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Home My WebLink About10108-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy December 8O No..¥/.":-.-:~. ......... Date -, , 19 THIS CERTIFIES that the building ................................................ Location of Property ...'1.5.~ .0. ~i.n..n.e.h.a..b.a...j3ly.~ .........S..o.u.t.h.o..1.d.,..N.: .~.o ............. House No. Street Hamlet County Tax Map No. 1000 Section ....8.7. ...... Block ....2. .......... Lot... ,~.q ........... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...F..e.b.r~...~ .r,?..'I.~..: .... , 19 . .7.gpursuant to which Building Permit No.. ?.0.?.0.8..7: ........... dated . .F.e.t.).z~..a..r~...'1 .~., ............. 19.7.9, was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wbJch this certificate is issued is ......... Foundation Alteration to Full Cellar and g, Bathroom Addition The certificate is issued to Robert V. and A, nnette S. Rider (owner, of the aforesaid building. Suffolk County Department of Health Approval ... t?T./:R. ................................... UNDERWRITERS CERTIFICATE NO. N ~95/,28 Building Inspector Rev 4/79 FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 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- tot 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, e 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. B. For existing buildings (prior to April 1957), Non-confo[ming 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 $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date December 4, 1980 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. rty~ .5,ZO ~I~/,~-~AI~IA li~.~/.tC~ Location of Prope .................................................................. House No. Street Hamlet owner or Owners of Property ......... County Tax Map No, 1000 Section., .~...'7. ....... Block ...... .'~..", ..... Lot ..... ./'~., .~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/.~.~..0..~..~. Date of Permit 2'..'.t.~..'?.?.Applicant . .~..O.,. ~ ~ ............ Health Dept. Approval ...... ~./~ ............. Labor Dept. Approval ....~ )~. .............. Unde~riters Approval . , ~ .~9~ ............ Planning Board Approval . . ~ )~. .............. Request for Temporary Certificate ..................... Final Certificate ....................... eo Fee Submitted $. ~ ......................... Construction on above described building and~meet~ all a~plica~s an~ regulations. Ap plicant//~~~..~.~~ ~ .......... ~..1..../ · TOWN OF SOUTHOLD OFFICE OFBUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 11971 TEL. 765-1~02 July 11, 1980 George H. Taylor - Applicant Box 553 Mattituck, N.Y. 11952 Dear Sir: This is to notify you that Building Permit No. 10108Z · 1 issued P~b.~ 14, 9?9 _ to Robert V. Rider will exPi~e'0h-_' August__~4, 't'"~0 ......... If more time is required to complete the Job and obtain a Certificate of Occupancy, you may apply, by le~t.e~r, for h six (6) month extension. If the work is not completed and the Certificate of Occupancy not issued after the six (6) month extension period, you are than required to apply for a new building permit. Very truly yours, GEORGE H. FISHER Sr. Building Inspector 'M~. Robert V. Rider Warren Court 'Calverton/ New York TOWN OF SOUTFIOLD · OFFICE OF BUILDING INSPECTOR TOWN IqAI,L ' SOUTHOLD, N. Y. 11971 ,11933 February 1~, 1979 ',~/.?'A/Permit $ 10108Z to George H. Te:ylor to ooo,stEuct a new Ce.L~83; ~[];~]foundatiomn for the premises you own on the w/side of Minnenaha ?fBlvd., Southold, New Yorko . This pe~it covers only the-~a~'6h work as applied for,' Before :m~?~;~?r0ceeding with the fvam~ug for proposed· additign you are rsquircd submit plans in triplicate showing con~truct3,o~ details a.n -?,,;~comDl~ance with New York State Bua.lding ~d Construction York State ~er~ Conse~at;~on Cons ~.ct~on Code If you have any questions regarding this matter cord;act this Yours truly, EDWARD HINDEY~NN Building Inspector TO~N O.~ $OUT:-tOL~3 . - .. · - .. . - pp ..................... . /~_ - . uisapprove~ a/c ............................. .... .' ~ .......................................................... ~ . ~~..~ ............................................. ...................... ............... ................... z ~. This application m~t be completely filled in by ~pewriter or in ink ag~ submitted in triplicate to the InspectoG with 3 se~ a~ plans, accur~e plat plan to ~le. Fee ¢¢cording to sch.dule.. . "1' '" " ' ' b. Plot plan shying l~atlon o~ lot ~nd o~ bula ngs on premises, rel~tionsh,p to adjom,~g prem,ses or pub lc streets ' ar~as, and ~ivi~g ~ delhi ~ descript on of I~yaut ofprope~ must be dr~n a~ the diagram which is pa~ of this oppl.ication. c. ~e work c~ered 5y this appllc~ion may not be cemmenc~ before ~ssuance o~ Building Permit. ".- - - d. Upon ¢~prawl o~ ~is application, ~ Pudding Inspector wd~ ~ue ~ Bud~mg Permit to the applicant. Such shall be k~pt on the pr~m~s~ ~ail~ble for i~spectian throughout the wor~. e. No budd'ng shall be ~cupied ar used in Whole or in p:~ for any pu~ase ~hatever until a Ce~ifica~e of Occupancy j shall h~e been grant~ by the Building Inspector. XPPLICATION S HEREBY ~DE to the Building Dependent fo~ the )~ance2f.p Build,gU .~rDit pu~s~?nt to flu Iding Zone Ord nonce of the Town of Southold, Suffo k CaunW, ~,w rare, ann omer opp,caol, uaws, gramances ........ "~ '~: .... ~4:'i--~ or ~fferatJans ar for removal or demolition, as herein described The applicant o~rees to comply with 011 applicable lews, ordinances, puttying c~e, housing c~e, eno reguimions, one admit outhorized insp~ctom on premises and in buildings for n~esso~ inspections. ..... ' ~ddr~ss of oppiicont] '.5tme wh~ther applicant is owner, le~e. agent. ~hit,ct. ,ngin,~r. general contmctofl el~ctrici~n, glumb~r or ~ppllcant is a corporate, si!~nature of duly authorized officer. (Nome and title of co~omte of"Ficer) Builder's License No .............. ~-b ...................... ; ..... Plumber's License No ................................................. Electrician's License Na ............................................. ]. Other Trade's License No ............................................... Locai'ian of: land on which proposed work ,will be ~on:.~ Mop N~: .~)...-~ .............................. Lot No. ~ ......~.~..7 Number ..~ ~..--~ ~~'"' ~'~ .......................................... ~~'" 5trea~ and Munlcipaff~ State existing use ~nd occupancy o~ prem~es end intended us~and ~ccupen~ of proposed const~ction: b, I~tanded use ~nd occupancy ........... LI.~...:~,~..~ ....... ;~ ........ ~ ....... ~ ......................................................... 3. Nature of work (check which applicable): New Building ...................................... /';"', · · ' · Other ~'ork ~. ~. Z~- ~ Repe~r .................. Removal ..................Demoht on .................... ( ( t I ~- . (D~crlpti~n'J 5. If d.,v~lllng, number of dwelling units .... / ..... Non'bet a~ dwelHng units on each flor ....................... if ~roge, num'.er af cars ............................................. ~. If business, commercial or mix~ occupancy, sp~ciF/ nc:ldre and extent' oF each type o~ use ........................ ............ r p,h .......... 7. Dimensions oF exlsdng structures, if any: Front ............. ~-~ ...... Rear Meigh~ Number o~ S~ories ............... ~ .......................................................................................... ........................ : .............. Rear Dimensions of same structure with ~Ji'er~tlans or a88,f,3n~, Front ............. . ............................ Number of S~ories ................................ Depth Heigh~ D~m.,,~-n~ of entire new construction: ~ror~t ................................... ~ear ............................ D~fh H '~h~ ~ Number of Stories ................................................................................................................. ~iz~ ~ o~' Front ...................................................... ¢' '* ~' / (] -~/' I0. Dcfe of Purchase ........................................................ ~me ~ ru,m ..... n , .... in which premises are situated ........ -.,~..* 1 1. Zone ar usc district ," 12. Dc~s prcoased canstrucbon wolore any zun.,,u .... ~ ...... . ...-_~ ~ , . , ...~... Will excess fi , be removed fron) premises: ( ) Yes 13. Will Im be reg:aded ................ / ] : , .~ ,: / ~ ~ .,Z~ .... .~,¢ / . t~¢/~ /Y,d~,~ Address ~:~A.E¢.K,I.:g~ ..... rhone No ~ 4. N~2me o¢ ~ner oF premises ......... ~..i.~,~ ........... ¢ ................... ...............................................Address ............................ :.,. Phone No N~me ~f Architect Address ................................ Pho~e No N~me af Contractor PLOT DIAGF~M Lacc~e clecHy and distinctly all buildings, whether existing or proposed, and indicate otl set~k d~mensio? fr Dra~e~ lines. Give street and block number ar descript an ~ccarding ~o de~, and show street names and mdlc whether interior Or corner lot. "' ' ~-,,~' ~'~ /I'~.-1 /,I .4, ~' /l--~ ~' . .................................................................. s the ....... ~ ...... ~""~;~crate officer, etc.) (/ ~ .... , .... f~rmed the said work and to ~ke · wner or'whets, and is du y authorized ~o cerfo~ ar. nav~ ~,~ .. ~h¢ ~-~*t nc hfs knowleda~ and ...... ~'*~d~r, filed therewith. the wark wilt be perFar~d in the manner set tortn ~n the ~F?,~ A~. ,kv-!