The URL can be used to link to this page

Home My WebLink About12543-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z14802 Date A. usust 1.3, . .,19 8.6. inground swimming pool & fence THIS CERTIFIES that the building ' 1845 The. Strand & · Location of Property l ~ ~..Gr.e en.w. ay ................. Eas.t..MarC.mn,. N...g ............. House No. Street Hamle~ County Tax Map No. lO00 Section ....0.3.0 ...... Block ..... ,2 ......... Lot,..?( ............ Sub division.. ~ ./?..~ ? .b .b .i.e...B .e .a.c.h...F .a.v.m.s....Fil ed Map No. 6.2. 6. .6 .... Lot No, ...9.3. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated July .25 ,~, 198.3. t hi hBuildingPermitNo 125.43. z. .................... , .pursuan tow c ................... dated August 6, 83 ............................ 19 .... 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 ......... ...............~¢g?qq¢¢ s~$~y~qg ppq~ a (ence. ................................... :~.. ....... The certificate is issued to ... ??.~.e.~.. ?....&.. pp.~.gv..e.s..~, a..1.s.h. ........................... (owner~/'d,¢t~ :~Jct~ffa~ X X of the aforesaid building, Suffolk County Department of Health Approval ................ ~ [ g ....................... N613851 uNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Building Inspector FOR~ 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) ~)-~ ~'~ ~ .. i,..~..~ N°. 12543 Z Dote ..................... :.~ ............................ / granted to: Permission is hereby '~' ~?' ~ ~'~' '~'~' ~? .... ] ~J.C~` ~' <~.~ ......~. .~.~....~.:.:~,......L!..~.~.~.~. . ................ ..~~,.~:::.~, ~-~~ ...~.:~....~:.....:~,~.~ ........ ~ ...... ~.~ .. ~.,:~ ,. .... . ..... .................................................................................................................. premises I~ated at ..... ~..~.~:~...~...~..,~....{..~...,~.~....~-..~ County Tax Map No. 1000 Section ...... ..~.~'~...0. ...... Block .....~'~ ............ Lot No ...... .~....~ ............. ,L,g~ , -~)-~-' , 19..~..:.~., and approved by the pursuant to application dated ............. I ...... t~ ........................... Building Inspector. Fee $..I ..................... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN O' r ,~THOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~,,-~-m 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. 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 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 $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 5. Updated C.O. $15.00 NewConstruction ...... Old or Pre-existing Building $15.00 Date ......................... ............ Vacant Land ............. Location o roper .............................................. House No. ~ S~reet Ham/et O ..r or ....... County Tax Map No. 1000 Section .... ~P ...... Block .... ~ ......... Lot...( ~ .......... Subdivision . ~. ~(~ ~/ ............. Filed Map No 4~4 LotNo ¢~, 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 ~mit meets all applicable codes and regulations. ............................... Rev, 10-10-78 FIELD INSPECTION FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,O~E FINAL IDATE COMMENTS A IO~AL EN : ~L ~.~ BUILDING INSPECTION FOUNDATION 1ST FOUNDATION 2ND'[ FRAMING [ REMARKS: [ ] R0~GH PLBG. ] INiSULATION ] FI~i~L , : []FOUNDATION 1ST []FOUNDATION []FRAMING [ ] FINAL DEPT. BUILDING, INSPECTION' ~~'~ 2ND [ ] INSULATION 1 0 719 , THE NEW YORK BOARD OF Fi ;RE UNDERWRITERS ~-- 11~ BUREAU OF £LECTR qT~ ~ ) :J ~' '/ ~ '~F_. 85 JOHN STREET NEW YORK, NEW ~ORK 10038 ~ ~ THIS CERTIFIES THAT · : only the el~trical equipment ~ described below a~ ~ntroduced by the applicant he,ed on the able application number in the premises of ~, Pete WaSh, Grenay, ~e Strand & Crewcut, E~t ~ion, N.Y. in the followlng location; [] Basement was examined on ~[~ lo, 1983 FIXTURE OUTLETS ~ECEPTACI. E$ SWITCHES i J. t DRYERS [] ~st FI. [] 2.d rt. Out~id~ sectio. Block Lot and found to be in cotnpliahce with the requlreznents of this Board. FIXTURES RANGES EXHAUSt FANS FLUORESCENT SYSTEMS Pmlelboards: 1-2cir. 6Ore,ps, NO, OF CC, COND. PER ~' AWG OF HI-LEG NO OF NEiTRALS (b~ri~-m~ Pool) ~l~is cer~i£icate covers compliance at t~e date of inspection o'n!y: Because of ~m~asual t~virorm~nts it is advisable to have frequent itests and/or repg~lrs 'made by a qualified person. R. C. Elect. 4 ~dscho Lane Comnack, N.Y., i1725 LI~'~1610 ' GENmRA[ ~ANAgI~R, This certificete must .of be ~ltered i. o.y m~.ner return to the off ce of the Boerd, f nc6Trect ns~ect~rs mey be dent f ed by the r credent e s ~ ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined. (~txc} ~.to~'-..~, , 19~'.~. approved (Q~i 3~ ;' 19~'memitN°''~'~a ~ Disapproved a/c .............. ~ ................... ................................. (Building Inspector) APPLIC~IIQN FDR.~UI LDI NG?~ R~I~. INSTRUCTIONS Application No. ]..~..S.'~. ¢. & ...... 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio~//~/"1~ (Signature of appli act nt, or narni~, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises..~.~TF.~.-.~. ./.(:..~.?. fnfi./.~. ?...a/./.~¢'7..~.~..O.~.~..~.&7..'5) ............................ (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 ..... /1~.2 ............... Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Lo~t~ of land ou which propose._.d work will be done .... .ff.~...,0.~.~ .~.i.,0. :~-.~f_,..#' .fi:../?~ .,,~.5. ..................... · ............ .............................. House Number Street Hamlet County Tax Map No. 1000 Section ..... .O..~..O ........ Block .... .~. ............ Lot .... ff..~. ........... Subdivision. ~../~. ~/5. ~. e~.~/).L.~.' .~. e' .~/. -~ffq'ff.~. ....... Filed Map No..~ .~.~..~. ...... Lot.. ~.,~. ......... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy .... /...~.~.../r. fT/.~./.... ~..~/..&5 .d~../f~..6-. ....................................... b. Intended use and occupancy ... ~..~./q.~...~5//~...°/./~..~./.~.6. . .~.O.0.~..--p...~-.~-.X/.Q~.-. .......................... 3. Nature of work (check which applicable): New Building .. ........ Addition .......... Alteratio~o .......... Repair ............. Removal ......... Demolition .............. Other Work.. ~.~.0.O..L ....... , ~ /..~..~__~.. (Description) 4. Estimated Cost ....... ~.h ~ aO. ....................... Fee ............................... (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixeld 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 ................... i · · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ...~).~0.. ~. ,c~.O.... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ! Rear Depth Date Of Purchase ............................. Name of Former Owner ............................. Zone or use district in which premmes are mtuated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ................................ Will lot beregraded........' ...................Willexcessfillberemovedfrompremises: Yes No Name of Owner of premises ................... Address ................... Phone No ................ Name of Architect .......................... Address ................... Phone No ................ Name of Contractor ......................... Address ................... Phone No ................ 10. 11. 12. 13. 14. Locate clearly and distinctly property lines. Give street and blodk interior or Corner lot. PLOT DIAGRAM buildings, whether existing or proposedl and. indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YDRK, · COUNTY OF~~ '2~" ;'""; '~" ~' ~'~ ......... ~~~ ................. being duly sworn, deposes and says that he is the applicant '(Name of individual signing contract) above named. He is the ........ ~ ................................................................... (Contractor, agent, corporate officer, etc.) of saki owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will ba perfomed in the m~net set forth in the application filed therewith. Sworn to before me this ............. ~.~ ....... day of'... ~.~¢.~ ......... , 19 .~ Nota~ Public .................. · .~ ........ x ...... County ~ ~ PHILIP LIPARI , ~ ~ub c, State of Ne~ Yo~. ........... ~ NO. 52-7~30 / / ............... , ' ~uallfled ln~ff~.~ , / ~ (Sig~t~e of applicant) I