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Home My WebLink About10460-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy addi%ion. THIS CERTIFIES that the building ................................................ Location of Property 695 Theresa Dr. ~attituck House No. Street Hamlet County Tax Map No. 1000 Section fl fl 5 Block q 5 .Lot 6 Subdivision Deep Hole Creek Eatato. 8 Filed Map No .. ?.2..5.6. Lot No. /40 conforms substantially to the Application for Building Permit heretofore filed in this office dated October 26 19 ??. pursuant to which Building Permit No. dated ...0. 9.~.°~ e..r. ~. ............. 19 79..., was issued, and conforms to all of the requirements of the applicable provisxons of the law. The occupancy for which this certificate is issued is ......... Addition to e×isting one-£amily dwelling: and relocated deck. The certificate is issued to ..JO~13I A. & THERESA A. ................... ?d~,;e~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... UNDERWRITERS CERTIFICATE NO .................. ~.s. 7g~.9 ........................ Building Inspector Rev. 1/81 I~OE~V~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN GLERK'S OFFICE SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10~60 Z Permission is hereby granted to: ~.,~...~..:~.~.,..../~.~..~ ~..,..~c ~.....~...~.~ ................... ~o ..~.~=.z~c.~c~...~.e.e~.~..~....~....~:.zz~...~z~.~,Z~... ..... ~.Z/z~c~ ............................................................................................................... : .......... ~ ,~,,e, ,o~ J~~.....~.~.....Z~~8....&e..,.....~:~Z"5: ...... pursuont to opplication datedd-.~TO..~.../~.......a.~/. ................. ~Z.~., end approved by the Building Inspector. tee *.../.~....~ ..... i ~ '/ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1807 October I3, 1987 TO WHOM IT MAY CONCERN Regarding Certificates of Occupancy #ZI3729 #Z13586 and #ZI3159 I have reviewed the files and applications the Building Permits for these certificates that the corrections could be made. Victor G. Lessard Executive Administrator on the and found '~NSPECT I£~ COMMENTS FIELD ~' FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME& PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY C0~E FINAL ADDITIONAL COMMENT?S,: FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~,~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~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 reqUiren3ents where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-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 3. Copy of certificate of occupancy $1.00 land 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.. 6,?.,~. ..... ~L//C/~'z~ / ~ · ............ Hou~ No, Street Hamlet wner or wners of Proper ............................................ , . ¢ ....... County Tax Map No. 1000 Section ............ Block ............... Lot ................ Subdivisio ......... ~. ~...~ ~.~.~..Filed Map No. ~ .Lot No. Permit No. L~ ~¢~ ~. Date of Permit ~ ......... Apphcant ~/~ ~ ~/* Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate~'. ..................... Fee Submitted $ ............................. [ Construction on above described bu il(J'ing an~ 'p~(/ts-Ml~ic~ codes and regulations, Ap ' . . ............... THE NEW YORK BOARD OF FIRE UNDERWRITERS ]_(~?~0] ...... ~:~J BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW yORK 10038 Date ~ ~ Appllcetlon No. on file ~m~ ia ~a~ ~aa~/,~ N 6 7 5 2 3 0 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in tbe premises in the following location; ~ Basement [] 1st Fl. was exatnlned on ,~J~lt.l~('y .[0.~ i~ [~ 2nd FI. Sectton Block Lot and found to be n compliance tv th the requirements of this Board. DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R I :V I C NO OF HI LEG A W' G OF HI-LEG NO OF NEUTRALS AWG OF NEUTRAL o~thoJ, d~ N,~. llg,.L Lie, ~ GENIRAL MANAGER ~J ~ Tbs cerhflcate must not be altered ~n nny manner; return to the office of the Board if [nco[rect. Inspectors may be ~denhfled by their credentials. ~ coPY FOR BUILDING DEPAflTMENT. THIS coPY OF ~E~TIFICAT~ ~O~ ~OT BE ~TEREp I~ ANY MAN~ ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examine ;k,-...Z. Z ...... ,1977 ,pplication No. ..... (Building Inspector) 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 detailed 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 of Building 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 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 applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) · .... ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· Name of owner of premises /~ ~t~ ~-~,~ ............. (as on the tax roll or latest deed) If app,]icant is a corporation, signature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No ..... ~.~..~ ................ Plumber's License No .... .~..~...O.~.~.~..~. ...... Electrician s License No._~ .~rOz~ 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 ... f~..~. ......... Block . .l~)f..~.~. .......... Lot ..... ~..~.~..~... Subdivision~.~.~/~...~. f..~....-~...'~../('...~.~.~:~'"~. · · Filed M~ip No...~..~..~ ...... Lot...'~. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... d~,~.~:...'~. ,~9't~...~....~[,,U~-~. ,~ ~. .... ; .... ;, ..................... b. Intended use and occupancy ..... ': ......... *.' ........... ~.' .......... ,,,q. ! .c.~.~ .................... 3. Nature of work (check which a~plicable): New Building .......... Addition ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... . (Description) 4. LsttmatedCost. . t ......... Fee ................................. (to be paid on filing this application) 5. If dwelling, number of dwelling!units ............... Number o f dwelling units on each floor ................ If garage, number of cars .... ~ ................................................................... 6. If business, commercial or mixeJd occupancy, speclfy nat~r,e ¢nd extent of cach type otf use ............... ~. ..... 7. Dimensions of existipg structures, if any: Front ..... .~.~C ...... Rear ..... 4~..~' ...... Depth .. '.. ~. ....... ttelght ...... ./~'..',,~.... Number of Stones ....... ,~. ............... _... ~ ................... ., ........ Dnuenslons of same structure w~th alterations or addml~nt: Front ...... ~.~ ........ Rear ..... ~.oe':. ......... Depth ........ ~ ........ ~ .. Height ..... ~.'~.. ~ .......... Number otf Stones ..... .[ ......~ .! ........ 8. Dimensions o~,~ir.e new construction: Front ............... Rear ...,~-(~ ......... Depth .../?'. .......... Height .... ,/r...~. ..... N~un~ber of Stories ..... / ........................................ s .......... 9. Size of lot: Front ..... ~../O. ! ........... Rear ....... .~'~1 .~ .......... Depth .... ~.~.~. ............ 10. Date of Purchase .......... r .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........ ~qJ.O .................... 13. Will lot be regraded ........ g~.~. ................. Will excess fill be removed from premises: Yes ,~ No 14. Name of Owner of premises .. [ ................. Address ................... Phone No ................ Name of Architect ......... ~ ................. Address ................... Phone No ................ Name of Contractor .......................... Address ................... 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 or description according to deed, and show street names and indicate whether interior or corner lot. ............ ~..~4;.e ~',. s, S ........ being duly sworn, deposes ~d says that he is the applicant (Name of individual sigping contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly authorized to perform or have perfomed the said work and to m~e and file this application; that ~1 statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in ~e mann'er set forth in the application filed therewith. Sworn to before me this ' ~t~ a~ ~t~ (Si~ature of applicant) ~o. 5~.8125850, Term ix~lre~ Merch SUFFO L K VENUE lot .'39 · sop#~ tan# 182.00 ~ NO~:; I~ -' MONUMENT SUBDIVISION MAP F~EO IN T~' OEP/GE OF ~C~BK OF ~U~OLK~U~Y ON N~AR~T P~BLIC WATE~ MAIN =4MILES ~ YOUNG & Y~ 400'OSTRANDER AVENUE, RIVE:Rt- ~,LDE:N W. YOUNG HOWARD SURVEY FOR:'- JOHN HOFER a TERESA HOFER LOT NO 40 'DE~ ~ CREEK ESTATES ~' MATT~TUCK (THE DT~ GUADANTFE