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Home My WebLink About10325-z FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PkEMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10325 Z Permission is hereby granted to: </5 ........ ............... ........... ~;-IL~a.c¢..~.~zT~.c~....z~aa....C~..~<~.~ ......................... ~ ~,em~ ,o~,~d ~ ~ ...... ~.¢.~¢~...~../.....~.&Z......=.~.~:_ ............~ pursuant to application dated ............. :~. .................. 19. and approved by the Building Inspector. Fee ~.../..,~.~ .... ' ~ilding In~ector~ Print Key 5738SS1 V2R3M0 931217 Town Hall, 53095 Main Road Disp l%~D, B~v~ l~ga . Usq~hold, Ngw yod% 11.97% PL010-23 WO *UPDATE* TOWN OF SOUTHOLD PARCEL MASTER FILE MAINTENANCE Page 02/23/96 12:04:29 Fax(516)765-1823 Te~ephone(516)765-1502 2/23/96 12.03.53 Address: 1420 OFFICE~(~GTI~I~I~I~LDING INSPECTOR aPN: 1000 26 TO~N OFOSOUTHOLD SEL TYPE EFF DATE 1. PMT 3/28/87 2. PMT 7/01/85 3. TRA 3/01/85 4. PMT 4/07/84 5. PMT 11/14/83 6. PMT 10/12/83 7. PMT 7/12/83 8. PMT 7/23/79 9. TRA 4/13/79 10. TRA 3/01/79 11. TRA 5/04/78 EXP DATE EXCPT DESCRIPTION BP# 15813 ALT & DECK COZ-17523 BP# 14173 ADD ACCY GAZEBO TRANSFER OWNERSHIP PROPERTY BP# 13100 ADD POOL BP# 12746 ADD CORAL/HORSES BP# 12685 ADD FRPLCE & CMINY BP# 12418 ADD BARN BP# 10325Z ALT CELLAR TRANSFER OWNERSHIP PROPERTY TRANSFER OWNERSHIP PROPERTY TRANSFER OWNERSHIP PROPERTY TEXT? Y Y Y Y Y Y Y Y Y Y Y Selection: Cmdl-Prev Screen H=History, T=Text: H Cmd7-End Job Cmdl0-Entry Mode ~)OL~ C~ H FP~AIV'~,F__ 5 Ai) DITIOi'~/AL CC) /,.~/t,/v'~, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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 ail 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 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date... J~.L.~/... ¢./.?.~?, ...... New Building ............. Old or Pre-existing Building . ..~. ........ Vacant Land ............. Location of Property House No. Street Hamlet Owner or Owners of Property ' County Tax Map No. 1000 Section . .~.~.~. ......... Block ....~.~-. ......... Lot...~)..~..~). ........ Subdivision ................................. Filed Map No ........... Lot No .............. ,~- , Permit No./..~.~.~-..~..~. Date of Permit ......... Applicant ........ -~/~ · ......................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ~ ~ Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... : ....................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC TY ~ 8,5 JOHN STREET, NEW YORK, NEW YORK 100,38 o.t~ H~y 8, 1980 A..~c,.~...~,,.,,,.~e039822 N " ~ ~ THI~ CERTIFIES THAT only the electri~alequi~l~t ~ ~esc~jOod belo~ and~trod~ed ~ &hg appJic~ t~ted on the able application ttutnber in t~ preotises of J DIMMERS SYSTEMS NO OF FEET I C E NO OF HI LEG AWG OF HI-LEG NEUTRAL Sal Prato Gr ngort,N.y. 119~4 , return to the office of / T 7: · ..j C ,7 . /, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 APPLICATION FOR BUILDING PERMIT 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 giving a detmled 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 oLBuilding Permit. d. Upon approval of this application, the Building Inspector 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 1S HEREBY MADE to the Building Department for the issuance of a Budding 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 buildings for necess~ inspections. / · (SignatUre of applicant, or name, ff a corporation) (Mailing address of applicant) State whether applicant is owner, les.see, agent, a$chitect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... ~..*~.~*.~.~-- .... ]..t. ...................................... (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 License No ......................... Electrician's L~cense No .................... Other Trade's License No ...................... ~// '~'b 3~..~N~ ~.B 1. Location of land on which proposed work will be done .... ~, ............. ~. -~- .~'. ..... .... .................. House Number Street Hamlet County Tax Map No. 1000 Section . .0..7~... .......... Block ....~..~... .......... Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premis,0&t~d intended use and occbpancy of proposed co~nstruction: a. Existing use and occupancy ........ It . .~ }./ ................ ../ ........... ~. .~./ ........,e~ ........... b. Intended use and occupancy ...... .~......~.. I. ~L?. · ~..~.C .... _~,~.. 0 .~....~. ......... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration.. ...... ~ .... Repair ..... "o/ ...... Remoyal .............. Demolition .............. Other ,~ ..~ ~ ~ ~ (Description) 4. Est~ated Cost .. ~ ..... ~.... ......................... Fee . . .~ ............................... , . (to be paid on filing this a~lication) 5. If dwelling, number of dwelling ~nits .... ~.. ~... Number of dwelling units on each floor..O ............ If garage number of c~s ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........ j ............ 7. Dimensions of existin~ stmcture~, if any: Front .... ~ ..... Rear ...~ O ....... Depth ............... Height . . . ~ ~. ~... Number of Stories ........ .~ ............................................. D~ensions of same structure with alterations or additions: Front ~.. ~. ~. ~.. Rear .................. ~ Depth .................... :.. HeiSt ................. ~..~m~er o~ ~mries ...................... ~ensions of entire new construction: Front ............... Rear ............... Depth ............... Height' Number of Stories D 9. Stze of lot: Front ...... t ............... Rear ...................... epth ...................... 10. Date of Purchase .. '~/~'7'i .................. ~me. ofyom~r OFner .. Qzo/*~...~ ..... 11. Zone or use district in {hich pre'mises are situated .... ~~ ................................. 12. Does proposed construction viOJ~any zoning law, ordin~ce or regulation: ...... ~.~. ..................... 13. Wffi lot be regraded ....... ~. .................. Will excess fill be removed fr~s: Yes ~ No 14. Nme of Owner of premises . ~t~ .~t ~ U~ ~.. Address ~0. ~.~.~Phone No ................ Nme of Architect .......... ' ................. Address .................. Phone No ................ N~e of Contractor .~ ~.{. ~$. ~5~Address O~. ~ ...... Phone No. 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~ption according to deed, and show street names and indicate whether interior or clrner lot.. - COU being duly sworn, deposes and says that he is the applicant :( meof' ' 'dud s'g~' gcc tat) above named. ~ He. is the ........ ~ (Contractor, agent, corporate officer, etc.) of s~d owner or owners, and is du~y authorized to perform or have perfomed the said work and to m~e ~d file ~is application l that ~1 statements cont~ned ~ this application are tree to the best of his knowledge and belief; and that the work will be perfomed in the m~nor set forth in the application filed therewith. Sworn to before me this Notary Public,..:~ / ~ Comm~oa ~xp~es a~ca a0. ~8 ~ ta~gna~ure of applicant)