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Home My WebLink About11421-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No~.1.1022., .... i .: .' Date ....... d~.R~t. {~... ;'. ............ , THIS CERTIFIES that the building ............................................. ~mtion of ~op~ .~ 0.1 ................ L~[eC. ~OO .............. .qO gg~.qgg9 ...... Ho~ No. ~t Co~ T~ Map No. ]~ ~ction .. ~ ~. ...... Block ... 0) ........... ~t..q ~ ~...qqg ....... Subteen..~ as~au. F~s ............... Filed Map No. 11 7 9 .... Lot No. P~.E~. 9~. confoms subst~t~y to ~e App~cation for B~d~ Pe~t heretofore ...Qc ~ o b.~c. $ ........ ,19 .~ ] p~s~m to wMch B~ldi~ P~it No... J .1.~ ~ J..~. ~ ........ dated .. O.~[ o b~. ] 3 .............. 19 .& 1, w~ i~ued, ~d c~foms to ~ of the r~u~mmts of the app~mble pmvisiom of the law. ~e occupancy for wMch tMs ~ificate ~ ~u~ is ......... ...a. Prize ~e..o~ r~.~ ~..~ v~.~ ~og ............................................ ~e ~nificate b ~sued to .. ~PR~[9. ~.... ~. H. RTg~r~. ~....[gP ......................... (o~, of the afores~d b~ding. SUffo~ Co~ty ~p~ment of He~th Approv~ .~ I r ~n 1 0 2.,.. ~ ~ ~/.~ ~ ~ERWR~ERS ~RTIFICATE NO ...... ~..~ { ~ ~.~ .................................. · Zoning Boa~d of Appeals approval, 6/30/66 (Joseph & Mary Kirwin) llH~gh Nitrates - Water not to be used fop 9reparation of baby formula or co~sumption by infants under 6 mos. of B~dMg Imp~tor Rw. 1/81 ~oa~ BUILDING D[~PARTMI~N? TOWN ,HALL SOUTHOLD, N~ Y. BUILDING ~E~I~ (THIS PERMIT MUST BE KEPT ON THE PP, E/'iAISES UNTIL I LILL COMPLETION OF THE WORK AUTHORIZED) permissio~ is hereby granted~ // / ...z~.:~....~..~ ./~.~..~.: ........... . . ...................... .... ~_.... ~ ...~ ....... , . ~.:..= ........ .~.~a~ .~ ~~~ ...... ~ ............. at premis" located at ~'~. ~.~....~.,~ ........ .~~'~ .......... ..~~.,..~~ ................ ~.~z~..... ~..,; ........... ~~:~ ................ Cou W T x Map No 1000 Section ..... : ,.,:;. Block: .......... .,t~,Lot . .. , PP Y pursuant ~o app cat on dated .~. ........ ~?,.., nd roved b the BUil~ino Ihspector. ~ ...~ ............ 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 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 featu res. 2. Fine{ approve{ 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 pertipent informa- tion requ ired 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 $1.00 0/2/82 Date .......................... New Building X Old or Pre-existing Building Vacant Land Location of Property ...~.O. 3:...L~.].e:c.. ~.~..n.e. ~ Cu,~:chogtze~ Ne..~ ¥o~'k House No, Street Hamlet Owner or Owners of Property Laszlo J. Kun and Margaret F~, Kun County Tax Map No. 1000 Section 104 Block :1 Lot ...... P/O 18 Subdivision... ....... ."..H.~.p..o.~..N..~.sAa..u. FA~.L!~si[ed Map No...1.1.7.,9 .... Lot No.~X~.~. .1.O. 5. ....... Permit No...........114~21Z Date of Permit .1.O./..1 .~./.8. i,A ppi ica nt ,,~I!~LAi~D,...~,..t~0MBS, ..,...:I:.N.(;:, ............ 0/2/8,9 Health Dept. Approval ........................ Labor Dept. Approval ........................ N563435 Underwriters Approval ........................ Planning Board Approval .'~ ................ Request for Temporary Certificate ..................... Final Certificate .. Y.e$ .............. 5,00 Fee Submitted $ ............................. Construction on above described building a,,g~Ll~r-~t~ ~ ~/,/~-~m-eet-s all applicab~ codes and regulations. Applicant .~~ ............... .... ~000744 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 1003~ .ate ~y Z:~, ig~Z ~'pplic..o. No.o. SileZ.~9~-~Z N 563435 THIS CERTIFIES THAT only the electrical equi_pmeot as described below and introd~ced _b3~ the a_ppflicant named on the above application number itt the premises of ~ Ronma, Lilac Lane, SCerIing R~., & Horta~n Rd., ~tctlogue, N.Y. in the following location; ~ Basement was ~..~ined on Nay 13, 1982 FIXTURE OUTLETS 2O RECEPTACLES 29 SWITCHES 19 [] 2nd FI. Section Block Lot and found to be in co,npliance with rhe r~quirements of this Board. DRYERS / FURNACE MOTORS FUTURE APPLIANCE FEEDERS AMT K Wt O H P. GAS H, P. AMT. NO A W. G. 3 F 1 3 8 SERVICE DISCONNECT NO. OF S Mo~ors: 1-F 1-G.F.C.I. 1-Smoke Detector RANGES iPECIAL REC'I ! 3O R COOKING DECKS- OVENS DISH WASHERS TIMECLOCKS -- ELL UNIT HEATERS MULTI-OUTLET AN SYSTEMS A~T AMPS TR S. H.P NO. OF FEET A, W G NO. OF HI-LEG OF CC, COND 4 EXHAUST DIMMERS A- W, G- NO, OF NEUTRAL$ AWG, OF HI-fRO , OF NEUTRAL 1 4 ~lchard R~Iyea, Young's Po~r~ l~cC£oack, P.O. ~ox 372, Lmlrel, N.Y. 11948 Li~:214$E This certificate must not be altered in any manner; return to the office of the Board if ~ncorrect. Inspectors COPY OF GENERAL M A~N A~EI~ Per il mo¥ be identified by thei~ ,~redentia[s. ANY FIELD IN~ FOUNDATION FOUNDATION 2. ROUGH FRAME INSULATION STATE FI? PECT~tON % DATE COMMENTS .... ,N ( 2nd ~ m PLUMBING -- )N PER N. ENERGY - _ .. :j ,- - l~mp~t?is ~o.ated in an agriculture . 13- I~O~U/~ ~ea, the possibility exists that , / ' , .-water supply ma~ con,gin tra~ .- , .- amounts of pest~M~ ~dJ~ ni~tes.~ , ,~. ~ · , ' Special analysi~i~C~eq~red. NL)I~- . '., Contect this b~¢ri~ LOT ~U~ Sl.-JOgVMa~ .ecl FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-11302 d.CZ Examine ~..- .~.' f-~ 90~... Permit No//¢ .~. f Approve .............. , I ............. Disapproved a/c ..... r) INSTRUCTIONS Application No//..~z'..~T( ......... Oct°ber 8 81" Date ................... 19. a. This application must 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 gchedule. 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 ou the dia~am which is part of this apt: 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 will issue a Building Permit to the applicant. Such pern shall be kept on the premises ava/lable for inspection throughout the work. e. No buildiag shall be occupied 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 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, 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 describe 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 inspections. ....I.N.L..my. p..I4.q .Ig}..S.,' .I..N.C.. .................... (Signature of applicant, or name, if a corporation) · .]~Og, .117,. Mat~;ituck.,..N.~..1195.2. ...... (Mailing address of al~plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electdcion, plumber or build, General ~ontractor Name of owner of premises . L.~,~ .z.lp..&...M.a.r. ga..r.e.'t..K..u.n. ............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz (Name and title of corporate officer) Builder's License No .......................... Plumber's License No. 517-P Electrician's License No... 7.1.d:.O.-.E ............. Other Trade's License NO ...................... ---ff~'O/ Location of land on which proposed work will be done..w../.s.p.:f...L.i.l.a.c...L.a.n.e...4.1.0. '. .................... n/o Sterling Road Peconic, N. Y. House Nmnber Street Hamlet County Tax Map No. 1000 Section 104 Block 1 ' Lot Dist, Prop. Subdivision.. Nassa~ .Farms .................... Filed Map No. .. 3.1,7.9 ....... Lot .............. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant a Existing use and occupancy , b Intended use and occupancy 1-Family Dwelling Nature of work Repair ...... Estimated Cost (cheek which applicable) ..... Rem0~al .... ;. If'dwelling, number of dwelling units.. X '~ New Building .......... Addition .......... Alteration .......... ........ Demolition .............. Other Work ............... Fce~..~. f~ (~escription). (to be paid on filing this application) ........... Nmnber of dwelling units on each'floor .4. .............. If garage number of cars ~ It' business, commercial or mixed, occupa ?, specify/~ature and extent of each type of use .................... Dimensions of existing stmcture~, if any: Height ............. ~... Num'ber of St Dimensions of same structure with altera~ Depth .................... :.. Heigh Dimensions of entire new constr~mtion: 1: Front ............... Rear .............. Depth .............. >rios ............................. ions or additions: Front ................. Rear ................. : ...................... Number of Stories ..................... ront .... 57. ......... Rear...5.7. ....'"" Depth ..~3 ......... Height ...].8 ! ......... Number of St ~ries...1. ..................... , ............................. ). Size of lot: Front Rear .. 96 e ................. ). Date 6f Purchase ........... i .................. Name of Former Owner ......................... [. Zone or use district in which premises ar situated .............. - .......... 2. Does proposed construction violate any: ; law, ordinance or regulation: .. N.o. .......................... t. Will lot be regraded .BP. ..... ~ ............. Will excess fill be removed from premises: ~ No ~. Name of Owner of premises L~.$iz.],Q ........ Address'N.e.w..H.¥.d.e..P..a.r.k ..... Phone No..3.5..47.2.5.7..2 ..... Name Of Architect .......... i .... Address ...... ' .... ' ......... Phone No ............ Name of Contractor INLfi. ND /vlOMES INC. -~ -gox ll7,NIa'ctituck~.- 2.~./I..-.9.6.~.6. ..................... ,xtmres~-. .................. vnone No ..... PLOT DIAG RAM Locate clearly and distinctly alli buildi~ :s, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block 'number )r description according to deed, and show street names and indicate whether tot/or or corner lot. 94' OF NEW YORK. OF....SE?. %.K. ..... ' S.S ........ KO.I~E. RTr..,r4,,. H..I.L.T.Z. ....................... (Name of indMdual sig~iing conl tact) )ore named. : being duly sworn, deposes and says that he is the applicant f said owner or owners, rind is du)y autho )plication; that all statements contained in 'ork will be performed in the manner set for worn to before me this ................. day o .. i iO' ~or~Y PU~uc, si ~ { Ilo. 52-8125850, Term, EXpires Contractor, agent, corporate officer, etc.) izod to perform or have per, formed tile said work anti to make and file this this application are true to the best of his knowledge and belief; and that the ;h in the application filed therewith. .... 191g General ContraCtor e is the High Nitrates - Water not to be used for preparati6~ ] of°f babYage, formula or consumption by infants, under 6 m,~TJ- - /A/~F~ Op [~i~OF~T¥ ~u l~,vD¥ L-- ~ r-o rK, LA.G"ZLO J. t4UN ,;%A, R G/X. R, r_-'[ g. k UM S ITtJ/~T 6 ~CA, Lr_-. GO'= 1" FEB. ~,, PARK , N.Y. "(TEL, SEAL J Ot CUP, HCY \ APPROVED AS NOTED DAT£: ~B.p. ~ 765-1802 9 AM TO 4 PM FOR TU~ FOLLOWING INSPECTIONS. 1. FOUNDATION . TWO FOR POURED CONCRFTF I i'L 5 ¥ F II II ~,L_~ VAT l~0 1 I J I L4 _1 i_L_[