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Home My WebLink About11334-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of dm Buildin~ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z 1 ~ ~).4. l ......... Date ......... ,~uu~..%8 ............... ,19. ~2 THIS CERTIFIES that the building ...... Location of Property . ~ .4A91 ................ 0r ~,,ar~. ]~.a d .............. .~q ~.o. gu9.. Hou~ No. Street Hamlet County Tax Map No. 1000 Section . 0:72. ....... Block .. 0.1 ........... Lot. par.t,, of. ~Q 1 ... Minor Subdivision.. o ~'...~ a z ~ ~.~. .................. l/ik~l-Map No. 178 ..... Lot No...~ .......... conforms substantially to the Application for Building Permit heretofore f'fled in this office dated · · .August, · ~ 2 ........ ,198 ~. pursuant to which Building Permit No.. 3.1.33.4..~. ? ......... dated . A.~gua .t.. 1 ? ................ 19(~ 1., was issued, and conforms to all of the requiremeats of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·..a. prd.~a~..o~e.-~.~r~ll~..~tw~.].~p~, ......................................... The cert/ficate is issued to .. Wi.nde. )/.al/. B~.lldlD. g. QPF. II ,*. ........................... of the aforesaid building. Suffolk County Department of Health Approv~fl . ] ~ .-~.Q -. ?/3.~ .~/3./.3.:~ ~..R.o..b .~....~ ,..V.t. 1..1.a.,..P. UNDERWRITERS CERTIFICATE NO ...... J~ . 55 ~.4./~ ] .................................. #Planning Board approval granted. Building inspect6r BE KEPT ON THE PREMISES UNTIL EULL (THIS PERMIT MUST COMPLETION OF THE WORK AUTHORIZED) N°. 11334 Z Dote .... ~.~ ....... /..7.. ........... , ~9..~./ Permission is hereby granted to: , .~ ....F~.~. F2.....C-7.,t~.~.,. ~ ~.. ..... ~.:. ................ : ..~~..,..~5,..,....~......~X~/ ~o....~~c~....~.~..~x~....~/~ ...................................... ~~...~.,D2~.~ .............. ~.~..~.....~ ............ ;: ......................... ~o~, ,~ ~ ~o. ~ooo ~,~,o~ .....~z~..~..... ~,o~[ .~..~.~ ........... [o~ ~.~....:.~/ Rev.~6/30/80 / ~'ng ~lnspector FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southoid, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 ~/~ Old or Pre ex, t n Date.,/ ¢~//¥/ ,. New Bui d'ng .......... ~.~ - 's i g Building(X) ....... ~ Vacant Land i ........... Locat on of Pro/D?t:C~ / ~'~'-~//'~ /4~)~ ~Jh ~'~ ~ ~J~' /'~, ~ ~'-d.~ ' ~/~.-.. ~, · -, ............................. ................... .... House No. Street / Ham/et Owner or Owners of Property ...... /~ ~..~./~ ..~. ., County Tax Map No. 1000 Section ....~. ~...~'~. ..... Block .. ?../ .......... Lot...?~..o... Subd,v,sion../ ..... · .../------...,.--.Filed Map No ........... Lot No .... Permit No.. '././.~..~L.. Date of Permit..~.~./.~./.~.'.Applicant./.v~/..~.~.~...~.../-~...~. ~./~./..~. ~.~;~-~;.. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~ .., Request for Temporary Certificate ..................... Final Certificate ................. - Fee Submitted $ ............................. Construction on above described building and permit n)ee~s all appl~cable_.code~,and regulations. App cant ~...~ .~..~ ~" . .; .... , .... . .... ........... ~.~ ~. J~?' . . /~ 1000771 THE NEW YORK BOARD OF FIRE UNDERWRITERS f~L BUREAU OF ELECTRICeITy [-- May 25,1982 ss JOHN STREET, NEW YORK, N 563481 THI$ CERTIFIES THAT ga~a a~t~c, ou~de was exa.,ined on ~ay 2 0 ~ 1982 andfound to be in compliance with the requiremen ts of this Board. 46 FIXTURES ;[ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT 45 48 46 FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES OVENS DISH WASHERS EXHAUST FANS OEYERS TIME CLOCKS MULTI*OUTLET DIMMERS SYSTEMS NO OF EEET SERVICE DISCONNECT S E R 'V I C E 2/0 i °T"~rf~"d[5~ ,l'~4E 1~1~ 2F. hps. ,"'."2 heat light, 1 timer, 2 smoke detector~ I GF%~ 1-4.Skwo water heater, 24' crack lightimg. *Future appliance feeders: 1 ~ange 6/2, 1 D.W. 12/2, 1 A.C. 8/3-~ Ruland Elec Co-. P.O. Box 143 Mattituck,N.Yo 11952 This certificate must not be altered in an)' manner, return to the off,ce of the Board if ~ lie 0 242g 11 GENERAL MANAGER Per_ Inspecto~ may be identtf~ed by their credentials. L C0"¥~ BUII.,D. IN6 DllPAR, TMEN'r. ,HIS ¢~PY OF ?~EII,,.~ICAT, I A}.i'I[Rr'O IN ANY MANN,,. HENRY E. RAYNOR. Sr., ChMrrnan JAMES WALL BENNETT ORLOWSKI. Jr. GEORGE RITCHIE LATHAM. ~r~ William F. Mullen, Jr. Southold, N.Y. 11971 TELEPHONL '765-19~8 June 17~ 1982 Mr. Goerge H. Fisher Senior Building Inspector Southold Town Hall Southold, New York 11971 Re: Baxter Properties Minor Subdivision #178 Dear Mr. Fisher: Our board has inspected the above captioned property and find the violations have been corrected by the builder. As a result, our board took the following action: RESOLVED that the Southold Town Planning Board recommend to the Building Inspector a release of the stop_work order on the property of Baxter Propertie~s, subject to a one year review by the Planning Board. Very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PLANNING BOARD cc: Robert Wendell By Susan Eo Longs Secretary FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS irOB~i NO. 1 TOWN OF SOUTHOLD EUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×omined ........ ............. , pro ed .? ........ .'..Z .............. . ...... Disapproved a/c .................................. ~..... .................... ./.. .......................... '"~' ...... ~~,~b"i'.-;~;g;~ ................................. Application No...L../.~.~.~...~.. ............. APPLICATION FOR BUILDING PERMIT Date .................................. .~.~...~....,., 19..~..! ...... 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 ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, th.e Building Inspector wJJJ 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 Southold, 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 ir~ buildings for necessary inspections. (Signature of al~plicant, or name, if a/~orporation) · /., .... V.x (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... ./'J..//zz.~ ~ ............................................................................................................................................... Name of owner of premises .............. .<. ................................................................ ,f oppJican~a corporote, signatur~of duly authorized officer. ....................... / (Name ond title of officer) corporate Builder's License No ................ '"~"J'~ "~/~'"" /~7 ~'-"~ ...................... ~ ......... E'ectr,cian's Licen,e ...... Other Trade's License No ............................................... 1. L~ocation of land on which I~roposed work will be done Mop No'/~../~.~/~.?..//~..~../.~.~.~. Lot No · .~.... ............. T ................/:../~ ~'"" '; ........ .Street and Number .... ---- -- ./6.,...Z'~...~..~..~.~...~ ....................................................................... C~...,.O.......~'. ...... .~.....'.~.; ....... , . Munlcipality 2.State. existingXuse and occupancy of premises and intended use and occupancy of proposed construction: a E×isiting use and occupancy ........................................................................................................... b Intended use and occupancy ......... ~../../-~.....'.~..../~. 4 ~ .~..~? ..................................................................................... ~ ' ew BL~ildmg'~ 3. Nature of work (check which gpplJcabl~t': N, Addition Alteration ................ Repair .................. Removal ................... Demolit jqn,.~..~,..~,~/. ..... Other Work ................................................... ' ~ (Description) 4. Estimated Cost ................... ~ ....................................... Fee ........ ~/'~.;..r.',, (to be paid on filing this application)l If garage, number of cars ......:?~..~ ............................................................... '. ......................................................-" 6. if business, commercial or ~ixed occupancy, specify nature and extent of eac~ ~pe of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth .................... Heighf ........................ Number of Stories ................................................................................................................. Dimensions of same structure~ with alterations,or add,lions: ~r~nt .................................... Rear ............................ Depth ................................ Height ............................ Number~of Stories .................. } ............. 8. Dimensions of entire new con'struct.om Front ...... ~.~...~ ................... R~ar ....... ~..: ............ Depth ..~." ........ Height .....~ ............. Number' of Stories ...~ .............................................................................................................. 9. Size of lot: Front ........... ~..~...'..~ .......................... Rear ....... ~.~,..~..~ .................. Depth ....~.~ ....................... 10. Dote of Purchase ..... --~_~/.~/~Z .................................... N~me of Former Owner .~ ................................... ~ 1. Zane or use d~strlc~ in which ~remises are situated~ .................................................................................................... 12 Does propose~ construction vJplate any zoning la~, ordinance or regulation: ..~.~. ................... , ~3. Will lot be regraded ..... ~,,~ .............. WJ]I excess fill be removed-from premises: ( ) Yes 14. Name of Owner of premises~ /"~'~J~ ...... .............. ...................... Name of Architect ............................................................. ~ddress ................................ ,Phone ~ ........... ~ ......... Name of Contractor ~/i~.~. r. ......... '. AdSress ............. ................. Phone No ....................... PLOT DIAGRA~ Locate clearly and distinctly ali buildings, whether ~xJst[ng or propased, and indicate all set-~¢k dimensJon~ from prope~y lines. Give street and block number or description according to deed,'and show street names and indicate whether interior or co~ner Io~ STATE OF NEW~OgIg',. ~X tSS .................... ../....,7,~..~.~?/~..:~.....~..:..~..~'-/..~./...~..,...; .............. bmng 'duly' sworn, deposes ~,~ soys that he is the (Name of individual signing contracf) above named. He is the .................... ~.~ .......................... ' ................................ ' .................................... ' ........................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said ~ork and to make and file this application; that ali statemeffts contained in this application are true to the best of his knowledge and belie~; and thru the work will be performed in the manner set forth in the application~d therewith. Sworn to bef~e me this ~ 1 -- ; ......... ..... . ..' ............. ~ota~ r ubl~ ~ ~ .?...~~un~ ',' ........................... ;~'Z'""V ........ ~ ....... [;'""Z ........................ JUDITH T. TERRY No~a~ Pubhc, ~tate of New NO, ~2,03~963 SuffoJk Coun~ ~mmissJon gxpires Mardh 30~ ~9~ SUFFOLK CO HEALTH DEPT APPROVAL \ h S NO S~V~Y~ F~ STATEMENT~ INTENT F O~ It I~uW ~ ~ t~t s,~ ~iS ~FFOLK coUNTY ~?/OF ar~, ~e possibility exists ~t ~e water s~V may contain ~ace ~ CONSTRUCT~N~Y amounts of pest'~s and/~r ~tes. '7-ow ~ aerate disposal and ~ater ~upply ~elli%les for t~s lo~a%lon ~ve bee~ ~peot~ by this deM~nt ~d found LICENSED LANO SURVEYORS GREENPORT NEW YORK SUFFOLK CO HEALTH DEPT APPROVAL H S NO /[- ~C~ ?~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS 'OF THE SUFFOLK CO DEPT OF HEALTH SERVICES. APPLICANT ~ SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL Of CONSTRUCTION ONLY DATE H.S. REF NO. Il~ APPROVED' SUFFOLK CO TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. tooo 0'TZ ,jo I OWNERS ADDREss: tOi~O ~t~t~t~ 12octd DEED: L .I ~t~-'~ T: H .... SEAL { 0 APPRO~'~D AS NOTED 765-~$0~ 9 AM TO 4 PM FOR THE I:OLLOW/N~ INSPECTIONS: J, FOUNDA'rlON - 'FWO REQUIR[D FOR POURED CONCRETE 2. I~OIJ~H - FRAMING & PLUMBING ~, INSULATION 4. FINAL - C~tNSTRUCTION MUST ~[ CO~PLET~ FOR C. O ~LL CONSTRUCTfON SHALL MEET THE REQUIREMENTS OF THE N.q. ~TATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. .! l _il. ,/ f t 'X