The URL can be used to link to this page

Home My WebLink About11495-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificete Of Occupancy No...gl 1 .1.1.5 ........ Date ....... August. 5 ................. 1982. THIS CERTIFIES that the building ................................................ Location of Property .3~65 ............ .t~i:L ~a~: 9. Lane ............ H&t;~.t;~xck ....... House No. Street Hamlet County Tax Map No. 1000 Section . .100 ....... Block ...0t~ .......... Lot ...O07...Q 19 ...... Subdivision E.J.:I. J ah.t.-~. ~.mae. ~..~.t, o .~ s $.e¢ 1;, .Filed Map No..605 .5. · .Lot No....16 ......... conforms substantially to the Application for Building Permit heretofore ~ed in this office dated ·..1)t.o.v.q¢!~.~.~.. 20 ...... ,19 13.1. pursuant to which Building Permit No.. 1 ~ .4.9.5. g ............ dated ... l).~.c.e~b.~..t~ ............. 19 ~3.1., 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 ......... ...a..p.e. Sy.a3.~.. 9p.~.-. ~'~r~t&7..d.~ ~ ~l.ng, .......................................... The certificate is issued to . .Eowele..Cons.ulCanlls. In~oI'n~.tlionA1,. Inc .............. (owner, lessee ~.~¢~a~ of the aforesaid building. Suffolk County Department of Health Approval .].I.-.S. 9r.1.~.3. ,..8./.3../.8?.,...~ 9~.~.....&...v. $.l.l..a. ~. UNDERWRITERS CERTIFICATE NO ........... I~. 569.1.86 .............................. Rev. 1/81 Building inspector (THIS PERMIT MUST BE KEPT ON "i'H,E COMPLETION OF THE WORK AUTHORIZED) Permissioh is hereby granted to: Buil~ing at p~emises located at ..... ~. '~'~,~',~'"'~'~ ......... ! ........ '""i .......................... ~w.,~ .~7... ~ ~.~.~.s.: ~.~.C. ~:~ ...... , ....... Coun~ ~ ~p No. ~oo0 Sentra, ../¢~..., ..... ~:~k '~.. ' -Z ..... ~.~ ........ , ~otNo.~..~.. ~ : ~ ~; r /.., and ~pproved by the lspector. : ~ , ~. ~ ............. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold," 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-(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 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 or land use 3. Copy of certificate of occupancy $1.00 $5,00 Date ..... , .. New Building ......... Old or Pre-existing Building{X) .......... ~ tVacant [.and .... ........ Hou~ No, ~ ~ Street ~ ~ Ham/et~ Owner or Owners of Property ...... ~[~.~.~GT~.................... [~ T I~'~ C ou nty Tax Map No. 1000 Section ........... Block . ~/..~. ....... Lot. ~. Subdivision ~C/~. ~¢:~1.1~ · ' ~ ~ ' , -[ ..... . .~ .~ led Map No..; ...... ~;' .Lot No ...... ~.. Health Dept. Approval ........................ Labor De~t. A~roval ......................... Underwriters Approval ........................ Planning Board Approval .................. , ,. ~ Request for Temporary Certificate ..................... Final Certificate ........ - ......... - 1OOO854 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~ BUREAU OF ELECTRICITY V 85 JOHN STREET, NEW YORK, NEW ~'ORK 100:~8 168967 - 82 ,~.te J~Zy Z~. 1982 .,pp,ic.t,o,,No. o./,l~ P~11495 N 5 6 9 1 8 4 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the prernlses o/ E.J. Gol~n'Is, w/s EliJah's La.t 932' n/Tabor Rd., Mattit~, N.Y. in the foltowlng location; [] Basement [] 1st FI. [] 2nd Ft. Section Block Lot was examined on July 8, 1982 a.d you,.d to be ir, compliance with the requirements of this Board.; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS OUTLETS SWITCHES NCANDE$CE NT FLUORESCENT 22 18 22 SYSTEMS S E R 210 OTHER APPARATUS: Elec.Room Heater/s: 1-2.5, 1-1o5, 3-1.25, 3-1.0 K.W. 1-4.5 K.W. Hot Water I C NO OF HI-LEG AWG. OF HI-LEG NO OF NEU ALS OF NEUTRAL 2/0 121 Rd. ~ Po~t, N.Y. 11778 1~.890-E GENERAL~ANAGER This certificate must not be altered in any manner; return to the office of the Board if Incorrect Inspectors may be Identdled by their credentials . ~ , , Y OF ,~E ~ICATE ~ $' N~ T ~E TE~ED I' ANY~ANNEE. FIELD ~NSPECTION · FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: "It should be noted tl'~t since this property is located in an agricultural area, the po.~sibillty e×]sts thGt the water sand'; may contain trace amounts of [.~esticides and/or nitrates, Special enaiysis ~-~l~l ~required. COUNTY DEPARTMENT ~F HEALTH SERVICES APPROVAL OF CONSTRUCTION ONLY _ _.::_ nil i ISURVEY FOR POWER CONSULTANTS INTERNATIONAL, INC. LOT 16, "ELhJAH'S LANE ESTATES~ SEC'F. I ' AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK DATE: OCT, 12 SCALE: I" = 50 NO. 81-61~ GUARANTEED TO: USLIFE TITLE INSURANCE COMP~ , [ /~/t: FOlt~ NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTNOLD, N. Y. Examined ~.~.~...~r.......... ,~,. ............... Approved ............C.. ...... ~ ................ 1 .. Permit No. // Disapproved a/c .............................. ;;..:: ......................................................... Application N o./.~..~...~...~.. ~. ................ APPLICATION FOR EUILDING PERMIT / Date ................................................. 19 ........... 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 ptan 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 o~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of this 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 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, buildir~g code, housing' code, and regulations, and to admit authorized inspectors on premises and in buildings for necessarvyq inspections. ,,,~ (Signature of applicant, or name, if a corporation) ........................................... : ........ ~'" ....... ~ ....... 7'}"~"F;~'" State whether applicant is owner,,~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ~,~,~P- ~ Name o f '~ ~ ;' ~;' ';';~';i~ ......... ~;Z'"'~''~r~ ~ ~x~'7~' ' '~ ~I~'~ ~ ~; '~' ~ ~'~ ' ~'~ ............................... If applix~t i} a cor~bro?~signat~,/re of duly,~uthorized ........ ......... off icer. Builder's License No ........... .~....~....}..~........-/..~....../. .......... Plumber's License No ................................................. Electrician's License No ....... ~...~..O...~..('~, ............... Other Trade s License No ............................................... ~/ ~ /' Location of land on which proposed work ~ill be done.?~ No.:: ...../..~......~.~.~ ........ Lot No ..... ~..~. .......... ~ ~.~ ~ :e/~..~ ....... ~. .................................... ~/.~ ..................................... : ......... : ............ ~ ~&~ / / Municipoli~ State ~Xisting us~ and occupancy of premises and infa~ded u~e and occupancy of propo~d construction: a. Exisifing use and occupancy b. Intended use and occupancy ....................................................... F ....................................... ~' ............................ 3. Nature of Work (check which,al~plicable): New Building .......... ........ Addition ................... Alteration .................. Repair .................. Removal ..'. ............... Demolition .................... Other Work ..... : ................................................ : (Description) 4. Estimated Cost -/.~....'~'~..~...?./.. O...(~.. ~ Fee ................................................................................. !' (to be paid on filing this application) 5. if dwe!hng, number of dwelling umts ....,.~..L_ ...............Number of dwelhng units on each floor ..... If garage, number of cars ........ i ............ ~..~......~.. ~ ..................... i. .................... 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 ........................ Numbe! of Stories ................................................................................................................. DimenFions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ................ '......, ...... ~um~9,f/St°ri,es ',',"~'t'" .......... · ........ ., / , , / 8. Dimensions of er. tire new construction: ......... ..~."if~ ...... ........ Depth Height ....../..,~. ........ ! Number gf Stories .............. ./. ........................... , ......................................................................... 9. Size of lot: Front ...,~, ........L.'...,...~..~'~ ............................ Rear .......... L..~....~~. ......... z · Dept, b ...~.,..z~..~..... t0. [:)ate of Purchase'....~.'..~...T..: :..?.~....[ ./...~..~..~ ............. Name of Former Owner~;.~.'i~. 11. Zone or use district in which premises ere sltuated ...................................................... .>, ............................................ 12, Does proposed construct on vie hte any zoning law, ordinance or regular on: ...~...~.. ....................................... Nome of Contractor /~--~,/?~('J( ~'~/'~/'~ ~'~' Addre s~:~,/,,,~,~:,~,,.,,~,,,~.,t~,,'('~ -' . · .,~., ............................................... ! ..... $ ........................ .~... F'hone INa. ~:.,.t/,~.~. ........... PLOT DIAGRAM Locate clearly and distinctly all ~)uildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether intedior or corner Jot, STATE OF NEW Yg.~k~, ~.,/~ ~ c , , , (Name of individual signipg contract) " ' ' He is the .......................................... ; ............................................................................................................................... ~ ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to ~'~'rform or have performed the said work and to make ~nd file 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 th? manner set forth .in the application filed therewith. Sworn to be~o~e~e this , ~ ~ ~ ~ ......... ........... -:',~ C~u n'~ DAT]~__/~/G 0 5 10~ fi. D. ~. ~~j~-- POWER CONSULTANTS INTERNATIONAL, INC. LOT 16, "ELI~AH'S LANE ESTATES~ SECT. I" ?he sewe~ dlsposal en~ w~[e~ ~p~l~ AT MATTITUCK DATE= OC[ t2,1981 ~ac[[[~tes ~ [hts [oc~[o~ ~ave ~een ~N ~ SOUTHOLD SCALE= 1"=50' i~pecte~] by t. ht~ department and found SUFFO~. COUNTY; NEW YORK NO. 81-619 Chief of Gene~] En~ineerin~ ~E~ vO~ ST~ ~c~t~ c~w USLIFE TITLE INSURANCE COMPANYOF N.Y. OFH~LTH ~ICES. TOEXlSTIN6 STRUC~RES ~EFOR ASPEClFIC PURPOSE ~ND ARE HOT TO BE USED TO ESTABLISH : SU.DlVlSI~MA. FiL~DMTHEOFFICEOFTHECL~.~OFSUFFOLKCOUNTY ' ~ ~ E W. YOUNG, PROFE~IONAL ENGINEER ON FEe. 14, 19~4 AS FILE ~. 6065. ~ AND ~ND SURVEYOR N.Y.$. UCENSE NO. 12845 . ~ ~ HOWARD W. YOUNG) LANO SURVEYOR ~ ~ L~T~ ~ ~L(W)~ ~IC TAHK(ST)a CE~OLS(~) ~N NERE~ ~ ~ N.Y.S. LICENSE N0.45893 ~E ~ FIE~ ~TI~S ~O OR DATA OBT~NED FROM OTHERS TE~DYNE ~ST Nom~9