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Home My WebLink About10297-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z`1~ 686 ........ Date MAY 20 ... · . ............................... , ]9 83 THIS CERTIFIES that the building A,DDT~IDN ...................................... Location of Property 2'150 HAYWATERS ROAD CUTCHOGUE fi3~ ~id ....................... 's~3i ....................... fi3/niei County Tax Map No. 1000 Section ... 7 .`1~ ...... Block 6 .Lot `18 Subdivision Nassau pt. Club Prop. Inc Filed Map No 806 .Lot No. 373 conforms substantially to the Application for Building Permit heretofore filed in this office dated June '1/4- 19 7.9. pursuant to which Builc~ing Permit No. `10297Z dated ....~..u~.e...'1~ ................ 1'9.7.9., 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 ......... For addition to existin~ one famil~ dwellin~ The certificate is issued to r,ou±s Auerbach ..................... /o¥.;;, '//~isie',ir 't~;'t; ...................... of the aforesaid building. Suffolk County Department of Health Approval .... ~./.~. .................................. UNDERWRITERS CERTIFICATE NO....N.q-.6.9~q:.9 ...................................... Building Inspector Rev. 1/81 FO~M NO. e~ 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) No. 10297 Z Permissionisherebygranteclto: LOUIS~ I~ U E IN -J~ ~ E H- ~' (,ol= {" ................ ~..u.z.c.~.r..fi..u.~ ............. ~. *./.,.. ........... at premises located at ................. I...~...~.L). ....... ~..:~..~..t~..~..~.~.~ .......... ~....g.~...~ ......................... ....................................................................................... C..u...LC.!~..~.~..U.~ ............ .s.,...,/..:. ............... ..... v. .......... .7..;~...*....~.Z. ~:c~ .~. ~lt~ss^u ~ f"/~ P~ ~0~ ..... ~,~ Ls ,~,... Z. ....... S ......................................................... r ............................. pursuant to application dated .............................. /....~......, 19 , and approved by the Building Inspector. ..................... ~ -~"';~";: ~ .... ...................... ~ ........... DUllolng inspector FORM NO. 6 TOWN OF SOUTHOLD Building 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-existin~g" 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5,00 Date ....... New Building . .(.~.~.~..~: ..... Old or Pre-existing Building(Z) ........ =/Vacant Land ............. House No. Street Ham/et County Tax Map No. 1000 Section ... ?~.( ....... Block ...... .~. ....... Lot ..... /...°~. ....... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ............ .~. ..... '...Planning Board Approval ..... ~.'~ ........... Request for Temporary Certificate....................' .... ~ .Final Certificate ... Construction on above described, bu lid lng and perr/~ meets all ap~le~codes an~'~'e~ I~t~ THE NEW YORK, BOARD OF FIRE UNDERWRITERS ]LO00~[~.'[ BUREAU OF ELECTRICITY , ~ 8S JOHN STREET, NI~W YORK, NI~W~YORK Louis Auerbach~ ~{aywaters Road, Old Mannaden, Cutcho~ue, New York ~n lbefollow~ng location; ~ Basement ~ tst I"~. ~ 2,,d rt. o~tSide s.~tio, mo& Lot was examined on,7u l y 2 2 , 1. 9 8 5 and fro, nd to be in compliance with the requirements q this Board. ~IXTURE FIXTURES RANGES OVENS DISH WASHERS FANE DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS iTI~CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I, C OTHER APPARATUS: 2/O, NO. OF HI-lEG AWG OF HI-LEG NO. OF NEUTRAL AW, G, OF NEUTRAL 2/O Paul Burns 275 Town Harbor Lane Southold~ N.Y.~ l].971 This certifica]te must not be altered in any manner; return to the office or, the COPY FOR BUILDING DEP~RT~ENT THiS COPY.* lic.#282E I1 be identified by their credentials. !~ IN ANY MANNER, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-18013 Approved ,!/~.f /'~ ~? '~/' '/r~ J(~?.'~//.. ~'~--~ . ........ ,19/.~ Pe~it No ..... Disapproved ~/c ............. ). ....................... ......................... ..... - ...... ...... ?.-...~;.?. ....... ~/: (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. ..... ./..~, .~. · .~. .... ~4 :.<~:... '.~ ............... (Signature of Uapplicant, or name, if a corporation) · ~.~~:x~;-c.~ .... ~..~ ~., .......... ........ (mailing address o~ apViicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................. g.~Lcte.~ ................................................................... Nme of owner of premises...L .o ......................... (as on the tax roll or lates~ deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... 13..L/.. ................. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet (Namd~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~. ~ .~..t .~..~. ~.'c<. L ...... ...................................... 3. Nature of work (check which applicable): New Building .......... Addition ~" Alteration "~' Repair .............. Removal .............. Demolition .............. Other Work ............... ~6:(_j [ ~'"~ (Description) 4. Estimated Cost ...... .ff..~ .......................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... /. ....... Number of dwelling units on each floor..~2 ............ If garage, number of c~s ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .... ~ ~? ...... Rear . .~ ~ ........ Depth .~ ~ ........... lteight ............... Number of Stories .... ~ .............. , .................................... D~ensions of same structure with alterations or a~ditions: Front . .~. ~ ........... Rear . ~(/ ............ Depth ..... ~ .Q ............. Height . . . ~ ............... Number. of Stories ...................... 8. Dimensions of en~ new construction: Front ... ~ .~ ......... Rear ...[..~ ....... Depth ./.¢ .......... lteight ..... ~. v% ....... Number of Stories ...... J ..... / ........................................... 9. Sizeoflot Front ~0.0. , ~ ....... Rear..~..ffO ................ ,~Dept~..~...~ ..... t~, .... //~ ~ ~0. mt~ or e~ ......... l.~.& ~ ........... ~ o~ ~o~mV Ow~ E'c' d ....... ~..Lr~.~ ~ ..... 11. Zone or use district in which premises are situated ...... ~.~.~.~c$~. ~ .~,~ .~ .. ....................... 12. Does proposed constructio~iolate any zoning law, ordinance or regulation: ....... ~.~ .................... ~. wi. ~ot ~ ~a~d .... ~.~ .................... Wi. ~x~s~ fi. ~ ~mo~a ~om ~mis~: ~ ~ Name of Architect ........................... Address ,, ,' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street.~_.~_~d bl.o. ck number or description accor~o deed, and show street names and indicate whether STATE OF ~Jg~ / ~ ~ COUNTY OFFS../~ ....... d,/.. ~_ ' ....... ~:::..: ..... ~. ::'..: .... c. ............. ~ang day ~wo~, d~po~ ana ~y~ that h~ i~ th~ ~pp~i~¢ (Name ~ individual signing contract) abow~ named. Heis 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 and file this application; that all statements contorted in this application are true to the best of his knowledge and belief; and that the work w~l be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this ........................ day of...>%. ..... ; .......... lg~.. Notg:~ Public, . .......... ~ ...... ~. · .5 · · .'7.... County ~ ~'~'~0~],"~ ' (Signature of applicant) ~o. u~ ' ' J ................ 0 APPROVED ~6,$ NOTED DATE: FEE, ~ NOTIFY BUILDING DEPARTMENT AT ~ 9AM to'4PM FOR REQUIR. ED INSPECTIONS: 1, BEFORE BACKFILLING FOUNDA. TION OR START FRAMING 2, FRAMING INSPECTION 3, BEFORE COVERING PlP&S OF ANy KIND -L FINAL WHEN JOEl COMPLETED NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5, ALL CONSTRUCTION MUST MEET N~ TO, N ~i~., ...... -:ODE & ZO~;NG