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Home My WebLink About12210-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, Cerfificale. OI Occupancy No...Z.1.1836 Date August 8 19 83 THIS CERTIFIES that the building new dwe 11 ing · 407 Lilac Lane Location of Property ............................... .... C u t c h o~u e House No. Street ...................... County Tax Map No. 1000 Section 138 .Block 02 .Lot 003. 002 Subdivision .... ~a..s.s.a.u.'..~.a?.m.s. .............Filed Map No..1.1.7.9....Lot No..1..0.5 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated March 8 12210 Z ..................... , 19 .8.3. pursuant to which Building Permit No ...................... dated March 25 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 p. rivate one-famil}r dwelling. The certificate is issued to DOUGLAS & CAMILE CABRAL ..................... /oWn'o;', ...................... of the aforesaid building. Suffolk County Department of Health Approval 13-S0-24, 8/5/83, Robt. A. Villa P.E. UNDERWRITERS CERTIFICATE NO. N 609205 Building Inspector Rev. 1/81 12210 BUILDiN(~ FFIU~I~ (THIS PERMIT MUST BF- KEJ~T ON'HE P~E~!! C~PL~ION 0F THE WORK AuTH~)RIZE~) j ' Per'mission is hereby granted t~ / *o .. .......... , ......................... .~.. at I~ remJse~ IO~ated at .......... ...................... i....-. ...... ~....~., COu ty Tax Map No; 1000 Section., ~ · ;4 BIo~:~, ,~j.~;::.;:, .... ~. ~'L~-ot No ......................... Fee ~,..;....~ ............... 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 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 U[~derwriters. 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 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 I / 2. Certificate of occupancy on pre-existing dwelling ¢r land use $ 3. Copy of certificate of occupancy $1.00 Date ....... New Building ....X~. ........ Old or Pre-existing Building(~) ......... ~ ZVacant Land -i ............ Location of Property . .~..O.~.~.~-.~.a..?~..[-.a.~e ?..c.u: .t.c.h.o.g.u. ?.,..~..,..y.,. ....... ~ ....... -,~- .......... House No, Street Ham/et Owner or Owners of Property . .D.o..ug.i~s & .C~..~.J-;i..JLa..C~b.i'.a...i .............................. County Tax Map No. 1000 Section .... ~3.8 ........ Block .... .O.~. ........ Lot...O.O.31.-.~. ........ Subdivision .~JCk~..Of. ~a,~8~.~..Y..~la.8 ......... Filed Map No..[.~.7.c) ..... Lot No. )..O..~ ......... Permit No...~.~.~.~.O.~.. Date of Permit .~../.~.5./.8..~.Applicant ..j .~.~.3.?.~d...H.o.~.e..s~..~.~.c.~ ........... Health Dept. Approval . .8./..5./.8.3. ............... Labor Dept. Approval ...................... ,.. Underwriters Approval . ~O.(~c~.O.5. ........... i . .Planning Board Approval .................. ~ . .~ Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... - Fee ~ubmitted $ .5. ~..O.O. ....................... Construction on above described, building an~m_ee~s~_p~c, ab~l~egulations. Rev. 10-10-78 Robert E, Hill;z - ' In[an~Homes, Inc, FIELD INS~ECTI~q ~,~ COMMENTS FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE 4 o FINAL )DITIONAL COMME~Tg: / 0 '? io0o174 THE NEW YORK BOARD OF FiR~ UNDERWRITERS 'Cs~ BUREAU OF Et. ECTRi~IT~ ~ 85 JOHN STREET, NEW ~ORKi NE~/V ~ORK THIS CERTIFIES THAT only ~he electrical eq~pmen ~ ~ described belo~ a~ introduced by ~he applicant ~a~ed on the able application nu~nber in the p~mises of in the followlng location; ~ Basement [~ 1st Fl. w.s .xa..i,,¢a o,, July 7, 1983 fiXTURE OUTLETS 16 RECEPTACLES SWITCHES 39 20 16 FIXTURES [] 2nd Fl. Section Block Lot and found to be in cotn~lia~ce with the r~quirements of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C ;~, OTHER APPARATUS: ~ }~ 1-G.F. 1. i -~a'~ke De~ector l~fl. 5 K.W. ~ot Water g.M.C.O. Elect. Corp. (Cliff C~)rnell) 325 WilLow Point Rd. $outhold, N,Y., 11971 This certificate,m~ust not be altered in any manner; return to the office of [HIS~COP¥ OF Board if MANAGER by their credentials. NER, ACTION OF THE ZONING BOARD pF APPEALS Appeal No. e64 Dated ACTION OF THE ZON~G ~OA~ O'F APP~L~ OF THE ~O~N OF ~UTHO~D DATE ....~....~ 1~[~6 Appellant at a meeth, g oI the Zoning Board of Appe~is on ~'l~lll(~l.~e ~0 was considered and the action lndloated below was taken on your ~ ) Request Sot variance due to lack of aooese to property ( ) Request for a special exception under the Zoning Ordinance ~ ) RequesL for a variance to the Zo~drrg Ord~uance the appeal 1. SPECIAL EXCEPTION. By resolution of the Board it ~vas de~ermined that a special exception ( ) be granted ( ) be denied ~rsuant to Article .............................. ~ectton .............................. Subsection ............................ paragraph ............................. of the Zoning Ordinance, and the decision ~ the l~u,llding ~spector ( ) be reversed ( ) be confirmed because 7,40 ]P.~ (B,D.S.T~), Upon a~l~.eat~m of ~ ~d ~ ~, ~y A~n~, Cu~o, b ~, f~ a ~ ~ ~ee w~ ~e ~4 ~ of ~ Yo~ ~n ~, $~n~80 A, for ~l~ ~ 2. VARIANCE Bp resolution of the Board iS was dete~uined that, fa) S~rivt applioati, on of the O~dinanoe, essary hardship because (would) (would not) produce practical difficulties or unnec- th) T&e bardd~ip crea'~ed (is) (is not) unique and (would) 6would not) be shared by ali p~ope,rties alike in the hnmedlate v~cinity of this property and h~ the same use district because (c) Thc varfance (does) (does not) ,observe the spirit of the Ordinance and (would) change the ch,armorer of the district because (would not) and therefore, it was further determ/v, ed t~at ~he requested varlaace ( ) be gran~d ( ) be denied and that the pre~ious decisions of fl~e Building Ins,pector ) ~be confirmed ( ) be reversed. FORM ZB4 ZONING BOARD OF APPEAI-~ road w%%l bol passable to all eaez~eney vehAclee. TAe Board f~nds that the character of the nr%ghborhood w%%% not be c~anged An v%e~ of ~e hat that s4gale fmn~%y d~e%%Ange w%%% be buAXd on seth of ~he ~ thrse %o~w ~rse~o~ The BOard findS that at,tint' application o£ the Ord~umce VL:L%'lPL~t~ ,IP~iO~J~al d~f-~i~ltAne, or unne~emsery ha~dah%p~ the hazdmh~p orsetod An un%que and ~oUld not be 8%1 propozt%es aline An the baaodAate vAcin4tY of than' proper~¥ and An the anmo 'use dAa~rAot~ and the vacAance do~s obeeve the ~t FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ff..~....rg-?....~.¢:19 0~.4 Approved ./~..~...~....Z.~, 19 ~ee=it No../~.~./?..~ Application No./~.'ff~:q ........ Disapproved a/c ..................................... ~' ~ .... ff (Buildin~ Inspector) ~~~~' APPLICATION FOR BUILDING PER~IT ~ ~~ ~~~ Date .~.~ ....... ~..., 19. ~ ~ ~~ INSTRUCTIONS a. TMs application must be completely filled ~ by typewriter or ih ink and submitted to the Bufldlng Inspector, ~th sets of plans, accurate plot pl~ to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildMgs on premises, relationship to adjoining premises or pubic streets or areas, and givMg a det~led description of layout of prope~y must be drawn on the diag~m which is pa~ of this appli- cation. c. The work covered by this application may not be commenced before issu~ce of Building Permit. d. Upon approval of this application, the Building Inspec~o~ will issued a BuildMg Pe~it to the applicant. Such pe~it shall be kep~ on t~e p~¢mi~s available for ~spection throu~out t~e work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a BMlding Permit pu~uant to the B~lding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, O~din~ces or Regulations, for the correction of buttings, additions or alterations, or for removal or demoli~on, as ~ere~ described. The applicant agrees to comply with aH app~cable laws, ordinances, bufld~g code, housing code, and regMafions, and to admit authofizod inspecto~ on premises and M buildMg for necessa~ inspections. ...... z~ .~,. ~P~ ................... (Signature of applicant, or name, if a co~porafion) ... B~. ZZ2.,..~.*.~ ~. R...~ ~. ~ ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises . . D. qu. g.l.~.s...~..C.a.m..i.~.~..C..a.~.~.a. 1. ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..... .~.o.~,.r.~..~.:. R~y..,.z,..v.r..~.~.i.a..e.n.~. ......... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No. 2816 Other Trade's License No ...................... ,, ~-x . -- ~ 1. Location of land ~)vhich proposed work will b9 done .... ,, ........ . .......... ' .......................... · > .. ........................ : ........ .= ...... H~use Number /F Street Hamlet ~- ~ County 'Fax Map No. 1000 Section ...... %.3.8 ......... Block .... 2, ............. Lo~.( .o..P.e. 1.: .3 ......... Subdivision..'/~.~.-'~ ~.9~,~..-...~. 0¢~. (~ ........... Filed Map No...l!,q. ,~..... Lot...].'q.~.. ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........ 4 .......................................................... b. Intended use and occupancy 1 f&mily dwelling 3. Nature of work (check which applicable): New Building XX Addition Alteration Repair .............. Remdval .............. Demolition .............. Other Work ............... 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...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 structurds, if any: Front ......... Rear .., ........... Depth ............... Height ............... Nun}her of Stories ..................................................... -- Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth: .... I Height Numbel..of Stories 8. ' .... 6g.' o~- pth Dimensions of entire new construction: Front .............. Rear ............... De ............... Height ............... ~ of Stories ........ ~ .......................... ~ ............... 9. Size of lot: Front ........... , ........... Rear ...... lffi~'.: .......... Depth ................ 10. r)ate of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. r)oes proposed construction violate any ' ' ' ' zomng law, ordinance or regulation: ................................ Will lot be regraded ......... , ................. Will excess fillbe remo,~ed, from premises: Yes No 14. Name of Owner of premises I~.o.u. gl..a.a..C.a..b.l:.a.l.... Address .~.~6~+2~2~o..~y.~l~hone N ~1.2.-. 8. .8 .6 .-.1. 5. 8. .9 . Name of Architect .......... ! ................. Address ............. Pal~one No. ..... Name of Contractor ;I.N.L~.D..H..C~I..II.S.,.. ,.N.C., ..... Address .1~..o.x..J:.l. ~!.~.a.'t..~?.u.~one No. ~2'9~Ei PLOT DIAGRAM Locate clearly and distinctly all.i 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 corner lot. COUNTY ....... ..................... ROl~.~.~.~..Il.,..H..i.l.t.z. .......... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ ina contract) above named. ' ~6ntracto~ He is the ............................................................................... ~ ......... (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 p~rformed in the manner set forth in the application filed therewith. Sworn to before me this ........... $~ . gu.l[£Olk £LIZA§£TH/ANN NEVILU: ( S~gnatureh~pplicant ) NOTARY PUBLI~/, Stat~ No, 52-812~8§0, Suffolk Collatd Term E~ires M~rch 30, 19~ ;S 0 L 4~ FINAL - C~NST~LJ':T[ON MUST L r ' i:'l "" .... :. i ''