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Home My WebLink About10242-zFO RM NO. 4 TOWN OF SOUTHOLD, BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No ...... $.1.Q50~ ..... Date ........ ~.a.y.. ~.7., ................. 19.. ~1 THIS CERTIFIES that the building ................................................ Location of Property .. ~,1,(~ .Bio,sofa..P~end.~ ........... t,~t t:L.t.uck ~..~e~..~.~rk ....... House No. Street Ham/et County Tax Map No. 1000 Section ... ~ .1.5. ..... Block .... 0tS ......... Lot ........ 0 2.7 ...... Subdivision Yt~g....$~l;a.~.~ ,..Zrlc, ........ Filed Map No....6.45.3..Lot No ..... 2.7 ....... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated · ...H.a.y...3.0. ........... 19.7.9. pursuant to which Building Permit No... JD.2z}~. Z .......... dated .... ?. a. .y . .,3 . 0. ................ 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 ......... .......... ~.b. 9y.e' .o. r' 9.o3. ....................................... The certificate is issued to .......... E 2.3, z a b.c. t; h. gb, v. ~, ~ .t>;y. ...... . ...................... (owner,dq.s~.ee_ o_rde_n..aq, tg _ of the aforesaid building. Suffolk County Department of Health Approval ..... bi.AR ................................. UNDERWRITERS CERTIFICATE NO ........ 31.4 6 [5 ~.0.5 ................................. Rev, 1/81 Building Inspector FOEi~[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 102~2 Z Dote ....................... r' .............................. ' Permission is hereby granted to: ........ ~ ...... ~'~.~ .~;~.~.....~ ........ ~/~ ~ z.~,:J~.~:~....~:.. ~.~..~..~ ..... ~%...C'~.~:.c~ ....... ~.~..,..~¢:~.~,~....~/~:.~4~.~ .... ..... ~..~ ............................................................................................................................ ~4~/~ ........ ~z/~¢Z..~~..~:~.~¢~ ....... ~..~ .................................... Building Inspector. Fee $../..,-~,,.:7 ........... ........ ............................ Building Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 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 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 featu res. 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 Residedces and similar buildings and installa- tions, a certificate of Code compliance from the Amhitect 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 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 $§.00 2, Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1.00 $5.00 Date ....................... New Building ....'~-~..~ .o.~.... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 2./~' o ~ZosS~ ~,) House No. St~et Hamlet Owner or Owners of Property ~'~ .... ~.,..?. ~.~ ~ .... ~.r...~ ~./,~ ~.~ .... County Tax Map No. 1000 Section /~ Block ~ Lot .... Subdivision ,~ ~.~ ~TY,~ 15 .... ¢.J.~¢ ....... Filed Map No.. ~.~.~.~..Lot No .... ~. ...... Permit No. I~& .~ Date of Permit ~" ' 7¢ .Applicant ~(z~ Health Dept. Approval ........................ Labor Dept. APproval ........................ U nOe~riters Appro~.~., 7l~/~.~ .Planning Board Approval .. .................... Bequest for Temporaw Gertificate ..................... Final Cortifieate...~ ................. abouo descnbod buddm~ and permit me~ts all apphcablo, c~des and regulations Construction on .... ' ' . THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK tOO3E ~.,. ~ugust; THIS CE~IFIES THAT ~ly the e~t~ [] 2nd Fl. Ou~,side Section Block and found to be in compliance wlth the requirements of this Board. RANGES SPECIAL REC'PT. R FIXTURE L EFTA LE { W T [ FIXTURES I DRYERS FURNACE MOTORS FUTURE APFUANCE FEEDERS A,~T. K.W. OIL H.P.· GAS H.P. A~T. NO, A. W, G. COOKING DECKS OVENS DISH WASHERS ~T, K.W. AMT. K,W. ,~T. lC. W. TIMECLOCKS TBELL ~UNITHEATRES MULTI-OUTLETsYsT~i4S ~y. 'UaPs: RANS. H.P. NO. OF FEET V I C NO, OF Hi-LEG EXHAUST FANS DIMMERS NO. OF NEUTRALS A.W.O. OF NEUTRAL (~immlng Pool) This oerttfleate covers compliance at the date of inspeotlon only. Because of uriusual environments i~ is advisable have f~equen~ ~est and/or repairs mtde by a quall£1ed perB~. Joseph J. F~ohnhoefer Main Rd. 3out;hold, ~{.Y. 11971 LiO.962E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by COPY FOR. BUILDING. . . DEPARTMKNT.., . THIS COpy .......... OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANN. ER. \ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1802 October 10, 1980 Elizabeth A. Christy P.0. Box 564 Mattituck, New York 119%2 Dear Sir: This is to notify you that uzldlng Permit No. 10242Z $ ° ' issued M~y ~0, 1979 to ... James & Elizabet~ will expire on November 30, If more time is required to complete the Job and obtain a C · ertzflcate of Occupancy, you may apply, ~y letter, for a six (6) month extension. ' If the work is not completed and the not issued after the six (6) month extension period, than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER ~ Sr. Building Inspector Certificate of Occupancy you are GHF/mw Mrs. James M. Christy P.O. Box 564 ~, Ma~tif~uck, N.Y. 11952 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved... OZ..: .~ ..... 197.~. Permit No.../.O. ~ .~. ,~, ~ ................. :i .................... 5~..t..~./.// /¢" (Buil&'gg~Inspeetor) 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 pgrpose 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, of 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· · .'.?..o.....~..x.'.. ~-.~.?.,...~..,f.?-.,?~. :s,. ~y./.:?-r'.~. (Mailing address of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 .... ./.~.<5~./. ¥ .~./~7~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .... . .<X../..~ ................ ¢.! .o:: ~. :~....~.~. ~.,.I. .............. p.~.~+~,~ ?.,~.'. .................... House NumberStreet Hamlet Coul~ty Tax Map No, 1000 Section .... ./14.~."7 ........ Block .... ~ ~ .......... Lot .... ,O. ~ .~. ......... Subdivision..~.rg..~.q~..°9.~....4~.~ .~5..~:~... ~.~'~ .~. .... Filed Map No..qr...~..oQ-..~. ..... Lot...~..~. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~.~, i.u..o_.~...).~)?..~-... ?..~, ~ .~../~..z."~.c/ ........................... b. Intended use and occupancy ....~..'?..~ .~7....'~,/....~.../~,O. ?.~....G'.7~C~O.,~k,~2. .~..'~. ?l.~..,~.7~ ~...~ .~:... / 3. Nature of work (check which applicable): New Building .......... Addition ...1~.. ..... Alteration ........... Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. EstimatedCost.../fieer.o.~....(7..0.o:.°.0. .................. Fee .. ~.~..'~..~.~.. ...... (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 extemt eel each type of use . .~ .................. 7. Dimensions of existing structures, if any: Front. ~. ?:,..~..~'Y.~.~. l~e~[ .~..*~ .......... Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...... . ................ Height ...................... Number of Stories ...................... ."4'..' ......... 8. Dimensions of entire new construction: Front . .I....'.b/~¢,'~?.~ Rear ............... Depth ... Height ............... Number of Stories ........ ................................................. 9. S.tze of lot. Front ..... .,,,~. l...~..l~ ..... Rear ...................... Dept ...................... 10. Date of Purchase .... ~./7'.~. ................... Name of Former Owner . .~'.~( .~.~..~.~F./:/... t'~.~..~.~' ........ 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .. #.Q ......................... 13. Will lot be regraded .... .~.~.~ .................. Will excess fill be removed from premises: Yes ~ 14. Nam e of Owner of premises' .~.&*.~.~. .. ~,. ~.~. ~. '.~ :~. .... Address '?.. o..~.o~...~. ?..g}~tT~., .~.~. Phone No..~. ~ .~. ~ ~.Q .~.q :..~. 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. STAT} OFw , S S couh r¥ OF · _ ..................... ~ ........ being duly sworn, deposes and says that he is the applicant signing contract) above named. He is the ............................ ~ .~ ............................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this application;that all statements conta~ed ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application filed therewith· Sworn to before me this s~o~} ~.~ ~ ~%S~ ~ow Yo,} (Signatd~ of applicant) , Fronh ~ Morlin S/dot '~-~ : fOrm er/y ~ ~' L e/chi 0 --I~ c ~ewaEe disposal and wate~ 2uppl¥ ~lities for this loeat$on have been ~ected by this department a~d fpund~' S~rvice$