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Home My WebLink About10727-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATION DATED: 9/3/81 Temporary C.O. #Z10657 No. Z16477 Date December 15, 1987 THIS CERTIFIES that tire building ..... .0 p.e...f .a Mi. 1..y..d.w.e..1.1 .i.n.g.: ................... Location of Property 280 Fawn Lane, Cutchogue County Tax Map No. 1000 Section ...... I. Q .3...Block ....0.4 .......... Lot 0 27 Subdivision .Mpqs. e...C.o.v.e. ................ Filed Map No. 3..2.3.0 .... Lot No...4.9. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated J u n e 12, 19 80 pursuant to which Building Permit No. 10 72 7 Z dated ...J.u.n..e..1.2. ,...1.9.8. Y. .......... 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 ......... One family dwelling, attached garage. The certificate is issued to .. PETER & NANCY KREPPE IN ................... /o¥.'o;, 'l Iislff g.4t/ k'X' .................. of the aforesaid building. Suffolk County Department of Health Approval ....... 9. :-.S.O.-: 6..1..A.q g:.. 1.9., 1981 UNDERWRITERS CERTIFICATE NO ............... ~j~.3.2.7.7..2..&u.g:..2.5., 1981 N/A / ~ilding Inspector Rev. 1/81 rol~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTI-~ORIZED) N? 10727 Z Permission is hereby granted to: ...... Zz,.>.z/,.>,~....~ .,.~c~.,:.:. ......... ~:~..../~.~. .............. ....... .'-/..,~ c~ c. ~ ~ ~,~ ..F..,,~ z .4 ~,_~Z/.x~ ....... to ....~..~..5.. .............................. .~/ ....... ...... ~.z..c_ ............ ~.,r.c .... ~..,,~c~.....~d-~.e~.~.~.~-s../.. ..................... · - at premises located at ..~.~..~. ........ ~t'.~... ................. -~ ........ :..::.:: ........................................... ~ .................... pursuant to application dated .~.....~ ................... 1~., and approved by the Building Inspector. Fee $,~.... ,~.. ............ ' B'u~qding Inspector ...... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. TEMPORARY Certificate O[ Occupancy No...g ] 0.6.57. ........ Date ..... ~.e.p.t,.e.nll~ol~..3. .............. , ]831 .... THIS CERTIFIES that the bu,lding ................................................ Location of Property ...2.8.0..~ .a.w.n..L..a.n.e., ......... .C.u.t.c..hg.g.u.e' ~..~.e.~. ~.o.e.k. ............. House No. Street Hamlet County Tax Map No. 1000 Section ., 1. 9.3 ....... Block ,, ,Q.6 .......... Lot . .Off.'( ............ Subdivision .1~99.a.e. .C. 9y.e ................... Filed Map No. 3.2.3..0 .... Lot No...6.9 .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... 4g.n.e.. 1 .2 ........ , 19.8. O pursuant to which Building Permit No .... .1.0.7..2.'/..~. ......... dated .. J.u, no..12. ................. 1~.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 ......... ................ P..e..5. y.a.~.e...O.n.e...~g.m.~ l.. y..D?.o..1.1.i.qg ................................ The certificate is issued to .... ['.e.~ .z'..a. zlQ.. I,l.a. qc. y..K.~.e, pp.e.l,n. ~. ......................... of the aforesaid building. Snffolk County Department of Health Approval ..... .~.u.~:..1.9./.8..1 ~..9.-..S .0.6.1. ~...~.o.~.o.r.~..&:..vx ll a PE UNDERWRITER8 CERTIFICATE NO ..... l~II.d.J,r~g ..................................... Rev. 1/81 TOWN OF $OUTHOLD Building Deportment Town Cierk~ Office Southold, N. Yo 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in tm~1.i~te 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 buddings 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. 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 $I.00 ~____~_ V// Dote ......................................... .~.... New Building .................... O~d or Pre-existing Building ............................ Vacant Land ............................ Location Of Property ~ ~ ~ ¢,i ' .................. Subdivision .... ...~... ....... ~..~: ................. : ................... Lot No.....~.:~... Block No ............. House ,o ............. / o/~Z ~bate Of Perm t ~''/~I.~z .~.?. App cant · ............................................ Health Dept. Approval ............................................ Labor Dept. Approval .......................................... Underwriters Approval ........................................... :~.Plannin§ Board Approval ............................ ~..~ ....... Re uest For Tempora Certificate / Final Certificate ..................... ' ........... C°nstructi°n °n °b°ve describ/~d ;u~ing and P~..~I ~ ~,~0~9u|ati°ns' ~J~~z' ~ Sworn to before me this ................ day of ............................................ (stomp or seal) Notory Public .................................... County FIELD INSPECTION FOUNDATION (lsd) FOUNDATION (2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION PER N.Y. STATE ENERGY co~ FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF F/RE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEIN yORK 10038 Date Application No. o,, file 090033'8~ N ~ THIS CERTIFIES THAT in the /ollowing Ioca~el~jt ~9~qsetl~ [] /st FI. [] 2nd FI. Section Block and found to be in compliance with the reqttirements of this Board. Lot FIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS FANS OUTLETS DRYERS FURNACE MOTORS SPECIAL EEC'PT TiME ~LOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SERVICE DISCONNECT S E R :V I C OTHER ~PPARATUS NO OF CC COND A W~ NO O~ HI LEG AWG OF HI LEG E Lic: 96~E This certificate must not be altered in any ~manner, return to the office Of the Board If be AWG OF NEUTRAL copy FOR BU~LDmNG THINS COpl~ BUILDING DEPT. INSPECTION ~~] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~/~NAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned '"-' ...... .......... App',cot,on ........... Appraved ............ ......... , ':',,rm,t ..... Disapproved o/c ................................ :,...~:,~:..~ ........... ~ ...................... .............. (B uildingL,fnspector) APPLICATION FOR BUILDING PERMIT Dote ............................................... , ] 9.:.-...z .... INSTRUCTIONS a This application must be completely filled in by typewriter or' ~n in.k end submitted in triplicate fo the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing Iocahon of lot and of buddings on prermses, relationship to adjoining premises or public streets oF areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of th~s 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 wdl 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 regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. (S,gnatur~ of,~l~l,c~t', or name, if a corporation) (Address 6f app[ican~ ~ f¢t 5 .~ ' State whether applicant is owner, les~e, agent, grchifect, engineer, general contractor, electrician plumber or builder Name of owner of premises ................................................... ~. .............. ,~..;~.'.....:...~, If applicant is a corporate, signolure of duly authorized officer. (Name and title of corporate officer) Builder's License No ........... ~.; ....................................... Plumber's bcense No ..... /..(,). ...... ~.. Electrician's License No. lc ~ Other Trade's License No. .............................................. 1. Location of land on which proposed work...~ill be don~. Map No t'/~,: ..Ot.~.~.~:..~:'.~:.: Lot No .~.Z/..~.i ............... Street and Number .....~...~...0.. ............ , / x Municipality 2 Stale exisiing use end occupancy of prern~_~nd in',en~d occSpancy of proposed construction: a Ex's't'ng use an~ occupancy ~ ..~.....C.~/~.~,:?:i ..... , , b nt.nded use ona occupancyl e L "~z-~'~/:'/.'/.~. ............ ~'~"~'"'~:';';*:~::"'"::~ ....................................... 3. Nature of work (check which lappl cable): New Building ......... Addition .................. Alteration ................ Repair .................. Removal' , .................. Demolihon .................... Other Work ................................................... 4. Estimated Cost ~ ~)P~P-~' . Fee ..................................................................................... ....... ~' ............. ; ..................................... (to be paid on filing this apphcet,on) 5. If dwelling, number of dwellihg units ............................ Number of dwelling units on each floor ............................ If garage, number of cars ..... J ...................................................................................................................................... 6. If basiness, commercial or mixed occupancy, specify nature and extent of each type of use .......... '~...i'..'. .......... 7. Dimensions of ex~stmg structu[es, ~f any: Front ............................ Rear ................................ Depth .................... Height ........................ Number of Stories ................................................................................................................ Dimensions of same structure,i with alterations ar additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ........ ;: ...................... 8. Dimensions of entire new construction: Front ....... ~A .................... Rear ..... ' of' · Front /~' ' /Rear /~ 9r Stze lot. ......... f..,~.~ .................................. .......................................... Depth ................................ 10. Date of Purchase ................. + ...................................... N~me of Former Owner ........................................................ 11. Zone or use al,err, ct in which ~rem,ses ore ,,,uated .........~ ............. .~.~ 12. Does proposed construct,on vi?ate any zoning law, ord,nance or regulation: ....... ~.~.~ ............... ~ ............... 13. ~ill lot be regraded' . .............. ] ............. Will excess fil~ be removed from premises: ( ) Yes ( ~ No p r e mises ~. ~¢ ~ ..~ ..,i 14. Name of Owner of Address ~..~ff.¢..Z.l~;,....... Phone No ....................... Name of Architect ............... J ............................................... Address ................................ Phone No ....................... PLOT DIAG~M ~ Locate clearly and distinctly all buildings, whether exmsting or proposed, and indicate all set-~ck dimensions from property lines. Give street and bl~ck number or description according to de~, and show street names and Jnd cate whether interior or corner lot. , ~, =, t'~ ., STATE OF~EW ~//~ [~c ¢ ,~~....,.~). ,.'~~: ................ being duly sworn deposes and says that he is the apphcanl i (Contractor, ~gent, corporate officer, etc.) of said owner or owners, and is daly authorized to perform or have performed the said work and to make end file this application; that all statements contained in thb appliCafio'n are true to the best of his knowledge and belief; and tha~ the work will be performed in {he manner set fo~h in the application filed therewith. Sworn to before me this ~ ...... NOTARY pUBLIC,State of New Yo~ No. 52.~i25850, Suffolk CD~ Term Expires March 30, ]9~~ ZU..O ,9> z~ C~ 0 CO