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Home My WebLink About10514-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No.. Z 9933 Date April 214. 19 80 THIS CERTIFIES that the building ................................................ Location of Property .~.9.~. .................... .~.s..I~l. ?.o.o.$.t...D?.~.V..e ........... House No. Street Hamlet County Tax Map No. 1000 Section ... ~.~. ...... Block .~...3. ......... Lot ...... 3,3 ......... Subdivision ....... ~..e.m~..??.o.t;.t..P. ?.z'.k. ....... Filed Map No.. ~1{~? .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated December, 3 19 .7.9. pursuant to which Building Permit No. 10~..~...Z . dated ...... .D?.o.?.b??..1..3. ......... 19.7..9, 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 ......... dwelling P.~.i, va.te one f.a~.ily ................. The certificate is issued to Mr. Robert Lehmenn (owner, Im or tenant) of the aforesaid building. Suffolk County Department of Health Approval ?.p..v.:L.1.. 1..0.~..1..9.8.0...R..e.f....~...c).-.~ .0.~.1.3:.7. .... ~ 474033 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev 4r/O I~OI~NI NO. 2 TOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN CL[RWS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUT~qORIZED) N? 1051J Z Permission is hereby granted to: Co ,,_.T...: ........... (.:.~.~...~/..~......~...~.. .~.;.~.....z...~..,C ...L¥.c...x ...... .r.;../. ....... ./....:I./<//.z./ o..c~.- L, .~, at premises located at .............. 4 C~ ........................................ ............................................................................................................ v6.eOJ,~.z'./.6L,~ .0..:.q ,¢(,ff. .... '- ,' "~--;:~" ' ~-..':.~..'7.. ............. ~o.z..~....~....~ .............. pursuant to opplicatlon dated ../_.~--~'C-C:~..~C.~.....~, ........ , 19./.../Z, and approved by the Building Inspector. Fee $..,~...~..~.. '~' TOWN OF SOUTHOLD Duilding Deportment Town Clerks Office 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 Inspector with the following; for new buildings or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposel--(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 installations, a certificate of Code compliance from the Architect or Engineer responsible for the building. $. 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner os to use, occupancy and condition of buildings. 3. Dote of any housing code or safety inspection of buildings or premises, or other pertinent in- formation required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5,00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 Date .~.~'< ~..~. ~....~ ]..'....*~.~,~.q ............. New Building ....¥.~.~ ..... Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Location Of Property ~.5..~.~.~e...~..~..~.~.?~..?..~.~.~..v..(~.~.`~.S~..~.!~.~.~...~..-j~.~.~t~...~.~*..¥.?. ............................................... Owner Or Owners Of Property ..E.?..~.~...~.=~.~2!~.~.~..n. ................................................................................... Subdivision ................................................................ Lot No....~7...... Block No. _.3. ....... House No......~.~.~. Permit No. ,~,.~..~.,~..~'~ ...... Date Of Permit ,~.~/.;~.],/..7..~..Applicant I~.].AP,~:~....~(~C~C.~.,...,T.~.S., .......................... Health Dept. Approval ~7..~.~..-..].~,,.?......~.:,/..~.,.~./~....Labor Dept. Approval ........ ~.,,/..~' ................................. Underwriters Approval ~.. ~'.~. ..c...~..~.~ ................ Planning Board Approval '~ Request For Temporary Certificate n o Final Certificate .ye ~ Fee Submitted $ ?.;.?.,?. ........................... on described buildin ' ts II o ~co I s and regulations PP TN['~'~.L~ HO~,~/~S~ *~N ................................. Sworn to before me this .................day of .~,L.Y..,..'J....~.~· ~ ~ ........................ Notary Public ..~.t.~..<..Y'..c.,.,~.!~. ................. County (stamp or seal) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~- ~l BUREAU OF ELECTRICITY~ 85 JOHN STREET, NEW yORK, NEVi/ yORK 10038 THIS CERTIFIES THAT , only the electrical equipmertt as described belo~ a~ introduced by the applicant ~amed on the able application nu tuber in the premises of Robert La.mann, n/s Yen~ecott Dr~, BolsZe~ Ave~, L~urel Aw~ ~ Sotzthold, ~. ~he follo~in~ Ioe. tlo.; ~[B.semen~ ~ ls~ FI. ~ ~.d FI, Seetlo~ B~oek Lot was ex.mined on Apr l ? ~ ].9~0 and /ound to be in complia.ce with ghe requirements of this Board. RX'~U;E FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 16 lO DRYERS MULTI-OUTLET SYSTEMS NO OF FEET E R V I C E OTHER APPARATUS: A W O ~ NO O HI LEG OF CC COND F AWG OF HI LEO i )/d Richard Relyea Youngs Pt./ P.O. Box 372 Laure.L, N,Y. 13,948 Lic.21/48 E i1 This certificate must not be altered in any manner, return to the office of the Board ~f mco~rect, bspedo[~ may be identified COP~. ~On B~ILDING DEPA~M~NT. THiS C0~? O~ , IN credentials. FInD INSPECTION DATE COMMENTS _ i / ~ ~0~ATYON (~st) FO~ATION (2nd) .. INS~TION P~ N.Y. ~ - l~ ~ ~-~- STATE E~GY ~W ~T~ ~ I :DITI0:L co~Ts: FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your apphcat,on dated . ~Z.~.'¢~,f~...-~.~.. ...... , 19..~..~. for permit to construct ~.,/.../../f..~. ............. at remises located at ................................. Buildm~ Inspector FO~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ................... Approved~C .......................... , 19Z. Z. Permit No. ,.../....~.....~..'~.../,....~.....~. Disapproved a/c .................... ..-.-.~:::~:"ii ..................................... .~...,.....,/ ......... Application No. ,/.,,,(?..~..../.....~... .......... APPLICATION FOR BUILDING PERMIT D December 3 19...~.~... INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ 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 giving a detailed descriptign 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 befor~e issuance of Building Permit. d. Upon approval of this dpplication, the Building Inspector will ~ssue 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 applica61e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. INLA~ND ~OMES ~ INC, (Signature of applicant, or name, if a corporation) Box 117 Mat~i'Luck~ N.Y. 11952 (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con~l'act or Name of owner of premises Robert Lehmann If apphcant is a corporate, signature of duly authorized officer. Rober¢ E. HilCz~- pres, (Name and title of corporate officer) Builder's License No ..................................................... Plumber's License No .... ..5..~..7..~.~.), ................................ Electrician's kicense No ............................................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Map No,: 5187 ........................................ Lot, No. 57 Street and Number Yenneco~t grive~. Southold~ ~ Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy Vaaa~t; b Intended use and occupancy ..... ~...r...?..~...~..J:..];~. ................................................................................................... 3. Nature of work (check whicff applicable): New Building, .......~..~..¥. ..... Addition .................. Alteration ................ Repair .................. Removal: .................. Demolition .................... Other Work ................................................... ,' ~ .~ (Description) i (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, Jf any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Storms ................................................................................................................. Dimensions of same structure with alterations or additions'. Front .................................... Rear ........................... Depth ................................ Height ............................ Number of Stories ................................ 8 Dimensions of entire new co[nstruction: Front ...... .0...2. .......................... Rear ...... .~.~ ................. Depth ...2,8 ................ Height ........... ,3;,8. ..... NumbJr of Stories ...3, ............................................................................................................... 9. Size,of lot: Front 125J Rear .............. ~.OD. .................... Depth 256 10;' Date of Purchase ............... ~ ........................................ Name of Former Owner ........................................................ 11 Zone or use district in whichI premises are situated ..................................................................................................... 12. Does proposed construction ~iolate any zoning law, ordinance or regulation: ........................................................ 13. Wdl lot be regraded ..... .y...e.~l ............... Will excess fill be removed from premises: ( ) Yes (×) No 14, Name of Owner of premises .~,o...b..e.?..~....~..e...b.?.~..a;..n.~ ................. Address ................................ Phone No ....................... Name of Architect .............~ ................................................ Address "Bo~'"I'~? ..............Phone No ....................... ~ - - INLAND HOMES~ INC. 2 PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether ex=sting 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 end indicate whether interior or corner lot. ' SLATE OF NEW "ZOI~.I¢. .... t c S COUNTY OF ..... ~..u..z..z..9 ?...~. .......... fo. · I Robert. ~:. Hzl'Szr ......... bein .......................................................... g duly sworn, dep,oses and says that he is the apphcan~ (Nome of individual si~ning confradf) ~ above named. Contractor He }s the ....................................... , .......................................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perf6rmed the said work and to make and file this application; that all statemen:ts contained in this applica, tion are true to the'best of his knowledge and belief; and thor the work will be performed in ,the manner set forth in the application filed therewith. Sworn to before me this i December 79~'-~'~- .~ ............... ' ......... day of ................. i .......................... , 19 ........ ~ ( ~, ^~J~.Cj// . Suffolk ! . Notary PuN.c,. ............................. ! .................... County ~.~., ............ ~ .............. , , t(o~&~i~ature of oppli61antt'~ Inland Homes, Inc. LVAc~ ~ 5'7, L.L L. CQ, ,.,.,AP~ -t~ ~g~O:' .' ~,ii;:':~.. ~ facilities for t.~is !ocaZ!o~ ha~e been tnspectsd by this dsoartmen% and fou, nd Chief of General Engi~eeri~ Semites zUNAUTRORIZED ALTERATION O~ ADDITIO~ ^ '7.- ~'ES~'OEr'qCF~ ~-o CObqpL¥ ¥'aT~ 'kt.¥, ~, ~NERG'( COb£ ~'~R tO° F 1 t O. 4,5 i%~ 1 I IC~eCKEO ~',' J OATJ~ ~[ ~ . y