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Home My WebLink About11267-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occul: ncy No ................. Date August 14 8.5. Z 1375.9 ................................ ,19. THIS CERTIFIES that the building Encl. o. se existing screened porch Location of Property 10400 Soundvie.w Ave. Southp. l.d County Tax Map No. 1000 Section ...0. $.6 ..... ;Block ...q9 .......... Lot ..... 9.1.3. ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated .... .d. tt J,y..6 .......... ,19 13.1. pursuant to which Building Permit No... ] J .2.6.7. z. ............ dated .J.U[¥..1.0 ................... 19 t3.1., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... . .EA~.lp.s.e .existin.g screened ~orch for year ro.up.d .u.s,e James Murtaugh The certificate is issued to ....................................................... .... (owner, of the aforesaid building. Suffolk County Department of Health Approval .......................................... N53363~ UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rw.l~l TOWN OF SOUT.O~ BUILDING DE~ARTME~iT ' TOWN HALL SOUTHOLD, N, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PI~EMI$~$ COMPLETION OF THE WORK AUTHORIZED) UNTIL FULL N? 11267 Z Permission is hereby granted to: ............. · ~..:~- ..... ~..'..:~. .......... i-.-: ...... ... ~...q. ~...~.. ~....~.:~ -.~-~ ~ ' ................................. County Tax Map No. 1000 Section ..... ~., .............. Block .~,.~ p,rsuont to opplication dated ...~.Z~........~.. ............. : .... Building Inspector. Lot No ........... ..... , 19..~//.., and opproved by the Bud ng ~ nspector Rev 6/30/80 FORM N(~. 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 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 pz~operty showing all 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 3. Copy of certificate of occupancy $1,00 4oVacant Land C.O. $5.00 $15.00 Date ......................... New Building ............. Old or Pre-existing Building ~" Vacant Land ............ Location of Property [ O ~.J¢- ~ ~O~ ~.~ ~ ~-~,5 /~. House No. Street Ham/et Owner or Owners of Property ..... .~.'~,..A_~., .~T...~., , ~ ?. ?--..-I'.,../~.. ,~..~T.: ....................... County Tax Map No. 1000 Section O~ ~, Block ~'~ Lot. Subdivision ................................. Filed Map No ........... Lot No .............. ......- Permit No. ~ t %t..~ ,7_... Date of ~erm~ .......... Applicant .......... .,4j. ,~., ,~. ..... ,¢..? ....... Approval -- Labor Dept Approval ~ Health Dept .................................................. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate '~ Fee Submitted $ ..... Construction on above described budding and permit meets(all ~cable codes and regulations. Rev 10-10-7S C. 6 # 1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY [~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 o. te AuS~aC 31, 19~1 131695 - 81 No. on/,,e N 533634 THIS CERTIFIES THAT o~ly the e~ectrlcal equipment as described belo;~ and introduced by the applicant named on the abo~e appli~atlofl number in the premises of j~-~-l~.m-tau~a, s/s Soxa'ldvisw Ave., 300' w/o ~ Rd., Soutbold, N.Y. in the following location; [] Basement [] 1st ri. [] 2nd ri. Section Bl~ck Lot was examined on ~q~B~. 27, 19~1 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 10 SWITCHES RXTURES RANGES OVENS ~SHWASHERS EXHAUST FANS FLUORESCENT DRYERS FURNACE MOTORS FUTURE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLE1 DIMMERS SYSTEMS SERVICE DISCONNECT S E R OTHER APPARATUS: C NO. Of PERCC~,COND. A.W.G. NO. Of HI-LEG A.W.G. NO. OF NEUTRALS A.W.G. OF CC. COND, OF HI-LEG O~ NEUTRAL l~uland Klac~ric Co. P.O. Box 143 hat:r.l~, N.Y. 11952 lb:. 242-E Per This ce~'ificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FIEL~SPECTION FOUNDATION ( 1 st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. STATE ENERGY C,ODE FINAL DATE COMMENTS ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..... .F..C) ..... , 19 . Approved~.~.~..../.C? ..... , I~../. Permit No ...... Disapproved a/c ....... ; ............................ · (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .............. INSTRUCTIONS a. This application must be completely filled in by typewriter or i'n inl~ and submitted in triplicate to the Buildi Inspector, w~th 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 whiclz is part of this apF cat~on. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc-.'al of this application, the Buikhng Inspector will issne a Building Permit to the applicant. Such pern shall be kept on the premises avadable for inspectton throughout the work. e. No budding shall be occupmd or used in whole or in part for any purpose whatever until a Certificate of Occupan shall bare 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~ Laws, Ordinances Regulatzous, for the construction of buildings, additions or alterations, or for removal or/~temolit~'n, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code housing co, d~,~ and regulations, and admit authorized inspectors on premises and in buildings for necessary inspe/cCi~ofi~, II// ........ ..... ............. (Signature of apglicant, or name, if a corporation) :::.,.. . · <Mailing addres~ ......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build, Name of owner of premises ................................................................ (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 ..... .~...o.~..~'. .......... l. Locatzon of land on which proposed work wil~,~e done .......... i ....~' ............................... ..... ?. ............. ..,. ..... ............... House Number Street Hamlet County Tax Map No. 1000 Section ....................... LOt ...... r .......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of pre,mses and intended.use a?d~hpancy of proposed construction: a. Existing use and occupancy ................. b. Intended use and occupancy L Nature of work (check which applicable): New Building .......... Addition .......... Alteration ... ~ ..... Repair .............. Remogal .............. Demolition .............. Other Work~ .'¢.q ¥.. ['~. ' (Description) Estimated Cost ...................................... Fee .......................... ~, ........... (to be paid on filing this application) ;. If dwelling, mnnber of dwelling units .... .1 ......... Nmnber o f dwelling units on each floor. If garage, nmnber of cars ................ '7. ....................................................... ,. If business, commercial or mixed occupancy, specifsf mature and extent of each ty.~e of use ........ .~..~..4 ....... I. Dimensions of existlngstmctures, if any' Front ~' +~ Rear ~ : ..... Depth ° . .... }Im,,ht . . ...'Tk-rO.. ,- ...... Number at Stories ..................... ~ .................... ~ 4' ......... Dimensions of same structure wiih alterations or additions: Front ....%..st...4.~ ....... Rear ....~. Y....- ........ Depth ..... .'~.~ ............. Height ...................... Number of Stories ..................... L Dimensions of.mt/re new construction: Front.,. ~ .q'..+~ ...... Rear ... ~?1..4-,. ...... Depth .'$...~.~ ......... Height ............... Number of Stories .......................... 4-' ' ~ ....... 1. Size of lot: Front .... I..~ .O(,..~.[. ......... '~;&[ iii3'.~.q}i~..~. .......... Depth . .[~.?.~?. m ......... ). Date of Purchase ............................. Name of Former Owner ............................. 1. Zone or use district in which premises are situated ..................................................... ~ Does proposed construction violate any zoning law ordinance or regulation: .~'~... ....................... 1. B il~ lot be reoraded O .~. .. Will excess fill be removed from premises: ...Yes ~. Name of Owner of premises .~..,~....~...~.kL~..'X~'q..~-~-. Address . .~..°.°. 9. O. '. .'.a,',',',',',',','~. ~ .... Phone No.-J~.~5..~..~'..I.~.T~. Nanle of Architect ...~:'-~ · . . . . . ....... Address ................... Phone No ................ Name of Contractor'ill i~ '" ................. !{ ..-:q. ~ '~"~ Address . .~'?,~..~.. ~. ~. ~. ~ ......... Phone No. ~1..~.'5.'7.."/~, .'il..~. PLOT DIAGRAM Locate clearly and distinctly atl~ buildings, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block humber or description according to deed, and show street names and indicate whether terior or corner lot. rATE OF NEW yOrRl(,a OUNTY OF~.;q. S]S.S.S .......... '......v.t(..~/~..[/~" -~...IQ~..~ .... being duly sworn, deposes and says that he is the applicant (Name of indMdual signing contract) )ore named. e is the ......................................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, mid is duly authorized to perform or have pmfformed the said work and to make and file this )plication; that all statements contained m this application are trne to the best of his knowledge and belief; and that the 'ark will be performed in the m~n~r set forth h~ the application filed therewith. worn to before me this ........... ~.~ ..... day of. ~.~ .......... 19~ ~~. ~'.~ f.... County otary Public, . . .~ . ~ ~TARY ~UBLIC, ~ta~ qf N~w~ No~ 52-460249~ .......... "' ' Quahfi~ in Soffolk Coun~ ~ ~h~ ~i[es' M~rch ~0~ 1~ (Signature of applicant) NOTI~ BUILDING DEPARTMENT 765-t 802 9 AM TO 4 PM FOR FOLLOW~ NG INSPECTIONS: 1. FOUNDATION - ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULAT[O~ 4. FINAL - CO~TRUCTION MUST BE COMPLETE FOR C O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF THE N.Y. STATE CON.RUCTION & ENERGY CODES. NOT RESPONSIBLE DESIGN OR CONSTRUCTION