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Home My WebLink About10873-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z10654 THIS CERTIFIES that the building ................................................ 830 New Suffolk Road, Cutchogue, New York 11935 Location of Property h3~s'e 'do~ ....................... 'g'tr'e3i ....................... f13~l'~ County Tax Map No. 1000 Section 109 .Block 6 .Lot 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to thc Application for Building Permit heretofore filed in this office dated August 20 1980 pursuant to which Building Permit No. 10873 Z dated ... B..e.p.t.e.m..b?.v.. 1..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 ......... Swimming Pool and Fence The certificate is issued to Larry Millius (owner, ~.eYo~ Y, fe~f~ X X X of the aforesaid building. Suffolk County Department of Health Approval ..... ~/..R .................................. UNDERWRITERS CERTIFICATE NO .... .~.5.e. 0..6.5.2....~/ .............. ,. .................. /3 _/- // Building Inspector Rev. 1/81 TOWN OF ~UT~! ~ TOWN ~ALL, SOUTH'OLD, R~v.1 6/30~80 (THIS PERMIT MUST BE KEPT ON ~H,E PRE/~IS~S UNT L FULL COMPLETIdN OF THE WORK AUTHORIZED) i ................... , N°. 10873Z mt~ ...... ~...~ ................ f Permission is hereby granted to: ' SI~I~iq~ DIP POOLS, ........................... : ......................... P, O. BO~ 106 ........................... ; ............................ ~o ............................................................................................ f'"]~ ..... ......... at premises located at ............................................ .~ ............. ~.-.~ ............ ~ ........................... ....................................................................................... ......... ~ ~!. .............. ~ ......................................... . 109 ~ . 6 pursuant to o~p ~cohon dated .............. : .................................. ~......, 19....,.., ~nd *pproved by tho Building Inspector. Fe ....................... ~. [ 'Buildmg}l~tor FORM NO. 6 TOWN OF SOUTHOLD J'Ju ilding Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This apphcat~on mus[ be fdled m typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with H~e following, for new buddings or new use: 1. Final su~ey of properW w~th accurate location of ~11 buildings, prope~y lines, streets, and unu~aal natural or topographic features. ' 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrmal ~nst~llation from Board of Fire Unde~riters. 4. Commercial buddings, Industrial buildings, Multiple Residences and similar buildings and installa- bens, ,] certificate of Code comphance from the Arch~[ect or Engineer responsible for the building. 5. Submit Pl~nrung [~oard approval ~ , , ' . o, completed s~te plan requirements where applicable. B.For ex~stmg braidings (pr~or to Aprd 1957}, Nomconforming u~s, or buildings and "pre-existing" land uses. 1. Accurate ~ey of peoperW showing all property lines, streets, buildings and unusual natural or topographic features 2.Sworn statemon[ of owner or previous owner as to use, occupancy and condition of buildings. 3.Date of any hou,:,ng cocJe or safety inspection of buildings o¢ premises, or other pertinent informa- hen requugd to prepare a certificate C. Fees' 1 Cert*flcate of occupancy $5.00 2. C3rtlfmate of occupanc~on pre existing dwellimj or land use $5 0f~ 3 Copy of certificate of~upen~y~/, '~1.00 '-/ Hcw ¢.~uddm~V ........ Old o~ Pre-ex~stm~uilgl~g .¢ .......... ,Vacan~ OwnerorOwnersofPrope[ty//, i ~ - .......................... ..... ....... & ...... ....... Z ...... Subdiws~on ................ ~ ....... Fded Ma~ No ....... ~.Lot No..~ ......... r~eaith Dep~ Ap3rova / Labor Do t - . ' '~ ' ' '~ ..... / ...... ' P .Approval ............. '~'~ ' '~ ~r' '~ ........ Klanmn9 uoard Approva ) BUILDING DEPT COPY OF APPLICATION FORM 46-EL NEW YORK. BOARDi~OF~ RE"UNDER~NR TERS FILE THIS COPY WITH BUILDING DEPT WHEN'REQU OWNER'S NAME , CURRENT SUPPLIED BY £~./_ BUILDING IS NEW ~ OLD ~ LOT fh s app Ca on ~ i.ien~d o c~ver the above* s{~ ~u$~en to~ ns~ect~ but at t me¢ ~p~o0 ~e you are authorized t~ make the inspection and adlust t~e fee t ..... r the ad~.tmnal equipment. ~ provl~d by {h~ apl ~mant. : MAINS, - FEEDERS : ~S CHARACTER', ~' EXPOSED GAS TU~ SI~N-,.' STARTED, , ~ COMPLETED S ZE OF~ SIGN. IN~ECT~QN RE~B~TED ~ ' STREET .~OORE~ :' ! : CITY OR ZI~ ~ST'OFF~C? -FROM THEIR ~ OFFICE WORK ~ ~ DEFECTS REMOpE~D[~ IS ~ ~ REMOVED[~ LIST BELOW ALL EQUIPMENT WHtC~'~YOU ~ THE NEW YORK BOARD OF FI RE UNDERWRITERS ~i,~ BUREAU OF ELECTRICITY ~ ~f;A~/~.L~ qh~ [,~[{~{. 85 JOHN ~TREET, NEW YORK, N~Wo~oO~RK ~0038_ ~ THIS GERTIFIES THAT only the electrical equipment as described below and introduced by ~he applicant na~ed o~ ~he above application n~ tuber in the premises of ~,~,~:~,~ ~4'fLiv~% F,30 ~a~'~ Suffolk ~e, ~, ~.Y. ~. t~/o,o.i.~ ~,,,,~t~on; ~ ~.~.~., ~ ~, r~, ~ ~nd r~. (~to~ ~, ~ s~t~,,, mo& rot was examined on ~y '~ l ~ 4 ~ 1~ and.bund to be in compliance with the requirements of this Board. FIXTURE OUTLETS 1 IECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS NCANDE$CENT FLUORESCENT MERCURY DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TiMEC[OCKS L~NIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVICE DISCONNECT S E R V I C NO OF CC COND A W G NO OF HI-lEO A W G NO OF NEUTRALS A W G PER ~ OF CC COND OF HI-LEG OF NEUTRAL OTHER ~P~RATUS. Ave, This cerhflcote must not be aJtered in an}' manner; return to the office of the Board COPY FOR BUILDING DEPARTMENT. Tills COPY* Lie, 1227 GENEI~AL MANAGER' Inspectors may be ~dentified by their credentmls. FIELD INSPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (Is2~) (and) INSULATION PER N.Y. STATE ENERGY C0 E ADDITIONAL FINAL COMMENTS ~iE',V eUFFOL~< ~OAD TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, No Y. Examined ....................... ~provod ....................... :~: ............ ,~ 1 ....................................... Disapprovod o/c .............. ~.2~j.~.~} ....... ~"~"~:i"~'~'"'}~'"' ................ .................................................................. .............. ............. {Buildinfl In~poctor~ APPLICATION FOR BUILDING PERMIT O~te ...~.....,~.~. .............. , Application No../..~/7~ a. This application must be completely filled in by typewriter or in irik and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee accordin~ 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 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 issua~ e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New Ygr~ ~d other applicable Law~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f,,e'r r ~val or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bulling ( , housing Code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary//n~ ~~ .. ~ :-L..................... (Signatur~ of ~;~:'~"~;'~;, 'i~ '~"corpora~i;~) {Address of applicant) State whether applicant is owner, lesse ,~ge~rchitect, engineer, general contractor, electrician, plumber or builder. ....... ......... ........ ....................................................... Builder's License No ..................................................... Plumber's License No ...... ;~ ........... _'l'll~,'l ....... '~,' ............. Electrician's, License No..J~..~....~'~...r.~.~. .................... Other Trade s License No ....................... ,_~J.~... ............ 1 Location of land on which proposed work will be,dena. M9p No ................... ~ ............ ,.. ....... Lot No ......................... Street and Number .~......~......~....~.~.......~ ............................. .~.~.~..~....C~...~.~,. ..... ...~...~. ........... -- Municipality 2 State existing use and occupancy of p~mises ancJ intended use and occupancy of proposed construction: a. Exlslt,ng use and occupancy .....~.: ...... ..~...~..qL...~..~.~ b. Intended use and occupancy ....~...)..(~.....~..1.......~T-....~.-..."C~..l~..~ ................................................................ property hnes. Gwe street and blqc¢ number or descr ~vhether ~ntenor or comer lot. 3. Nature of work (check which [applicable)' New Building.. ................. Addition ............ AIt~ratlon Repa,r ................. ~',ernoval '. ................. Demolitior. .................... Other Work ~..O...~l...~..~ ...... , II I ~Z~ ~ (Description) 4. Estimated Cost ~...~.~ ........................... Fee ........ .~....~.. ............................................................... ' ~ i (to be pa~d on filing this application) 5. If, dwelling, number of dwellir, g units ..................... : ...... Number ofdwellingunitsoneach floor ......................... ~t ~garag~, number of cars .......... Q ........................................................................................ i .............. " ............ 6. If b~,4siness, commercial or mixed occupancy, specify nature and extent of each type of use .......................... 7 Dimensions of ex,st,ng structures, if any: Front .........~...~ ............ Rear ......~..~. ................... Depth ..~...~.. .......... Height ........................ Numb]er of Stories .... ~ .................................................................................................. D mensions of same structure, with alterations or additions: Front .,~ ................................. Rear ........................ Depth ................................ Height ............................ Numl~er of Stories ................................ 8. Dimens OhS of entire new construction: Front ...,...~ ....................... .,,~.. Rear ............................ Depth ...................... Height ................... Numberi of Stories ..........L .~.'....~..~-~...~ ...... .~. '.....~.~ ............................................................... Size of lot: Front ...........~,Q.~ ................................... Rear ............. ..~'....~.. ................... Depth ..~......~...,..7..!......'~... .... 9.10. Date of Purchese ../~.~ .~....~ ......... ..~.....C~. ............... N,,ame of F r~l~_e,r Owner ...~....~....,....~.....~..?~-.-~.!...'~-- ...... 11. Zone or use distr,ct in which premises a,e situated .... (l~...l~.,!..~..~ ..................................................... 12 Does proposed construction viglate any zoning law, ordinance or regulation: ........................................................ 13. W,' at be regraded '""~'"'~'iI .............W,II' excess fill' be removed from prem,ses,' ' (~'~ Y se ( ) No 14. 1~4arne of ?wner of premises .~.~...~.).~..I.~!,¢~....~ ............Addressl~.~)u.~....,...~,...~. ,. Phone No.~.. '~..~..'.~/.,~..?..~.. Name o~' Arch,tect .............i ................................. ~ .......... Address ................................ Phone No ....................... Nome of Contractor ..~..~..!..~.....~ ..... '~'~'"'" '~'"'"'1 .......... Address .,~ ..~... ............ Phone No~Z...~.'.' ........ , ' .P, LOT I )IAGRAM Locate clearly and distinctly ali buildings, whetner e~istlng or proposed, and indmote all set-back dimensions from t~on according to deed, and show street names and indicate ETA [ E OF NEW 'Y~'~<, COUNTY O~..... f ~(z'~ ,~, I ................... ~~ ....... ~.~....I...bemg duly sworn, deposes and says that he ~s the apphcant abow~ named. I He is the ............................ ~ ...... ~ ..................................................... ~ (Co~actor, agent, corporate officer, etc.) oF so d owner or owners, and is duly authorized to perfo'm or have performed the said work and to make and file this application; that all stotement~ ~ontoined ~n this ap~llcctlon are true to the best of his knowledge and belie~; ond tho~ the work w~ll be performed in the manner set forth in the opphcotion filed therewith. Sworn to~efore me this ~J ~ ~ // ...... ~T~... day of ........... ~:. ....... ........ / NOTARY PUBLIC,S~te of New York[ '