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Home My WebLink About10957-zFO RM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z10755 Date October 29 .................................................. 19.81.. THIS CERTIFIES that the building ................................................ 2600 Sound Drive, GreenpoX't, New York Location of Property/:/t~s~ h/el ................................................. Street Hamlet County Tax Map No. 1000 Section ...... 0. 3. .3...Block 01 .Lot 012 Subdivision. ,~..~.s,t.e.~.~..~.~.o. ,~.e.~. ............ Filed Map No. z+586..Lot No. 11/+ conforms substantially to the Application for Building Permit heretofore filed in this office dated November 3 19 .~. ! pursuant to which Building Permit No. 10957 80 dated. Novembep.. .... .....6 ........... . 19..., 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 Catherine LoukatQs The certificate is issued to ..................... /o'a;n~,~o'~e'Pc~c x .................... of the aforesaid building. Suffolk County Department of Health Approval 10-S0-79~ 9/30/81, Robert A. Villa P.E. UNDERWRITERS CERTIFICATE NO ..... N 535603 Building Inspector Rev. 1/81 BuI,DING DEP~RT~EN'~' TOWN HALL N? BUILDING: P, ERMIT~ (THIS PERMIT MUST BE KEPT ON THE PREMISI~S UNTIL EULL COMPLETION OF THE WORK AUTHORIZED) :' ' 0 9 5 7 Z Date ...... ~ ...... ~ ................................ , Permission is hereby granted to:,,...~./.~..~,/~..~..~,...C,~,,i~ ...... , ......~.~ ......... ~a~.~...,. . .,...., . ....... ...... 7 ...... ;~ ................ ~z~~....~&~.~.~..zo.~. .......... ~ ........................... at premise, located ot ~....L ~~...V~/~:~'/' ...~~..~~ ............. .~.~.,.~.....,....,~ ................ ~,~z.~..~.~ ......... COu"~ Tax Map No. 1000 Section ...~.~ ....... [. Bilk (...~..~ .......... ~Lot No ...... ~.~..~ ..... pursuant to application dated .~ ........ ~ .............. ~...~ ...... 19.~, and ~pproved by the Building Inspector. Fee $ ./...~.~'./...,~... /Building! InsPector TOWN OF SOUTHOLD Building Department Town Hell 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 comple(ed site plan requirements where applicable. 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. 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 Date 0C~oYez' 26~ ].981 New Build{n9 XXX O~d or Pre*existing Building ....... Vacant Land Location of Property 2600 ~3oun~'])z'ive, ]3e,~%ez']t ~]!¢z'es. Gree~.l)oz'~, N. House No. Street Ham/et Owner or Owners of Property C~%l, te,z'~e County Tax Map No. 1000 Section 0~ Block 0[ Lot 0].2 Subdivision ][~s~bez'~ ~'~otes ..... Filed Map No. 4586 ...Lot No. PermitNo.z0957 Date of Permit .~.e.~.:.~/.~.~,pplicant C. ~. ~.o~re:[]., ]Bt~J;.t~e~ Health Dept. Approval 8'e.~&. ~0 ~.981- .Labor Dept. Approval Underwriters Approval Se~%, ].? 198]. .... Planning Board Approval Request for Temporary Certificate ..................... Final Certificate .. ](~. ..... Fee Submitted $ .5.: .0.0 ........................ Construction on above described building and permit meets all applica~)e codes and regulations. Rev. lO-lO-7B iooo121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY · Sept~.~x 17, 198188 ~OHN STREET, NEW YORK, NEW YO~K ~OOa8 was examined on SepC~ 14, 1981 and yound to be in compliance with the req.irements of this Board. FIXTURE OUTLETS 62 IECEPTACLES 57 SWITCHES FIXTURES RANGES OVENS DISH WASHER EXHAUST FAN 64 62 FLUORESCENT DRYERS 3RS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 3-G.F.I. 3-~k~ Detectors Ton l/C ~ts: 1-2 1/2, 1-3 1/8 S E R V I C NO, OF HI-LEO A. WG OF HI-LEG AWG NO' OF NEUTRALS OF NEOT~AL i 350 i~I lic. 282-E This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors COPY I IILDING DEPARTMEN1 THIS COPY GENEI~AI MANAGER, Per ;, / / be by their cred~ht a s. F~ELL~INSPECTION COMMENTS FOUNDATION (~s2) FOUNDATION (2nd) ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY CO E FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..~...'(2~.......,.....~... .................. I9...~..... Application No. /. -~....'~-q7 ............ ^ppraved .............. Perm,t ...... Disapproved a/c .................... : :".~ ~. ........................................... .../~..... ............. ............. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter od in in.k 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 ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may hot be commenced before issuance of Building Permit. d. Upon approval of this application, the B6il~Jing 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 pa rt for any purpose whatever until o Certificate of Occupancy shall hove 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 compty with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in. buildings for necessary inspections. ........ .................................... (Signature of applicant, or nome, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder Name of owner of premises ...C.:.~'~..h...e..r..i.~..e.....I..°..V.].¢,A.t..9.~ ....................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ .2.~ ......................................... Plumber's License No...t..o....}).?.,....l:.?.?,.~..s..e.~ ............... Electrician's License No ............................................. Other Trade's License No. " 1. Location of land on which proposed work will be done. Map No.: ........ .4. .,.5. ~ .6. ....................... Lot No. 114. Street and Number Sm,~a Drive E',s~ern Shores ~reennor$ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Bu i ] rlin ~ plo t; a. Exisiting use and occupancy ................ : ........ ~ ..................................................................................................... l%es~denf,~ 1. Buil{lin~ b. Intended use and occupancy ..................................................... ~ ......................................................................... 3, Nature of work (check which applicable): New Building ..~..~. .......... Addition .................. Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work .................................................... I ~ [ ////' (Description) ; (to be paid on filing this application) 5. If dwelling, number of dwelling units ...9.g..e. ................... Number of dwelling units on each floor ..... o.g..e. ................ 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 structures, if any: Front ..........6..~.!. ............ Rear tn?' r Depth 86 t Height ...... ~..4;..~. ............ Number of Stories ~.w.o ............................................................................................... Dimensions of same structur~ with alterations or additions: Front ....................................Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .....R..7.! .......................... Rear ...... ~.?..t ............... Depth ...~E~..~ ............... Height .................... Numbe~ of Stories .................................................................................................................... 10. Date of Purchase ................. i ....................................... Name of Former Owner ] 1. Zon~e or use district in which i!premises ore situated ...........~.~,~,~r],{~L~.i,~),,L .............................................................. 12. Doe~ proposed construction violate any zoning law, ordinance or regulation: .qo 13. Will lot be regraded, ~..es~ ' ............. ! ............. Will excess fill be removed from premises: ~×) Yes ( ) No 14. Name of Owner of premisesC.~..~J.!fl;?.iil.e...~0.uks$o.~ ... Address ..F..1. z~.ft]g.ii3g,..~.~.. ~bone No. 21298164[r Name of Architect ..~,.,.~.a~;X-..ermaz~ ................................ Address..,.~F~..Jf.q.,z:]~.ci;~c' ....... Phone No. ...................... PLOT DIAGRAM I_ocete clearly and distinctly al.I buildings, Whether exi.~ting or proposed, and indicate all set-back dimensions from property hnes. Give street and block number or description according to deed, ond show street names and indicate whether inferior or corner lot. (See Attache8 Survey) STATE OF N EW,~'~'O[}K~,, ,~ z [b ¢ ..................................... ' ............. ' ........ ~ ....................................... ="'9 duly sworn, deposes a6d ~a;s that he is the opplicam (Name of individual Sigr~ing contract') above named. i. Builder ..................................................................... He is the J (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make ond file 'this application; that oil statement~ contained in this application ore true to the best of his knowledge a~d ~eJie'f; c~nd that the wo~rk will be performed in tl3e manner set forth in the application filed therewith. ~ (Signature of applicant) ! JUDITH T.i TE R Notary Public, Sta{e of New York _ NO. 52.0344963 ISuffolk County.C/ Oommtssion Expires March 30~ 19o~,/ mi'l-