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Home My WebLink About12501-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 13992 Date Noverabe,r 7 ................................................. 19.85.. THIS CERTIFIES that the building ........ ?.qo..1j..D.c..c.k.,. ?..e.n.c.e. ................... Location of Property .4.6. 0. ................. .C.l.e. ajr. ¥.~.e.w...Ay.e. :..h/.e.s.~. ..... S. 9.u.~.h.o..1,d ..... House No. Street Ham/et County Tax Map No. 1000 Section . .Q~.0 ....... Block ...QB. .......... Lot 049 Subdivision ...... X ...... Filed Map No. .Lot No. conforms substantially to the Application for Building Permit heretofore fried in this office dated June 20 19 .83 hBuildingP itN 1250.1Z ..................... , .. pursuant to wh/c erin o ..................... dated .... .~.u.l.y...2.3. .............. 19 .8.3., 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 ......... ........ Accessory Pool, Deck & Fence ........... The certificate is issued to MULHA~L, JOHN & FRANCES (owner, le~e~=~ ......... of the aforesaid building. Suffolk County Department of Health Approval ........... N. [.~. ............................ UNDERWRITERS CERTIFICATE NO... N610854 Building Inspector Rev. 1/81 lrO~.~ NO. ~ TOWN OF SOUTHOLD BIJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 1250~ Z Permission is hereby granted to: , ~ , ~ , ~ ,,,,,,, ~_..b, ~o1~ 1~ ............. ~. .......... ~ ................. F. ...... I ............... ...~.~.J..~.~ ................................................. ....~..~.~~.~..,....~..%., ...................... at premises located at ......~-..~...~- ....... .~..¢~..~..' .~.~f~t~......~.,...~°..~.~....-..~.~~ County Tax Map No. 1000 Section ...... ti...~. .......... Block ~ Lot No. ./~....C~. pursuant to application dated ...... ...~.....L~....'.~.....~.~.. ....... ...~...~. ............. , 19..~...S', and approved by the Building Inspector. Rev. 6/30/80 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 typewriter OR ink, and submitted i ~ 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. Bo For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~opertv 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date... ........ New Building ...... ~qq .62... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...'-/.4~ .~..c..~.~.ft....c.o ..................................... House No. Street Ham/et Owner or Owners of Property . .,~ .o.~..~. ~.,..'~. ?. (4~,~.c~.._~....~.. ~ ~.L,..~:~/~..L....(~. ................. County Tax Map No. 1000 Section .... - ........... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. /;Z .5'. b/.-? Date of Permit Applicant Permit NO .................................................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ?.-~ ..................... Construction on above described building and permit meets all applicable codes and regu let/one. ~ .;~qq ~ Applican , ..................... Ret,. '10-10-7e TOWN OF SOUT OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 October 22,1985 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because,of the following reasons. /_~/ An application for Certificate of Occupancy is not on file. /--_~/ ~h~-check is ~atd~te~. /~ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # Expiration Date - Building Dept. Sincerel}( your~s, Dorothy ~.~Midgley(~ Bldg. De~kt.' Sec. FIELD INSPECTION FOUNDATION ( 1 st) COMMENTS FOUNDATION 2. {2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: ~ CLEA~VI.E~Z THE NEW YORK BOARD OF FIRE UNDERWRITERS l~Jbi~ SUREAU OF ELECTRICITY ~4~ 85 JOHN STREET, NEW YORK, NEW YORK tO031~ ,,.re · on ,,e N 610854 THIS CERTIFIES THAT only the electrical equipment as described below and $t~troduced by the applicant named on the able applicat~n number in the premises of in the following location; ~ Basement ~ 1st ri. ~ 2nd FI. ~g~ Section Block Lot was examined on d~y ~s ~ aud fottnd to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST FANS~ .L DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC, COND PER ~ AWG OF CC COND NO, OF HI-LEG A W.G. NO, OF NEUTRALS OF HI-LEG AW, G, OF NEUTRA{ GENERAl. MANAGER Per_ This certificate must not be altered in any manner; return to the office of the Board if ,incorrect. nspectors may be identified by their credentials, ~iG DEPARTMENT. THIS ¢ MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Ex=ined.. ..'u 19 9. Approved..."~. Y.I .~...*~..~.., 19~...~. Permit No.l .li; .o.l Disapproved a/c ..................................... Application No.. 1..~..~'~.~.. J...~. · · · (Building Inspector) APPLICATION FOR BUILDING PERMIT Date June 29 .., 193.3. INSTRUCTIONS a. This application must be completely fffied 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 p~mises, 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. Tbe work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Bu/ldi~ In~ector will issued a Building Permit to the appi/caut. Such permit shall be kept on the premises available for inspection throuEhout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupency ~ have been ~ranted by the Building Inspector. · APPLICATION IS HERE~Y MADE to the Building D~pa~tment for the issuance of a Bu/lding l~_~mit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable I.aw~. Ordinence~ or Re~lafions, for the construction of building, additions'or alterations, or for removal or demolition, m l~rein described. The applicant ~rees to comply with all applicable laws, ordinances, building code~using c~l~.~r~ulafion~, end to admit authorized inspectors on premises and in building for necessary-inspectior~. ' ...... (Signature of dppli?nt~ o[~ame, if a corporation) Clearview AVenue, Southold (Mailing addre~ of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prem~,~ ObJl. aiql:t..F., r aRC g*. M. cl 113 Bi.J, ........................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builde_r'~. [i/:~nse No .......... 38 .............. Electrician's License No ......... /l= a d_l.y. ........ Other Trade's. License No ......................~'/.~ 1. Location of land on which proposed work will be done...0.. Cl~ar¥i~.~t .g~.rlue. ,~Qkll;bD.l,d ............. House Number Street Hamlet County Tax Map__~No. I000 Section .... 2 .O. ......... Block ...... ..~ ......... Subdivision.....\ ............................... Filed Map No .... ........ Lot...~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy R e s.i, ~t OD c.q ' Deck n n e ' b, ~tended use and occupancy .............................................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...D ...... Repair .............. Removal .............. Demolition .............. Other Work. tO....O..0-~. ....... SWIMMING POOL AND FENCE (Description) 4. Estimated Cost .6000 15 ................................ Fee · (to be paid on filing this application) 5. If dwelling, number of dwellin~units 1 Number of dwelling units on each floor.. 1 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 ..... /45 ........ Rear ..... .4~ ....... Depth . .3..0 ........... Height . Number of Stories 1 Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ......... : ..... Rear ............... Depth ............... Height ............... Number of Stories ............. ].{3..x...3 .2..P.o. 9.1 ............................. 9. Sizeoflot: Front .. 2.10 ................ Rear ....7.5 ................. Depth .200 .................. 10. Date of Purchase ..... g. e b..7. ], ................. Name of Former Owner ...... .U. ql~, .................. 11. Zone or use district in which premises are situated..Res ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..Na ........................... 13. Will lot be regraded . .NQ ........................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .3ohn..Mulh,:q. ll ..... Address . p.l.e..aryA. No. q77.-.0.~,9..5 ...... Name of Architect ......... Address Name of Contractor SkJ. nnsf Dip Pools +Sp~..~ldre~4'4~}'r{ 'R~' }4fir. t: ...... Phone No. ............................................... Phone No. i .~ .~.'81~ 5.' ~. } ~i i i i i PLOT DIAGRAM Locate clearly and distinctly all buildings, 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 coruer lot. PLEASE SEE THE-~ ATTACHED APPROVED AS NOTED DATE:-/1:~.}~ B.P. ~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ]. FOUNDATION - TWO REQUIRED FOR POURED CONCR[I[ 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION ~UST BE CO~PLFTff FOR C.O. ALL CONSTRUCTION SHALL THE'REQUIREMENTS OF THE N. STATE GONSTRUCTIOM & ENERGY CODES. MOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. STATE OF NEW YORK, S!S COUNTY OF ... Su f fo.Lk ...:~ ~. ......... .F'.r.e..d..S.J_.e..m.~.3.1.~..n g ....... ,.: ............ being duly'sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the AGENT (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 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 ...... 2[3 ................ day of ..... 3.. ~ .n.e. , 1983 // '-/ 8125850~, Suffolk Coup'' .... ~,°;m~2~,r~' ~r~ 30~,}~ ~ ' (Signature/~/aplo applicant)