The URL can be used to link to this page

Home My WebLink About10928-zPermission is hereby gra~ted to: BUILDING' ~PA~U~ TowN,HALL ~~ ~ BUILDING P, ERMIT~ (THtS PER~IT MUST BE KEPT 0N CHE PRE~IS~S UNTIL ~ULL og2s oo,0 .......... ...:~.~..~z~..:~c~....;...: ............................. : ....... ~ ........ ...:.!L.i! ................ i ......................................... at remises located ~'~.~.<~'..[.,~.-~.,..../...¥.~..~.~]~-/' .~ '~ , ~/~'~(' p '"'' ~" ~ r~ /'~' -/ / ..... ............. t ~ '~ Coun~ Tax Map No. 1~00 Section ................. .~...:, BI~E l....~ ................ Eot No ......................... pUrSuant to application~ dated Z~,~.....~.:.,2..t.~,.~ .... i9 ~., and approved by the I BUl ~lng Inspector, InspeCtor THE NEW YORK BOARD OF FiRE UNDERWRITERS [[~ BUREAU OF ELECTRiCITy ~- 85 JOHN STREET, NEW YORK, NEW ~ORK 10038 THIS CERTIFIES THAT ~ o~dy the electrical equipment as described below end interlaced by t~appliceDt na~d~n the ab~p ~pllcat, i~ ~q~e~ in ~{~e~remises of in the following location; ~ Basement ~ ,st Ft. ~ 2nd Fl. Sect~n Block Lot was exatnlned on A~ ~ ~ ~ l~ and found to be ~n con~plia~tce with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 7 10 6 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS I~IMEjCLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF SEET SERVICE DISCONNECT OTHER APPARATUS S E R NO OF CC COND PER ~ OF CC COND V I C NO OF HI-LEG AWG OE HI LEG E iOOF NEUTRALS AWG OF NEUTRAL 445 This certificate must not be (dtered in any m~er return to the office of the Board copy may be~ identified by their credpnhals jN ANY MANNER. // 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 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 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- ti on requ ired 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 ....... New Building :,~-.~f~. ~.~OId or Pre-ex~st~ng Budding(X) ........ =/Vacant Land ............ House No. Street Ham/et Owner or Owners of Property ...~..~...~?~[~,~ .................................. County Tax Map No. 1000 Section .... /'~..5.-~. ...... Block .,./'. .......... Lot.. ;~.~. ........... Subdivision ................................. Filed M~p No ........... Lot No .............. ~, A,./~ Permit No. Date of Permit/. ~.,~z ¢'.~' ~. ~.Applicant .~~ .............. ~ .... ~ Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~riters Approva~ ~7. 5- ~ ~ // .~. . .'. , .Planning Board Approval ...... ~ Request for Temporary Certificate ..................... Final Certificate ....... .- ......... - ee buumltted ~.: .......... Y ................ ~~~ ~ ~ V~t/~ ~ ~/~ Construction on above described building and permi, mee,, all ap~d;;a:~:eg;,ati°ns' ' ~,% ~ -~ ~ ~ CON~ENTS FIELD INSPECT!ON ~ ..... FOUWDAT~0~ (~st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Approved ..... 190.~.('). Permit No./(2]' Disapproved a/c ~ . ......... [nspe.ctor) APPLICATION FOR BUILDING PERMIT Date ................. , 19... INSTRUCTIONS a. This application must be complete, ly filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plan~s, iccur'ate 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 fifis 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 regulatmns, a~d to admit authorized inspectors on premises and in buildings for necessary inspections. · R,.J.. Bang. Estate .......................... (Signature of applicant, or name, if a corporation) · ~e. eenp~vt,. N,Y ............................ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... QwTter ................................................................................. Name of owner of premises ... P o. X.. Bang. Eatate .................................................. (as on the 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 .... 3.~ .................... Plumber's License No ......................... Electrician's License No, ...b,(..,* .-:.,t. ~.,-i ..... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. f~.'J o?~. ~.~- North Road, Greenport, New York House Number Street Hamlet County Tax Map No. 1000 Section ../45 .............. 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 occtlpl~ncy ................... ~12}well~l"lg ........................................ ~'&t~(~ ~ o t~JL-c4 ...... b. Intended use and occupancy ~.~?.../.'~.d.,. d~elltng...-' ....................... [ ............. 3. Nature of work (check which applicah'le) New Building .......... AdditionS. h.P..1,l', ?.d..d:i~i~teq~tion .......... Repair Removal ~ Demolition Other Work ,[ (Description) 4. Estimated Cost .... $1~50.0,00. ' .......... Fee .... $'15.o.00 ........................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ,' ............... Number of dwelling units on each floor ................ If garage, number of ears .......... . ............................................................... 6. If business, commercial or mixed occ~upancy, specify nature and extent of each li¥¢e of use ..................... 7. Dnnenslons of exxstmg structures, if 0ny: Front..~.~,,~.6. ?.2./4. .... Rear .2.2...t5..x. 2..tt. .... Depth. ¢.2..6. ......... Height 2/I,~.6t* ......... Number 6f Stories ..... ~, .................................................. Dimensions of same structure with alterations or additions: Front .. a&~ ............ Rear , -/*9 ! ............. ! ff Depth ... 22 ! 6!' ............. Height .,. 2./*..6 .............. Number of Stories .a ......... , .......... 8, Dimensions of entire new constructi6n: Front .. 2,5 ! ......... Rear ... 25.' ......... Depth .. I,Lt ~. ......... Height . J-.hi .......... Number 9f Stories ............. ~ ..................... g .................... 9. Size oflot: Front .~.89 ......... ,: ........ Rear ...... ./4~.7. ........... Depth ..~0. .......... I0. Date of Purchase ............................ 2,Name of Former Owner ............................. 11. Zone or use district in which premises are situated..~..i. .............................................. 12. Does proposed construction violate ~ny zoning law, ordinance or regulation: ..... fao ......................... 13. Will lot be regraded .......... nO ............... Will excess fill be removed from premises: _Yes No 14, Name of Owner of premises po,,l.,..,~artg .Ig$'l;t~e. Address . Gl?eertl~ole~;,. iqoY,Phone No. 677..2255, ..... Name of Architect ' Address Phone No PLOT DIAGRAM Locate clearly and distinctly all bdildings, whether existing or proposed, and, indicate all set-back dimensions from property lines.. Give street and block nu nber or description according to deed, and show street names and indicate whether interior or corner lot. COUNTY OF .. S.S .................. being duly sworn, deposes and says that is the applicant above named. He is the ..................... ~ ...... .-,,% ............. .~_-z.: _.,._~_. _. .... -.-.~ · .~ .............. of said owner or owners, and is[dul~ au_th~erf0rm or have/performed the said work and to make and file this application; that all statements c~atained inI thi~ application am true/to the best of his knowledge and 5elief; and that the work will be performed in the manner set fo~.~th in the a~l~pl, l~iic~¢.n., fil~le~ therewith. Sworn to before me this ~ t ~' ~' Nota_ry~,Publ?, ............. ; .... County ,~ ~ ~ ~ j~ h ~ (Signature ofapplicant)~ ' i~OTARY PUBLIC, store ~f ilO/ ~r~~,~ v~ Ilo. ,52.8125850, Suffolk