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Home My WebLink About11450-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin$ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g.1.3. q .0 .5 .......... Date .............. .N.o.v,e..ml?.e.r. ..... 2.1.., 19.8..4 THIS CERTIFIES that the building . .~.~.d. 5:..~.2p.n. ..................................... Location of Property .23.5 ....... North Oakwood Dr. Laurel ['/ot~s~ NO. ' ................. '~'t~:e$i ....................... I:t$r~ie~ County Tax Map No. 1000 Section . .i. 2. ? ....... Block .... .07 ......... Lot . .0.3:..9 ............ Subdivision Laurel wood East .Filed Map No. 212 .Lot No. 26 conforms substantially to the Application for Building Permit heretofore fried in this office dated ·...O.c.~: .... ~.4. ........ 19 .8.1. pursuant to which Bttilding Permit No. 11450 Z dated .............. IXJ. 9.v.- .... .9 .....19 .8.1., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tDis certificate is issued is ......... ....~.d.d. ~..e.~.o.n...e.o..Z.x..~.s~..hq. ~w..e.~,~.J,n, g .......................................... The certificate is issued to ............... B3.RKOC¥ ~ FR3.NK & 3.bin (owner, le,~¢8~ of the aforesaid building. Suffolk County Department of Health Approval N/~ UNDERWRITERS CERTIFICATE NO ............ Building Inspector Rev. 1/81 N? ~:i450 z BUILDI (THIS PERMIT MUST BE KEPT ON q~H,E PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) Dete JLE Permissiod is hereby granted to: ...o....: ...... ~..~: ...... ~.z.~i....:, .......... :..... ,o ..... ............ ~.LS..~,,. ............................ , ....... ~... ....... "~r"" ...... ~'~'"'?'" ................................. ................. , ....................... ~ ........... ~ ..............................~; ...... ~,.;,.,.~ ................ ~,~....,....~. ......................... .~.~, . . ~:X. .............. ~,.., .......... ~ ..................... ~ ............. ~ ........ ~...~ ............ COU~,W TaX~ Map No 1000 Sect'_ 'on (~ : ,:' Bock ~,~. ,~., LOt No. ~u~n, ~o o,,,~o,~o, ao,.a .~=.~...~.~.;...: .......... ~...~,...., ~.C.F, ~"a ~ro~a Rev. 6/30,~80 Building nspecto~ FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~;~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~-~ L D,. ~ DEPT TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted~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. 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 a~l property lines, streets, buildings and unusua~ 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. C. Fees: I. Certificate of occupancy $§.00 / 2. Certificate of occupancy on pre-existing dwelling land use --t~re-gxistlng C.O. $15. O0 3. Copy of certificate of occupancy $1.00 Vacant land C.O. $ 5.00 ./.¢././.¢. ...... New Building !..'~. ......... Old or Pre-existing Building ...~..~ ....... Vacant Land ....... Z;~ .... Location of Property...~-, ,~, · ,~, .......... ,~... ~, .~',~~-.',,... ~~' House No. Street Hamlet Owner or Owners of Property...TzT./¢~./~.g .... ~/...../.~.*............. County Tax Map No. 1000 Section . ./~...~. i ...... Block .. ~. ~ ......... Lot...~.4~. Z .~. ....... Subdivision .I~/Z.&~E/~2-~4? J..~'..~¢ ........ Filed Map No...~./~. .... Lot No..~.~. ....... ~ NO; :..' ....... D~ ui' F~4=e..it . ~ .... App,~,~ . · .---.---~-~.~ ...................... Health Dept. Approval ........................ Labor Dept. Approv~- .................... Url~rltCr~ ..... Ala~rcvM . .................. · ....Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. ~ ................ Fee Submitted $ .~.~ .................... ~O_¢~Construction on above described building and permit meets all applicable codes and regulations. '~"~)--~--~ Applicant .,..~....~,,~.~ ........................ Rev. 10-10-78 i ' --'~ /~ ~ ~-'~¢'~ d FIELD INSFEC~tON. COMMENTS · FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS: Examinet~.dT~... ~. ..... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPAR'[MENT TOWN HALL SOUTH, OLD, N.Y. 11971 TEl..: 765-1802 ' D~sapproved a/c .......... ;-: .............. ~ .......... APPLICATION FOR BUILDINd PERMIT Date . .O. qt. 9~.~.r...1.4 ..... , I9PO_. INS'I:RUCTION$, ~ . ,_ 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 ~:o schedi~le. b. Plot plan showing location of tot and of buildings on premises, relationship to adjoining premises or public stre~ or aleas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apt: cat/on. c. The work covered by this application may not be commenced before issuance of Building Pemfit. ti. Upon apprc':al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Occupan, sh?Jl have been granted by the Building Inspector. APPLICATION IS HEP, EI3Y MADE to the Building Department for the isgu'ance of a Building Permit pursuant to t Building Zone O~dinance of the Town bf 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 (:ode, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspectionszjfi// ......... . .......... (Signature'of applicant, dr name, if a corporation) ... ?....9.-. .8 .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build O..w~.er Name of owner of premises Frank X. and Ann R. Barkocv (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 ..... $e2.£ ................ Plumber's License No ......................... Electrician's License No.' ...................... Other Tradc's License No ...................... 1. Location of land on which proposed work will be done ................................................ ~.3.5 ~, O.akwood t~oad Laurel Ilouse Number Street Hamlet County Tax Map No. i000 Section .... 1.2.7 ........... Block 07 Lot . . . 019 Subdivision . Lauit~lwood Estates Filed Map No. 212 Lot 26 (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Home b. Intended use and occupancy . Same /~., /..~)~,~,~¢(~.~.~....~.., ...... ........ ' ............ l{ep~fir "' ,,'al ::~ohtion X Othei Work f//. 7~ ; ~/~ (D~scription) Estimated Cost : (to bc paid on tiling this application) If dwelling number of dwelling units N~ '~ber o¢ d IlS its each floe ' ............... In WC ng un on r ............. , , , If garage number of cars ' If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existiug stmctt!res, if any: Front..44. ~.~, ...... Rear . . 4~. f.g, ..... Depth . , ¢~..~g ~ ...... lteight ............... Nt'unber of Stories ........................................................ D? , .. ....... {7~. ~, .% .... tief~t ... ~.',~[ ......... {{' ~)'' ......... '. ~?~,'. .... Number of Stories Dm~uns~ons of entire new construcIion: Front .... ¢ ~.".a". ..... Rear .... ~.'.~ '~ ..... Depth., 19 '.g'; ~' [ .... .... ~..8 ....... Number of Stones Deck with railin9 I{cight ' " ' ' Size oflot: Front .. 80~, '~ ...... Rear 80' 200' · ' ........................... ................... Date oTPurchase .. ~i . ~..~$7~ ....... Name of Former Owner {ohn ~ Jp~E ~e~zel Zone or use disthct in which premises are situated.., j ge~id~nt ial ' ' '. ' Does.proposed construction vi'elate any zoning law, ordinance or regulation: ~9~..gg. ~ .k¢9~9~ ....... Will lot be reorad,,d .... MO. · . Will excess fill be removed from premises: Yes No Name of Owner of premises F~ank X. & A~n.~tAddress2.3.5 .~,. ~akwood .g~9hone No. 298-4468 Name of Architect ........ ~ ................ '.. Address ................... Phone No ................ Name of Contractor , Address ............................................. Phone No ................ PI.eT DIAGRAM I..ocate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block . nnmber or description according to de, ed, and show street nanles and indicate whether terior or:corner lot. S~e A~tached i'ATE,OF ~l-;'w YOtiK, ,: u av · s.s (Nanie of individflal signing contract) c is the ............ (Contractor agent po~hte oFf'{cer ':} ............................ ' said owner or owners, m~d is duly authorized to perform or have performed the said work and to make and file this ,plication; fllat all statements conthiued, in this application are true to the best of his knowledge and belief; and that the ork will be performed in tl~e manner set forth in the application flied therewith. yom to befbre llle this ; ........ ' .......... day o¢ ~ 19~ ~ )taw Pnblic . ~m~ ~Ota~ Public, State of New v..,. ~ ~ //~ g .... being duly sworn, deposes and says that he is the applicant