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Home My WebLink About10892-zFOflM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z10760 Date November § 1~1.. THIS CERTIFIES that the building ................................................ Location of Property .. , ,37.5,. $.].y.a.h, ! ,~..l~.a, o.e.~ .......... .C.u.~.c, .h.o.g,~e, ~..N.e,~..~.o,~k. ....... House No. Street Ham/et County Tax Map No. 1000 Section .. ! ,0 9 ....... Block ......... 1. .....Lot ........ 3. 1. ....... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 25 19..8.~ursuant to which Building Permit No. 10892 Z dated . . .g.e.p.~.o..m.b.e.~...2.9 ............ 19 .8.0., 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 ......... Addition to One Family Dwelling The certfflcate is issued to Cyril Mc Caff:'ey, Jr, ..................... ?o¥.'o 'r ................... of the aforesaid building. Suffolk County Department of Health Approval ~1 ~ R UNDERWRITERS CERTIFICATE NO... 1~5 136333 Rev. 1/81 Fo~ ~o. ~ BUILDING D~PARYMEN1 TOWN HALL SOUTH'OLD, N~ Y. BUILDING P,E~IT~ (THIS pERM~IT MUST BE KEPT ON THE PREMISES UNTIL EULL COMPLETION OF THE WORK AUTHORIZED) Pormission is herobg ora~ted to: Horton const~tion ~D O~TO A o~E F~MILY m~B~C- pursuant to application ~dated ~ep~e~Der 25, ;: . and approved by the Building inspector, Fe" $......1..~ ~..0..0. ....... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Thru 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. F[nal 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 simitar 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 ell property tines, 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ,. Nov.e_~ber 5 , 1981 New Buitdmg ............. Old or Pre-existing Building(X), _. ¥_,. . = ZVacant Land .......... Cutcbogue Ne.u. York Location of Property . .3, 7 ~.~A,~.¥.a,b~'.s, . .La~,.e. ~ ....... _ .......... House No, Street Hamlet Owner or Owners of Property Cyril McCaf~ze~ Jr. County Tax Map No. 1000 Section . 179 Block 1 Lot. 31 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..1.Q892Z... Date of Permit . 9/.2.~ ./~.0. Applicant ................ Underwriters Approval,.. ~[5.1,_~ ~.3.3. ............ Planmng Board Approval .......... Request for Temporary Cert,ficate ..................... Final Certificate ...... Fee Submitted $ .... 5.: .0.0 ..................... Construction o n above described bu[Iding ~2et~s~j~ll ,ppl~qable_,codes and regu lations. Rev, 10-10-78 lOOO221'~' THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ES JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e[ectrlcal equipment as described below and introduc~ by the applicant n~rned on the able application number iR the premises of in the following location; ~ Basement ~ 1st ~7. ~ 2nd ~. Svction Block ~t was exarnined on July 23, 1981 and found to be ln compliance with tbe requirements of thts Board. FIXTURE OUTLETS 12 DRYERS SWITCHES FIXTURES RANGES OVENS EXHAUST FANS 17 12 SYSTEMS NO OF FEET E SERVICE DISCONNECT E R V . I C OTHER APPARATUS: PER,ff 1 AWG OF CC COHD 1/o 1/o Dettner Elec. Co. P.O. Box 482 Riverhead, N.Y. 11901 lic. 643-E 11 This certificate must not be altered ~n any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credenhals. TOWN OF SOUTHOLD ~ Building Depu~tment Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in DUPLICATE to the Building Inspector 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 installations, 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 a~l property {ines, streets, buildings and unusual naturo~ 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 in- formation 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 ..,/. .......................... New B~ildmg ................ Addition ................ Old or Pre-existing Building ................ Vacant Land .............. £ kocahon Of Property ...... ,...,.~.~/'~.,~.,..,~ ....... ~.~...%,~).C...? .......... ,~-..~......C,~ ...... f,~,.~. ................................ Owner Or Owners Of Property .~...~...C:.....~.....~.:.X...~..~..: ....... .'.('~%..~T..;{...~ ....... '.~..~.~...~4~...~.~..~-~.!~K..~.. ........ Subdivision ................................................................ Lot No ............. Block No. '~ ........... House No ....... Permit No I C~ .'/~.~..~. Date Of Permit .~,~/~.~/.~. Applicant ..~.~....O...~......o.~.~. ..... .C~.;?~.J..~,~:.~.o~-,~--~ Health Dept. Approval ............................................ Labor Dept. Approval ............................................... Underwriters Approval .............................................. Planning Bo~rd Approval ........................................ Request For Temporary Certificate ........................................ FinoJ Certlfieote .........~.~.... ........................... Fee Submitted $ ...~.." ~.~.~. ..................... Construction on above described building ~a~d hermit meet~[dl ~a[~plicab.,le codes and regulations. ..~..-,..~.~.t~.......~. ............. ~L.....~ ....................................... Apphcant Sworn to before me this ................ day of ............................................ (stomp or seal) Notary Public .................................... County THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-~k- 88 JOHN STREET, NEW YORK, NEW ~ORK 10038 Date [¢a"LCCh fi~, ~9}~'1 /lpplicatiof~No. onfile 107719-81 N THIS CERTIFIES THAT only the e~ectrlcal equip.~ent as described below a~ ~ntroduced by the applicant ~med on rhe above application number in the premises of in the followlng IDeation; [] Ilasement ~ Itt FI. [] 2nd FI. Section Block Lot was exa,nined on f~'/.~a'D~y ~t~ ,;,~ andfoundtobeincompliancewiththerequirementsofthtsBoard. 7, 7 DRYERS SYSTEMS NO OF FEET OTHER APPARATUS, S E R .o o;~%~o~ ] C NO OF HI-LEG 40 OF NEU]RAL$ AWG 372 This certificate must not be altered in any [nanner; return to the office Board if Llc.2148 1] Per may be identified COPy FOR BUILDING OEPAI~MENT. THIS COPY OF IN ANY MANNER. FIELD I~St~E~TION FOUNDATION (t:~) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY co~ FINAL ADDITIONAL FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .......... 19. Approved . .'~).~.~. :?~.'. f.., 19 .~Permit No. Disapproveda/c... . y. .... .............. (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No.. / .d~..~.,~ ....... Date ................... 19... 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 he 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, Jaff~ding code, hqu~ing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessa~/~fi)~pec~/fff (Signatu£e 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. .......... r.: ....................................................................... Name of owner of premises ...~,~7..~.~.I..L...'~q.Q-,.~/2Pi.~I~...C'~7.).-x~. ........................ (as on the tax roll or la/est deed) If applicant is a corporation, signature of duly authorized officer. (Nmne and title of corporate officer) Builder's License No .......................... Plumber's License No. ~.L~.~ ~.¢...~/~...~. ....... Electrician s License No.'~,~?~..~. ?. k ........ Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .................... t .......... ........ ' ................ House Number Street kJ Hamlet County Tax Map No. 1000 Section .... /.~. ~. ........ Block ...... / ........... Lot ..... .~.~. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......................................................... / b. Intended use and occupancy ~ I~ , 3, Nhture of work (check which applicable)~ New Building .......... Addition....~..... Alteration .......... Repair .............. Removal .............. Demolition ~7; .... I, ~" .... Other Work ............... (Description) 4. Estimated' Cost ~?, ~kj-Ag~..... 'g"'-- -- ~.~ .................. .................... Fee ................ (to be paid on filing this application) 5. If dwelling, number of dwel/ing'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 existing structures, if any: Fron~-..~.{.~5 .~.. Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........ ' ................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 11. 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 ....... ,..,...,: ,. ~ ^., .......... Will ex_tess fill be remov0d f, ro, m premises: Yes No 14. Name of Owner of premise&.. ,~.~. J..~;[~C .~q~ddress(.~t4~o~ta~-..~.~.'Phone No. ~'~.~....~.q [ P... Name of Architect .. , q. ,~Ot,~.~g~oj~ ....... Address ...... ..[. .......... Phone No..7~..2-...~.~..LI... Name of Contractor . .'-~-~rt'-~,*p...C.e>/~..~.'Xz'..... Address ................... Phone No. ~.g..~....~..L .~... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, /<-- S ~ ) COUNTY OF .... 47.6'..P-t~-..~.+.]'.. ' ' 5 / ..... .... ............ (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ......................................................................................... (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 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