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Home My WebLink About12782-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z .1.3.1.7. $. Date Jan. 28 19 i~ .5 THIS CERTIFIES that the building ... .... Alteration. .... ........... Location of Property 1050 Youngs Ave. Southold House No. Street Hamlet County Tax Map No. ! 000 Section .... q .6.1 ..... Block .... q 2. ......... Lot .. ,q ~..6 ........... Subdivision ........... X. ................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... Q¢.t...... 2.1. ....... 19 ~.3. pnrsuant to which Building Permit No ........ 1.2. 7.8.2.g. ....... dated ...... .M.a.r. qh. ...... .2.9 ........ 19 .8.4., 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 ......... Alteration to Existinq Buildinq For Off, ice .Use MICHAEL HALL The certificate is issued to ........................................................... (o wrier, te~ee~- ~,~ of the aforesaid building. Suffolk County Department of Health Approval ........... ~./.~ ............................ UNDERWRITERS CERTIFICATE NO ................... ~ .e.n.d.&n. cj ....................... Building Inspector Rev. 1/81 ~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12782 Z Permission is Hereby granted to: ......... ~.~.~..y~.~.~ .............. ............ ........................... ........... ,o ..~.~,~.....~:~:,.~......~~~ ...... ~.....~.~.~....~.~. ~ at premises i=ated at ...~.~;~....~Z ~ ................................................... ~ ....... ~ ................ ~...~? ~ ............... ~: ............................. ......... ~~:~..:.~ : ...................... ... County Tax Map No. 1000 Section ....('~,'./. ......... Block.....................,~ ~ Lot No...d,~../..~. .......... pursuant to application dated ........ ..~...~?..~.~.....,....~c....~. ..................... , 19 .~.~.., and approved by the Building Inspector. Fee $.../...~ ............ ; .... ............ "'"'"Building Inspector Rev. 6/30/80 D HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM, Jr. WILLIAM F. MULLEN, Jr. Southold, N.Y. 11971 February 17, 1984 TELEPHONE 765-1938 Mr. Michael Hall Attorney at Law 218 Front Street Greenport, NY 11944 Re: Site Plan Dear Mr. Hall: The following action was taken by the Southold Town Planning Board , February 13, 1984. RESOLVED that the Southold Town Planning Board approve the site plan of Michael Hall for the building of a law office located at $outhold. If you have any questions, please contact this office. cc: Building Inspector / By Diane M. Schultze, Secretary zOOOl THE NEW YORK BOARD OF FIRE UNDERWRITERS examined on J~ ~ ~ 19~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE AP~IANCE FEEDERS TIMECLOCKS UNIT HEATERS MUL~-OUTLET DIMMERS SYSTEMS NQ.OFFEET SERVICE DISCONNECT S E R V I C E OTHER APPARATUS: NO. OF CC. COND ~ A. W G 1 350 L~C~' NO. OF HI.LEG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL Southold, N.Y. 11971 Lic. 2~2 GENERAL MA N~R This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY.OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ~ " I COMMENTS FIELD INSPECT ON FOUNDATION FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~pDE FINAL ADDITIONAL COMMENTS: 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 WpewHter 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 featu res. 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: 1. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .... ~:.~.~.~ ....... New Building × Old or Pre-existing Building ....... Vacant Land ....... 1050 Youn~s Ave. Southo ld Location of Property ............................................... House No. Street Ham/et Owner or Owners of Property MICHAEL WALL County Tax Map No. 1000 Section 061 Block 02 Lot. 016 Subdivision ........... × .Filed Map No. .Lot No. PermitNo. 12782.2; ....... ................ Date of Permit 3/.29/84 Applicant ............................. Health Dept. Approva( ,N/A .Labor Dept, Approval Underwriters Approval .... ?.e.~.~.~ ........... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... × ....... Fee Submitted $.. ,5.00 Constructio.n. on above described building and permit ~ app~lica/ble c_o~e,s and regulations. pp ........ ......................... Rev. 10-10-78 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1803 Approved . .~. ~.~.'~?. ......... 1 Permit No ......... Disapproved a/c . .~.~. ~.~.~".~.: .~-.~.-: . . ~ .,. ~.-')~. · ....... ........ . (Buildiz~g Inspector) APPLICATION FOR BUILDING PERMIT Date .... /..0. [.o~.. ( ....... 19 .~..~ 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 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 co. de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ....... ~.~:~. )./~.~. ............ (Signature of a~plicant, or r~ame, if a corporation) . ~.x.~ ~....~..~.. &..~..~..~. ~., x¢7./, x~...r~../ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ./~ ).O.f~-~.'-~.....~..~... ~. ~..~{..~. '...~¢~. 3. Zd ............. (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..~.].AJ.[A- ................. Plumber's License No..'h [x[].'4-. ................. Electrician's License No. ~. t .~.~. ................. .Other Trade's License No. ~3]~t~0- ................ 1. Location of land on which proposed work will be done .................................................. · .! .o. 0.-o ............ Y..4~¢¢. ~ ....... .~.x.c.~... ........ ~..~.. ~ .~.~ ................... House Number Street Hamlet County Tax Map No. I000 Section ...... &./. ........ Block ..... .~....d~.. ...... Lot .... ?.(:? ............ 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.., .~.'.~...~..~.. ........................... . .......................... b. Intended use and occupancy ~.~...~.-. ,/~.~. '.~..~. ..... .~...~..~.d.C.c/..'~.. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remi0val .............. Demolition .............. Other Work ............... lVo/d~'~ Z>~' /:2~v~''' -~ O~ ~ 0~2~ // ~ /~ (Description) 4. Estimated Cost ............ ~ .......................... Fee .~ ~.~ ......................... : (to be paid on filing this application) 5. If dwelling, number of dwelling: units ............... Number of dwelling units on each floor ................ If garage, number of cars .. O~ ................................................................. 6. If business, commercial or mixed occupancy, specify na3ure and extent of~chWpe of use ..................... 7. D~ensions ofexistin~tmctures if any: Front ~,~ Rear ~& ~. ~*~ ,~ ~ Height ~X.~. Number of Stories ~.. ~}~. ~ .... ~ . . ~.: .~ ~. ~v .... ~..[. ........ D~ensions of same structure With alterations or additions' ~'r;~ '~[~' ' ' ~;~r' ~ ~ ....... Depth. ..... ~.~ ...... Height.. ~.~, .~. ~7 ...... ~. ~ Num~e~ o;S[ofi;s...~.' ~ ~[' '.~ ~ [ ~ ~ ~ 8.r4~h, ~/~/~Dimensi°ns of entire new construction: Front ~/~/~ ./ Rear ~/~7~... Depth ~ ~ ...... ' : · .~ ,.~ . '~;a; a~')~ ......... De~th" '~'~''[ ..... 10. Date of Purchase . .~/&t?~ :. ~ ' ~am; ;}~d~ir'6~;;' ~-/~. ~'~:~ .... 1 I. Zone or use district ~n which premises are situated...~.. I .............................................. 12. D~es proposed construction viqlate ~ny z%ning law, ordinance or regulation: ~ ............................. 13. Will lot be regraded .~N~ ¢1~5~..~6.. ~.~ .... Will excess fill be removed from premises: ~ No 14. Nme of Owner ofpr~ises .B~q~.q~qff ~ Address fq~s ~ . Phone N~ Yq~o/q~/f/o Nme of Architect . ~V...ff~ ......... ~ Address ~l~ ;~ ~ [ [ ~ J ~ ~. Phone Ng~ 5~*~ [~ Nme of Contractor .... ~ ............... Address . ~ ................ Phone No... ~ .... - ........ PLOT DIAGRAM Locate cle~ly ~d distinctly ~1 bufld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from proper~ ~nes. Give street and block~number or desc~ption according to deed, and show street nines and indicate whe~er inte~or or corner lot. STATE OF NEW YORK, COUNTY OF. ~ 0 ~.Z>C .1.1.1.1.1.1.1.1.1~.. ..... !S.S ...........~/C./...7~..-~... ...... ....................... X/'~''. ~ ~ being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) above named. ~ (C~,~ ...... , a~.t, ~orporare offlce~ etc.) of said owner or owners, ~d is dul'y authorized to perform or have perfomed the said work and to m~e and file this application; that all statements conthined ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the mane'r set forth in the application filed therewith. Sworn to before me this ..... , ...... PRINGE yjap MON 2 RJET 1e" 3' °2� 2 F NAR . DEED les �55S 00M0 r �ti;n1 eL'''E ,pra��I P`� ,. tae t mUlk o , - 92 7 ;63 m_ 'r o-J l� m m_ Dd E i� ( a ti -N�T�se � nl z sHSE GOR , 01 je&/ OVEREO. "050 160' o ,�/ 52 lof 6 O 'OaON e K e Q) c e vam w i EED Q ° :iV°' D z N E 4 E !i Vl � tRANFT 66 SPH SPH C) s J() o NSF � D rn G z c a rn R0AO A I N R1E M N Y.s. 25) c R CERT/F/ED 77 THE T/TLE GUARANTEE CO. T/7LE*T/283-2490 SOUTHOLD S4V/NGS BANK s' - MICHAEL J. HALL 9 MAP OF ANNE M. ; UX S�TG PcAa Nov. ?j,/983 DESCRIBED PROPERTY AT SOUTHOLD donack associates TOWN OF SOUTHOLD 313 west main street SUFFOLK CO..,NY. riverhead ,new york 11901 (516)369-1717 (212)746-3020 AREA :9765 Aug.116,, 1983 Job NQ 83-315 0.224 ACRES 70AN AS$ MCS IJA/UH 111000-061 -02-16 Scale z I11 = 30' �� Ol m I 1 ' 4 nCr' Fix10T 1wG L_ _! L copper tubing Is used IF for water distr bhall be J sYs°em; Piping only Zp o g 1z of types K o—� tk n �N a E J(I TI1V 25 / 1� V01 19 N® FOVNDAT{ON (TYPICi.> .Y� ✓l.// 1 � { Z� , ZN I 1 I 1 PROVIr;?G all IIIL° GONG RS4PGIL, L__ J p 1?b, Foorincv C&NO IL 3'r b' b(rOw " (,"tx 8" "I�TINCo GO GATIO NS�IGAt- �y P'Z� } V v 1 _ (ny ,Vj � I C� pPiLpw GENT2f SPAN Op Wvl 1__ J � ,i,K ISTINO mIRfl6RS� �r C5 BELI-0W GND 5 OF Pr+lIJT1N6 np 11 yNr ® GtR�P�R.S � ?0.21L� 1 1 ; I �y p6L.o�v GGNT{ZR6up PoltT E�c1 ST tNG 4""B" qy Y� - 1 J — TO OTJ Rfi L.O Nv RobF ,) GIR OEiFi ON .Wt `- _ J 'pt-OOK• PIF�0.S O�K r --'� r - - 1 CTY PILAF Ab +i 0W N�) TO ®ftAOEi I I I :O ' CTY PtLAL) p)p� - — "-' _ — ,- - e L pROVIPPi TG�GO GONIV GCTORS Dj01(� �iX l'.JT inG C' ,�8e // II__ J 1_- ' (ai /IL-4 DFl !< JOIJT /61R 'L7GfC, mIL I-Z= DKOP Co1KDti(L O LY'x H" IST'�� GONI'f Ems.VI"IONS , �T-YPIC."�L_) 1'1 Z 3 'BErARIUG GAPAG lTy O❑ DE-GN� I•-Q OJ A I AS JHOWN 100 �• �S,F', J'dlf< `v H 4 L Nov _ voorl ams ro ser bKvJ r- '-� O ' 3Lo` i�LLG�r G'►[ADG C�tINIIrIuI.L) €. ff r - - l m PF�AA ON VNL�IOT UR 6FiD .SO1lr y gTpLOOF� Jhla0. 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A L T T;Z, --ff c2 U N I_A N TITLE -PRt7PO�E.�-.D "3T1i UGTUR AL.. //IaDI P1GATl o'NJ Tb Fix 15TINCS -PR E,,.M 1S �S P'o/t RC « AAS q rFc //�� , /I\ 1 G HA E L H ^ f•- L•- T Ayc "Alteration of this Document exArchitect and Engincer's Seal and cept G A R R E T T A. S T R A 1V G Signature only goad for initial use of LO0AT1ON 'Yo u N G s Av E., '; an Architect Licensed Profes• d si,:n: rawing. Changes, alterafinns or re- architect 5 o u T t-L o N M1 Engineer, is is illegal". /+ visions to or re-use of drawings with- SCALE REVISED DRAWING ^ I , Section 7209, Subdivision 2, Y4'".1�° N. Y. State Education Lawn out Architect or Engineer's Approval Main Road P.O. Box 1412 Southold N.Y. 11971 015244 DNTE `0 3 voids Seal and Signature on same. 516 - 765 - 5455 sgTf OF PROJECT N? 8-a! 35 O F6G . r 3G'- o 4- a_1W- n .-GM T4. rN � eAP1,a IT.Y '+ 66~/6P O ^10EmIJ t`Rt'a0'"pfw�R � � p Q �FFCGir a- i � H h N yq-;" p 3�6 UI Z _a z lu ' �°C,E:w.clTr si ',raow-�o;f, •�' - ✓3 z .f } R1 . n dig) j 0 asa,auIwoa lK lK �f 1G� U r.K . N lg� L Mrl• ° 49 rrr, e M 3 -0" MIGH IiAHV NLW R^rL� (,TY IGAV� L.,ANLR NOr ��j N `i-W ---Zr rm�Inrn .A L.T � -F L c.�'�R 7::'LA 1� TITLE' Q�'7S+j,, .� j`j'T'tQ.l7,�.+•T'LIR/S,L _L[C1.,n.1�!.rL P_iZ41'y ld a5 SjERED Ah,yl, i'.R';ii'+I.d`ir----W -_ eGG REta A. sTR y� "Alteration of this Document except Architect and Engineer's Seal and �` , R E II 'r A � S T R A N G f^r' 1A t T - [� ' - A-L-L" by an Architect or Licensed Profes- Signature only good for initial use of LOCATLj y- ,� -- ,� _ _ sional Engineer, is illegal". drawing. Changes, alterations or re• architect lea 6 Section 7209, Subdivision 2, visions to or re-use of drawings with- &CALEflREVISE➢N. Y. State Education Law, out Architect or Engineer's Approval Main Road P.Q. Box 14'12 Southold N.Y. 11.971 E.TE _ t 15244 voids Seal and Sig ature on same. 516 - 765 - 5465 oeew gr f - PROJECT n.;., .r