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Home My WebLink About10868-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Z.1.0A t~7 ....... Date ..... .~p?.~.l...9 ................... , lB !.. THIS CERTIFIES that the building ............................................... Location of Property .,...1.8..0.5..S.h..~p.s..D..~.~y.e. ~. .........S.o.u..g.h.o.J;cl. !..~e.¥. ?.o.~.~ ......... Mouse No. Street Hamlet County Tax Map No. I000 Section ...7.9 ........ Block ....3 ........... Lot 60 Subdivision... ~3.a.,v.,t~,.e.u..~99.d.s...F.,.s.~.a..t .e.s...Fded Map No.5.5.2.0 ..... Lot No...2.,0 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated September 7 19 8p0ursuant to which Building Permit No. 10868 Z dated ..... .S .ep.~e..m.b.e.~.. J .9 ......... 198.0.., 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 ' ......... ~-~.y.~..e..0.qe..-F,a.m. ~..ly..D.¥.e.l.l.~.n. g ....................................... The certificate is issued to ...... .~ r.~.h.q .z?..a.qd...E.I.~.~..a.b.e.~.~..L.o.e. f'. ~.l.e?. .................. (owner. l~_~c~ ~a~J--- of the aforesaid building. Suffolk County Department of Health Approval 3. ./.3.1./.8, .1. ?. 1. 0..-.S.0.-. 6. .2..~o..b .e.r.~.. ~: y.:[. 1..1 .a..P.: g, UNDERWRITERS CERTIFICATENO... ~512382 .... ~2.J,4-~-',/./'.~. ~'~': .~ ............ x ..: .~,.. t Bdilding Inspector Rev. 1/81 ~;o~ ~o. z ~ : TOWN OF ~OUTI~I ~ TOWN HALL ~ SOUTHOLD, N~ Y. No. 1O868 Z BUILDING PERMITI (THIS PERMIT MUST BE KEPT ON CH,E PRE~IS~S, UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ~ ~i ~8~p~embe: 19 . ~9 80 Permission is hereby granted to: .................. ~/* '**~ '~' m~ oeffle~ 1020 O[,;lilN ROAD to ............................................................................................ ,~'"'~ ................. ? ........................................ ................................................................................... ? ~ ....~ ........ t8o~ S~S D~:~VE at premises located et ................................ ~ ............ ,.. ........... ,. ................... , ........................................ ]~AYVIEW WOOD~ ESTATES, PliED County Tax Map No. 1000 Section 79 Block ! ..............._u, ........................ pursuant to application dated .......... ~ .......... , 19,..,[.,,, and approved by the Bu Idlng Inspector. ~e7.4o.. Fee $ ...................... Bui d ngi Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcation 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 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. 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 naturel 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 ...... ............ New Building J// Old o~,~re-existing Building . . Vacant Land Location of PriOritY' i ~.' ~...~. ~.. ..... Z~./~. ~... i .~.' [ i. [~~.~ .. ~ ~ ~ ~ ~ . Owner or Owners of Property ................. 4: ~ ........................... County Tax Map No. 1000 Section . ~'-- Block O ~ Lot Subdivision .~~..~q~.~.~~ .F,led Map No. ~ .~...Lot No..&~ ........ Health Dept. Approval ~l~(l~ .'..ST~(~ .... Labor Dept. Appmval ...~/~ ............. U nde~riters Approval ~. ~ ~. ~.~ ...... Planning Board Approval . .~ ............. ;~2 ;~[t~i; ~ ~;r~i;i,c~ ~ .............. Final Certificate ' ', ApplicanW~~ ~~~ ...... Rev 10-10-7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.~ ~,~c~, il, ~,98~, ~p. heatlon r¢o. o, yd~ 0984b0 - ~ THIS CEETIFIE~ ~HAT only the electrical eq~ip~e~t as described below and introduced by the applicant named on the above applicatio~ number in the premises of .~z~ L t,~aff~r, sis ~ps Dr.. ].~' e/o ~y.~.~, ~ld, N.Y. in the?,llowing location; ~ Basement ~lst FI. FIXTURE : FIXTURES OUTLETS i SWITCHES FLUORESCENT [] 2nd FL Section Block Lot and found to be tn comphance with the requirements of this Board. RANGES OVENS DISH WASHERS EXHAUST DRYERS SYSTEMS NO OF FEET OTHER APPARATUS: Moi:or/~: l- 3 Tor~ ~, 1~2 Ton~ ~; S E AWG OF CC COND 310 I C NO OF HI LEO IAWG OF HI LEG NO OF NEUTRALS 1 AWG OF N~LITRA[ z/O I~lamt Etec,.ric Co~ P.O. Dax 143, Mal:tittmk, N,Y. 11952 lie.242-E COPY )--_OL~ ¢~ 14 ¢ '~L~r.4~INCG , I; I Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TOWN HALL, SOUTHOLD~ N. Y. 11971 765-1802 September 22, 1980 Att: Henry Moisa Regarding Lot 20 in Bayview Woods Estates, Building Permit 9797 has expired. A new permit, No. 10868Z dated Sept. 19~ 1980,~ ~' has been issued to Arthur and Elizabeth Loeffler at 1_80.% ~.;h, ip's Drive County Map No. 1000 79 3 40 to build ; new one family dwelling. If there is any further question regarding this property, please contact this office. Yours truly, FORUM NO, 1 TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ............... /..~.~....~; ....................... ') Approved ................. ~{r~/...~..!~....../.~'., 19.;~..'..~ Permit No ...... ./...!~.....~..~...~.'....~::..' Disapproved a/c ..................... ~.~ ......................................................... ...................... .-.::.....~.Z~::....~.....~ ...... ../..~..~.:..'~...~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter o¢ in ink and submitted in triplicate to the Building Inspector, witch 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 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 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 Deportment for the issuance of o 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 cede, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessap/ inspections. (Signature of Cpplicant, or nar~, if a~ ~'rporation) ..... ...... (Address of applicont) State whether applic/q~ is, owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or budder. ............................... ....................................................................................................................................... Name of owner of premises. ~.~.~.~...~...?...~.~...~...1~../.~f,~. ............................................................................................. If applican~t,4s"~co.rporate, .sign~/.of duly authoriz,~"6fficer. .... ~7 ........ ~'~i~'~" ~;;~i"~i;;l~' o~"~;morat~"~¥fi~'~';~ ........ Builder's License No ................................................. ~ Plumber's,License No..~..~~~ ............................................... ff. . 1. Coc~tion o{ I~nd on whic~ proposgd work will b~ dona. M~p No.~.Q~...~o.... Eot No.....~..~ ........... ..... ....... ...................................................................................................... Municip~li~ 2. State ex~sting use ~nd occupancy of premises ~nd in~ended use and occuponcy of proposed construction: a, Exisiting use and occupancy ............................................................................................................................... b. Intended use and occupancy .............. ~ ........................................................................................ Nature of work (check which applicable): New Building ...~-.,. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................ ~ . ~ (Description) 4. Estimated Cost ...... [~1 . _ .~....~./.~r..~i~..r..~ ................. Fee ...: .................. ./.....':~......~Z.. ..................................................... (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 m~xed occbpancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height ........................ Numl0er of Stories ...................... ' ........................................................................................... Dimensions of same structure with alterations or additions:' Front .................................... Rear ............................ Depth ................................Heightl ............................ ..~..[- .~..~Number of Stories ....... '~,~)" ~;F~',;; ....... 8 Dimensions of entire new cohstruction: Front .................. Rear .......~..,~,...~ ........... Depth ..~..i~) ............ Height ...... /.~ .........Number ,of ~tories ......... ~ .................................... .~ ...................................................... 9. Size of lot: Front .......... ~...~./~ .................................. Rear ....... .~.~.../.!...~....~.. ............... ~ ,Depth ....~...~....~.,../,1~. ....... 10. Date of Purchase ........... ./..~,..~...O.. .............................. Name of Former Owner .,~.~ ................................... 11. Zone or use ~]istnct in whichjpremises are situated ..................................................................................................... 12 Does proposed construction violate any zoning law, ordinance or regulation: ..... .~....~. .......................................... 13. Will lot be regraded ....... ...~.~. ........ Will excess fill be removed,,~Fom,premises: ( ) Yes ((.~, /J'(l~,'~/' ~ - ~.~~,,g~/~e..e'~. Phone No~.....~.: Nome of Owner of Addre, ..... Name of Architect ........ ~ .............................................. Address ................................Phone No ....................... Name of Contractor ~..K.'.'.//.,~....~'.~./.~/~,~.~..~9~'. ....... Address/.,'.~ie......~?.....~-z;~..~..,.... Phone No ....................... Locate clearly and distinctly a buildings, whether existing or proposed, ond indicate oil set-i:~ak dimensions from property lines. G,ve street and blbck number or description according to deed, and show street names and indicote whether interior o~ corner Io~ STATE OF NEW '~)RI<,//_ //~!SS COUNTY OFr't:~~...~', ' · · · / ....................... ~~.~:.F.~ ................ ~ .............. being duly s~orn, deposes and says that he is the applicam (Name of individual ~igning contracf) ~,,'~ ~ above named. He is the ...........................~.~ ............................................................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dgiy authorized to perform or have performed the said work and to make and file this application; that all statements contained in this 6pplication are true to the best of his knowledge and belief; and that the work will be performed in the manner set fo~h in the application filed therewith. N ot,a,~.~,P~bl ic, . ............... ...,..~.. ~S. County / ELIZAB~fl ANN NEVILLE NOTARY PUBUC,State of New York No. 52-8125850, Suffol~ C0u~ ~ Term Expires March 30, tg~ ', ,~,i, ~ ,?r ~ '~,'~ ~"~ ,~, , , 3UFFOLK~ ~0UNTY DEP~T~NT ~F ~TH SERVIOE8 ' / ~ ~ fh[~ r~iden ~'~ co~rm to the :, ,,~uthor.~ aherat~n or ad~i ~o~ to t~!s, suw~ lsa v o allan o( , ~ ' ¢ - , ;',;'~lion 7209 of the N~ Yo~ StaJ~ Educati~ Law. ~pms of this suwey map O~ b~nng the land ~uw~ I~ ' '~al or e~bos~ ~al shall n~t ~ *consJSer~ ~ ~ ~ va d 'G~arantee~ or cerhflcat~ons In~ical~ hereon sba mn-on¢ fo:t~ ~r~n for~ whom lhe suwey '~ pm~pred, and on h~s ~half to bile compbny,~ govemmenta. , ~enc¢ and lending ins tuton * , hdeon an~ o he ass gnus df the ~d ng ns tufioo ' G~n~ f q' no ran~mble to additi~a ~t~ :~ubs~uenr owners. , ' t ' ' : ' : ~ ~' I , ~ I~URAN~E COMPANY