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Home My WebLink About10993-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z11463 Date February 4 , 198.3. THIS CERTIFIES that the building . .a.d.d. $ .t .i.o.n. ..................................... Location o f Property ..5. ~ ................ ~ 9 r.t.h...D r.i.v.e. ........... M..a.¢.~. ~..t .u.c.k. ........ House No. Street Ham/et County Tax Map No. 1000 Section .., ! 9.6 ...... Block ...0.6. .......... Lot...0. J .6...0.0. ! ...... Subdivision .... S. b 97.e. , 6 ,c ?,e. s. .............. Filed Map No..{ 1 ...... Lot No. J .9 P 29 ?, 21 ? conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .~.qv..e~n.b.e.p...2.9 ..... 19 .8.0. pursuant to which Building Permit No....1.0.9.9.3...Z ........... dated ....D.e.c.e. $19 p.p.. ? ............. 19 .8.0., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... an. ft.d.d,J, t;J-p.n . 159..a,. pp.e..ze..x.i.s.t. 5..rig. ,d.¥9.1.1.~ .rig..' * The certificate is issued to GERARD F. GOEHRINGER (owner, levee or-t~nantk of the aforesaid building. Suffolk County Department of Health Approval ..... .n./.g ................................. UNDERWRITERS CERTIFICATE NO ............. .N..5. 9. ? .7.5.3. ........................... · The entire dwelling has been brought up to the N.Y.S. Energy Cede. Rev. 1/81 N°. 10993 Z Permission is hereby granted to: (THIS PERMIT MUST BE KEPT ON THE PP, E~IS~S UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ~ ~ Da~e .~.~:~;~(~ ................. , ~. .... ~..~.~Z,.~... ~,~ at p!'emises located at ...~...~.,~ ....... .~...~/~4~..,..~t..'/~.~.,,.~:.~w~/.Z..t..~.(,~7~/~....~ /. ...................................................................................... ~ ......... ;I?'~ ................ ~ ............ ~ ........................... ....... ..... ................................................................... :- ........ b,";~ ................ ~ ........................................ pursuant to apphcation dated .........~~__t.,, .... ;, 19 ., and proved by the Building Inspector. Rev:6~30/80 FORM NO. $ TOWN OF SOUTHOLD Bu iidin9 Depar~men~ Town Hall AP ,_ CAT ON FOR C~.R~ IrlC~TE OF OCCUPANCY Instructions This epplicat on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inso~ tot with the following; for new bui!dings or new use: · 1. Final sun/e',, of property with accurate location of all buildlngs, property lines, streets, and unusc 2, Fme~ aoproval of Health Dept. of water supply and sewerage dispose --(S-9 form or equal). 3. App,'oval of electrical instatla~ion from Board of Fire Unde~,vriters. 4. Commercial ~uhdmgs, Industrial buildings, Muttip~e Residences and similar building~ and instal tions, a certificate of Code compliance from the Architect Or -ng,n_.r responsible for the bu[Idin 5. Submit Planning Board approve! of completed site plan requirements where applicable. Fcr existing buildings (prior to April 1957), No~-conforming uses, or buildinos a~d pre-exlstm~ 1. Accurate ~nzey of peoperw showing all prooerty lines, streets, buildings and unusual natural top~qraphic 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 buildincs or premises, or other pertinen~ inform, :ion required to prepare a ce~ificate. / Fees: 1. C~¢tificate of occupancy SS.Q0 2. Car:dicate of occu~anc,/on pre-existing dwe(Hng or !and use S5.00 3. Coo,/of certificate of occupancy S1.C0 Addition Date .J. anu~,r~ 26, 1983 New Suilding ..~ ........ OId or Pre-existing Building(:f).. ....... : ~Vacant Land j ) S~r~e~ Hamie Owner or O~vners of Prop~rty .. G.~ ~. GP ~-~ge~ ......... Count,/Tax Map No..1000 Section . . . ~06 ........ Block ..... 0.6 ........ Lot..~6,Qp,~ ....... Subdhz,sion .... . ¢:¢.(: .... ~J~r.~ .......... F~led Map No. ~( .Lot No. PermtNo109932 D*teoCP~*mr ~2/9 80 ....... · Health Depn Approval ............. ~ .......... Labor Dept. Approval .................... :~.. Unden,vriters Approval , , .~~. ~, .......... Planning Board Approval ................... . Request for Temporary Certific~t~ .... ,.. ' .............. F~nat Certificate ........ - ......... Con~rucuonJpn above described buCdmq and .... :.---.~;~' ;,,' ~'2~ ;~L, ~ -.0, . ~. ~o.~o-z8 u //.' ~erard p. Goehrin~r ' ' .... 1000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTR C~ TY l-- 8~ Jo.. STREET, .KW YORK..~V ~;~RK ,0032 ,,,~ J~31, 1983 ~ ~ ~ 196503~82 .. ,~ ,o~ ~o.o.~.. N 591753 THIS CERTIFIES THAT in the following location; ~ Basement ~ 1st FL ~ 2nd Fl. Section Block Lot w.~ ~.,~.~d o~ J~ 27, 1983 and found to be in compliance with the requirements of tkis Board. FIXTURE OUTLETS 9 DRYERS {ECEPTACLES SWITCHES 8 FIXTURES RANGES FLUORESCENT DISH WASHERS EXHAUST FANS OTHER APPARATUS: ~le~tric R.o~a ~aCers;2-1,5 K.W., 1-G.F.C,i. t-$%Dke Detector 1-4.5 K.W. Hoc Water Heager S E R 'V I NO OF CC. COND, A W. G* NO OF HI-LEG, :~ 2/0 C A,W.O. NO, OF NEUTRALS A W O OF HI-tEG OF NEUTRAL 1-1.25 K.W., 2-,75 K.W., 1-.5 K.W. 1 z/o ¥oun~ ~. ~o~ 372 Th Per ' ,m~, cerfificofe must not be oltered in any monneri return to the office of the Board J, ~correct. ,nspecto;~ ma~:e i~enfifi~ . --~-~,~ ~-.~..-- ~.---~.-...~.m co.Y eF C..,,~CA.~)Half N,e! ,)), ~*t?). :)N ANY ~ANN~.. ' FIEI,D COMMENTS FOUNDATION FOUNDATION 2. ROUGHFRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COQE FINAL ADDITIONAL COMMENTS: January 11, 1982 Box 812 Mattituck, NY 11952 Building Department Town Of Southold Main Rde Southold, NY 11971 GentlemeN: Please be advised that I would like an entension on my present Building Permit dated Decembe~ 1980. The building Permit Number is 10993. Thank you for your time in this endeavor. gPg Gerard P. Go6hPin~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examine~% .... . .~...., 19~.. ' ............ Permit No./.Q~.~..~:-..~.~ :h'¢' .. :.. /~ ,:,i , ~ ' /'/, (Buildin~ Inspector) APPLIOATION FOR BUILDIN8 PER~IT INSTRUCTIONS Application No../'.~..~..~Z~.. ....... Date ....... [/.~...~. 2., 19 .~.?. 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 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 and in buildings for necessary inspections. (Mail~(g address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ......................................... (as on We 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 .... . .~...~.&..~. ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ~. ,./~,~ ..... .......................... ............ ................... House Number / Street Hamlet ..... ....... ..... ........... .......... Subdivision .~//-~z~ .................. Filed Map No ............... Lot ............... (Name) 2. State existin8 use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~ .......................................................... 3. Nature of work (check which applicable): New Building .......... Addition ....... Alteration., .... ~ .... Repair .............. Rem6vai .............. Demolition .............. Other Work ............... 4. Rstimated Cost ........ Fee ...................................... (to be paid on filing this application) 5. If 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 qxjsting structures, if any: Front....cgAO. ......... Rear . .a~.. ......... Depth . ~ .......... Heigh( .../..~. f ........ Number of Stories ..... ./ .................................................. Dimensions of same structure with alterations or additions: Front ...,~.~' ........... Rear ...O~. ............ Depth ../. 6.~//,,~. ........... Heaght .. ~,a,/~.. ........... Number of Stones ...................... 8. Dimensions o~ entire new construction: Front .. ~.~.. ..... Rear ... ~.~. ...... Depth . ~,~ ........ Height . .~/~,~. ......... Number of Stories ............................................ / ........... Size o£1ot: Front .~-dg~)~.~../ ....... Rear .. d'2~../ .............. DepthA .. t ~.?.~] .............. Date of Purchase . .0':.,f~../~. ', .................. Name of Former Owner . ~../~.t~---~ .............. Zone or use district in v~ich pr~mises are situated.. ~..'-,(~. ............................................ Does proposed construction violate any zoning law, ordinance or regulation: ./q~.. ~9 ........................... Will lot be regraded ......... i ................... Will excess fill be removed from premises: Yes No Natne of Owner of premises . .t~?,~7:~f~<.. ......... Address ... O',¢'d-,~.r~. ....... Phone No. ;;~/...f?~/,~.~... Name of Architect ............................ Address ................... Phone No ................ Name of Contractor ......... ...... Address . Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ~number or description according to deed, and show street names and indicate whether 10. 11. 12. 13. 14. property lines. Give street and block interior or corner lot. STATE OF NEW)fO,R,K,~ I S S COUNTY OF .~ .... ..... .~..E~?.g ~...I.~[~...~.o..6'.~..R./.,((..~.6'-..~. ............being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................... ................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements contained 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 Notary Public~'/~ ~· r ..i .......... County~// ~/ ////.. / ~ /-~// __ ...... , . .... NOt~ Public, State of N~w York ' M~g5~-9~}~JJ~ Sx~f~lkM~tf~~ -- tS~ature ot appncanD