The URL can be used to link to this page

Home My WebLink About11394-zFORNI NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z. ! ] .4.8.7. .......... Date ........ F..e. ~.Cu.a.~. y' .1.8. ............ 19 .8.3. THIS CERTIFIES that the building .. g .d.d.J_.~, .J_ 9.n. .................................... Location of Property 360 Lakeview Terrace East Marion h3~s'~ ~'o; ....................... 's'~/e3i ....................... h3~iei County Tax Map No. 1000 Section . ~,1 ........ Block .., .0.9. ......... Lot .... 0fi. 2. .......... Subdivision....X ........................... Filed Map No...X ...... Lot No...X. .......... conforms substantially to the Application for Building Permit heretofore flied in this office dated · . .$. e. p .t.e. m. .b .e ?. .1. 6. .... , t98. .~. pursuant to which Building Permit No...1fi. 3, .9.4..Z. ........... dated .... ~e. p?.e.m..b.e?..2.8. .......... 198. J., 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..s.e.q 9.n.d' .t~ .~ p.q~...a.d.dfi. ~? $ p.n...~9..e.x..~ .s.~.~n.g..d.w.e..Z.l.~.n,g: .................... The certificate is issued to ........ ~.A.L.T.E.}( .&...L.I.~..L.L..qA..Z.P./t. ......................... (owner, le~c~¢ of the atbresaid building, Suffolk County Department of Health Approval ...n/.~. .................................... UNDERWRITERS CERTIFICATE NO .......... .iq..5.7..7 .8).4. .............................. Building Inspector Rev. 1/81 TOWN 401 BUILDING TOWN !HA~L SOUTHOLD, N.Y. (THIS PERMIT MUST BE KEPT ON ~H.E.PRi~I$~S UNT!L ~ULL COMPLETION OF THE WORK AuTHORiZED) Permissio~ is herebY granted to: ', ~o. Z~:...~..,...~....~...~......~a~..~...~ ~ ~a~....~ .: ..... pursgant ~o application dated., ~, ~.,;~ L..; 1~ .; and Cpprov~ by the Bbil~Jng I~spector. F~ ........ .... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. ~11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and subr~itted 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 building~ 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. B. 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 buildlngs or premises, or other pertinent informa- tion 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 $1.00 Rev, 10-10-7S N B d Old o P xi ti g B ilding(:~) Vac ew u n ..... ¢ re-e s n u .. ....... = z ant Land ............. Owner or Owners of Property County Tax MapNo 1000 Section Block ' Subdivision ................................. Filed Map-No...; ....... Lot No. Health Dept. Approval ................ .-. ..... LaborDep~ Unde~riters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate .................... Final Certificat~ ........ * ......... Construction on above described bui[d~ng and per~irmee~s ali aPp~bl~odes and regulations. App~oan~/~ ~~~' ... ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 27,'°"" STREET, .E V YORK, ..t~ ~,,.,,ca.o. No.o.f.e N 577944 THIS CERTIFIES THAT only the electrical eouipment as described below and introduced b.~ the applicant nam~ed on the 4~ovelappl~ca~ion number in the premises of ~4aTter & Llnell Ca,pa, Lekeview Terrace, troy ave. a ~ar~on ,~,tce, East Mar~on, N.Y. in the /ollowing location; [] Basement [] 1st FI. ~.~ex.~.~,lon Septembe~ 23, 1982 ~ 2nd FI. Section Block Lot and found to be in compliance with the requirements of this Board. FLUORESCENT FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO O~ERCC,~COND A W O' NO. OF Hr-LEG A'W-G, NO, OFNEUTRAL: OF CC, COND. O5 HI-[~G OTHER APPARATUS: An inspect/on has be~m rode of the w~posed electzical ec[u~c in the premisee indicated. No obvious t~satisfactory condition was fot~/. OF NEUTRAL Walter Cafpa Iakev/~w Terrace East Harion, N.Y. 11939 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectocs may be identified b) .,C~P~ .~R ~UIL .lNG. DEpARTmENt. THI~ COPY 9F .~C~ ,~ ! .~.~' ~.T, B,Ei ~ERE~ I~N ANY..MANNER. ~ ~ FIE~D I~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (gnd) 2. ROUGH FRAME & PLUMBING INSULATION PER N, STATE ENERGY FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL.: 765-1802 - ...... Disapproved a/c ....... '. ........... .............. APPLICATION FOR BUILDING PERMIT Dat . .?. . INSTRUCTIONS a. This application nmst be completely filled in 'by typewriter or in ink and submitted in triplicate to the Buildi 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, relationsh;_p 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 ap[ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc-.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such porn shall be kept oa the premises available for inspection tl'.roughout the work. e. No buikting shall be occnpied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Buikling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Rcgnlations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housir~g code, and regulations, and admit anthorized inspectors on premises and in buildings for necessary insp, ec_tions. .~ (oignature of applicant, or nam, c, if a corporation) (Mailing address of applicaflt) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, ................ : ..... .... ............................................. of ow*er of pr,,n se, .... . .c4 c. . . ....................................... (as on the tax roll or latest deed) lI' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ~ '. ........... Other Trad'e's License No,/ LocatiOn of land on which proposed work xvill be done ................................................ House Number Street Hamlet County TaxMap No. 1000 Section . .~...~.( ......... Block .... (~..~. .......... Lot ................. 2. Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended use ami occupancy of proposed construction: a. Existing use and occupancy . . /... b. Intended use ar;d occupancy .,.,.,~,4¢./~..q... .. .. .~,~.~D. .. q-~?.~).4. ~,. '. ~'.~.t~..7'7.~,~.... . ' ""~'~' .... . .~¢J.O..~,.~..:.... l. Nature of work (cheek which applicable): New Building .......... Addition .......... Alteration .......... Repair ...... ... ..,.. Removal .......... .. D~molition .............. ' Other Work...g,~._.~..~ . Estimated Cost .... i .~.q... 7.~.: .................... Fee ............. ~ ...... ' ..... (to be paid on filing ~ application) ;. If dwelling, number of dwelling units ..... ~. ........ Number of dwelling units on each floor ................ If garage number ofcars ............... i. If business, commercial or mixed occupancy, specify fiature and extent of each type of use .................... I. Dimensions of existing structures, if any: Front ..... ' ......... Rear .............. Depth .............. HeiSt Number of Stories · · Dimensions of same structure with alterations or additions: Front ................. R,ar ............... Depth ...................... Height ...................... Number of Stories .................... 'entire v constr ~ction Front Rear Depth ~. Dimensions ol nc~ t : ........................................... Height......... .... .. Number of Stories ........................................... ........ . . · L Size of lot: Front ....................... Rear ..... ' .......... ' ....... Depth .... ). Date df Purchase ...]/~.~.~ ........... :..Hame of Foyer Owner .~. ~b~]]];']:. I. Zone or use &strict m wluch prennses are s~tuated ................................................ ] .... 2. ~,oes proposed c~struction violate any zoning law ordinance or regnla:ion... ................. I. ~ ill lot be regrad~d ................ ~ ..... ... Will ex~ess fill be re'~ved ~f o~ premises.' ·. Yes 3~:,~"~ No L Name of Owner ofpremise~..~t~ .... Address~W/~ 5/~'.~hone No. ................. Address ................... Phone No... ............. NameofContractor................... . .Address . ........kPhoneNo. ............... ~ : '":' ' PLOT DIAG ~M Locate clearly and distinctly fll building, whether existing or proposed, ~d.indicate ri set-back d~ensions from roperty hnes. Give strest and block number or description according to deed, and show steer names and indicate wh~ther ,terior or cornerlot. - ::- rATE OF NE~)R,K,, _ ~ .., e e t OUNTY .':._.' (Name of indMdual sigh'rog contr,dct) ~ov-: named, being duly sworn, deposes and says lhat he is the applicant · ~s the .................... ~ ............ ' ............................... - .. (Contractor, agent, corporate officer, etc.) [' said owner or ownen, and is duly authorized to perform or have performed the said work and to make and file this. ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the · ork will be performed in the manner set forth h~ the application filed .ti:erewith. ~vom to before me this of. ,19 ..... (Signature of afdii tl_~,_..can_, ALL coNSTRUCTION sHALL MEE~ THE REQUiDEMEb~S OF THE N. Y- ~ATE ccNSTRU~ION & ENER~ cODES. NOT RESPONSIBLE FOR D~IGN OR coN.RUCTION ERRS-