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Home My WebLink About10982-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy July 13, 81 Date ................................. 19... THIS CERTIFIES that the building ................................................ Location of Property 1710 Mooves Lane) 2105 Count~ry Club Dr., Cut;chogue)N.¥. House No. Street Hamlet County Tax Map No. 1000 Section ...109 ...... Block .... 0.3 ......... Lot ...0.0..~: .0.~.~. ...... Subdivision...~.o..u.rl.~.~.y...~.l.u.b.. ~.8.g. 8..g.e? ..... Filed Map No. 6736 .Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated November 19 19 .8.0. pursuant to which Building Permit No. 10982 Z . dated .... ~9.v. 9 .m.b.~.v...2.6 ...........19. ~.0, 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 ......... Private One Family Dwelling The certificate is issued to Margaret Babcock of the aforesaid building. Suffolk County Department of Health Approval 6/10/81, 10-S0-89 Robert A. Villa P.E. UNDERWRITERS CERTIFICATE NO ...... ~./.5.2.~.1.7. .7 .................................... Rev. 1/81 Building Inspector FOI~i~ NO. 2 TOWN OF SOUTHOLD BUILDING DEP~RTMENT TOWN HALL sOuTHOLDj'N. Y. BUILDING P,ER~IT (THIS PERMIT MUST BE KEPT ON TH,E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 10982 Z ~ ~...~.........~.~.¢,~.~.....~.~.ca c~ , ......~.~.~.~."~.'"-"..~..y..,-' ~- '"~~ .......... ~o ...~.~z~.c~...~....~...~~.~zix~. ..................... at premises located at .~. Z~ ..~ ................ G~..~r....~ ~ ...... ~.. ~/~.,.... ......................... r.~..~ .................. Uo. ~.~,..0~ co~ ro~ ~op ~o. ~00o s~t~o~ ...~.7....' ....... Bulldlno Inspoctor. 8uildino I~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, 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-(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. 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 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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 .~ Y , /,.. Date//// .~ .... ?,'f.. · New Building ............. Old or Pre-existing Building ........... .~Vacant Land ............. Location of Property/f//~/~---~ /~/'~. ,~,$ L~ ~J ~ ~ ~C>~.7~/~..~.)./.~.~.,, .~.~..~.,...~.R ........................... ~'''S't/e;~' ..... ~'~¢~4/ 0 ~U~ Hamlet House No. Owner or Owners of Property . ~. .i. . h. .~. .~. . .~.. .~. ~ . .,"~. . .............................. , .... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision. (~/¢)?, ./?,~, .~.~...~..~/.~...~-~,/.-~, ....... Filed Map No ....... ' .... Lot No. /.O~ ~ ~-D Appli Permit No .......... ate of Permit .......... cant .................................. Health Dept. Approval .................. ' ......Labor Dept. Approval ........................ Underwriters Approval ............ ............ Planning Board Approval .... Request for Temporary Certificate Final Certificate, ,~,,. ........... ...~.~?, \.L~!~-~ Fee Submitted $., .~., ~ Construction on above described building a,n~m~~es a%reguJatJons. Applicant . .,Z'...'(,~. H .z.~-~/~..~...%..~..-,27~ .~. ~ ............... / Rev. 10-10-78 F'i i,,a Ax ! AD DITiL~bJ/~,,L. Cl~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY THIS CERTIFIES THAT in the following Iocatlo~ ~' ase~ ~ 1st FI. was examined on [] 2nd Fl. Section Block and found to be in compliance with the requirements of this Board. Lot FIXTURE OUTLETS ~0 DRYERS 42 FIXTURES SWtTCHES NCANDESCENT FLUORESCENT 25 ~0 FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES OVENS DISH WASHERS EXHAUST FANS TIMECLOCKS LJNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E NO. O~NEUTRALS AWG Ruland Elec, Co. P. O. Box 143 MaCtttuck, N. Y. 11952 #242 This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credential COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ./?..cv..t(....~..~ ..... 19 .~.. Permit No../.O..~. ~. ?.. ·~ Disapproved a/c ...................... .....>~........ /, .................. ~. .... ~.-.i ..... ~ .~.. iiiiiiilng in s;~t~}i ........ APPLICATION FOR BUILDING PERMIT Application No..../.0..~..~.~. ....... Date ~.~. 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 heroin described. The applicant agrees to comply with all applicable laws, ordinances, build~ c~%de/~armsing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary insl~Lq.Ciefn~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ./f"-~?.~..'~..~.~'-..~.....~..~..~..~..~.('/~ ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Plumber's License No. ~'~ ~[~ O ° ' Electrician's License No..~ ................ Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ~~.~7~. · - · .... ~..' ........... .. ................. County Tax Map No. 1000 Section / o9 - Block o ~ Lot. o d E. ~ Z~ Subdivision .~?..~.A~..77~..~..& .~.~. p~..7'-?../..~.. ...... Filed Map No ............... Lot...~./ ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ................................... a. Existing use and occupancy ........................... b. Intended use and occupancy '~/~,,c/~' .... Repair .............. Removal .............. Demolition ........... Other Work ............... 4. Estimated Cos ·..7..q ........... Fee..... (Description, ~ (to be paid on filing this application) 5. If dwelling, number of dwelling nits... ~ ....... Number of dwelling units on each floor ................ If garage, number of cars ..... i ...... '~' ......................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth ............... Height ............... Numoer'. of Stories ........................................................ Dimensions of same structure wilh alterations or additions: Front ................. Rear .................. Depth ...................... [ Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrUction: Front ..... ~.ff. ....... Rear :... ~. ~. ....... Depth ./..~/.~?. ~.: ..... · Height . .2.O. .......... Number of Stones ........................................................ 9. Size of lot: Front ..... /.?l... i ........... Rear ...... ~..3..4~. ........... Depth ..../.~...~ ............ 10. Date of Purchase ........... ! ................. .~ame of Former Owner ~.~...,VZ-~./..~..~ &....~..U/2.~.-~/.J:.. 11. Zone or use district in which prehaises are situated...z~..~q~. ............................................. 12. Does proposed construction violhte any zoning law, ordinance or regulation: . .,~/. ?. ........................... · 13. Wall lot be regraded ........................... Will excess fill be removed from premises: Yes No r r m' g~.,' ~)~'~/~ ~C.o~ Address - ~" ~ 14. NameofOwne ofp e ases//.~t~ ..... ~ .... ~.e/LFT~.. tt~..g~....PhoneNo. 7b. qff...7.q"~-. ~... ~ ~ ~ ...... ~ ........... ~re~ ................... ~ ~ ................ Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM )uildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, , ..... ./.'.:..~..'./~/./..&~..~-_~.~? .~./~...~...-fl~.. ............ being duly sworn, deposes ~d says that he is the applicant (Name of individual si~ tg contract) above named· He is the ......... . ................... ;}ii;;;,'ei;.~ ............................ of said owner or owners, and is duly application; that all statements contai work will be performed in the manner Sworn to before me this ...... J Y.] · .~. ......... day of, Notary Public, ~. ~.7:1~C. ~1~.. authorized to perform or have performed the said work and to make and file this aed in this application are true to the best of his knowledge and belief; and that the set forth in the application filed therewith. ~ LINDA F. KOWALSKI NOTARY PUBLIC, State .o[.N.ew. No. 52.452,1771 Commlzsion Exp,rc3 t',{arch ,, 19~,,"~,.,..~ N. 88°,¢1 '10 "~ '.tNTtqY '""~'~ CLUB Dt~I VE DEPARTMENT OF HEALTH SERVICES AL OF CONSTRUCTION ONLY /~ -3~ '0 ,HSREF. NO.~~ · -DATA FOR APPROVAL TO CONSTRUCT SURVEY FOR PHIL/P BABCOCN LOT NO. I, " COUNTRY CLUB ESTATES AT CUTCHOGUE TOWN OF SOUTHOLD '-SUFFOLK COUNTY~ NEW YORK NO~ 17, /980 DATE: NOV, 7, SCALE: / " -' No. EO - 620 UNAUTHORIZED ALTERATION O~ AD~)ITION TO THIS Lo; 2 r COUNTRY CLUB DR~ VE *["'"' PHILIP BABCOCK SUFFOLK COUNTY DEPARTMENT OF H~LTH SERVICES LOT NO. I, "COUNTRY CLUB ESTATES" NO~ /7, AT CUTCNOGUE DATE: NOV. ~, FOR APPROVAL OF CONSTRUCTION ONLY ~N OF SOUTHOLD SCALE: / = 50 ' NO. ~O 620 {( HS REF. NO. DATE APPROVED ~coe~Es ~ ?N~s S~VEY NOT ~Ae~ THE HEALTH DEPARTMENT-DATA FOR APPRO~L TO C~STRUCT THE ~e~ FOR WHOM THE SU~EY IS NOTE.- m~MONU~ENT O:STA~E ~ ALDEN W. YOUNG, PROFESSIONAL ENGINEER SUBOIVIS/ON M~? FIEO IN ~EOFFI~OF~N( ~R~ ~ AND LAND SURVEYOR N.Y.S UCENSE NO 12845 HOWARD W. YOUNG, LAND SURVEYOR