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Home My WebLink About11433-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17978 Date APRIL 28,1989 .. THIS CERTIFIES that the building Location of Property 1480 SIGSBEERD. House No. County Tax Map No. 1000 Section 144 Subdivision ADDITION LAUREL~ NEW YORK Street Hamlet Block 01 Lot 30 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 15, 1981 pursuant to which Building Permit No. 11433-Z dated OCTOBER 27~ 1981 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 ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GERALD & CATHERINE GALLAGHER N-534037 - SEPTEMBER 3~ 1981 N/A Rev. 1/81 Building I~spector FORM NO. 'TOWN ~F ~' BUILDIN~ TOWNn~:,.k SOUTHOLD, BUILDING P :: (THIS PERMIT MUST BE KEPT ON: ~HE PREMIS~ UNTIL F JLL COMPLETION OF THE WORK AUTHORIZED) Permission: is hereby granted to: purs~ont ~o ~ppllc~hon d~d ......... ~ ;...,~ ........... ~....,, ]9~, ~nd lpprov~ by tho 8uddln0 I~spoctor. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .... -~ff..oOLD OR PRE-EXISTING BUILDING ...... VACANT LAND Location of Property._...__~-W-~ ........................ ROUSE STREET HAltLET County ~ax ~ ,o. ~000 ~,~,~o, .~ ~o~ .. aZ. ~o, ..ff ..... Subdivision ....................... Filed Nap ........ Lot Permit No../[.~.~.~'f. Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $.. ~...~..~_~.0 ........... APPLICANT .~ ~1~/~ . ...................... ~ ?. .~/.....'.. rev. TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY c~ Uo 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 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. B, For existing buildings (prior to April 1957), Non-conforming usesFor buildlngs 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. 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 Date,. New ~i4~4rrg .../~ . .~% ..... Old or Pre-existing Bu. Jlding(X) ......... = 'Vacant Land -: ........... Hou~ No, Street Ham/et cou~,~ ~ ~ ,o, ~000 s~o~ ../y.~ ...... ,~o~ ..... ¢./ ...... ~o~ ..... '.¢~. ::.. SubdJvislon ........, ....................... ~ .Filed Map No ........... Lo~ No .............. Health Dept. Approval ........................ Labor Dept. Approval ......................... Unde~riters Approval ........................ P~anning Board Approval .................. ~ .. ~ ~C ' Request for Tempora ertificate ..................... Final Certificate ........ - ......... , Fee ~ubmitted $ ~ Construction on above described building an~permit'meets all appl~.ble_.co~e..s and regu/Pa~ns. ..... . ..... Rev, 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF SOUYF~OLO ,.~ Instructions This application must be filled in Wpewriter 0 R ink, and submitted I I to the Building Inspec- tar 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-iS-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), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res, 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. Co Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5/00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction Old or Pre-existing Building Vacant Land Location of Property ~.~..Nf~... :... ~.~..~..~..~..~. ........... ~~ Owner or Owners of Property,S; .~..'..~. ~.~... ?..~ .~...~ ...... County Tax Map No. lOOOSection .].~:..~r.~.. Block...,,...,.,,...¢ / Lot,.~..,.%....7 Subdivision .................................. Filed Map No ........ :..Lot No .............. I J ~'1 ,'~ Date of Permit Applicant Permit No ........ , ............................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... loooT~l THE NEW YORK BOARD OF FIRE UNDERWRITERS ~:C?~I)~L~; ~3~ ],~)~ JOHN STREET. NEW YORK, NEW yORK 10038 J-K-37 ~p 23 was exa,nined on i~t~ ~ ~ ~ ~ 9~. and /ound to be in co.~pliance with the requirernents of this Board. ~ECEPTACLES SWITCHES FIXTURES RANGES OVENS EXHAUST FANS NCANDESCENT FLUORESCENT DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C AWG. 3 NO O~ HI-tKO AW, G OF NEUTRAL P~uland Elec. Co. P.O. /~.)x 143 1,~titu~<, N.Y~ 11932 iDco 242~E GENEI~AL MANAGER 1! ; ~D] This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspector,s may be ~dentified by their credentials. FIELD INSPECTION 1. · FOUNDATION (1st) CO'MMENTS,g~i> ~ FOUNDATION (2nd ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P,O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 20, 1987 TEL. 765-1802 Mr. Gerald B. Gallagher 33-28 190th Street Flushing, New York 11358 Dear Mr. Gallagher: This is to advise you that the job under building permit no. 11433Z issued to GERALD B. GALLAGHER on 10/17/8] for ADDITION ~O EXISTING DWE~l~mpleted and a final inspection has ( ) has not ('XX)' been done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $ 25.00payable to the Town of So'ut~o't~. ~Please indicate to Whom the Certificate of Occupancy ia to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Oceupanc. y. Please h.elp us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly you~, Victor Lessard Executive Administrator YL:gar 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION 3 FRAMING [ ~]/~INAL REMARKS: ~ (~ ~'~, (~'~ 0_. ~L/d, DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING ,r.//~INAL ~b~,, ~,~~ ~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ,pproved( .?.. .7 ...... ,l .Pe i, )isapprove ...... ; ........................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Application No. ~./?.'.~.'.~. ......... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building ~nspector, 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 >r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 Bui!ding Permit to the applicant. Such permit ;hall 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 ;hall 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 '3uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in buildings for necessaryinspection~. /), ~ ~,/~t/ d.C. / '' t~a~lil~; ;~ress of applicant) Irate whether applicant is owner, lesse,e, agent, architect, engineer, general contractor, electrfcian, plumber or builder. ,~alnc of owner of premises :q~. ,q'~YY.?. ~..tC.,,.~..,~.~4-.Kq'.c:£t.~.:'..~.. .......................................... (as on the tax roll or latest 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. P.(J./, ~..9.o..C/. .......... Other Trade's License No ...................... ~ , · I. Location ofland on which proposed work,will be dong ~.¢.~..~....~.)~.~.~ fd-t~t~ House Number Hamlet County Tax Map No. 1000 Section .... .~ .... :. Block .................. Lot (Name) 2. State existing use and occupancy of premises and intended use and 9qcupan~y of proposed construction: a. Existing use and occupancy .... ... ~ ......... (. : : ' "/ ' .......,, ..... b Intended use d occu anc ...... $. Nature ~of work (check which appllcable)~ New Building .......... Addition~.~ ~ ........ Alteration .......... Repair .............. Removal .... ':, .~: ......Demolition .............. Other Work ............... ~. Estimated Cost .... ,~>,.. ................ Fee ..................... -r ........... / (to be paid on filing this application) L It' dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ..... , ....... ............................................................ L Ifbusiness, commercialormixedoccupancy, specifynatureandextentofeachtypeofuse ..................... ?. Dimensions of existing strueture~, if any:!Front ............... Rear .............. Depth ............... Height ............... Nmnber of S[ories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth .................... ,.. Height ...................... Number of Stories ..................... I. Dimensions of entire new construction: Front ............... Rear ............... Depth ...... .,~,.'~ ,¥.. Height ............... Number of Stor/es ...................................................... ). Size of lot: Front ........... i ....... .... Rear ...................... Depth .................... ). Date o[Purchase ........... ,' .................. .. Name of Former Owner ........................... i. Zone or use district in which premises ar~ situated ................................................... L' Does pioposed construction viollate any ioning law, ordinance or regulation: .............................. ~. Will lot be regraded ................ : ............ Will excess fill be removed from premises: Yes No I. Name browner of premises ?~.! ................. Address ................... Phone No ................ Name of Architect .......... : ....... .......... Address ................... Phone No ................ Name of Contractor ..: ...... : ................. Address ................... Phone No ................ PLOT DIAGRAM' Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from ~operty lines. Give street and block number Or description according to deed, and show street names and indicate whether terior or Comer lot. rAT OF Wc'Fq}U(, . S S -~NT~~X~.~ ....... being duly sworn, deposes and says that he is the applicant · ~il~n'mg con~act)"-- oov~ ri'amid. ' ~ , e~sthe .~ ...... ~.~...~ .......................................... .~ ~ ~, ~ .~ (Contractor, agent, cbrpo~at~ officer, etc.) f. said owner or owne~, ~d ~s duly authored to perform or have perfomed the sa~d work and to m~e and file pplication; that ali statements con~ained ~: this application are true to the best of his knowledge and belief; ~d that the ,ork w~l be performed in the manner set forth in the application filed therewith. worn to before me this i ~ ~ ....... .... .... . ........... ....... . . . N~ARY PUBLIC, State of New Y~k . L~gnamre oi appllcan[l ~0, ~2-8125550, Suffolk ITerm Exoires March 30. 19 ~./~ UnauthoDz~d alteration or addition fo this document is a