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HomeMy WebLinkAbout12809-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-12968 Date January 28, 1987 One family dwelling with attached 2 car garage & THIS CERTIFIES that the building §~I' Ih' ~'~h; ' ~h~t' ~h~l' ~t~k: ........... Location of Property 1945 Broadwaters Road Cutch.og.ue, N.Y. ~'e )40: ....................... 's'tde~i ..................... fi~/~ie~' County Tax Map No. 1000 Section 104 .Block I 1 .Lot 001.8 Subdivision Amd. biap 'AT Nassau Pt. .Filed Map No. 156 .LotNo. 284 & ~ 285 conforms substantially to the Application for Building Permit heretofore filed in this office dated November 16, 1983 pursuant to which Building Permit No. 12809z dated December 21, 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 ......... One family dwelling with attached 2 car garage & screened in porch and attached deck. JOSEPH D. & LUZ M. CAVANAGH The certificate is issued to ........................................................... (owner, i~E~K~XX of the aforesaid building. Suffolk County Department of Health Approval 13-S0-214 UNDERWRITERS CERTIFICATE NO .......... N667261 PLUMBERS CERTIFICATION DATED: October 22, 1984 Building Inspector Rev. 1/81 gO~ NO. ~ TO~N O~ $O~THOLD BIJILDIHG DEPARTJ~.I=NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 128O9 Z Permission is hereby granted to: .... ..... ~z~./.~....z/_~Z........~....*'.~ ........ ..... ~~..~....~.~. ......................... ~o ............ .~2~..~:~...~.-......~.~..~.....~...~./~. ~.a~..../..~z~ .x~.....~ .~...-... ................ ~.~..~...~.~:.~...~...z....~...%......~.~.~.~ .................................. at premises Ioco ted at.,. ~....../~-/-~. ~..~.~. ~...~ ./~.-~.....~ .................................... .................................. ~, ........ L'../.Z .......................... i ................. ~..~ ............ · ~ /~..~ ~.~ .,x,'.~.~......~ ......... ,z~.~.~...~...~...~.........~ ........................ ~ County Tox Map No. I000 Section ..... ./.~...~.. ...... Block ....... ..~.,/. .......... Lot No...~J~./.:..~...... pursuant to application dated ../~.~ .~... ......... ,./..'~?.. ...................... , 19Z4and approved by the Building Inspector. Fee $.. Z~C.L,~'.......~.g Building Inspector Rev. 6/30/80 FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zt2968 Date November 8 .19.84 THIS CERTIFIES that the building ....... O.n. ?. f,a.m..5~,y..~ ?,s.J_.d.e..n,c.e, ................. Location of Property .1 9.6.5. Broad-v/~,t,ecu. ]~.d. ................ ~.u.t~chg~ue ......... /:l~t~s~ N'O. ' ....... Street Hamlet County Tax Map No. 1000 Section . . J .Off. ...... Block ....... ~. ! ...... Lot ...0.0.1.; ~. ......... 2 ~ Subdivision...A.m.e.qd..e .d..~p..".~'~.... ~.~....Filed Map No. 15 ~ ..... Lot No..$.~. &..~..2~3. conforms substantially to the Application for Building Permit heretofoie fried in this office dated .... ~ 9 ¥.... ~. 6. ........., 198. 3.. pursuant to which Building Permit No. J .2~.q ~ .z .............. dated . De c. 2 ~ 198 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 ......... O..n.e f.a..m.i.ly, residence. The certificate is issued to d, O.~,?~p.h. D and Luz M Cavana~h .............. ?o¥.'o; Stdidi ...................... of the aforesaid building. County Department of Health Approval ~ 3- S O-2 1 6 Suffolk .......................................... UNDERWRITER S CE RTIFICATE NO ................ P..e .n.d. 5:. n. ~ ....... .( .Iq.6. 6. .7 .2 .6.1...1.1/.9./..8 .4 ) Building Inspector Rev. 1/81 FIELD INSt ~CTION 1. COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING e INSULATION PER N. STATE ENERGY o Ye FINAL ADDITIONAL COMMENTS: L,q+C,, z,o'C HENRY J. SMITH & SON, PLtJMelNG1 HEATfNG & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 Inc. CERTIFICATION Date October 22. 1984 Building Permit No. Owner ~om~ph Cmvmn~h Plumber Henry J. Smith & Son~ Inc. I certify that the system contains less than solder used in the water supply 2/10 of 1% le~d% / l~ry P. Smith Sworn to before me this ~:! day of ~ 19 ~¢ Notary Public f/~?~ County Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS 100107I BUREAU OF ELECTRICITy ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003~ THIS C~RTIFI~8 THAT in thefollowlng location; ~ Basement ~ 1st FI. ~ 2nd M. Section BIoc~ Lot was examined on ~OVC~X' ~ ~ ].~ and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS SWITCHES DRYERS FURNACE MOTORS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 36 FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-3~Ton A/C Unit '~T~k Lighting 50' 0" 18 NO, OF NEUTRALS OF NEUTRAL G & L~ Electric }3ox 215 Lie. 578 GENERAL Per~ 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their FOR BUlL N ANY MANNER FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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. Commemial buildings, Industrial buildings, Multiple Residences and si~)lar 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. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 .... :X ........ / / -- New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property.../. ?.~.~. · · ~. ~.~. ~.~ .... ~ © ....... · .~. · · .~. · ~.~.~ House No. Street ~1 Ham/et Owner or Owners of Property .~,/.O.~[.~-~ ~.:..~¢%~.. ~.-L~...~.l.'. ~ )'~ CountyTax Map No. lOOOSection ...!,0.,~,. ...... Block .... [.{ ......... Lot .... ,0,,0.~,- oC2 , Subdivision..A/~/(Lc~..~.~. ~..~..~ ............... Filed Map No..~.,./.0.5..Lot No. PermitNo. //~(~)~..~... Date of Permit ..... Applicant .~. ~,/v/.~J. ,/~,~-J~..~T-~f'i~. · .}/./~b'/~.~/.~. Health Dept Approval ~ Labor Dept Approval , .~.'//0~~. ...... Underwriters Approval ....................... Planning Board Approval , ...~//.~. ......... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... .~...~.~. .................. Construction on above described building and pe,~rnit meets all applicable codes and regulations. 7GS-1802 BUILDING DEPT. ECT/ON INSP ' ~ ,, [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~/]'~FINAL DATE, FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To Z72 ~//~.r~/~. W.~5~..J. TcL~.. . ./~.. 6~c'.~..~'. ....... .-~~,.. ~ ~ ............... PLEASE TAKE NOTICE that your application dated for pennit to constract. ~..~/.g~%'[..~ V~[[g~.~ ......................... at ~cation of Property ........ ~{ V~ ............ House No. Strut /Hamlet County Tax Map No. 1000 Section .. f.~ f~ ..... Block ..... Z / ....... Lot .. ~ Z: .~.. Subdivision ~ff~.~ .... Filed Map No .... Z~ ........ Lot No.~. '7"' is returned herewith and disapproved on the followMg grounds... ~XdJ..¢&~fi ' 5~...~ R¥ 1 I ,-~ .......... ~___ ~ ............... __/ .- - / / .~ ~....,,.~~. 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