~'~'.~...-~'-~.z~....~.~./~'4~ ...... ~j~~. = . . . . ~.~. ~.~.~. . .~. . /* **~. . ~. =,z ~ . . . z .~ ............ co'u.~ Tax'ap No. ~000 Se~,~o. ........ /../.../.. ...... ,,~k ..d..':~.... ........ Lot No.~... .............. pursuant ,o application doted ..Q~ ..~.~..~C~.....~ ........ , 19,.'.~..~., and approved by the Building Inspector. Fee ,..~/....~.. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions A. Tills application must be filled in typewriter OR ink, and submitted M aa.a.eaa.aa 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 dlsposal-(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 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 DwetlJ. no-,$25.00, 'Acceaaory tS10.00 [lueJ. ne,sa $50.00 2. Certificate of occupancy on pre-ex'sting dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over .5 ),ears $10.00 4.Vacant Land C.O. $ 20.00 .~.~.~..c~.~/~/~.~. 5.Uodated C..O. $ 50.00 Date ............... 6. )%iteration $25.00 Newtons tpuc t, fL on Old or Pre-existing Building Vacant Land Location of Property ~0 /W~FJ~) ~- ~'<p.~D C~27C/YO.4~?.~.; ..... House No. Street t/am/er O ncr or Owners of Property ' - Map,o. ,O00Sect on ............... ,,oc ............... ,et.. ........ Subdivision ................................. Flied Map No ........... Lot No../.¢J..4~. ........ Permit No./' '¼'.. ;....AZ~"~&7~? Date of Permit, ,/..4';..%.,.App Icant ................................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submi[tad $ ............................. Construction on above described building anti, FaCe, meets ~cable codes a~nd regulatiqns. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~000~:~7 BUREAU OF EI..ECTRIClTY ~ ]~'~ 85 JOHN STREET, NEW YORK, NEW 'fORK 1oo3a only t~ electrical equipment ~ ~scribed below and i~tr~ced by t~ op~icant ~med on the a~e application number in the premises of FeS~e~ & T~ylor~ 5~70 ~sc, u Poi~t Rd~ C~tchogL~e~ ~. theloIIowiagIocation~ ~ Basement ~ Iai ~, ~ 2~ ~. S~tion ~l~k Lot ~s examined on J~% ty 13 ~ 19~7 and found to be in compli.nce with the require,nents qf this Board. FIXTURE ~ FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLEE SWITCHES NCA/qDESCEN? FLUORESCENT DRYERS FURNAC~ tAOTOR$ PUTURE AP~'t. IANCR FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE OI~..ONNECT $ E R V I C E OTHER APPARATUS: 3 Langdoa S't. cert,ficote .us, not be oltered ,n any m~nner; return to the office of fhe Board ,, ,ncorrecf. ,nspecfors m,f~;e iden~[~ ~,heir credenfi~,s. COPY FOR ~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE]MU~T NOT BE ~LTERED N ANY ~NNER. FIELD I~SPEC'% ION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODE FINAL COMMENTS ADDITIONAL COMMENTS: ~.x )~d~ ~e 3°~3° ~¥ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTHOLD, N.Y, ! 1971 TEL. This is Co advi.~e you that the job under building permit: no. 127227. issued to Robert F,eger oa _!~1_/.2/83 for Addition" is completed and ;, final inspection has ( ) has not ( x ) been done. An Underwriters Certificste is needed [n order to complete thio file, it is necessary that a Certificate of Occ,upa.cy be issued. Please fill out the enclosed form, return same to the above office with a cheek for $25.00 payable to the Town of Sonthold. Please indicate to Whom the Certificate of Occupancy ia to b~ mailed, and ;~rrange with this office for an inspection (late Occupancy or uae i:; unlawful without a Certificate of Occupnncy. l'leat;e help .s to clear tlp thi~ matter so that leg;ti action does not have to he taken. Thank yot! for yo.r prompt attention. Very truly _y~, Victor Lessard Executive Administrator VL:gar encl . FORM NO. 3 TOWN OF 5OUTHOLD BUILDING DEPARTMENT TOBrN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ../¥.~ :.z.../,~. ~.~.~..A..~. ..... . . '.~ ~o~ z" ~ : '~' ' ' PLEASE TAKE NOTICE that your application dated.. ~ ~.. ~ .... ,19 ~.~ for pe~it to construct...~ .~.. ~...~.~.~ ~ ....................... at County Tax Map No. 100~ection ...~L~ ........ Bloc~ . O.~ ........ Lot . .~ ....... Sub division ~/~O. ~.~ Filed Map No ..... [.~. ...... LotNo .... (~ ........ ~s returned herewith and disapproved on the follow~g grounds. ~.. ~~ ........ ........ ~ .... ~o~. ~ .... ~ ~' ~ ...~... ~ .... . ........................... RV 1/80 S. TS' 36'ZO"V~. - Z76.5'0 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ........ ^pproved ~~. ..... , l¢/5. eer, nit No./. ....... APPLICATION FOR BUILDING PERMIT Received .......... ,19... Date /rd)" '-~ 19 ~.~ INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 until a Certificate of Occupancy shall have been granted by the Bu!lding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of tlie 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 regul, atio~_s, and to admit authorized inspectors on premises and in building for necessary inspections. __ .... ~ .~...../~...~.../..~...z. ~.~ ............ (Signature oLapplicant, or name, if a corporation) (Mailing address of applicant) //?dJ~ / State whether applicant is owner, lessee, agent, architect, engi~erai,.~ ~-.~ contracto~r_/ electrician, plumber ~ Name of owner of premises .............. -.~ ....................... ~.~.. ................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No...~-.q?.: .,//.-~. ............. Plumber's License No ......................... Electrician's License No...-~...1~.....5.' ........ Other Trade's License No .................... ,~fi . _ 1. Location of land on whi~c~_~oposed work will be donel/.f~'J/.~.~..~...~../~..~..~..~..~??(.. ~ ~)~'~ .~0~4 ....... .~:l.& ~& . ~:~,.~. .~.~, . ~.4.~,~:e~:. ................................ House Numbe~~O ~,~ Street ~ ~'~¢~ Hamlet ~05.~ Co~ntyrax~p~o ~O00S~tio~ ~r~ .... ~lo~k .... ~.ff ......... not...O.~ ........... S~bd~on...~... ~ ............. ~il~d ~ ~o. Z~ ......... ~o~...Z~ ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a ~i~' ' /'~"~;/*/ ~*/J~ mg use ana occupancy .............. /. ......... ~ .......................................... ......... , .................................. 3. Nature of work (check which a ,plicable): New Building .......... Addition .......... Alteration' .......... Repair Removal Demolition Other Work"..'. (Description) 4. Estimated Cost .... r,~:. · · 7' ......................... Fee . i (to be paid on filing this application) 5. If dwelling, nmnber of dwelling, units ............... 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 ! Height Number of Stories 8. Dimensions of entire new construction: Front ", . ...... pth ......... ,..;.. Rear ........ De ............... Height Number of Stories'. 9 Size of lot: Front . Rear Depth 10. Date of Purchase .............................. Name of Former Owner ............................. 11. Zone or use district in which piemisesare situated ........................................... .. .. ...... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lolt be regraded ........ .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. ! .................. Address ................... Phone No ................ Name of Architect ......... ' .................. Address ................... Phone No ................ Name of Contractor . ~ ~Q .&)....7~....~.~ .L./~. ~. Address ................... Phone No.6 .~..-~..7-. 7.<~. ~. }. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or Corner lot. STATE OF NEW...YO.gI~ ...... COUNTY OF..~'.~ ?[ .,~.O./.,/{. (Name of individua{ signing contract) being duly sworn, deposes and says that he is the applicant above nameld. He is the .......... .~77. (Contractor, agent, corporate officer, etc.) of said owners, and is duly authorized to perform or have performed the said work and to make and file this owner or 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 ......... ........ ~[..da~y, oi.. N otaryPublic ..... ~: .~,~~. ' .'~o~un/t~ ~ ~6NIA' ~.l~m ........... PUBLIC, S~ato of New York \ No. 52,4600637, iSuholl< /~rm Exp es ~laich ~0, (Signature of applicant) TOWN OF S0UTllOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 ,c2-~ c, ,.- ~ / TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupaqcy because,of the following reasons. /Z/ An application for Certificate of Occupancy _//is not on file. /~. No Underwriters Certificate on file. /Z/ The check is{outdated/not on file.) /Z/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) '.o //