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Home My WebLink About10975-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26824 Date: 12/10/99 THIS CERTIFIES that the building ACCESSORY Location of Property: 655 TOWN HARBOR LANE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 4 Lot 8 Subdivision Filed Map No. -- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1980 pursuant to which Building Permit No. 10975-Z dated NOVEMBER 20, 1980 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 ACCESSORY STORAGE & WORKSHOP STRUCTURE AS APPLIED FOR. The certificate is issued to JOHN A. BRESTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-066458 12/03/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FOl~ NO; 2 TOWN OF soUT~L~ BUILDING DEP~,'RT/GI~I~ TOWN HALL SOUTHOLD, ~ Y. BUILDING P'E~IT (THIS PERMIT MUST BE KEPI ON THE pREhiIS~S UNTIL EUL COMPLETION OF THE WORK AUTHORIZED) ' No. ~OSTS z ~o~e. ~.~.~.Z~.....2. Permission is hereby granted to: ............ ....... ~ys. ...... ~..X~.~Z.6.~.~ .................................... :...,.. ........ :-...:~ ............ ~'s ........................................ .t ,~.~o. ~o~ot.d .t ...~.5 .............. Z.~...~~.~ ............................... Buil~ing Inspector. Rev. 6/30/80 Inspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted .m~ 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 property showing alt 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 requ ired to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons t,~uc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........... '~.. .O~,..~,, .~.t'.....[?..O~..h~....,z~.. ....................... House No. Street I-lanier Owner or Owners of Property C/.E: .~..r"(..~.. ?.~....~. g.~ p.~..¢~.; .~ ~l~. .~. ~.~i'. ................. County Tax Map No. 1000 Section .... .O..~. ~. ..... Block .... .~...~. ..... Lot .C~..l~.. ~.....~..~..? Subdivision ................................. Filed Map No ........... Lot No .............. Permit No . ...z~.. Date of Permit .......... cant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. gulations Construction on above describedApplicantbUilding (~< C[L,<'. ~.and permit meets all applicable codes an~___._.~.~ ' ~ ~' '/~'~'~'~ Rev, 10-10-71] THE NEW YORK BOARD OF FIRE UNDERWRITERS 8(~77969 BUREAU OF ELECTRICITY ~-- 40 FULTON STREET, NEW YORK, NY10038 Date DECEI'ff. OER 03,1999 Application No. on file 19455799/99 t{ ~66658 TMlS O[RTIgl[~ T~AT only the elect~cal equipment as described below and introduced by the applicant named on the above applicaHon number is in the premises of BRESTER, 655 ~OWN H~BOR [~, SOUTHOLD, ~ ~ in the foll$wiag locaHon; ~ Basement, ~ 1st FI. ~ 2nd Fl.~ . Section Block ~t w~ examined on ~O~[~IR 29,1999 and found tO ance with the Naaonal Ele~t~cal Code. FIXTURE RECEPTACLES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FLUORE$CEN! OTHER DRYERS SYSTEMS NO. OF FEET SERVICE E -* ~ R ........ V- OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been ~nade o~ the exposed electrical equipment in the premises lnd±ca%ed." , ~:'iNo obvious, unsatisfactory condition was found, CAMINITI & GXBBONS 54075 ~IN ROAD SOUTHOLD, NY~ 1197~ NO OFCCCOND PER ~ OF HI-LEG NO. O;: NEUTRAt OF NEUTRAL FEE PAID AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRE UNDERWRITERS AS CASH SENT BY MAIL WILL DE AT RISK OF SENDER. F~IEL~ INSPECTION COMMENTS FOUNDATIOM (Jst) FOUNDATION (2nd) ROUGH FRAME& PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL CoMMENTs: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .~.k..O../~/....c?.~)...., 19 ~ Approved 19 permit No. ZC . Disapproved a/c ...... '~ ~-i...-..'-. .........~. ........ - (Bull/ding Inspector) APPLICATION FOR BUILDING PERMIT Application No.//~7 t'~'~' ....... 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 ayail~ble t]or 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 ~o 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 constrthction 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 ~lad in buildings for necessary inspections. of applicant, or name, if/a} corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises, d ~3. ~ 3q...~.. !..~. C. ~.~cTffL~ .k~. ............................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... ~g~:/~.~. ........... Plumber's License No ......................... Electrician's License No...~.~. ~..~.. ).~..</t~X)?.~..- Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .............. c..Z, ........ ............ House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ Block O y,c Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and, ja¢tended use and occupancy of proposed construction: a. Existing use and occupancy....O...A~..~:.~/~.~...¢~./.~.~..~7~./././..K4. '~'[ ............................ b. Intended use and occupancy ...~. ]~...~...~e.~....g~./.~...(.'¢..~.' .~. ~jO~raT...~.~:~.~:~. ?.~. ............ 3. Nature of work (check which applicable): New Building .......... Addition.. . Alteration .......... Repair .............. Removal ......... Demolition .............. Other Work ............... 4. Estimated Cos ................................ Fee .............................. I (to be paid on filing this application) 5. If dwelling, number of dwelhng Umts ............... 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 structurds, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth . i Height Number of Stories. 8. Dimensions of entire new construction: Front .. ~ .......... Rear . .~. .......... Depth . .c,9~ ......... Height ............... Number of Stories ........................................................ 9. Size or'lot: Front ...........~ ........... Rear ...................... Depth ...................... 10. Date of Purchase ........... ~ .................. Name of Former Owner ............................. 1 1. Zone Or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ ..................... 13. Will lot be regraded ........ '..":Od) ............... Will excess fill be removed from premises: Yes N(~ 14. Name Of Owner of premises .... ' ................. Address ................... Phone No ................ Name of Architect .......... : ................. A~dress ................... Phone No ................ Name of Contractor ...... i Address ...... * ............. Phone No. PLOT DIAGRAM Locate clearly and distinctly ali, buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block 'number or d~cription interior or corner lot. STATE OF NE~)~O~[I~, COUNTYt '~ ~'~' O~lX'~'~fi~'' ....... ~ .... /o,~,.~. · .. · · ~--z~a-f--Z-'(~.... being duly sworn, deposes and says that he is the applicant ~j~ (Name of individual signing contract) above named· He is the ..................... ! ...................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements contgined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this i' ............ · . ',y ot .... :r. . ., 19 ~~"//~' C°unty~.b.,,, .~...~.AOi,[~ ..... i LIZA'BETH ANN NEVILLE . ,' ........ '~ ~ ~'~"w.J" ...... : · "0TdLi t&", ,0r, ... -- (Signature of app,cant) N6. 52-8125850, suffolk Term Exp res March 30, D^TE.~._B.P. '~ ~ NOTIFY BtJI'~F~!NG D£PARTMt::Nt 765~1802 9 AM TO 4 PM FO~ THE FOLLOWING iNSPECTIONS:-: l. FOUNDAqlON - TWO FOR POUR~D CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INS~LAT~ON 4~ FINAL - CONSTRUCTION MUST BE COMPL.~TE FOR C. O. ALL CQM~TRtJCTION S~ ALE MEET '~'~'REQ[][REMENTS OF THE N: Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR D~SIGN OA CONSTRUCTION