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Home My WebLink About12142-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. J .~.7.8. ] ......... Date ...4u..1¥..1.3. ...................... 19..83 THIS CERTIFIES that the building ................................................ Location o 1 4 1 0 Tucker Lane f Propexty h~s~ hio] ....................... 'S'tr'e;i ........ .S .o.u. ~. h. 9 ~.~ ..... hMni, i County Tax Map No. 1000 Section 059 . .Block 0z~ .Lot 005. 003 Subdivision Greenfields .Filed Map No. 6313 .Lot No. 3 conforms substantially to the Application for Building Permit heretofore filed in this office dated · .~..ap.u.a.v.¥..2.0. .......,19 .8.3. pursuant to which Building Permit No...1.2. ! .6 .2..Z. ........... dated February 7 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 ......... a private one-family dwelling. The cettificate is issued to .... THOMAS L. & MARYANNE RABBITT ................. ioW,;;, ¥;,;d-~'6;d,4o ...................... of the aforesaid building. Suffolk County Department of Health Approval .?.3.ZS..07.0.7.:............................7/5/83, Robt. A. Villa,..P.E. UNDERWRITERS CERTIFICATE NO. P e n d i n g Rev. 1/81 Permiss~on is hereby granted to: BUILDING ~pER~ ~:4 cr~is PERMIT MUST BE KE?T ~ THE ~i S UNTIL ~ULL C~PL~ ON OF THE WORK AUTHOR ZE ,ant io application ,dat:~ed Ping I~SPector. :No. ~0.~. ~".~ and apprOVed by the lO00 . THE NEW YORK BOARD OF FiRiE UNDERWRITERS BUREAU OF ELECTRI~IT~ 85 JOHN STREET, NEW YORK NE~/V ~'ORK 1003'8 ~ate July ~ ~3 THIS CERTIFIES THAT only the electrical equipment ~ described below and introduced by the applicant ~na~ed on the above application number in the premises of ~ill ~n~., ElS ~ers ~e 1~' N/O ~!~ ~., ~ld~ N.~ in the following location; ~ Basement ~ 1st Fl. ~ 2nd FI. : Section Block Lot was examined on ~ 7 ~ 1~ and found to be in cotnpl gnce with the ~equlrements of this Board. FIXTURE FIXTURES OUTLETS SWITCHES OVENS DISH WASHERS EXHAUST FAN FLUORESCENT VApO~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISC~ONNECT OTHER APPARATUS: S E NO OF CC COND. PER ~ NO OF HI-LEG A W' G NO. OF NEUTRALS A, W G OF Hi-LEG OF NEUTRAL *Future ~pliauce Feeders::L-2#lA, 1-2~#12, 1-3//8o El~3trical Venttvees P. O. Ncx 151 '~ Center ~k~lche~.~ N.Y., 1193~ ! ~C.#847 This certificate must not be altered in any manner; return to the office of the Board f . THIS COPy OF by their credentials. Y MANNER, 76S-1802 ~ BUILDING DEPT ~ NSPECT ~ON!*, FRAMING [ ] FINAL REMARKS: ~2//~*~ INsPECtoR DATE: FOUNDATION 1ST [ ] ROUGH BG. FORM NO. 6 TOWN OF SOUTHOLD 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 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 bulldlngs, 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 peoperty showing alt 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. '~ Co 1. Certificate of occupancy ~ / 2. Certificate of occupancy on p"~g dwelling fir land 3. Copy of certificate of occupancy $1.00 use $/-¢/$5.00 Date ....... New Building ............. Old or Pre-existing Building(X) ......... ~/Vacant Land '] ............ Location of Property /.~ .'~-~.~./~. ~ .cji. ~,O.. House No, Street Ham/et Owner or Owners of Property :~S ~ "~ ~ County Tax Map No. 1000 Section O~ Block Lot ubdlvls,on ................................. Filed Map No..~.~ ...Lot No ..... Permit No. /~/~,. Date of Permit . ~/Z/~.Applicant ..EC~b./,J.I... Health Dept Approval Labor Dept, Approval ~anning Board Approval Unde~riters Approval ....................... Request for Temporary Certificate Final Certificat~ flee Submitted $ ............................. Construction on above described building and ~ir meets all ap~ca~des an~ regu }ations. Applicant ..... ¢, ¢ .................. BUi :. ii' [] FOUNDATION 1ST .[ ] R, oUG~H ~11~"G. - ].FOUNDATION 2ND [] IN u~iON [] FRAMING DATE ,'-iNt' FIEL~ INgPECTION FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~DE COM£~EN fS · ,~, -/ 'FINA~ ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENt' TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No...z/J/. ~ ...... Date ............... ~ ~'~ ,19.~. 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 inspections. , (Signature of applicant, or name, if a corporation) · ' ' (Mailing address of applicant'J State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber ~ (as on the tax roll or latest deed0 If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .//.6).. ~..~.....~. ,...~.~'.~ .... Plumber's License No ..... ~...~..7.. ~.~.,. ........ Electrician's License No....~'..~..7...~7.: ......... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.-.-~ . . . ./;~..J-, .... .. ...... Street Hamlet County Tax Map No. 1000 Section ....~. ~..5 ......... Block . ..O...z.~ ........... Lot....~..O.3.~.', ~.27,, ,~.. SubdivisionS....~...~.. Filed Map No..~...'~.../. ?· .... Lot . · .~.. ? ....... (Name) 2. State existing use and occupancy of prem)ses and intended use and o~cupancy of proposed construction: a. Existing use and occupancy ..... ~,; ...d,J,~:qe~.....~ .................... ~,~ .................... b Intended use and occu anc ~ z~)~--~ J? .... ~ '~:~- ~/~'~'' z/ · P Y .............. : · .~. ·..~'.-~, .~'z-~c ~., .~,,~z/~. V' '" ........... 3. Nature of work (check which applicable): New Building .~. Addition .......... Alteration .......... Repair .............. Remoyal .............. Demolition .............. Other Work ............... , ./__ ~ (Description) 4. Estimated Cost ......................... Fee ................................ ! (to be paid on filing this application) 5. If flwelling, number of dwelling t~nits ..... / ......... Number of dweliing units on each floor ................ If garage number of cars /. 6. If business, commercial or mixedl 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 wkth alterations or additions: Front ................. Rear .................. Depth .................... :.. Height ...................... Num~ber of Stories .................. 8. Dimensions of entire new construction: Front....~4~..~'. ....... Rear .tO...o~. ......... Depth .'242~i Height .... ,{..~. ....... Number of Stories ..../ ..................................... 9. Size oflot: Front .../.c>.'/-~... ........... Rear.../.~.(-,) .............. Depth ..°~..~..~.. 10. Da fPur base /./0~.:~--' lqa,~o,,fF,,.'~c~ te o c ......... . ................................ ,,,~, .............. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ..... ~ ....... :,,..~ .~ .x~. Will excess fill borem,~.v,.ed from, oremises: Yes~c''-'~ No 14. Name of Owner of pre~uise~ ~.../~-4/f-~x~ddress~.~..~g~:~ ~,~?,,~x'e~one No.,7.. ~'.,~.-7./~ .~./. Name of Architect .~,~~j~ . Address ~(~~. Phone No .......... Name of Contractor,/g~. (-~oaT. ~-~. Address~.~. ~,~. _~.~f.~....Phone No..'~.~. PLOT DIAGRAM Locate clearly and distinctly all I bufldings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. ~ % ~ ~-e~ STATE OF NEWflfORK COUNTY OF ~,~~...~'% ,~,4.V./~..'. -~,. .... ~. ~. ~.C.O.~1~ ,~.. being duly sworn, deposes and says that he is the applicant (Name of individual sign.lng contract) above named. H th .............. ~~ eis e ................ ~~ agent, corporate officer, etc.) of said owner or owne~, ~d is du~y au~o~zed to perform or have peffomed the ~d work and to m~e and file this application; that ~1 statements conthined ~ this application are tree to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this Not~blic, ........ ~....~.~ounty No, ~2-8125850}ffoik Co~// t~rm Exeires March 30, 19~ for whom the survey is prepared, and on his behaU to the title company, ~o~ernm~at a~ency a~d ~e~dt~[ i~stitutio~ tisted ~ereon, a~d to the assr[noes of thele~did~ i~stitutio~. ' Certification is not transferable to add~flat restitutions or subsequent owners. U~a~th~ize~ altefa~ or addftiefl of th~ survey ~s a ~iola~ ef ~ctl~ ~ of ~e New York state Education .Law. Co~ of thi~ ~fvey m~p nb[ ~aring the La~d Su~eyors ink~ ~al ~e~ flat be considered tobea vali~ t~ue COpy, r .-~;AP OF pROPERTY ': "~he water supply and sewage dlsp0sal systems for this residence will conform %o the standards of the Suffolk Count~ ~D~p_a~.r~ment of Health Services,,, COUNTY DEPARTMENT OF HEALTH SERVICE5 iFOR APPROVAL OF CONSTRUCTION ONLY HS' REF. NO. I ~, -% ~ L.S. 11717 i DONALD · FiLE A~onument~ Shown Thus ~k'ak~s Sh~w. Thus ....... THE QFFSE~T$ (OR SHOWN )]EREO~ FROM THE STRU~UR~S TO THE PROnCRTY ~SE ~ND?USE AND ARE ~OT ~NTE~DED TO l~E ~REC~IO~ OF FENCE~, COHB~RU~TION~ Certltication indicated hereon shatl run only to'~he pefsQn for whom the survey is prepared, and on his behalf to the btie company, governmental agency and lending institution hsted hereon, sod tothe assigneesofthe lendinginstitutiom Cerhflcatiofl is not transferable to additional institutions or subsequent owners. Unauthorized alteratioo or addltlon of this survey is a wolutlon of Sechon 7209 of the New York State Education Law. Copies of'this survey map not bearing the Land Surveyors inked seal or embossed seal shafl not be considered to be a waimd true copy, / ~AAP OP PROPERTY $ TUAT~ TO,,/. o~ THE ~R~CT~ON OF TAININ~ WALLS, POOLS. P~NTI~G AREAS, BBILDINGS OR ~ - DONALD J. TASE, L,S. -- SUCCESSOR TO -- RICHARD WI LH E LM~~s · LICENSED LAND Ce.~'r Morlckes, N.Y. 11934 ~If~ ~1~ Tel. 87~120 ~ BP, If copper tubing is used For water dislributing system; p~pln.~ sba b~ of types I( or L only _ CI~'Qs S_._~_E~ T !ON ~FR~ £L£~'A"FIOft .z,.-~,~,_ ~, /'-o" T ¢, /z/..Q ._ )2: id' .... ~ 5z~TM _F' I Il' 5 T F'LO0~ ?L Alii PO:O" -I R II ." ,o 7~i ' I'I