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Home My WebLink About12725-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zq3939 Date October 27 19 85 dormer addition. THIS CERTIFIES that the building ................................................ Location of Property . ,. ?.~6.2.... Truman' s Path East Marion House/vo. ' .................. 's't/e31 ....................... h~d~/'e~ County Tax Map No. 1000 Section 3~ .Block ~ 2 .Lot q 0 Subdivision X .Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated October ~2 19~.3. pursuant to which Btdlding Permit No. ~2725Z dated ....N.o.v. ?.m.b.e.r...3 ............. 19.83,.. 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 ......... .... ~.gT.m.e.r...s.d.d.i.t..ip.m..t. 9' .e?.i..s.t.i.m..g..o.n.e.v.f.amily dwelling. The certificate is issued to .... GEORGE ~. & FLgRGAi~ET M. i~I~-L&RDT ................. io¥,,'~;J~_~j ...................... of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ...................... N..6.~.~.~.5..0 .................... Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDIHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~' 12~25 Z Permission is hereby granted to: ..... ............ .... ~..~..~....~:...~.~......~.'.~. ..... .~,~...~...~..,.~....~ ....... ~ .................. ~ ~o '"~~'"~'~"'"'~~"":~"'~~1 ............ ¢~..~s: .... m~...~.~ .... ~ ~..,....;. ............ ~.~ ............... ,.~ ~ p~o~ ~oted ~ .....~$..~..& ...... ~..~.~..~....J...t~.....~.~...~.D.~?.~.~ County Tax Map No. 1000 Section ...... i..~....! .......... Block ...... ).,.~,, ......... Lot No ...... ).,..C~.. ............ pursuant to application dated ...D..~~.....t' - ................... '~-' , 19..~..~ and approved by the Building Inspector. Fee $.,~...~..:. :.../....... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depa,[,,,ent 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 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p=operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date...~)(~.~..(.~...~'..~.~..~-~..~'... New Building ............. Old or Pre-existing Building , ..V~.. ....... Vacant Land ............. Location of Property ....................... ' |'~lJ.r~J ,Oc,;,~.. ~i~.~.~i: ...... .. .~.. ~-_-_~-l~. House No. , Street . Owner or Owners of Property ~{~;;~2~. ~. ~ ~.~.~v,!(3v~.~-~..~..~..%~ County Tax Map .o. ~000 Section .~.1.-..--.1~...--. l~ alock ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No I~r'/~.5 Date of Permit<~'. ~..Applicant ~(~..~'~..; Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . ~ Fee Submit,ed $. ........... Construction on above described building and permit meets,~lL~oplicable codes and regulations. Rev. 10-10-78 l~,aso3]. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW yORK 1OO:98 Pate O~;O'~I':~8, ~ ~.~.~..o.~o.o.~.. ~x~0/~ N664150 THIS CERTIFIES THAT ~1~7~5 only the e~ctr~cal equipment ~ described below and itttroduced by t~ appl~ant nagged on the above application number in t~ premises of G~rge Rei, nl~d'g~ ~s Path, ~f ~ute 25~ ~ast ~Io~, ~.Y. in the followlng location; ~ Basement ~ 1st Fl. ~ 2nd FI. Section Block Lot was examined on ~tO~T 11~ 1~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 13 DRYERS RECEPTACLE~ SWITCHES FIXTURES RANGES OVENS EXHAUST FANS 16 OTHER APPARATUS: 1,-4.5kw. I~ot Water Heater 1-G.F.C.I. '~ E R V C E A, W.G. NO OF NEUTRAl A W.G. OF HI-LEG OF NEUTRAL Uo OF CC COND A,W G- PER ,~ OF CC COND i 1/0 Room Ileater~: 3-2.0kw, 1.-1.25k~ 1-1,0kw, 1-.Sk~. Bridg~way Electric 447 ~ridge Road I~up~uge ~ . NC Y. 1 ~ 788 3351 This certificate must not be altered in any manner; return to the office of the Board if incorrect. COPY OFI may be identified Is'. ;ED iN ANY MANNER FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY -- C, ODE FINAL I ADDITIONAL COMMENTS 2'65,1802 BUILDING DEPT. INSPECTION FOUNDATION, 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION B/I/FRAMING [ ] FINAL . DATE iNSPEL'~I'oR ~/~ 76S-1802 ~;~ BUILDING DEPT., ~--/~'~ ,INSPECTION, FOUNDATION zST [ ] ROUGH PLBG.' [ ] FOuNDATIoN ZND [ ] INSuLATiON ,~ ]'FRAMING [ ]FINAL REMARKS: DATE 3 - iNSpE~OR ,, 765-1~0Z BUILDING DEPT. INSPECTION [ ] FOUNDATION XST ,~ ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~ INSULATION FRAMING REMARKS: FINAL 76S-1802 BUILDING D£PT* INSPECTION, FOUNDATION 1ST [ ] ROUGH 'PLBG. 'FOUNDATION 2ND [ ] INSULATION FRAMING [~/~INAL INSPECTOR IHL165-1802 9 AM TO 4 PM FOR THE LLOWlNG INSPECTIONS: · FOUNDATION _ TWO REQUIRED FOR POURED CONCr<ETE .R.~O~GH ~, FRAMING & PLUMBING IN_ULAT, ON FINAL - CON'STRUCTION MUST BE COMPLETE FOR C. O. L CONSTRUCTION SHALL MEET E REO[I!REMENTS OF THE N. Y TE CONSTRUCT ON & ENERGY ~ODES. aRNOT RESPONSIBLE ~Jl~ ESIGN CONSTRUCTION ERR~q~ if copper tubing is used for water distributing sysfem; pipb0 shall be oF types K or L 13~u~LE SeLE PL4TI~ SG" L~ALL~, D F~ N 7 ]. 2 3. 4. A T' S] C' P ~; EC. OFIO L ;;vEL II/ / '/ I IHSkL~TED T~EAT&D tUA&K I~ ¢ LO rET ERST