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Home My WebLink About11458-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificnte Of Occupnncy No. Z.1.1.272 .......... Date ....... Og l;o.b.~r'. 2.1 ............... 19.8.~ THIS CERTIFIES that the building . ad~l.~, t;~,on ..................................... Location of Property . .1.205 .............. Cetp.~.~.~. l(;kdct, l~'.J, vO ....... .H~I; l;;J-.t;.qglt .... House No. Street Hamlet County Tax Map No. 1000 Section . .. t 06 ...... Block . g~5. ........... Lot ...0.1L~ .......... Subdivision...Capt;....Kidd..Est;a.~;.es ....... Filed Map No..1.6.~.2...Lot No.. 1 8.3 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · .0¢.~;.o. he~'. 2,7. ......., 19 ~.1. pursuant to which Building Permit No. fi. 14. ~.8..2; ............ dated ... 1¢ o.v.e.m b ~ l'.. l ? ............ 19 ~ .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 ......... .... ~.n. add.it ~. on..to. ~.n. exi.a tll~F..o~¢.-.~alJ..y., cl~,.e.l 1 $1~ .. ................... The certificate is issued to .... 2: .e .cl..B.a..k .g.i.d. 3( .... [ohJn'e'r, ~.~'~d;~;~'~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ...n./.a. .................................... UNDERWRITERS CERTIFICATE NO .......... ~.. 5 ? .8.4.0. 2. .............................. Rev. 1/81 Building Inspector TOWN Or SDUT~LD' ~ TOWN HALL SOUTHOLD, Nm Y~. BUILDING P,~.R~IT ! '":"' ,: ~ Bhilding (THIS PERMIT MUST BE KEPT ON TH,E PREM SES UNTIL F~JLL COMPLETION OF THE WORK ^UTHORIZED) 'N? 1:,1458 Z Date. Per~,ss~on ~s hereby granted to: ....... ~.:......z~.x~ ........ ~.~ ............. .~ ~ : ...... ~.~..~:,~z.~,...,..z~ 7 ...... , .......................... ~. .................... ~...~..~.~t~,~ .......... ~,., .......... ~ .......................... .,. ............................................... ..... :..:...~....:.,....~~7~. .~..~..~.~......m..~rz~ ....... ..?.~.....,.~..~....~..~.~..~....~.~ ................... Coun~ ,o~ ~p uo. ~0o0 so~t~o~ .....~.~.~.,.;. *~o,~ .~..~.~ ..... ~cot ~o. ~.~ ......... 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. 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 uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing ail property lines, s~reets, 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. Co 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 $5.00 New Building ............. Old or Pre-existing Building(X) , _~'~..~,.". _. ~/Vacant Land Location of Property . .1,~-.~ ........... (~-~ .~.L. ,~)~.k~. ,~... ¢/~.~.~. ~.. O~J'~j'.~.i.T.~ ('-~i~, Hoi~se No. Street ' ' '~;rnlet Owner or Owners of Property..1~ .0../. ~b J~ ~/.~'.-,[ ,-J.~,~/)/ ................................. OountyTax ap o. lO0O ecton ...... Bock .... ...... .......:i Subdivision ................................. Filed Map No ........... Lot No .............. Permit No, /.~ ~..~..'~-. Date of Permit /.)'~/.2/.~...Applicant..~.~. ~¢~.'.~, ........ Health Dept. Approval ........................ Labor Dept. Approval ......................... Underwriters Approval ........................ Planning Board Approval .................. ~ ,. ~ ~equest for Temporary Certificate ..................... Final Certificate ... - ......... Fee Submitted $ .... . ......................... Construction on above described building and perm~t'meet~s all app~cable~co.d~,~nd regulatio, ns. , , TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. t 1971 TEL. 765-1802 16 June 1982 Teddy Baktidy 18Z Captain Kidd Drive Mattituck, NY 11952 Dear Mr. Baktidy: I am in receipt of your application and check for a building permit. I cannot issue a building permit until I receive a copy of the underwriter's certificate, which I have not yet received. I am sure if you contact your electrician he will send you a copy. If you have any further questions, please contact this office. Thank you for your cooperation. Si. ncerely yours, Victor Lessard Administrator 1ooo418 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-m 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 Oato October 1, 1982 Applic.tlo. No. on/il~ 186298-82 N578402 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant ~med on the eb~e application nu tuber in the premises of Ted Bak~idy, Cap,in Kid ~d. ,Wes~ of Bre~acgr ~d. ,Ma~iCuck, in the following locution; ~ Basen, en~ ~ ls~ Fl. ~ 2nd Fl. Secrion Block Lot was oxamined on Sepc~ber 27, 1982 and found to be in compliance with the requirements of this Board. 19 DRYERS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET S E R V I C OF CC. CONO OF HI-LEG NO, OF NEUTRA OTHER APPARATUS: ~lec. Room Heatere,2-2.0 KW,3-1.5 KW,3-1.25 KW, 2-.75 KW,2-.5 KW 1-G.F.C.I. 2-Smoke Detectors AW.G. OF NEUTRAL h, Aguebogue, N.Y. 11931 lic.$04E ' COPY-FO' BUI'~ JNG DEPARTMENT. THiS cOPY OF CERtl IAT: ~~d~L~i~! : ' ...... ' . ., .~, *. ~ ~ * ~, '.~ .:~ ~NY MANNER. FIEL~ FOUNDATION FOUNDATION ROUGH FRAME INSULATION STATE CODE FINAL ECTION DATE COMMENTS (1st) (2nd) E & , ~ ENERGY ~ E ADDITIONAL COMMENTS: Titi~ Number S-239422 DESCRIP~fiON OF PROPERTY SCHEDULE "A" ALL cia. an ce,-'~ain lot, piece ¢~· '~,~rcel of land situate, lying and being ~t l~t~-ituc~-~, Town of Southold, Co~y~f Suffolk a~d State of Nc~ Yoz'k, ~'uox~n and designated as Lot No. 183, ~lock 15 on a ccitt in m~ p entitled, '%lap of C-ptain Kidd Estates, l~mt~ituck, Town of Southold, Suffolk ,~'~ncy, Iqh~w York," and fi~ed in the Office o~_ the Clerk of t~e Count- of Suffolk on Jqnuaz'y 19, 1949, as ~p No. ~.1672, bou~d a~d described ~s ~o!lov~s: %'~BEGii~ING ~t ~ point on tlc Kidd Driw~ distsn~ 0~3~?~ ~ ~ .......... .~=e~ easterly ...... .ia ~"..zo~'' Drive fro~ the easterly ~-- ~zG,~t connecting said southerly ^ ,c~Cl tnence South southerly side of Csptain as measured along Driw2 . .: -i.~ · ' ~t~ the easterly s.t~e of Zena ..... s,. along said southerly of C:.,,tain Kidd Dr~ve thence South ~h ~.c e North thene.-~ ~Jor tb 100 feet to a point; °° ~' 3.'~" E2st C,~, ~tain Kidd 120 feet to a point; 100 f~et to s point; 120 {~t to said s-outh&rly' Drive ~o the point or ~iace of~E~INNINo.'-' FORM NO, 1 TOWN OF SQUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 E.,am,nel 7.., ^pprove .../.Z .... A?PLICATION FOR BUILDING PERMIT Application No .......... INSTRUCTIONS a. Tins 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 schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description or layout of property must be drawn on tl~e diagram which is part of this apF cation. c. The work covered by this application may not be commenced before issuance of Building Pe~it. d. Upon apprcval of this application, the Building Inspector will issue a Building Pennit to the applicant. Such pern shall be kept on the premises ava~able for inspection throughout the work. e. No buikliag shalI be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shMl have been granted by the Bnilding Inspector. APPLICATION IS tIEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t Building Zone Ordinance of the Town ~f 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 ail applicable laws, ordinances, building code, housing code, and regulations, ~d admit authorized inspectors on premises and in buildings for necessa~ inspections. (Signature of applicant, or name, if a corporation) ... 9.,h9~ 5qo, d : llq (Mailing address of applicant) '" ....... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild ~'~,ne of owner oft, rcu,s~s .. 01 & !'. m~,~:..'T.~. O...6~. ~X .'BP.)t ........................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly attthorized officer. (Name and title of corporate officer) Builder's License No.. l .Q..C(.3.. :"~ .}). ! .......... Plumber's License N%.. 1%1..'~. ~../~'.c.'T~.. Elgctrician's License No. Other Trade's License No. '" I. Locatiou of land on which proposed work will be done ................................................ . ..... crier;.,...tfloP...o ............. ro.tr . . . .c. .,. .e4: )/.. ....... House ~umbcr St refiI~ County Tax lvlap No. iO00 Section . .I.(°..~'7 Subdivision .................................... Filed Map No ............... Lot ....... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ~£$ 110[ rOT'l Iqk_ - ~E~ t O~"'N "ii F~L._ ,: ii. epa/[- Rcnioval Demolirioa Other V¢ork ~ (Description) (to be paid on filing this application) ;. If dwelling, number of dwelling units ..: ............ Number of dwelling units on each floor ........ - ........ If garage number of cars ' i If business commercial or mixed 6ccupancy specify hatt3re and extant of each~type Of use .... .'~..~.. - Rear 5!,c] Depth ~'. Dimensions of 'xisting strtctures if any: Front Height ... [.t./...ff¥.67... Nui!'nber of Stories ..... O/h/.~"T .. .... ' ....... ./ .....;...; ........... 7./..., ....... Dimensions of saule structure with alterations or additions: Front ../-/.7. ........... Rear ...~. ............. Depth .... ."~.O..~. .......... '... Height .... g.'4.?..':"~rJT.. ......... Number of Stories .... . .'.':~.. 0 ............ ~;. Dimensions of entire new cons!ruction: Front . '.. [.8. ~...o?~..... Rear .... /.q.,, .~.'.o~.r.... Depth . .2.O'..,.,.~?..°7~..,.. Heioht 2g.~- Number of Stories "T'~/o ' ' ' .... ) Date df Purchase Name of Former Owner ' 1. Zone or use district in which p~emises are situated ....................... ': · -~. D,oes proposed construction vic?late any zoning law, ordinance or regulation:-. ...... /~..O ..... .................. ~. ~ill l~t be regraded ...... /g..O_.. .................. Will excess fill be remo.v, ed from premises: ~ No ~. NameI of Owner of pre~,nises . .:_..~.O.../~..~/(.7'?.~.~/... Address ...~.8'?.w.X. ,~ '~Z''''" Phone No.',,~t~":?.~'~.'-.~.t~.'.'.'~... Name!of Architect ...O~t.~.4'/...~......,~?/.~...~..C.... Address . P~,~..4'4'/.(-/./O/...L..,~...a~i Phone No..~..,,,~, ..-.~.5..~.g,.... Name' of Contractor . .~¢.~.g/8'~ ~..u!qz~ ~ .... Address . '0Xn' Phone No. 2~. ,~. 7.6('/¢.7.,. PLOT DIAGRAM Locate, c early and dist ~ctly al. 1 bt ildings, whether existing or proposed, and indicate ,xI1 set-back dimensions from roperty l/[~es. Give street and block number or description according to deed,-and show street names and indicate whether .tcr/or or corner lc . ! 7~_ .Z I#OTARY PUlU¢, Steto of New Yo~ No. 4728115 ' Qualified in Suffolk iCeunty ~; Commission Expires MarCh 30, It ~ ~ worn to before me this ~ ........ .~..--~...~, day if .~...~.evL-7.. , 19 .~./ OUNTY OF .............. ... S.S .... ~ .-_..o...t~x....(.....q..PS..~?..~.. { ~.LT..~.~7..~' .................. being dttly sx~orn, deposes and }ayl that he is the applicant (Nanie of individual sig~ing contract) )eve named. els the . i ·. · ~ ..... : ....... ~ (C ) , ontractor, agent, corporate officer, etc. f said owner or owners, mid is d!tly authorized to perform or have performed the said work and to make and file this )plibation; that all statements conltained in this application are true to the bcst of his knowledge and belie.f; and that the 'ork w/Il be performed in the manqer set forth in the application filed therewith. ] N-F FOI/~"d ....... .. c~-r~gNS: 1. FO~ .... "'~'i - TWO Fn" ~ '?;"-~ CONCRETE 2. Pml~'q 7q%MING & PLUMBIN~ DIi$1GN~R- ZONSTRUCTION ERRORS. SCALE: '/4} "~ { ~ 0 '~ APPROVED e¥ IDRAWN m,' ~-...~ c o^t£: lo/~t I .~35'qj, tt1 DOoF: , \ I, Cfi P_..L_ SEP4 Dr=c.. DRAWING NUMBER r -