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Home My WebLink About11460-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING D~PARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25668 Date: 04/21/98 THIS CERTIFIES that the building ADDITION Location of Property: 50 JACKSON ST (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 116 Block 6 NEW SUFFOLK (HAMLET) Lot 24.1 Subdivision Filed Map NO. -- Lot NO. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1981 pursuant to which Building Permit No. 11460-Z dated NOVEMBER 18, 1981 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy fo~ which this certificate is issued is OPEN DECK AND KITCHEN ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KIMOGENOR PT.CO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N 567901 N/A 07/01/82 Rev. 1/81 TOWN H~-~ ': ~ souTHOLD, N~ BUILDING} PERJ~iTi (THIS PERMIT MUST BE KEPT ON 'I~H,E PRE/~ISES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) i, N? ~1460 Z ~a~e : ~.~.: ~ r~ ........... , ~.d~ is hereby granted to: Permissior~~ ~ ....... .._..~.~..~. .... ...~...~~...~..:~ ............... ..,. ~ ~...: ...:. ~.~,..;. ....... ~:~: ..................... ~ p~,~o~ ~0c~t~d ~t .~..i ......... ~~.~.:L.~...; .............. ~.~: ............ ~ .......................... .... ~'z' i ............... ,~ ................... ~> .......... :,.:..L.f. ..... ~. ........... ~ ...... ~.,....,..~,...¢...,..,.~: ......... ~ ............... Cooh~ Tak Map No. 1000 Section; .......... :, DloCE ...,..,ILar No. :,~.,~ .... pU~Uont to opplicotion dat,d ..,~.~...? ............... .~. ~ ......... , 19 .., and ~pprov~ Bu ding I~Pector. ; ' ; }~ FORM NO. 6 TOWN OF $OUTHOLD 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: I. 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 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 q'r land use $/5/$5.00 3. Copy of certificate of occupancy $1 New Building ............. Old or Pre-existing Building ........... Vacant [.and ............ Location of Property ............. House No. Street Hamlet Owner or Owners of Property ........................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~l O.. Date of Permit .......... Applicant . I,~ .... O,~.~.~. ~. ~,c~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ' Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ........................... Construction on above described building arC'~e~mit meets all applicable 1000221 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy ~, G5 JOHN STREET, NEW YORK NEW YORK 1003~ o,,t. July 1, 1982 ~pplicatlo,~No. or~fil~ 150600 - 81 N 567901 THIS CERTIFIES THAT George F. Fisher, s/s Kimo~evar P~. Rd., Jac2a~n St. & New Suffolk Ave., New Suffolk, N.Y. in the following location; [] Basement [] 1st FI. [~ 2nd FI. Section Block Lot wasexaminedon d'~ 28, 1982 FIXTURE FIXTURES RANGES :OOKINGDECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 10 26 12 DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Par~lboard/~, 1-150a~ps. 1-Saoke De~ec~or S E R V PER ,ff OF CC COND* 1 1/o t C E NO, OF HI-LEG A, W G, OF HI LEG NO O EUTRAI oFA NEUTRAL Det~ner El~c. P.O. Box 482 Ri'verhead, N.Y. 11901 lic. 643-S Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector~ may be identified by thelr/credentials. FOR BUll NTo THIS ~' OF ANY MANNER. FIE~D,~NSPECTYON ~ 1. FOUNDATION (1st) FOUNDATION (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C~DE FINAL ADDITIONAL COMMENTS: ,I i<'~Y N.~L4 T Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 5, 1998 Kimogenor Pt. Co. C/O Robert Cox 226 West Lane Ridgefield, CT 06877 SECOND NOTICE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 11460-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPEC'FOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Sept. 26,1984 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. 1) The check is Fee Not Submitted ~)~ 2) No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit #11460 for George Fisher. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUThOLD, FLY. 11971 TEL,: 7654802 ... (Bu,!ding Inspector) A~PLIC~TION FOR BUILDING PERMIT ^pplication No./ ./~. (.O ........ INSTRUCTIONS 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 pict plan lo scale. Fee according to schedule. b. Ph:t lqan showing location of lot and of buildings on premises, relationship to adjoining p~mises or public strer ct areas, and giving a detailed description of layout of property must be drawn on the din~am which is part of this cation. c. The work covered by this ;topi cat o ~ ~ ay not be commenced before issuance of Buikling Permit. d. Upotl apprc :al oC this application, the Building Inspector will ~ssne a Building Permit to the applicant. Such pern qmll be kept on the premises available for inspection thronghout thc work. e. No m ildiag shall be occupied or nsed in whole erin pa~ for any purpose whatever until a Certificate of Occupan shall have been granted by the Buikling Inspector. APPLICATION 1S HEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to t Building Zone Ordinance of thc 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 describc Fha applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, anti admit authorized inspectors on premises and n bo k ~gs for necessap/inspections (Signature of applicznt, or name, if a corporation) (Mailing address of a~pii~nt) ': ' State whether applicant is owner, Icssec, agent, architect, engineer, general contrncior, electrician, plumber or build ~ C.~ X ,;~c ofown~'r' ofp:cmiscs ..... ff { ~ Q~T~¢.~...~: ...... Co : ............................... (as on the tax roll or latest deed) ,, a)pl can, s a corpormon, s~,na,~re of duly authorized officer. (Name and title of corporate officer) Bi 'lder s Lmense No....~.OP...TDk.).('~OL;F~.i.:, Co... Phnnber's Licens: No.. C. 9.'~.~2{.~', ti ....... Electrician's License No..~*~.. ~.~.~ ..... Other Tradc's License No ...................... no~,~,o, or ~,~n~ on w~ch ~ropose,,, wor,~,v~, ~e.d, one .... /41 ~C~.--e7~..O1~..~4.. Co . Y'o ~7~ ~_~.~- ~ .... i ........ ....................................... ~. .................... ~.~... ~..~..4~... ~. ~.. House Number Street Hamlet i0oo Section ...... t/~ ....... ,~,o~...,~ ............ ~ot...~.~.. ........ County Tax Map No. Subdivision ..................................... ,Wiled Map No ............... Lot .............. (Name) State existing use and occupancy of premises and intended usc and occupancy of proposed construction: a. Existing use and occupaucy .../.'..../~---,,.q.,'!2~.. ~.. ~'~&?'dd~.~7-. ................................ ~. ,~,e,,de~ use .,~ o=,,=y.. ~.~..~//.. ~. ~.'.. ~~..: ......... Repair .............. Removal ........ J2;ia:ated Cost,, Z,~.. J,~, ~,(~.0 ..... If dwelling, number of dwelling units ..... ~. "" ' applicabk:'): ' ' ' ~ ....... De4noiiuor, Other Work (Description) (to be paid on filing this application) ....... Number of dwelling uhits on each floor ................ If gara,,e, number of cars .. If business, commercial or mixed occupancy, specify ~ture and extent of each type of nsc ........ , D' ~ensio~sofex'st'ngstmctures ffany:Front e'7(7-J-.~ Rear .'5~. 7-.~.t ........ Depth i~.'2{-'! ........ . lteigbt .../.5~..~ ....... Nnmber of Stories .......................... f .............................. Dimensions of same structure with alterations or additions: Front ... ~..~'F'~..~.'-.'.-7 .... Rear . .~..Ox,-~qr7 ........ Depth ................. '. ....tteigbt ...................... Number 6f Stories ...................... ~. Dimensions of entire new construction: Fro,it ............... Rear ...... ! ......... Depth ............... Height ............... Number of Stories .......................... ~ ..... ~ ......................... Size of]et: Front ....... '.'.'. Rear .'Depth Date o'i'Purchase Name of Former Ownerl Zone or use district in which premises are situated ....................... ............ : .................. Does proposed construction violate any zoning law, ordinance or regula'tion: . .i .............................. Will lot be regraded ........ ..: .................. Will excess fill be removed from premises: Yes No Na,ne of Owner of premises ............... .... '. Address ............. i ......Phone No ................ Name of Architect ......................... '.. Address ............. i ......Phone No ................ Nmne of Contractor ~o...a3Zo..tq .CO/,45.'r3.,..w.c? ...... Address .Mgl,.Q..~PF. Oi/-.~)Jg-Y:Phone No. '~'~ .q..-.(,q~. (dp... PLOT DIAGRAM Locate clearly,,Qd distinctly all buildings, whether existing or proposed, and. indicate all set-back dhmcnsions from roperty lines. Gi~ c street a'nd block number or description according to deed, a~ slmw street names and indicate whether rATE O'F NEWaRk,/ ..... ~___ OUNTY OF~. S.5 ;.N ~Q ~ ~ 9--~ ..................................... .~UO.. ~ ~.~... , ..................... being duly sworn, doposes and says that he is the applicant (Na~e of individual signing contract) )OVO nanled. is the...C.O.d.."Ciq, eC-<-O~, p-~ ...................................................................... (Contractor, agent, corporate officer, etc.) said owner or 0wne~, m~d is duly authohzed to perform or have performed the said work and to make and file this >plication; flint 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 rammer set forth h~ the application filed therewith. ,vTm to before~lne~~~J~/ eta* mublic~. ~.. ~~County ~/~ N~ ~2-0344963~ ~ffo ( Count,, ~'~ ' ' g'~ '~~ ................. Exp res March 30, 19~ ' ~ ~nam~e o[ appJ cant)