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Home My WebLink About10684-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, CERTIFICATE OF OCCUPANCY No: Z-10262 Date: 08/27/10 THIS u~KTIFIB$ that the building ACCESSORY Location of Property: 1450 HORTON LJk SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 1 Lot 12.1 subdivision Filed Map No. __ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1980 pursuant to which Building Permit No. 10684-Z dated MAY 20, 1980 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 GARAGE ACCESSORY STRUCTURE (CORRECTED 8/27/10 FOR LOT NUMBER CHANGE ONLY) The certificate is issued to JEROME HACKERT of the aforesaid building. ( OWNER ) COUNTY DEPARTMENT OF H]9~LTH APPROVAL EY.RL-i-KICAL u~aTIFICATE N0. I~LO}~3ERS C~.KTIFICATION DA'i'~3 N/A N/A Rev. 1/81 ~ For new b~ or new use: - 3. ~pm~ ofel~ ~fion'~ Bo~ of F~ Unrests. 2. A pmp~[y ~let~ apportion ~d ~ent to i~t si~ b~ ~e ~p~t. If a ~fi~c of O~p~cy is de~ ~e B~ld~g ~tor sh~l s~ ~c ~o~ ~emfor in writing to the appli~nt.' C. F~ I. Centime of O~cy - New dwel~ $25.00, A~tio~ to dwe~g $25.~, ~t~io~ to dwell~ $2~.~, SwimmtuE p~l $25.~, A~so~ b~fl~ng $25.~, Addifiom w a~s~ build~g ~25.00, B~ $50.~. 2. ~i~e of O~p~cyon.Prc~xisfiag Building - $100.~ 3. · Copy 0i~fi~te ofO~up~cy - $.25 Up~ Ce~te ofO~p~cy - $50.00 .Tempo~ ~fi~te.of O~up~cy - Resident~l $15.00, Co~cwial $15.00 ~Xew Gofistmction: Old or Pre-eXisting Building: H°use No. " " Date. Subdivision Pe~rmi.t No.' I~q./ Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ , C~ ~ Dat~'6f PermiL (check One) Filed Map.. .' UnderwriterS Approval:,' Final Certificate: //~ kon¢) pp 'ca~t Signature Lot: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. 2 '~0~°62 Date November 19, ., 19 THIS CERTIFIES that the budding ................................................ 1450 Hortons L~ne, Southold, Location of Property ......................................................... House No. 6 County Tax Map No. 1000 Sec%ion . . .; ........ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Applicatton for Building Permit heretofore filed tn this office dated Msy I 3, 80 1068t4 Z .................. , 19... pursuant to which Building Permit No ...................... dated May ?0 80 ............................ 19..., 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 ......... Garage ~ccessory Structure Jerome H~ckert The certificate is issued to ........... . .......... [o~,n'o'r,'~ ................... of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO..N... ..................................... Rev 4/79 FOEM /90. 2 TOWbl OF SOUTHOLD BUILDIHG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, Iq. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10684 Z Permission is hereby granted to: ......... [/~. = r~/~ . . ~. . /~ /:. ~ ~. ~. ,'. . i .... ........... .C~,.,~o.~.=.~....~..~ ......... .......... ~ ........... ~.~.~..../.,~..~./.~.~... ................. '... .......................................... at ~re~,ses ,o=oted o, .../...~ .......... ~..~Z-.~.~..~.....~.~.,C~.. ......................................... ~***~,~*:[/./,.~,. --~.. , pursuant to application doted ...~'+//~..,~. ......... ~--.*.~... ................ , ~9~,d, and approved by the Building Inspector. Fee $../~........~.. ..... FORM NO. 6 TOWN OF SOUTHOLD , Building Department Town Clerks Office Southold, N. Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This applicohon must be filled ~n typewriter OR ~nk, and submitted in DUPLICATE to the Building Inspector w~th 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), Nan-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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. Dote of any housing code or safety inspection of buildings or premises, or other pertinent formation required to prepare o 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 Building ......~ .....Addition ................ Old or Pre-existing Building ................ Vacant Land .............. Subdivision ........... ~ ................................................ Lot No....,.'~,..,., Block No..,.~ ........ House Pe rmit No./...0....~...~..~.'..ZDate Of Permit~ pplicant ~~...~~: ............. Health Dept. Approval ................ :~ ....................... ~bor ~t. Approval ............ ~ .................................. Underwriters Approval .............. ~ ............................ Planning B~rd Approval ........................................ Request For Tomporor~ Ce~ffic~te ........................................ Final Certificoto ...~ ............. Co~tr~ctl~ ~ ~ov~ ~e~cri~e~ ~i~ing ~p~it meets ~lJ applicable c~es ~ re~l~tio~. Sworn ~o ~efore me t~is ................ ~ay of ............................................ (sr~m~ or seal) n ~ ~ ~ AM TO ~ P,M FOR FOq PCU~zO CONCRST~ c , ,~ p~UN ~NG 2. ROUG~ ' ' RAM,~N~ & 3 .... u-~' ,%~,~, ~-VgN MuST 4. FINAL - ~wx: BE C3~,~LETF FOR C O. ALL CONSTRUCTION Su~LL MEET ~HE REOUiR~M~NTS OF THE N. ~TATE CONSTR~ ION & [,qE~,G, CODES. NOT RESPONSIBLE FOR D~tGN O~ CONSTRUCTION ERRORS. _ ,? NEW;~YORK-~ BOARD OFw FIR ?; ~.-~- ~ ' ; 85 JOHN STREET, NEW YORK NEW YORK -' ? November 6. 1980~. , i.~.a~t,o.~o o~nt~ 097711~ ~THIS CERTIFIES THAT~ ~' . < ~ , ~- -, ~, . ,=, ':~:~:: ~ .:~.:~0m~rt,e/s Hort~:,1200. s/o Rte.27:A~Sou~old,N.Y.: Th~s cerhflcQfe must not be eltered in ony m~nneri return to the off~ce of the~ So. rd [{ incorrect J~spedors m~y be idenhfied by lhe~r C 0M?iE~TS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY COpE 4. FINAL ADDITIONAL COMMENTS,: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOI.D, N. Y. £×om,ned .......... , ApproYed ..~....~..~/...~.~...~.~. .......... , 19~. PermltNo./~ ~..~ ............ ..... ......................... ....................... ......... ............................... Application No..~.~. ~//....(~....~.. ............. 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, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing location of Eot and of buildings on premises, relabonsh~p to adjoining premises or public streets o~ areas, and giving o detailed description of layout of property must be drown on the diagram which is part of this appiication. 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 ~ermit 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 o Certificate of Occupbncy' 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 regulations, and to admit authorized inspectors on premises and in, buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (Ad~ress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generaJ contractor, electrician, pJumber or budder. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ .~......~.....~...~. ............................ Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... Location of land on which proposed work will be done. Map No.:~.....~.. Lot No ......................... Street and Number .... ~~....~....~.....~.~..~.:'~'~ ............................................. / ~0 Municipali~ State existing use and occupancy of premises and infended use and occupancy of proposed construction: a Exisiting use and occupancy ...................................... ~. ...................................................... b. Intended use and occupancy ...... ~.~ ......... 3. Nature of work (check which,applicable): New Budding ...... )~. ........ Addition .................. Alteration ............... Repair .................. Removal .................. Demolition .................... Other Work .................................................. (Description)' ' 4. Estimated Cost .... ../..JJ..~.:.'.'.~, .................................. Fee ........... ~Lc~..c°~... .............................................................. (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 rmxed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front .........~-, ............ Rear .,~' ........................ Depth .,'~. ........... Height ........ .../~,...~ ....... Number of Stories ..............~.....~ .............................................................................. Dimensions of same structure' with alterations or additions: Front ............ .~. ...................... Rear ......................... pth Hight De - e ............................ Number of Stories 8. Dimensions of entire new coqstruction: Front ....... .~..(~...., ................ Rear ........ ~...(~. ............ Depth .,+...~.. ............... Height ...... L~T, ........ Number of Stories ........ ~...-~. ........................................................................................... 9..S. ize of lot: Front ...... .J...~.~.,,...~...~. ............................. Rear ...... ~.~,~.'/ .......................... ,~,~ _ __,G.~ ~ ,Depth .~.~..~.. .................... 10. Date of Purchase ..,~..en~,..-..../..~..,,e¢~ ......................... Name of Former Owner (,~J~.~J-4~...Ir:~.'.~ ........ or used~stnct mwh~chprem~sesares~tuated...~,..~.:-...~............... ,:....%...~ ................................ 1 1. Zone 12 Does proposed construction violate any zoning law, ordinance orts ,_rgegulation: .~..7 ............................................. 13. Will lot be regraded ...... ~....~.\ ........... Will excess fill be removed from ~(.~) Yes (~-) No 14. Name of Owner of premises~-J.~./.'~ ................ Address ..~.~.~hone No. Name of Architect ............................................................. Address ................................ Phon~ No ....................... Name of Contractor (,~.~.....L~ .................... Address~t'~,~,:..~...l.~.:~.,. Phone No. PLOT DIAGRAM Locat~ clearly and distinctly all buildings, whether existing or proposed, and indicate ail set-back dimensions frorn property lines, give street and bldck number or description according to deed, and show street names and indicate whether interior or corner lot COUNTY 0~~¢~-~.'.. f, ..................................................... , .................. ~ ........................ b~mg duly sworn, deposes ,qnd says that ho is the apphc~m (Name of individual signing contract) above named. He is the ................................................................................................................................................................................ (Contractor, agent;, corporate qf~icer etc.) of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and fde 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 fo~h in the application filed therewith. Sworn to b~o~ me this ~ ........... ....... ......... , Y /t /Z n Notary Public, ..~.~.~~ ....... ~..~~...: ................ ~/ ~ // ~gna~ure or appucan~/ v ..~ JUDITH T TE~ ~lJJl~ ~plres :March 80~ 19