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Home My WebLink About10129-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... ~. ? ~ ~.5.6. ....... Date ......... ~,~. ~ .~.~.~..~ ............. 19~5. THIS CERTIFIES that the building ...~.w.i.m.m.5.n.g.P. QQ .~ .............................. .......... Location of Property ....2.4.595 ............. .~.~39~...~..i.1.1..L.~¢.e. ' /¢ouse No. Street Hamlet County Tax Map No. 1000 Section .... .'1.0.~. .... Block ...... 3. ....... Lot ..... .q~..,'~0 ...... Subdivision ........ .x .................. Filed Map No .... .~ .... Lot No .... ~ ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ~...u.n.e..q .zj_ ....... , 19 .~.9 pursuant to which Building Permit No ....... qQq. ~9.~ ........ dated ........ .FI.~ 71e.~....3 ~ ........... 19 .~.9., was issued, and conforms to all of the requkements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... s.~/~mmS,~g, p. qol ............................................................ The certificate is issued to ............ ~TAN. ?~. BARBAPO,. ,,~llEEF-~2I ................... (owner, of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. N6~ 2562 Rev, 1/81 TOWN OF SOUTHOLD gUILDING DEPARTMENT TOWN Cl,ERK'S OFFICE SOUTHOLD, N. Y. BUll,DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 10129 Z Permission is hereby granted to: ~.?, ,~;/? ......... .~.:~..~.~....~:/~ ............ ............ :~~ ,~.,Z,.,..~,,~...: ....... ~o ...~~~.....~~....~~~:../.~.....~ ..... ~ ..? ................ ~ ......... ~ ...... ]-.~ ......... ~z.~*~ ................ ~;....~ ................. ~ ...................... pursuant to opplication dated ...... ~,.~J~4[~'/,¢~..../.~.'.' ............ , 19~,.7.., ond opproved by the Building Inspector. · Fee $./....~.. ................ /.,? 1 / Bdil~g I~t~ ~ 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposal--iS-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and simitar 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peopertv 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 inspecti?n 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 New Building Old or Pre-existing Building(X) ,~ /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 ............ ~-.~.~./7',/.~../~,( ........ Health Dept, Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificat~., ,Xi · .- ......... * Fee Submitted $ . .,~. ~..¢7. f~ ..................... Construction on above described, building an~d p,,er~nirmeets all app~cable~co_de_s and regulations. ". .:.. .'. J 6 ( ( ' THE NEW YORK BOARD OF FiRE UNDERWRITERS '0~ BUREAU OF ELECTRICITy ~-- 88 JOHN STREET, NEW YORK, NEW ~ORK 10038 THIS CERTIFIES THAT ~nly the e~e~tric~l equipmen~ as described bel~w ~nd intr~da~ed by the app~i~nt nar~ed ~n the ~b~e ~ llcation number ' ' i,~ th~ folto,~i,~g to=a~io,~; [] B,,~e,,~e,~t [] t~t rt. [] 2=d rt. Out~ide Section Block Lot 14~t ,~ and four~d to be in cornpliahce with the require.tents of this Board. was examined on /~U~. 4 ~ ·~ FIXTURE OUTLETS ~ECEPTACLES SWITCHES FIXTURES RANGES OVENS EXHAUST FLUORESCENT VAPO~ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS IME,~LOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: ~o %~SCON~ OE~C%§~O 1 NO OF HI-LE~ OF H~-LEG NO. OF NEUTRALS A, WG OF NEUTRAL Bria~ RPO P~)x 106B Hgoor Hill This certificate must not be altered in any manner; return to the office of the Board f ~BU LD NG DEPARTMENT THIS COPY OF CERT may be by their, credgntials. TOWN OF SOUTE[OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 Applicant This is t~ advise you that the job under Building Permit ~o. ~ issued to ~S~ °n-~/J~-¥-}~ f°r-~-~c~4 '~-f~,-cb~ is completed and a ~lna± ~nspection h~s~-~ has no~een done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Flease fill out the enclosed form(s), return same to the above office with a check for $5.00 payable to the Town of Southold. Flease indicate to whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date. Thank you for your promp~ attention. Very truly yours, Victor Lessard Administrator VL:ec Enclosures TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, N. Y. 119'/1 September 16, 1980 TEL. 765-1802 Mr. Brian Sheehan Manor Hill Lane, Mattituck, New York 11952 Dear Mr. Sheehan: Re: Building Permit No. 10129Z 3/12/79 to 9/12/80 With re£erence to the above and your letter dated September 4, 1980, please be advised that the above captioned permit has been extended £or six months - new expiration date, March 12, 1981. Please be advised that it is most important to sa£ety that these gates are promptly approved. We trust you will give this matter your prompt attention. Yours truly, George H. Fisher Sr. Building Inspector GHF: Od Manor Hill Lane RR 1 Box 106B September 4, 1980 Town of Southold Office of BoildingInspeetor Town Hall Southold, N.Y. 11971 Dear Mr. Fisher: In reply to your letter of August 1st, pertsir_lng to Building Permit No. 10129Z, I wish to apply for a six month extension. I assume that the Certificate of Occupancy has not been issued due to the locking device on the fenae. However, I wish to advise you that my husband has replaced the lock on the gate three times and nothing seems to work. We have such terrible winds where we are that even with a heavy duty spring we cannot get the lock to swing back automatically. I will, however, endeavor to purchase a better system from a fencing eonloany in the near future. Please notif~ me, by letter, that the six month extension has been grsnted (expiration date Msrch 12, 1981). Thank you for your patience in this matter. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPEGTOI~ TOWN HALL $OUTHOLD, N. Y. 11971 TEL. 765-1802 August 1, 1980 Brian Sheehan Manor Hill Lane Mattituck, N.Y. Dear Sir: .This is to notify you that Building Permit No. · ssued March 12, 1979 to B. Sheehan will expire on Septem0er 'i~, 1¥8u '"' 101 29Z If more time is required to complete the Certificate of Occupancy, you may apply, six (6) month extension. job and obtain a by letter, for a 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 Disapproved a/c ' -- APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter oe in ink ond 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, relat onsh p to adjo n ng premises or public streets o~ areas, and giVing'a detailed description of layout ofprpperty must be drawn on the diagram which Js port of this application. 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 port 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 a terat ons, or for removal or demolition, as herei.n described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, ar~l to admit authorized inspectors on premises and in buildings for necessary Inspections._ ' ~lgnature of applicant, or ~e, if o corporation) ' ........ ......................... :.. ~ , ~ .(Address of applicant) '" State whether applicant is owner, lessee, ogent, ar,-hltect, engin er, general contractor, elect~rician, plumber or builder. Name of owner of premises ......... ~r~.l~l.O'~.~ ....... .~..~...~..~..~.~..~ .................................................................................. If *pplicant i~ a corporate, ~ignature of duly authorized officer. (Name and title ofcomorate officer) Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ..~.~:...~.~../..~.,'~. ........... Lot No ......................... Street and Number ........... ~.~T::d..~..Q~.....~t,.~.~,,.....~__~ ...................................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .............. ~.~ ...................................................................................................... b. Intended use and occupancy .................. ~.....~....i...~...~..~.[~..(~.....~....c;~:~)~. ..................................................... ~65 CONSTRUCTION SERVICE CORP. P.O. BOX 368 I~ONKONKOMA, N.Y. 11779 58~1243 .: 3. Nature of work (check which applicable): New Building' ...?....O..?....'~... Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work .................................................... (Description) 4. Estimated Cost .........-~ ................................................ tee .......................................................................................... (to be paid on filing this application) 5. ~lf 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 extent of each type of use ....... ~ .................... 7. Dimensions of existing structures, if any: Front ........... .~.'...O. .......... Rear ............ ,~.....~.2. ............ Depth .....~..?...: ....... Height ........................ Number of Stories ................................................................................................................. Dimensions of same structure with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................. ~,. ............... Rear .....................Depth ..... ./..~. ............. Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ......................................... .?...~.?... Rear ............. .."~..~..?. ................. Depth ........ ..~,..,~.'~. ............ 10. Date of Purchase ........................................................ Nome of Former Owner ........................................................ 11. Zone or use district in which premises are situated ................. ~. L. ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: .................... .../~'.....O. ........................... 13. Will lot be regraded . ............. ..¢5~....O. ...... Will excess fill be removed from premises: (,-~Yes ( ) No 14. Nome of Owner of premises ..... .~.,,~...~.~.~.....~]./..b...C..!~.~ p).... Address ._~.,~.,,~.?.~..{!/..c..C;....Y..~.. Phone No. Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor ....~(..L.~.../..~../!~..C.'....~..°...O...c.:..5. .......... Address ...?....5.../......~...°..t~;~.(.°![~i=hone No....,?.Y.Z...~.,{..°.c. 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, I STATE OF NEW.,~6OoR~,~5"~ }SS (Name of individual signing contract) above named. He is the ................................................................................................................................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the said work and to make and file this applica¢ion; that all statements contained in this application are true to the best of his knowledge and belief; and tha~ the work will be performed in the manner set fo~h in the application filed therewith. Swo'n to before me this ' ~ (Signature of app JcQnt) PETER C. WIL~IN N=Ia~ Pu~le, SlaIe of New No. 62-~12312 Com~lified In Suffo k CounN ion E~rfls M=;ch ~, tg~ % Gc..-'~. ® s'-o' ® F