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Home My WebLink About10904-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..7., ! .~ .1.7.0. ......... ~JDate ..... 8.9Jg.[.~m.b:p.v.. 7. .............. ,19 THIS CERTIFIES that the building ................................................ Location of Property . .1.3.50. ............... '... ~.a.y?.t.e. ?,..~v..o.n.u?. ......... ~.~2~.?.p.o..v.g.. House No. Street Hamlet County Tax Map No. 1000 Section . .0.5? ........ Block ...0.5 ........... Lot 05 0 Subdivision..$¢~',rq~r'. ~t.0j¢9~ ............... Filed Map No. ! ) .3.3 .... Lot No. 1.1fi. r.~ conforms substantially to the Application for Building Permit heretofore filed in this office dated Oct. obe~ 1 19P., .0 . pursuant to which Building Permit No. 10906 Z dated ..... 0..c .~.o.~.e..~..6 .............198.0. ., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .......... ~.~...~,.~..~.~.~.o.~...~.q .pr.~.v.~.~.?..q~..-;?.~.~.?..~.ve..~?:~.~.~.. ................... The certificate is issued to .... ~ .eg?..~.. ~.a.~y., .Cp. qd. 9,~ ................................ (owner, 4e~ee.o¢ of the aforesaid building. Suffolk County Department of Health Approval ... ~)/.v. ................................... UNDERWRITERS CERTIFICATE NO ........... .~..5.6. 99.3.5. ............................. ,/ ?...: ......... ,./.-:-:':.. ............ i Ti .... Building Inspector Rev. 1/81 FOI~ ~qO, ~ BUILDING ' ~EPARY~ SOUTH'OLD, N~¥.' BUILDING F, ER~IT (THIS PERf~IT MUST BE KEPT ON ~THE PREMI$S UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ; N? 109t)4 Permission is hereby gro~ed to: pursuant to application d,ted ..~~.Z ......... {....;;...., 19. ~ on~ *pprovod by the Building Inspector. Fee $ ....... lnspec{or Rev 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This 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. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Fina{ approval of Hearth Dept. of water supply and sewerage disposa~--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buddings, 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 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 buddings 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 certihcate of occupancy$1.00 Date .. / .. New I]~4~b;ng ............. Old or Pre-existing Building(X} ........ ,/Vacant Land ............ /./'. Location of Property ............................................ ;~.vJ.~.~ ~l,~ . .]....~/.,. ........ House No, Street Ham/et Owner or O ers of ProperW ........................ County Tax Map No. 1000 Section ............... Block ............... Lot ............... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No...~..~[.~..k~... Date of Permit 0~-.t~. ! .~??..Applicant...~..'~..'-u,~.~....~..Af..O..?.~ ............... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ .., / Request for Temporary Certificate ..................... Final Certificate.................~/' - Fee Submitted $ ............................. Construction on above described building and permit'meets aJI app~cable~.codes and regulations. '"' ................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITM ~--~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS /)ate.CERTiFiES~J't.~.YTHAT 1'4~'J'~ App,icetion No. onS"e lO~aS'~-al, N 5 in the following location; [] Basement wa~e~,,,,,i,,~do,~ July ~, l~,g [] 2nd FI. Section Block and found to be in compilance wtth the requirements of thts Board. FIXTURE FIXTURES RANGES OVEN~ OUTLETS SWITCHES EXHAUST FANS 6 8 DRYERS OTHER APPARATUS: Track Light;ing:16' -0, 8 Lights SYSTEMS E R 'V I C E ,~Ceve O~ndos, ~c, N.Y. 113~7 Th~s certificate must not be COPY any manner; return to the office of ,the Board if THIS COPY OF FIELD INSPECTION '~' DATE COMMENTS~ ~ FOUNDATION (2nd) ~ ROUGH FRAME & o PL~BING . ] INS~ATION P~ N.Y. ~ ~ STATE EN~GY ~ CODE ~DIT!ONAL CO~ENTS: ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examine~f ~ 19 [~. Approved Q~)(~.~ .~r....~.~ ...... 19.0~.~.)Permit No./(..~. ?.~..~.. -~ / Disapproveda/c ..... ~..iii~. i[.~. ~/ APPLICATION FOR BUILDING PERMIT Application No. / .(~ ~.? ~ ...... October 1, 1980 Date .................. , 19... INSTRUCTIONS a. This apphcation 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 dexnolition, as herein described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to buildings for necessary inspecyions. _//9 admit authorized inspectors on premises and in ~g~... ~ [Signature of applicant, or name, if a corporation) 157-3~+ 15th Ave. Beechhurst, N.Y. 11357 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrici'an, plumber or builder. Owner Steve & ['~dary Condos Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If apphcant is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .~.~< '.C..~.. ............. Plumber's License No ......................... Electrician's License No .... ~.~..~. ~ ......... Other Trade's License No ...................... ayv,l, ew Avenue Southold, ..................................... ?...Y.... l. Location of land on which proposed work will be done. 1350 Bayv~ew Avenue Southold, I,.I. New York 11971 House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ~.o~ . . . Subdivision ....................................Filed Map No. /. [. J.-' ...... ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. $,~.a~i. ~ly..D??.l.l.i.n. g ................................................. b. lntended use and occupancy Family Dwelling ~..~..~..~/..~. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remove/ .............. Demolition .............. Other Work ............... ~ (Description) ~ 6 500 Q0 /,,~"-~ Estlma, ted Cost ............. ......................... Fee ..................................... ' (to be paid on filing this application) i olq. e 5. If dwelling number of dwelling i~nits ............... Number of dwelling Units on each floor .............. If garage number of cars . 6. If business, commercial or mixe¢ occupancy, specify nature and extent of each type of use ............ * ......... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Star/es ........................................................ Dimensions of same structure w th alterations or additions: Front ................. Rearoh.e ................ Depth! .................... I' · Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... x · ',' ~ ...... Rear ............... Depth ............... Height ............... ~umb~j of Stories ..... '.' ............................................... 9. Size of lot: Front . ._ ........................................... Z.~,~, . .~, ................... 10. r)ate of Purchase ...;~1~...'...//~,7~. .............. Name of Former Owner .??.a:~?.?.o.~..cl.a.n...H..a.~.~. ....... 11. Zone or use district in which premises are situated .......................... 5113 ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ..... ~._~.. ~.. Y.a~ ........... Will excess?.be removed from premises: 7e~r~ No 14. Name of Owner of premises .~[.e..~. 9.n.d.o. ~. ..... Address ~.7.. 3.~..1.3. .A.y.o..... Phone No. 2.t..2..71~ff.. 53.5.?. Name of Architect .......... ' ................. Address ................... Phone No ................ Nmne of Contractor .... ~.a,~ ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ail 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. LOT LOT iii ~ IIO STATE OF N, EW ~RK. ~z :..-, COUNTY~ ..... ...... ~qS~...~ ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ........... ~ .................................................................. i (Contractor, age'at, corporate officer, etc.) of said owner or owners, and is duty authorized to perform or have performed the said work and to make and file this application l 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 manndr set forth in the application filed therewith. Sworn to before me this ............ day of ........ , 19.~.~. Notary., : ............... ; .....~.County ~NOTARY PUBLIC, State of ,flew York I I S0?~rn524125850,1~plras MarchSU~f°lh30. C0~lg~__ (Signature of applicant) ,r F