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Home My WebLink About10738-z l~Ol~ NO. ~ TOWN OF SOUTHOLO 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 AUTHORIZED) No. 10738 Z Permission ~s hereby granted to: ~.~ -- ........ ~.~.~./....~....~.~..~..~ ..~.c_ .... ................ (Z~. ~ .~z...L'C.o..~-.......~...,~...~.....,~ ~..~ ~r~.z.~L../.~.~z ~ .......... at premises located at ..~....~...~.....~....?.......~...~.?......~.~.~.~.~'~..~...~--~.,./. .................................... Building Inspector. E[uilding Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildln§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Zll09L ........ Date . ·. 20. Ju~y ...................... ,19 .82. TtIIS CERTIFIES that the building ................................................ Locat,on of Property .. ~-4~$. Hi ~- ~-. C reek. DriYe,. Sou ~ho ;d .............................. House No. Street Hamlet County Tax Map No. 1000 Section . .. 5~- ....... Block ... 6 ........... Lot .. 29 ............. Subdivision ............................ Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........... June. 1.2..., 19.80 pursuant to which Building Permit No. ~-O?3f~ ................ dated .. 3une 18 ................... 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 ......... ·.. C o~ts ~:ru¢ t. O~e. Fatal ky. Dwe 1. Ling ................................................ The certificate is issued to . Lionel. A.. Ridgwe l l,. Joseph. D.. Monaco. &. John· Hanshe ........ (owner, lessee or tenant) of the aforesatd building. Suffolk County Department of Health Approval .. ~0r $9r.4}. 6/7/.82. l~9bcx.~. A,. ¥~_.l.t.a ......... UNDERWRITERS CERTIFICATE NO .... [q56.4733 ....................................... ::/' , -//./ Building Inspector Rev. 1/81 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 w~th the following; for new buildings or new use: 1. Final survey of property with accurate Jocation 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 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 inspectio,.n of buddings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1, Certificate of occupancy SB.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .. '7"¢.'. New Building .... ~ ...... Old or Pre-existing Building(Z) ....... =/Vacant Land i ........... Locatmn of Property .., ..................................... ~ ......... - ...... Hou~ No. Street Ham/et Owner or Owners of Property .~.~.~O /...~(~,~ ~..~ ..... ~.~ ............... County Tax Map No. 1000 Section ... 5J Block C Lot. ~ Subdiwsion ................................. Filed Map No ........... Lot No .............. PermitNo. /0 73~'Z~DateofPermit b'/~-~O Aoplicant ...~..D.&.~.C,H ~ ~'~0/V/~C0, ,~ .................. ....................... /: Health Dept. Approval..t~i~../.~ :~ .O../~,/.,, .Labor Dept. Approval ......................... Underwriters Approval.. ~.(¢. ~ ?, .~..~. .......... Planning Board Approval .................. ~,.~ Request for Temporary Certificate ..................... Final Certificate .... 7.~?. :.~.2 . . .* Fee Submitted $ ............................. Construction on above described building and p~.irmeets all app~ca, Iple_,code, saand regulations. ~/'/C/1L'- ¢~ * ~ Applicant ..... ..~.~.~ ._.~., .~...... ,,~./!:, ~/~.~ ............... "".'°.'0'. 3 2.0 THE NEW YORK BOARD OF FIiRE UNDERWRITERS BUREAU OF ELECTRIC~IT~ as JOHN STREET, NEW YORK NIEW ¥~ORK 1OO3~ THIS CERTIFIES THAT only the electrical equlpo~ent as described below and introduc~ by the oppllcant ~am~d on the abode application number in the premises of in tke followlng ~oca~ion; ~ Basement ~ ~st FL ~ 2nd ~]. Section Block Lot and lound to FIXTURE FIXTURES RANGES OVENS FANS OUTLETS FLUORESCENT VAPOR 19 19 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS UNIT HEATERS MULTI-OUTLET SYSTEMS NO OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS. Mo~or~ l-F, 1-G.~.£. l-Sn~ke De~ec~or s t R ',v ~ OF CC COND NO OF HI-LEG 2/0 C E 7 W. Nor~6Zk'Dri~, ~;l~vJ~, N.Y. 11003 This certificate must not be altered in office of th ~ Board if i 11 redenhals. return THIS ANY MANNER. FIELd, INSPECTION COUNTS FOUNDATION ( 1 s't ) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL N~WYORK 51Alt DEF'AR]M£N[ Ol ENVIRONM£NTAI (ONSEgVATION PER /IlT PtRMIT ISSUED TO 25 ]~eS~ol~z rz~d, Shoreh~a, NY 11786 LOCA]ION OF PROJECT (Section of stlea~b Iida] wetland, dam, budding) ~a sh~t~0n(~e DESCRIPTION OF PROJECT Construct one fan~L1y~c,~'~_l]~j~3g__a!~_d_two_c~s~=r_~as F~r~ sougz,~st j~tersection of Mill CTeek Dr. and Meadow Lane, COMMUNITY NAME (City, Town, Village) J TOWN GENI~RAL CONDITIONS 1, The permlttee shall file in the otflce of the appropriate Regional hours in advance of the time of commencement and shall also notify hJm promptly in wrflmg of lhe complehon of the work. 2. The permitted work shall be sublect ~o mspechon by an authorized cepJed expressly, by the execullon of the apphcahon, the full legal respo~- 4. Any material dredged In Ibe prosecution of the work hereto permitted shall be removed evenly, wfthout leaving large refuse plies, ridges across the bed ol the waterway or flood plato or deep boles that may have a tendency to 5. Any material to be deposited or dumped under this permit, eflher m the waterway o~ on shore above high-water mark, shah be deposited or dumped 8. That t'he State of New York shall m no case be Imble for any damage or injury to the slructure or work herein authorized which may be caused by or result from future operabons undertaken by the State for the coaservahon o~ compensahon shall accrue from any such damage. 9. That if the display of lights and signals on any work hereby auti~o, zed Is not otherwise prowded for by law, such hghts a,d s~§nals as may be pre- scribed by the Umted 5~ates Coast Guard shall be installed and mamtamed by and ac the expense of Jbe owner. 10. MI work car.~ out ~der this permit shall be performed m accor- 11. If ffranted und~ Articles 24 or 25, ~he Department reserves the ngbt to reconsider this approval at any hme and after due nohce and hearmg to be Just and equitable. If upon the explrahon or revocation of this permit, th~ m~ffication of the wetland hereby authorized has not been completed, the applicant shall, wlthom expense to the S~ate, and to sucb extent and m such ~emove all or any ~rtlo~ of the uncompleled s~ructure or fill and restore the s~te to ~ts former condition. No claim shall be made against the State of New 12. Th~s permit shall not be construed as conveym~ to the appbcant any .ght to t~espasS upon t~ lands or interfere w~th Hie riparian rights of othecs Io perform lhe permitted work 0r as authortzmg the impairment of any uEht% party lo the permfl. provals, lands, ease~nts and rights-o~-way which may be reqmred for th~s project. 14. If granted under AtHcle 36, this permit ~s granted solely on the bas~s Part 500 of 6 NYCRR (Construc,on m Flood Ham Areas hav~n~ S~cml Flood Hazards - Building Permits) and in no way s~gnlfies that the pro~ect wtll be free from floodms. 15. By acceptance of this permn the permmee agrees that the perm~ L~w Fz~forc~ant Az~ (k~rps of Engineers 16. 17. Applicant shall t~ /.i~ble for ~a~y dall~qe %o adjacenL watez~cay resulting from any phase of ~J~e permittc~l cor~tructio~. ~No fill shall be placed with:in 20' of the wmtlandr fill place(2 ]anckvard of %his llne s~u~t] have a slop~ of at ].eas~ l on 3 ~3]a~'.q said bu~'fe3~, TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 NoYember 6, 1981 TEL. 765-1802 L. Ridgwell 7 W. Norfolk Drive, Elmont, New York 11003 Dear Mr. Ridgwell: Your Building Permit 10738 Z has been extended to June 18, 1982. The work must be completed and Certificate of Oocupancy this permit will expire and issued before this date. If not, a new permit will be required. GHF:Jd Yours truly, GEORGE H. FISHER SR. BUILDING INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 :..., ... ~ .... .:.., ....... ~ .......... . / APPLICATION FOR BUILDING PERMIT Application No ................ 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 mus~ be drawn on tl~e 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 wilt 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~in~ections. ~ .. .... ,,/(Signature of applicant, or name, if a coj, Colation) .. ~::. . .?~.~?. :>.& ~. ~.. . .:.~?~.':4.~ .//. ~ .:.. /(Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ~ .~...-:~..~..~..'.~...:..~..~.?~*..~..: ......................................... . .......... Nme of owner of premisesr.~... ~::A~::e~..~ ~~. ). :..:::~~--~P ...... ~ (as on the tax'roll or l~t deed) / If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........................ Plumber's License No .... ',~..~-'~..~. ?. ............ Electrician's License No...c~...~2..,:.~.. ?.-. &'- ...... Other Trade's License No ...................... 1. Location of Iand on which proposed work will be done ........... . ....................................... ~ ~¢~.qC. ........ /..~.:~..Z...q.~Zx:...~,e. ,~,:, q.~.~..o?.X ............................ House Number Street Hamlet County Tax Map No. 1000 Section ....~. ~.5'.-./. ......... Block .... ~. ............ Lot .... ~,...cfi. ........... Subdivision ................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... .~../q..C?. ?...T...~.~:O. i~. .................................... b. Intended use and occupancy ...... O 6,9. ~.../~.-.-?./.Q ~..~.f....~..~.M. ~ .~.C.-.t. ~..~'.~.: ................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remoyai .............. Demolition ............... ~ Other Work ............... (Description) 4. Estimated Cost . .~..~..~y. ~. cp..O. ....................... Fee ... ~..'~.. ~e~. ............ , ............. ~ ~ (to be paid on filing this application) 5. If' dwelhng, number of dwelling 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 structure~, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions Front ................. Rear .................. Depth ..... : Height .................. Number of Stories ...... Or ,40' ' 8. Dimensions of entire new construction: Front ...,~ ........... Rear ............... Depth .~.~. ........... Height ~- ' Number of Stories . ~-. 9. Size of lot: Front .L~.,.8~...: ........... Rear . . ~, [.7, 7.~. .......... Depth .. ~, .7..4.°.0.9. .......... 10. Date of Purchase . . .'~..-.~'../. 7 i.~?.o. .............. Name of Former Owner~/'/).~.r. ~,(Y/4.~!~../fl..~.(..2,)q.. ~.~.~.~ .~ 11. Zone or use district in which pre~mses are situated ..................................................... 12. Does proposed construction vinlate any zoning law, ordinance or regulation: ...~.O. ......................... 13. Will lot be regraded .... /~. 9.. ! .................. Will excess fill be rem~oved from premises:. ~ No Name of Contractor . Address Phone No I ~ 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 rmmber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNVY or i' - ............ .,~. fl.$..~. ~../~.:../.~. ?. <ffw..C..o...~.q~. ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......... o...~.q./?..c~../~...! .................................................................. ! (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; fhat all statements contaiged in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ~et forth m the application filed therewith. Sworn to before me this i ....... /.' ............... day of.~ ........ ,1 .~.. Notary Public, .//'/~~//~R~e¢ ............ ~~... County~ No, 30-6133820 ~Z~ o