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Home My WebLink About11478-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of _the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..ZJ .1.5.4 ? .......... Date .............. ~a~ch..~ .......... 1985. THIS CERTIFIES that the building .... Add~'~5-o~ .................................. Location of Property ....q.~.55 ·. E2~ore..Dri.v.e. ...... ~/e3t' ....... G2e.eLql~Or~. ~, X.. ...... House IVo. Hamlet County Tax Map No. 1000 Section . .0 ./¢~.- ...... Block .... 02, ........ Lot ..... .0.29 ........ Subdivision..G~a e~or~..Shoras .......... Filed Map No... ~ ~.~ .Lot No .... 22&2.5. .... conforms substantially to the Application for Building Permit heretofore filed in this office dated Novembe~ z[ t 9 8~1 pursuant to which Building Permit No. /iq ~Z... dated November 25 19 8~ 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 ......... An addition to existing ~welling The certificate isissued to Douglas 1>. & l~onique Morris (ownor~ lessee or tenant} of the aforesaid building. Suffolk County Department of Health Approval . ~./..A ..................................... UNDERWRITERS CERTIFICATE NO. 56~0~ ~ Rev, 1/81 Building Inspector TOWN ;OF SO~THOI4D BUILDINB 'D~pXRt~N~ TOWN HALL SOUTHOLD, N~. Y. BUILDING FER~IT (THIS PERMIT MUST BE KEPT ON TH,E PREMISES UNTIL COMPLETION OF THE WORK AUTHORIZED) N°. ~:~478 Z ,./. Permission is hereby granted to: Dat~ ..../. 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 buir~ings 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 buddings, Indust~tial buildings, Multiple Res dences and similar buildings and installa- tions, a certificate of Code coh~pliance 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 alt 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date.. ~.~..~ ~ ~ New Building ............. Old or Pre-existing Building(X). _../~_ .... =/Vacant Land ~ ........... Location of Property...~', .-~,-.~, ¢Ham/et Hou~ No. , ~ Street Subdivision.. ,~.¢~~...~,~9~¢,~., .Filed Map No, ¢?~.~.. ,Lot No. ~ ,~.~... Permit,o.44¢Z~ Date of Permit ~.:/* ....................... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. U nde~riters Approval~.~ ~d~ ~ ..... ~..Planning Board Approval .................. ~..~ Request for Temporary Certificate ..................... Final Certificat~ ..... ~ ......... ................... Construction on above described building and permit"meeSs ~1 apP~cable~.code~ and regulations Applicant...~.~.~./.~'...~._.'..~.~-¢~'~..,...~.~.../~.. T~.. ¢.~ ~¢~¢¢~, 1000121 THE NEW YORK BOARD OF FIRE UNDERWRITERS D~ BUREAU OF ELECTRICITY ~- 85 JOHN ,STREET, NEW YORK, NEW YORK 1003~ pate Jtme 24, 1982 148987 - 81 ~,,~.,on ~o. o.~,,~ N 567017 THIS CERTIFIES THAT only the electrical equipment ~ described bel~ and introduced by tl~ applicant ~med on the able application number in the premises of ~1~ ~s, S~e ~., off Silv~re ~., ~e~, N.Y. Ba e en~ ~ lstFI. ~ 2nd Fl. in thefollowlng location; ~ ~2 Section Block Lot was examined on J~ ~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES DISH WASHERS EXHAUST FANS OUTLETS 37 DRYERS OTHER APPARATUS: Cookin~ Decks~ 1-35.8 am~$. 1-G.F.I. 1-Smoke Detector S E R NO Oi~ERCC~,COND. OF A' W, O, CC COND, I C E NO OF HI-LEG OF HI-LEG OF NEUTRAL Patti Burns , ~ Town Harbor La. ~~/ ~ Southold, N.Y. 11971 1~.282-E BmSmRAt ~~j:~.~er; return to the off,ce of the Board if incorrect. Inspectors may be idenfifie~ 5y thei~?~e~entlals. ,COPY FOR "UliOlaG DEPARTMENT. THIS COPY OF ;ERTIFJ~AT~ M S~ N9~ GE iTEEED i ANY FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY 9DE FINAL ADDITIONAL COMMENTS: FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c .... _.~ ........ ._~. .... . . ._..~.// t ............................... · ........ ('l~di~'I;~;~t~;i ...... APPLICATION FOR BUILDING PERMIT Application No.././.~. 7~., ..... 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 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 of layout of property must be drawn on the diagram 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 promises 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 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 nec.e~sary inspections. .... ~: .,..X. .t.~. ~. . /.¢:.~. .~.,.~. . .~ . ~,~ .... (Sign~ature of applicant, or name, if a' corppration) ..... . ' ' (~lailing addres; ;>~ ~pii;,~;)~ ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ ........... ¢..~.~.::~/ .............................................................. , Nmne of owner of premises .... ~.rp.t.J ... 5:. ~.~./~l¢. ~.t.~.q. <... e .~ ~( .* .................. (as on the tax roll or latest deed) If applicant is a co~oration, signature of duly authorized officer. .... .... (Name and title of co~orate officer) Builder's License No ................. t ........ Plumber's License No ...... ~L~ .!f ........... Electrician's License No...~ .~ ..... '] ..... Other Trade's License No ..... ~ .......... ~ ~. 1. ~' ~ Location of land on which proposed work will be done .... ~.~.. ~.~.'.~.'~....~ ~x~,~./~ .................................. e .................... :..,. ..... r~ ..... ~ .... ~ ..... House Number Street ~ Hamlet County Tax Map No. 1000 Section . .~5~ ........... Block .... ~.~ .......... Lot i.%~ ......... Subdivision ....... '. Filed Map No ........ Lot 2. S~ate existing use and occupancy of premises and intende~ use and 'occup~cy of proposed construction: a. Existing use and occuoancv ~ ~ [~ · P Y ................. .5 ..... ~.x xx ~. ~ 7~ .~~ ....... Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ~ RemOval Demolition Other Work Estimated Cost ........................ Fee ................. ¢. .......... " ' (to be paid on filing this application) l.f. dwelling, number o f dwelling Units ...... /. ..... Nmnber of dwelling units on each floor ................ Il garage, number of cars .... /. .............................................................. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... Dimensions of existing structure}, if any: Front ............... Rear .............. Depth ............. Height: . '... Number of Stories Dimensions of san~e structure with alterations or additions: Front ................. Rear ................ Depttt. .................... :.. Height .................... Number ~o~/Stories .................... Dimensions of entire new constrhction: Front . .. ~.~. ...... Rear ..... 7. t ....... Depth .... ~..~.. ..... Height ..... ]. 7. ...... Number of Stories . ../ ............. ¥ ......... ~. ............ : ~.- r~ ........... Size of lot: Front ...... l.O..t:?f.., ........ Rear ...... /..O...~. .....: ...... '. Depth .... /.~.~. ........... Date 6f Purchase I Name of Fopaner Ow.~er .! ........................... Z~ne~rusedistrictin~hichpremisesaresituate~......~.~?/..~..~.eq..t.t.~.a~...~....~I. ........ ............. " Does proposed construction violate any zoning law, ordinance or regulation: ......... :*. ................... win lot be regraaea ...... p(. S?. ................ Will excc~ss fill be removed fromm'premises: ~ .N.o. Nane Of Owner of premises .. /./y'/..o y.~'. t. p .... ..... Address ................... Phone No ........... ~ ............. Address ......... Name of Architect . ' ~ . Phone No. Name of Contractor ~.tf4~. ~t.; .~/...~. ~lf¢ ~..~1'/4 .(Y~'Address i ~. ~.' i~'~.' ~.~. ' ~7~. ' Phone No. PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and~ indicate all set-back dimensions from roperty IJ~es. Give street and block ;number or description according to deed, and show street names and indicate whether TATE OF NEW~'~RK, . t~ ' S '~d;'''''c~a~''f~l'~'~f''j'~v''''r'~'~~r,,.-~,~,-,--.,.~,, ..... being duty sworn, deposes and says that he is tile applicant >eve named. els the ~' ' gen, corporate > f said owner or owne~, and is duly authorized to perform or have performer the said work and to m~e ~d file ~is >plication; that all statements contained in ~his application are true to the best of his knowledge and belief; and that the 'ork will be perfor~ned in the m~n0r set forth h~ the application flied therewith. ~oru to before me this , ........ ...... ~ ~ ~Ola~V ~LIo, stat0 of ao~ ~ .... (Signature of~plicant)~ ~ ' ~o, 52-8125850, Suffolk Cou~ i ~,,~ ;.' T~ ~p~r~ March 30, 19~ ~ ill i ~OQ.O Cov~ DO iJ G LAS OCC P^ CY -FL ~2~2R / NO~¢'?-h ~Ln Nd OE~R~E~ AT 7&Sqpe,,~ ¢ ?,~ -r~ X PM FO~ TH~ ), F~'¢''''*' '"?! - TWO REQUrRED 2, PCLm" - FRAMIHG & PLUMBIN~ ALL CTh%TPLICT]ON SHALL ME~ CODES· NOT RESPONSIBLE FO~ C,~NT. 5TR!t~ VEHT,5 ,LIYI~G T~ N~W ¢' ~XTC. KIT'C. H 6. J'J ~h'l,i~ C~IFtCATE OF OCCDA~C¥ ~GN O~ cu ?..~/A _o-F___CT / 0 ~ "A-/%" E..xTG .KiTC~R F-. H Y'I'" = ILo*` rLA ~