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Home My WebLink About11046-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z 14.$. 77 Date Se.pta .tuber ...................................... 19 Attached .g.a.r. 9 .g.e THIS CERTIFIES that tile buildLqg ................................... .. ... Location of Property 860 Fanning Road ' .N.ew Suffolk, N.~Y. I~t~$~ NO: ....................... 'Street Hamlet CountyTax Map No. 1000 Section . 117 .Block 6. .Lot 35 Subd~wslon ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Marc6a 10. 19.81 hi hB ildi rmitN 11066Z ....................... pnrsuant to w c u ng Pe o. . dated............................March 15, 19.SJ.,wasissued, and conforms to all ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... attache~[ garage to,,~existin~g one family dwelling. The certificate is issued to .. Vinoent & Robin Martin of the aforesaid building. N/A Suffolk Couuty Department of Health Approval .......................................... N549059 UNDERWRITERS CERTIFICATE NO .................................................. Braiding Inspector Rev. 1/81 FO~ ~TO. 2 TOWN OF sDu~THQL.~) TOWH HALL SOUTHOLD, FI.. Y. BUILDING ' P, ER~I~r (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) ,' :~-:to~s z Do,e. .... ..... . . !~d.~ ....... ~, Permission is hereby granted to: .............. .~.....fi... .~,..2~..~L!.!~.L,,~.....,i?..~,e.~ .. A~ ~ G ~ .~,.2 ~, ~ ........................................ ~o .......................... ,... ....... ,... .............. H~ ~A ~ /L ~ ~ ~-/~t~ : . ~t p~omises Iocoted ................................................................... · ........... ........ t ........ co~ ,ox ~o~ ~o. ~o00 s~,o~ ........ I..L.'L..... ~o~k .}......5: ......... Co~ so. ~..~..>~2 ........ purs~ont to opplic~tion d~tod ................................. ~.~S....}.~[2, 19.~.., ond 0pprov~ by the Building Ihspector. .... Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department, Town Hall Southold, N.Y. 11971 TOWN OF SOUTHOLD 765-. APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This applica'~ion must be filled tn Wpewriter 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 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. For existing buildings '(prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buildings end 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwel)ing 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15o00 Date ....... ~. 7..~..~..%....~.'.... NewCons t,r~c tion Old or Pre-existing Building Vacant Land Location of Property ....~.~. ~ ...... ,, ......... ...~,'t/.,.~./..,'?.~.../~..C2~ 4~. ................... House No. Street ~ Ham/et Owner or Owners of Property .~./. 4L~. C C' ~',-,~. ~.../~ ~/.,~. /~.~/.~.~../~.. County Tax Map No. 1000 Section ,.. Z ,/.~. ...... Block ...... .~ ....... Lot .... .'~..-.~ ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....... X, ............ Fee Submitted $ ............................. Construction on above described building and per, mit meets all applicable codes and regulations. Rev, 10-10-78 3 0 o1- I THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY IJ~ E5 JOHN STREET, NEW YORK, NEW Y~ORK 1OO:38 ,.t. January 26, 1982 ~pp,ic.tio. ~o. o. liie 153638,82 P~lI046Z N 5 4 9 0 5 9 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appJ~cant named on the above application number in the premises of Vincent Martin, 860 Fanning Rd., New SuEfolk, N.Y. ' i,~thefo,owingiocatio.; [] Basement [] lstrl. [] S.d rr Garage Section 11~to,,k 6 rot 35 was examined on JEff'~J;"21, 1982 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS EXHAUST OUTLETS SWITCHES NCANDE$CENT FLUORESCENT 3 SYSTEMS NO. OF FEET E OTHER APPARATUS: patmlboards: 1-4cir. lO0~mps E NO. Ol~E~ C,~,CO N O R V I C A. W, G NO O~ HI-lEG OF CC. COND. A. W G, NO OF NEUTRALS A W.G. OF HI LEG OF NEUTRAL FIELD_INSPECTION 1. FOUNmT~O~ (~st) COMMENTS FOUNDATION 2. ROUGH FRAME & PLUMBING (an~) INSUI~TION PER N.Y. STATE ENERGY CO~E FINAL ADDITIONAL COMMENTS: BoA ~ 84~05~50"E 16' ?' I N e'J*OS~$O"w ~; ~ - ; M.O. K~LLY NOTE; ELEVATiON~ ARE ON 4NA~SUMED DATUM. ' WATER 8ItUVEY FOR VINCENT ~ ROBIN MARTIN TOWN OF' SOVTHO~D ~U~"ED ' ~ectio~ 7209 of the New york Stqte Education Law. VINCENT e ROBIN --~' ~--f I~'E,~ ¢itl¢~ compony, povrIrm'erlr~l (~qency rand lending Institullon listed /,,,/iN~t qddll[ap~[ ~flsl ul'oni TEST BORING FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~ /'-3 19 . ,. ~JT~nermit No. [ t D c{~ ~ Approved Disapproved a/c ............ ~~ ...... L_~- ~- (B~ilding Inspector) APPLIOAIION FOR BUILDING PER~[I Application No,../. ( .~(.~. ........ Date ~.- ...... 1 INSTRUCTIONS a. This application must be completely filled in by typewriter or in 'ink and submitted in triplicate to the Building 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit 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 Occupancy 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 the Building Zone Ordinance of the Town of SoutHoid, 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary insae, ctions. ..... .............. (Signature of applicant, or name, if a corporation) .. 860. fanning .road,l~ew .Suffetk~N.Y ~ ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...... V. Igc. e.~t .M~rtin .~ Jdt~ ................................................. (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 ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ~56Fannin~g ........... 860 New Suffolk, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section ...... (.I..~. ....... Block ...... .~. .......... Lot....~..~...~.. ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~?/e .4.~. q.4~, .~ ................................................ b. Intended use and occupancy ..... ~ .,cA .1:~\ .~.~ ....................................................... 3. Nature of work (check which applicable): New Building ....x.~x~x...x... Addition b/ Alteratlon ' . Repair Re. moval Demolition Other Work. ' (DeTiption) 4. Estimated Cost $ 2~001 ' Fee . I (to be paid on filing this application) 5. If dwelling, number of dwellingiun~ts Number of dwelling units on each floor ~ Ctlt' ............ If garage, number of cars .... m- · .- ................................................................ 6. If business commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions Front ................. Rear .................. . Depth'. .................. ~.. Height .... 9 ................. Number of Stories ............ o~ ........ 8. Dimensio l[tire new constrUction: Front· :,~.a. ~.*?.~ ...... Rear ...~.~..f??.~ ...... Depth .. ~.a..~.~.~.~ ...... · ' . single . . . Height ........... 1"'~' ~n~ber. of Stones ....................................................... 10. ~)ate df Purchase ... ~. ~Y~. ~. ~?Y~ ........ Na~e ofF,er Owner . ~. ~gY$~g ............ ...... 11. Zone or use d~stnct ~n which premises are situated ..................................................... 12. Does proposed construct~ violate, any zoning law, ordinance or re~lation: .. ~ ............................ 13. Will lot be regraded ....... ~i-,~, .............. Will e~ess fill b~removed from premises: No 14. Nme of Owner of premises .. ~ ................. Address ................... ~none mo ................ Nme of Architect .. ~th~&ht~ Pi' Hl~ih ........ Address F~ing' ~8' d ...... Phone No.. 73~&5298 ...... Nme of Contractor ........ ; ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW..ZOI~ .~ COUNTy OF. .~,'.~ ~. ~.. .... .................. (Name of individual si~ing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ................................................................. : ....................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before m~ this ........................ day of ............ Notary Public,/~ ...... ~lla~ ~ ~atgl~ Coun~ ,- (Signature of applic~t)