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Home My WebLink About10509-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No .... 2..~ 0.2.6.8 ...... Date ...... N. 0y.e.~b. ele..~5, ............ 19.80 THIS CERTIFIES that the bmlding ................................................ 750 Cedar Poiut Drive, Southold, New York Location of Property .............................. ~;~r'e~t' ....................... ~/~r~/'o~ House No. County Tax Map No. 1000 Section . . .9.99. ..... Block .... .07. ......... Lot . . .0..1.8 ........... Subdivision.· .C..e.d~.r...B.e.a. qh...Pg.r.k. .........Filed Map No .... .9.0...Lot No...1.0./{. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...D. qc.g.m.b.e.r... 3s ..... , 19 7.9. pursuant to which Building Permit No... 1.05.0.9. g ........... dated . .D. ~9.e.m.b..e.r..5. .............. 19..7.9, was ~ssued, and conforms to an of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... P, dditton to Existin~ Dwelling The certificate is issued to ....... .A.,...Mg.n.t. qyf~.. ?o~n'dr,'d,~ .................. of the aforesazd buildmg. Suffolk County Department of Health Approval ... ?./..R ................................... UNDERWRITERS CERTIFICATE NO..N..~.9.4..9.7.0. ............................... Building Inspector Rev 4/79 FOPa~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PER.iT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 10509 Z Permission is hereby granted to: · ........ '-~-~.~--. ........ ~ ..::: ...... ,-',~,~ .........................................., at premises ioca~ea '":v .................... :'Z: .................... ~ ..................................................................................................... pur~uont to opplicotlon Building Inspector. Fee $ ........................ FORM NO. 6 TOWN OF SOUTHOLD Bu JldJng Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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 peoperty showing al~ property ~ines, streets, buildings and unusua~ 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 or land use 3, Copv of certificate of occupancv $1,00 $5.00 Date..~..0 ~1.,. ~..L~j..[.~ ~.0 ....... New Building ............. Old or Pre-existing Building .. ~ ....... Vacant Land ............. Location of Propert~7~. D.. ,~.P~. ~(~_..0~..., ~ ! .r"l .Jr;,...~. r.' ......... ~1, ~ ~.g ~ ~&..J.(.~ ~ ~ .... House No, Steer Hamlet Owner or Owners of Property .,. ~.~.b~r.h~..~.0.~.~.~ ............................. County Tax Map No. 1000 Section ...~ ~.(~ ~ ..... Block ... ~.~ ....... Lot... ~./.~ ........ ...... .... ..... ' . <. Permit No..~0~q ~. ~. Date of Permit .../;/./.X.Applicant ~ Health Dept. Approval .... ~/~ ................ Labor Dept. Approva, .,.d~ ............... Unde~riters Approval ~ ~ 7 0 . Planning Board Approval ..... ~/~ ........... Request for Temporary Certificate ..................... Final Certificate ..... ~ ............... Fee Submitted $...~.' .0.q~.. .................... Construction on above described building and pe!~f~it,fneets all applicable codes and reflulations. Applicant..~~. ',~, .~. '.~ .... ~ ...... > ¢¢. .... i~s/,ql~ ., ..~ ~e.~o. Ta i~ .l i~ . ~ ~ FIELD COMMENTS FOUNDATION (~s~) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CO~E FINAL ADDI~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTR C!TY: ~ ~)~' 29, [9~$ JOHN STREET, NEW YORK, NEW YORK 1003~ .,.t,, Applic.tlo,, ~o. on file 075229 N 4 9 4 9 7 0 THIS CERTIFIES THAT only the electrical equipment es described below and introduced by the applicant nam~ed on the above application number in the premises of Alberto Montoya, Cedar Point Drive Ea~C, $ouzhold, N.Y. in the following location; [~ Basement [~ 1st FI. w*~e~.,aiu~don Septc~>~r 23, 1980 FIXTURE OUTLETS Z8 [~ 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board, RANGES OVENS DISH WASHERS EXHAUST FANS FIXTURES ~ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT 24 28 FURNACE MOTORS FUTURE APPLIANCE FEEDERS DRYERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS J SYSTEMS NO OF FEET SERVICE DISCONNECT S E R ITHER APPARATUS. 1 S~oke Detector AWG OF CC COND I C E NO OF HI LEG AWG OF HI LEG NO OF1 NEUTRALSl AWG OF NEUTRAL 'fawn of Harbor Lane Soutt~ld, N,Y, 11971 'h~s certificate must not be altered in any manner; return to the office of th be ~denhfied by copy THIS COPY OF, O ~IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-190:3 Examine~ ~ ........ ,19 ~ .~ ^pplication No../~--.~..?. ....... Approved~H. ............... 19... Penmt No ............ Disapproved a/c ............................. (lluildirig Inspector) APPLICATION FOR BUILDING PERMIT Date.~ .~.~...~. ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 g~wng a detailed ~lescription 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 Inspecto~ will issue 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 alterationg, 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 buildings for necessary i~spections. ........... (gignature of applicant, or name, if a corporation) · .~..~¢,.c... ~.~d .............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~]~..~.~. ~.~)~.~ .... /q~--/..~/.~.../~. ............................... (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.../~./. ................... Plumber's ~cense No..~. · · .'~. · ."-~ ...... Electrician sLicense N6...~.~..~.. ~z~-~ .... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................ .... ................. ...................... House Number street Hamlet County Tax Map No. 1000 Section ...C~.. ~ ........... Block .................. Lot....(~.../..~. ......... Subdivision .... &d~/J~./~.~.....~ff~. ..... Filed Map No... p~ ........ Lot ./~.<.~.. ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use and occupancy ..... ~J. ~.4~-e~.St~ ............. i.' .................................... b. Intended use and occupancy ......... ./~)~LJ~. · ~.~p ~ ·~-.. ..................... 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 dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ............. If garage number of cars ' 6. If business commercial or mixed occupancy specff, y~ .nature and extent of each type of use ............ ~ ........ 7. Dimansions~o[existing structureS, if any: Front....~..-~_.. ....... Rear .... .~ .... Depth..'..~-r..~. ....... Dimensions of same structure with alterations or additions: Front ..... ,~-.~ ...... Rear ... ~ ./,-~. ...... DD;mP ethn ................... ;<~ ..._/23_.._.::...Height~on:t~r ........ ' ~ ............. Number of Stories ...... t ................. I'~ Height ..... [[ ........ Number of Stories .............................................. ... iiii .... 9. Size of lot: Front ....... [.ITD. i ...........Rear ........ .l,.'ff~0 .........Depth ..... . .'2~<..~..O. .......... 10. Date of Purchase ........... ~ .................. Name of Former Owner ............................. 1 1.Zone or use district in which premises are situated ..................................................... 12. Does pkoposed construction viol&re any zoning law, ordinance or regulation: ....... ~9.~.. .................... 13. Will lot be regraded ...... ~..~. .................. Will excess fill be removed from premises: Yes ~ No 14. Name of Owner of premises ...' ................. Address ................... PhoneNo ................ Name of Architect . .~-, ~...tv ;_. ;}._..~ .......... Address ................... Phone No ............... Name of Contractor~J.12 ~t~,. j.a. ~. ~.~VAddress .~*,~~~ . . . Phone No. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block: tumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW mR[, ' ~ S COUNTY OV'~~ . . ?' .......... ~..-. ~[~..i~L~...' ( · ~ .~a~t~,..k: ............. being duly sworn, deposes and says that he is the applicant (Name of individual si~gting contract) above name'd. (Contractor, agent, corporate officer, etc.) of said owner, or owners, and is du!y authorized to perform or have performed the said work and to make and file this applicationi 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 mann6r set forth in the application filed therewith. Sworn to before me this Notary Public, ............... -- .~-,..~County , ~OTARY PUBLIC, State ot N~w Yorl~ (Signature of applicant) ~o. 52-8125850, SUffolk Coufltv_ Term E~pires March :~0. $ 77~/4~ 'Oo"E. ~1oo /03 /- ~ T TL_ ~ ,DEcoN/¢ ~,,4 Y /~AP o~'- PI~OP£1~?Y GEORGE AT DRAWN BY DRAWING NUMBER i' ~__ ~__BY: - ~y BUILDING DEPAR-~NT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR ~OURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION ~US~ BE C~Mp[~E FOR C.O. I ALL CON,RUCTION SHALE MEET THE REOL RFME~S OF THE N.Y. ~ATE CON~RU~ION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONDUCTION ERRORS, SCALE DATE: APPROVED BY DRAWN BY DRAWING NUMBER DATE: APPROVED BY DRAWN BY DRAWING ~UMBER DRAWING NUMBER