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Home My WebLink About11596-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin$ Inspector Town Hall Southold, N.Y. Certificate Of OCcupancy February 2.5 ....... 19 2,5 Z13229. Date ........ Greenhouse addition ............. THIS CERTIFIES that the building .................................... 0 ............. Dm. ie n.t. · 'k~i~ Hou~a No. County Tax Map Ho. 1000 Section · · .0.2J. ..... ,Block .. 03 ........... Lot. ~).0.3. · 003 ........ Acres . .. pNo. ~y3. .LotNo.../~7 ...... Subdivision .B..e.a.u.~.o..1.a.i.s. ............... FiledMa · -. '" conforms substantially to the Application for Building Permit heretofore fried in t_his offico dated March 6 1982. pursuant to which Building Permit No..~ .~.~9~ ~ ....... dated · · · .~.a ~..c.h..2.~. .............. l~8.a., was issued, and conforms to all of the requirements hich thi rtifi issued is .- · of the applicable provisions of the law. The occupancy for w s ce cate is ...... O~.elli~g ...... ~r~g ....... additi, on t.q 9~ ' ' .G.r e .e nhou s e ..... .. · ............... .......... The certificate is issued to · ' ' .... .J.O.~ ~. of the aforesaid building. N/A ...... Approval .............. Department of Health ............... Suffolk County ....... !~N6. I90.98. .......... UNDERWRITERS CERTIFICATE NO ............. ' ................ Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N~ Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 11596 Z Permission is hereby granted t~: ...... £~.~../~...~..~.~.' . .......... ...... ~.~.~.........d~/~.......~....: ...... ...... · ~..~,..~.~.~...,y.... ........ ,o .....~.~.~..,,.~......~-~..~..r,~.~......~.~r,c.~. .~.o,~.... .~.~....~,~/~c/ .~.,,~.//,f~.........~.~ .......... .~.~ z.....~-.,r~ ....... .~.....: .......................... at premises located at ...~..~...~.~,~......~---~.~....-~-../. ......... ~..a~.~'~',~.~....,~-~..~'~- County Tax Map No. 1000 Section .... ~'~'7: .... Block ....~,,~.. ........ Lot No~/..~',..~J. pursuant to application dated ..~1~[.....~.~'.. .............. , 19~...,~and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~'F-!!c=tc to the Building Inspec- tor with the following; for new buildings or new use: I. 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. 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 featu res. 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 $I.00 use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... / New Building .../.. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property z_//~ ~O........(?~. ....~'-.. .~ ..... House No. Street Ham/et Owner or Owners of Property ...~..¥.~ ........................................ County Tax Map No. 1000 Section ...d. 0~.7 ........ Block ...~ .~. ......... Lot...~.0..~.: .O.~. 7.... Subdivision. ~...~-~'-~.... ~ ............ Filed Map No. .... Lot No...~7..'7 ........ Permit No. { {.~. ?.~...~. Date of PermitU .~?.~.2-c..Applicant .... ~.t.~//~¢~.~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Fi~.l Certif cate .... .... : ..... ....... _ Fee Submitted $ .... ~,. (~.~. ....... ~.. ! .~?'.~.... C.O, ~ Construction on above described building and permit meets all appl~a~)l~ c~des and ~e/g~?a~onZs. Applicant . .~.~--~. ...................................... Rev. 10-10-78 zooo?7 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~'~g 85 JOHN STREET, NEW YORK, NEW YORK 10038 February 19, 1985 on ,le N 679098 THIS CERTIFIES THAT only the electrical equipment as d~scrlbed below and introduced by the applicant named on the above application nu tuber in the premises of Joel Lauber, Orchard Street, Orient, NY in the following location; [] Basement ~] Ist FI. [] 2nd FI. Section Block Lot was examlned on F~r~y 11~ 1985 and found to be in compliance with the requirements of this Board. RXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT MERCURY I 1 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVfCE DISCONNECT S E R V I C E NO. OF CC. CONO A. W O NO. OF HI-LEG A.W.G. NO` OF NEUTRAtS A.W. G PER ~ OF CC. COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: ~o~ora: 1-3/4bp., 1-G.F.X. Track lighting: 8 ~eet 4-Lites Arthur Ru~oede Main Road Orient, NY 11957 L1c#2334 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIELD,INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION STATE ENERGY ~ODE FINAL PER N. Y. . ~ ~ ADDITIONAL COMMENTS: TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE $OUTHOLD, N. Y. isopproved a/c ............ ......... ................................................................... APPLICATION FOR BUILDING PERMIT Date ............................... /. .............. ,19.., ,~...~...., INSTRUCTIONS a. This application must be complete y f ed in by typewriter o~ in ink and submitted in triplicate to the Buildin( 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 o areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this application 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 issue a Building Permit to the applicant. Such permi 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 Occupanc~ shall hove been granted by the Building Inspector. - APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o: Regulations, for the construction of buildings, additions or a~terations, 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 tc admit authorized inspectors on premises and ir) buildings for necessary inspections. (Signature of opplican~:';;-"~i~';;"i~'.'~l";:';]Zl~';';~i;r;i ........ ........................................ .......... . (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ' of o . cof If applicant is a co~orate, signature of dul~ authorized officer. (Name and title of carporate officer) Builder's License No. ~.~'~..~ Plumber's License No ................... ,,,,~..,./..,~',,d~.....,,¥~-,.e,,,.~:~ Electricion's License No ............................................. Other Trade's License No ............................................... Subcliv±s±on 1. Loc~tion of Iond on which proposed work will be done. ~ap No.: ...... ~.,~..~.~ .................... Lot No.....~ ................. Street and Number ,.~ Z ~ ~ ~ Municipali~ 2. State existing use and occupancy of premises and intended use and occupancy of pr~osed construction: " a. Exisiting use and occupancy ..~:. . ~ ................. b. Intended use and occupancy ............................................... ~.~......~ ~.~.~ ...... County Tax Map No. Dist. 1000 Section 0 ~q Block O~ Lot 00~.00~ 3. Nature of work (check which applicable): New Building'. ................. Addition ....,J~. ......... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... /~ ~_~//~; ~.~ ./. -~. ~ (Description) 4. Estimated Cost ............................................................ Fee ..... ................. ~.-.;.~R.f,-'(.. .............................................. (to be paid on 'filing this application) 5. If dwelling, number of dwelling units ............................ Number of dwelling units on each floor ............................ 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 ............................ Rear ................................ Depth .................... Height ...~../. ................ Number of Stories ......... .~..~:.,.~.. ............................................................................................. Dimensions of same structure with alterations or additions: Front /(~ ~ .. R~ar Depth ........ ..~..~.~ ................ Height ........ ?....~ .............. Number of Stories ................................ 8. Dimensions of entire new construction: Front ............... ~. .................. Rear ....... ../. .................. Depth ..../...o.. ............... Height .................... Number of Stories ...................................................................................................................... :_q--/ 9. Size of lot: Front ...... .L'~..' ..................................... ' ...... Rear ..... .~....o. .............................. Depth ....~'..?.~..~ .................. 10. Date of Purchase .,(~. ...................................................... Name of Former Owner ....~....~..~...~. .................................... 1 1. Zone or use district in which premises are situated ..................................................................................................... 12. Does proposed construction violate any zoning Iow, ordinance or regulation: .~,~,, ............................................ 13. Will lot be regraded ...... ,(L~....~ ........... Will excess fill be removed from premises: ( ) Yes f r ' - 14. Name of Owner o p em~ses ....~..x .......................................... Address..................,............. ~ ~z~-'-z r- Phone Na ................ . ...... Name of Architect .............................................................. Address ................................ Phone Na ....................... Name of Contractor ........................................................... ~aaress ................................ Phone No.~....~..,~.....~.~.-:e... 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 corner lot. No. 52-0344963 ouf, o,k County~ . (Nome of individual signing contr~ ~bove n~med. (Contractor, agent, corporate officer, etc,) of said owner or owners, and is duly authorized to perfo~ or hove performed the mid work and to ~ke and file this application; that all statements contained in this application are tree to the best of his ~ledge and belief; and thor the work will be performed in the manner set fo~h in the application fil~ ther~ith. ~ ~ (Signature of applicant) JUD~J J T, NOTIFY ~ ,; -~ ~, FO~ THE 76~_!ff~~ 9 ."~ FO1.~m'::~' , .,: -,,,~ n~mJRED 1. F~' ?'" ..... : F-.~ , 3. I?~, ~: ~ ~-"~ ~ ?,,~ .... '": MuST 4. ALL OD~'''~? ~t :q'~ c'""':l~ ~.~E~ THE RtO ...... ~ATE CO -~c~NSIBLE FOR ~DES. NOT DESIGN OR CONSTRU~ION ERR~S