The URL can be used to link to this page

Home My WebLink About11484-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12581 Date June 29 .................................................. 1984. THIS CERTIFIES that the building ...... ~.ew. d~.~l ] .i~.g ........................... 1725 Anchor Lane Southold Location of Property ....................................................... House No. . Street Ham/of County Tax Map No. 1000 Section 079 .Block 04 .Lot 007 Subdivision Harbor Lights Estates .Filed Map No. 4362 .Lot No. 12 conforms substantially to the Application for Building Permit heretofore filed in this office dated November 18 19 81pursuant to which Building Permit No. 114.84Z dated ...................December 1 ...... ...19...81,wasissued, and conforms to all ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... new one-fami.l~ dwelling. The certificate is issued to RUTH H E I DTMANN (owner, ~ ........ ,'~,,) of the aforesaid building. Suffolk County Department of Health Approval ................ .1.1.-.S. 0. 7.1.1.7. ............... UNDERWRITERS CERTIFICATE NO ......... i ~.6 4 7 5 3 7 ........ Building Inspector Rev. 1/81 FO~M NO, 2 [ , T TOW~ 0~ S~, HO~ BUILDING Di~P,~RT/~! TOWN HALL SOUTH*OLD, N~ Y. BUILDING PERM. IT', (THIS PERMIT MUST BE KEPT ON THE PRE, ISleS UNTIL EULL COMPLETION OF THE WORK AUTHOR:I7ED) . N? 11484 Z Per~issio~ ls hereby granted to: ...... ....... ~.~&.....~...: ........ ,o~..,~.~:~-.*~....~"..~.~.c?:.~/~;,~ ::~ .~ ~; .......................... ...... ~ ................................................ ~ ............................. ~'~ ........ ?"'?"¢ ........ ?i ........ ' .......................... ~ ~;,~,~" ,o~o~ o~:~z.z~......~~.;..~,~ ...... :.....~ .......................... ~-~x.~...~..F~.~....~.~ ....... ) *~.-*~"~ f~' · * "~' ......... r~"*r'~ .......... .,,;~;~.* f~ *.nli~ntinn dated . J~ ' : ~ ,. 19 and approved by the Building I~spector. ~ ~U~g~l~to~ Rev. 6/30/,80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~Jouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitte~F,~c;tc 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--(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. Su bm it P lan ning Boa rd approval of comp leted site p lan requirements where app l icable. 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- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building .../~. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property. !.?..~..~.... ~..~....~.. ........... ~ ~ ~ ...... House No. Street Ham/et Owner or Owners of Property .~..-- ~.~=~1~....'~ ~ .................... County Tax Map No. 1000 Section ~.~.~ ...... Block ...q. ~ ........ Lot...~. ~. ~ ...... Subdivision.~~.~..~..Filed MaPNo. ~.~.LotNo, .~. Permit No.~. ~ ~ .~.. Date of Permit '~ 1' ./~ [ . .Applicant Health Dept. Approval ........................ Labor Dept, Approval ........................ Unde~riters App~ova.l~;.~ ~.2.7...... Planning Board Approval .... ~'. .......... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ~ ~. :.~ ~j~-~ .... Construction on above described building and permit meets all applicable co, Applicant ' '~'~'~' THE NEW YORK BOARD OF FIRE UNDERWRITERS N 647537 Mr. Her~ Heidg~n, ~xc~ ~e, ~ut~ld, N.Y. 37 ~ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT 55 38 :37 DRYERS FURNACE MOTORS FUTURE APPLIANCE EEEDERS TIME CLOCKS [JNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS: ~otors: 1-1hp. Panelboar~: 1--6icr. ]25a~s. 3-G. F, I, l~Smol~ Detector. 1-4.51~. Hot W~ter 1~a'ter. Tra~i ~t~g 16' 0" 5 lites. G ~ S Elec'~ric Box Z15 8outhold, N.Y. 11971 Lic. 578 This certificate must not be altered in any manner; retu~'n to the office of the Board if i~correct, Inspector~ may be identified COpY FOR E~UILDI~G DEPARTMENT. THIS copy OF C ~ ,lAN?, MANNER. credentials. FIEL~D ~PECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2 o ROUGH FRAME & PLUMBING : INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: NEU YORK STATE DEPARI~NT OF BNVIRON~,~NTA~ CONSERVAT~O£~ Regulatory Affairs Building 40, SUNY Stony Brook, NY 11794 (516) 751-7900 Robmrt F. Flaeke Commissioner A COPY OF TtlIS AUTDORIZATION MUST BE AVAILABLE ON PROJECT SITE ?.~I.D~AL_~"TL_____~jD_S_~NOTIFICATION LETTER APPROVAL This ia to infomn you that we have reviewed th~ notification letter (or permLt application) filed on ~('~&T ~Y$ 19~/ and have determined that it w].ll not he necessary to file a permit application (or securm a tidal Assuming you have obtained all other necessary per.rl, ts~ you nuty proceed with yonr Project adhering tO the Special 'condigio~ (if aay) found on this Regional Permit Administrator Date Expiration Date cc: U.S. Army Corps of Engineers NYSDEC Law Enforcement - Region FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMFNT TOWN HALL ' SOUTHOLD, I,l.¥. 11971 TEL,: 765-1202 ..... , ern, t Disapproved a/c~-- ...... '~' '.~-~.~..77 ........ . . . . . . . . . . .,,/ , . ~ (Buflding Inspector) APPLICATION FOR BUILDING PERMIT Application N0.Z ./.~, ,~4Z,. ...... Date .......... 19. INSTRUCTIONS a. This application most be completely filled in by typewriter or in ink and subm'itted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plau to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt cation. c. The work covered by this application may uot be cmnmenced before issoance of Building Permit. d. Upon apprc,'al of this application, the Buildipg inspector will issue a Building Permit to the applicant. S~K'h pert shall be kept on the premises available for inspection throughont the work. e. No buiklJag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar shall bare been granted by the Boilding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to ~ Building Zone Ordiuance of the Town ~f Sonthold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describ. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary iuspections. ..... bk.~ b.~..m.~..~.o..+ .5---~-.~.~.c-., ...... (Siguature of applicant, or name, if a corporation) .... ~:Ox~.o.~.~.~ .... (Mailing address of applicant)''t - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build i amc of owner o lrcUllSeS · (as on the tax roll or latest deed) If ap~l~nt is a corporatioK, sianature of duly authorized officer. (Name and title ofcoq>orate officer) . ............... Bmlder' s L'cens~ No.. Plumber's Licens, No.. Other Trade's License No ...................... on which proposed work will be done...~,~.,~D~_,~./~..\ .~.~..~..~ ................... Location O~ land ........ ............. .... ............... :o ....... ............... House Number Street Coqnty Tax Map No. !009 Sectio.n .... O. ~ ~ ........ Block . .(~..~. Subdivision .~"~DI~.~..~..~.qh~i.!~. ~.,. , . Filed Map No. (Name) Hamlet 00.7. ........... Lot ................. · .~¥.~ .4 ..... Lot. Z.Z. ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: · -. a. Existing,use and occup, ancy ....... ~. ........................ Repair .............. Removal .............. Demolkion .............. Other Work .............. ~ (~(2~ . .. ~ ,, ZZ' (Description) (to be paid on filing this application) ! Ntunber of dwelling nnits on each floor ; If dwelling number ofdwelli~ignnits_ Ifga[age number of cars i. If business, commercial or mLxed occupancy, specify ~,~tn~re and extent of each type of use .................. ~. Dimensions of existing stmcttires, if any: Front .......... , ..... Rear .............. Depth ............ Height ............... Ndmber of Stories ..................................................... Dimensions of same structurelwith alterations or additions: Front ................. Rear ............... Depth ...................... Height ........ Number of Stories ....... u · t. Dm~ensmns of enljrf new conCtructton: Front ...."la .~q:) .... Rear ..~10~ :,Q~ ...... Depth .. '?'M~I. :.1~.... Height ..... [~1~ ...... I~h!lmb~r of Stories I ~ .... ' ~ .... · ~ ,~, ............ '~ · "~ ................. ~1 ' ° ). Size of lot: Front .. :~l.~,. 7.e,,~.;',.:, ......... Rear .... ~,~t.~...~ .......... Depth ...~(:~ .*'.~::~ ...... ). Date df Purchase . .~).~,"}'...¢ .~.ql..~ ~... l ....... ~N~e of Fo~!Ler Owner .......... ~ ....... ' .......... I. Zone or use district in which premises are s~tuated...l~,.~,~.k .~.~,.~.'~.l.{~.k-,, .............. : ................. 2. Does proposed construction violate any zoning law, ordinance or regulation: .... ,~.(~2:~ ....................... t. WilJ lot be regraded ...... ~.~.~..~ ................. 'Will excess fill be removed from premises: Y~es Iq'( L Name of O,vner o f p2plse~e~(. ~,K,~B"t~OAddress ............ Pho n e No. ~.~,.~ '..~ .~..~.~P. Name of Archi £ect ."Z~.~.~.~.~.x~'. ~..~qz}.~.~i~.x.-~..... Aodress ................... Phone No..~t.q,~.: ~.~.~. Nmne of Contractor C~.~ .~.~ .~: .~..~.~.B'r. Cf:X0~.~OAddre~s ................... Phone No..~ .~...~,.~M~r. roperty lines. Give street and blod ,tcrior or corner lot. PLOT DIAGRAM Locai~ clearly and distinctly all ot kh,.gs, whether existing or proposed, and, indicate all set-back dimensions fron number or description according to deed, and show street names and indicate whethe ¥ _l rATE OFNE¥,~K''r/ .z~ i -~ . - ~g ' , , ..... ~~..~~ being doly sworn, deposes and says that he is the applica~a ' (Name ~indMdoal f~n~ntract) ~ove named. e is the ~ (Contractor. agent, corporate officer, etc.) f said owner or owne~, m~d is duly authorized to perform or have performed the said work and to m~e and file )plication; flint all statements cohtalned in this application are troe to the best of his knowledge and beHe~; ~nd that th 'ork will be performed in the manher set forth h~ the application filed therewith. worn to before me this ' m · ....... . ':':' ,,; ' N~8~BS~uffolk County_ xM ~ ~ ~ Term ~p~s ~arch ~0. 19.,.~ ~0/ /o '~/Vo,~,O/P. / / / ~nspected b~ this departme~t ~nd found HEALTH DEPARTMENT-DAT~I~O~L TO C~STRUC T ADORESS NOTE. [] = STAKE 0 = PIPE SUBDIVISION ~4,~P F/LED IN THE OFF/CE OFTHE CLERk( OF SUEFO£K COUNTY ON dUNE B, 1965 AS FI£E NO. 4,~62 SURVEY FOR HENRY G. HEIDTMAIVN LOT NO. 12 Z~ 12 A, "HARBOR LIGHTS ESTATES, SECT. I AT BA YV,'EW TOWN ~ SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE. J~iN. G, /9g'$ SCALE: /" -" 30' NO. 8'2- BZ5 II YOUNG & YOUNG 400 OSTRANDER AVENUE RIVERHEAO, NEW YORK ALDEN W. YOUNG, PROFESSIO~IAL ENGINEER AND LAND SURVEYOR NY.S. UCENSE NO. 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45893 26.0