The URL can be used to link to this page

Home My WebLink About11341-zFORM NO, 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No Z124p.7 Date April 3 .8.4 THIS CERTIFIES that the building add i tion . Location o f Property 2. ~.5.0...S 9.u.n.d.. p.r.: ............ G r e e n p o r t Houso /Vo. 'S't~:eJ~i ....................... /-t~r~let County Tax Map No. 1000 Section 033 .Block 01 .Lot 009 SubdivJsion .E..a.s.C.e.F.n..S.h. 9.r?.s. ............. Filed Map No.4.5.8.6 ..... Lot No. 110. & ½ 11 ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..A u g ux t..~ .4 ........ , 198 ~. pursuant to wh/ch Building Permit No...q.1.} .4 J .g ............. dated ...A.u.g.u.s.¢.. ] .9 ............... 198 ~., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ... f. 9 F..~ ~ ~ ~.t.% Q ~..t.q, ~ .x.~.s. t, ¢.n,g dwelling The certificate is issued to . .Ag.nes & Martin Ehrenreich ................. /o¥.'e;,'/;fdo ...................... of the aforesaid building. Suffolk County Department of Health Approval ..... N./..A .................................. UNDERWRITERS CERTIFICATE NO. # 603944 & 629392 Building Inspector Rev. 1/81 FO~P,~' NO, ~ TOWN ~OF ~OUTH~D ~: SUILOING TOWN HALL SOUTH*OLD, N~ Y. N°. BUILDING PE PJvUTi (THIS PERMIT MUST BE KEPT ON TH.E PRE/'glS~S UNTIL EULL COMPLETION OF THE WORK AUTHORIZED! 113 41 Z Date ...~/,~,] .~.~...~.~ ........ /...~.. ............ Permission is hereby granted to: ....... ,..~...~.,..,.~....~---~,,.~c~Z ....... . ....... ~.~....../~.'.o.~ .................. ?....~? ................ ,o ...... c~.~:~.~......~.~:~.,.~.....,,.....~.q.~,~...~,~ ............. CounW Tax Map No. 1000 Section ........ :. Bilk ............ ~Lot No ........... pursuont to oppli¢*tion doted ..................... , 19 ., ~nd ~pprov~ by the Building Inspector. Fee ;$ .............. / ~ ............ ,"%'"¢ ................. i ........................................ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, 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 disposel--(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 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 / Certificate of occupancy on pre-existing dwelling ,J land use 2. 3. Copy of certificate of occupancy $1.00 ~ --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ......................... New Building; ~ ,.~..~((OId or Pre-existing Bull,ding ............ Vacant Land ............. Location of Property ?2 ¢~'-O J~o~/~']~/' ~. .' .~-~/..~.~..~/..' ./~..~.~...~.../~. ,.~... House No, Street , ' Ham/et Owner or Owners of Property .. ,~.~. ................ ./~.~. ........ ~ ........... ..... 00 . County Tax Map No. 1000 Section ... O...~2..~. .... Block ,. O . ( ...... Lot ............... Subdivision -~'~'~. ~C?. ~./,..~.e..~..'.Filed Map No..z].: ~??..~..Lot No....//?. Permit ,o. I .~..~.~..~. IZ ~Date of Permit ~./( ! ./.~.{..Applican,~' /fY~6br~.' F~ ~L~F ~ r Health Dept. Approval ..... . .'~/..~. ............. Labor Dept. Approval .... Underwriters Approval ..... ~ ............. Planning Board Approval ................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $....~...-. ~' .... 7..~./.~..~. .... Applicant ....... ~ .... ~ .~q. vl,~,~,/..'~, ................ Rev. 10-10-78 J.(~oaz~. THE NEW YORK BOARD OF FIRE UNDERvv,~,.-_ BUREAU OF ELECTRICITY H~ 85 JOHN STREET, NEW YORK, NEW'YORK ~O0~B T~I8 CfRTIFIES THAT was examined on ~)~l~&f 2~ ~ J~ and found to be in compliance with the requirements of this Board, RANGES OVENS DISH WASHERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R OTHER APPARATUS: C GENERAl. MANAG~R~, This certificc~te must not be altered in any manner, return to the offiqe of;the Board If i~correct. Inspectors may be idenhfied by their DEPARTMENT. THIS ~ ' NOT BE ALTERED IN ANY MANNER. COMMENTS FOUNDATION ( 1 s t) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSOLATION PER N. STATE ENERGY O,ODE FINAL ADDITIONAL COMMENTS: FO~-tM NO I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 7. ..... , ..... APPLICATION FOR BUILDING PERMIT Application No ................ INS} RUCTIONS a. Tins apphcatmn must be completely filled in by typewriter or in ink 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 <hewing location of lot and of buddings on premises, relatmnsh~p to adjoining premises or public stre~ or areas, and giving a detailed dcscnptmu of layout of property must be drawn on the dia~am which is part of this aPF cation. c. The work covered by this apphcatmn may not be commenced before issuance of Building Pemfit. d. Upon apprc, al of this apphcation, the Buil&ng Inspector will ~ssue a Bu~[~mg Pemut to the applicant. Such pern shall be kept on the prenuses available for inspection throughont the wink. e. No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall bare been granted by the Budding Inspector. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Pe~it pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constrnctmn 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, ~d admit authorized inspectors au p~emiscs and in buildings fo~ necessa, insp~qtions. : ............. (Mgn:ture o[ a~plic~t, or ~m~, ff ~ cg[porAtio~) . ...- ., State wbetl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or btfild, (as on the tax roll orlatest deed) If applicant ~s a corporation, s~gnature of duly authorized officer. Date . '¥ ........... 19~/ (Name and title of corpmate officer) Otiter Trade s L ~ense No. 1. Location of land on which proposed ~vork will be done ............................................... House Nmnber Street Hamlet County Tax Map No. I000 Sectton. .,~.,2 ............ Block ...... / ........... Lot ............... (Name) , 2 State exlstmg use and occupanc7 of premises and intended use and occdpancy of proposed construction: Existing use and Nature of work (check which applicable): New Buildiag .......... Addition .......... Alteration .......... Repair .............. Remo~ial ..... ' Estimated Cost ......... ,~. K ["~ ' ....... If dwelling, nuinber of dwelling ulnits ....... /.. .... Delnohtion .............. Other Work ............... (Descrh) t'k,nn~ ............ Fee ......... /4. ............. ........... (to be paid on filing this application) ...... Number of dwelling units on each floor.: .............. If garage nmnber of cars ' If business commercial or mixed occupancy specify ~oture and extent of each type of use ..................... Dnnensmns of ex~stmg structures? if any: Front .... ~.~, ........ Rear .... ~. ~ ...... Depth .... ~D ....... Hm~ht .... [.~.~ .... Number of Stories ....... [ ...... ? ................................ Dimensions of same structure w~th alterations or additions: Front ...~p. .......... Rear ... ~.~ .......... Dep~ ....... ..~.., ....... :. Ilei~ ..... /.~ .............. Number of Stories ..... ~ .............. Dimensions of =ntirc new construction: Front ...... ].~ ..... Rear .... /~ ....... Depth ...~ ........ Height ..... /.~ ....... Number of Stories ......... ( .............................................. ~ / pth ~ S~zeoflot:Front ..... ~...: ....... Rear ............. ~.O. .... De ............ DateofPurchase .... ~l.d~. 7..(~J.Name ofFomer Qwner ...~.~Y. ......... Zone or use district in ~fi~h pfeinises are situated .... ~ ............ · · ' 7 X ~/. ....... construction violate any zoning law ordioance or regulation: ~ ' Does proposed , ............................ Will lot be regraded ............ ~. ~., ....... ~.. Will excess fill be removed f~m premises: Yes N~ Name of Owner ofgremises ~r~, .~~~j~ress .... X~gz~o. ~2Zr~ .... Name of Arclutect~ ~ ~.,~rS<~ee~.'r/~,s .. ~e. C.: ~.~q~~9:~ ~ :¢~/~ Name of Contractor~.. ~~J Address ]~. ~-. ~.~7,(~. 242 PLOT DIAGRAM Locate clearly and distinctly all 'buildings, whether existing or proposed, and. indicate all set-back dimensions fi'om ;operty hues. Give street and block ~un:ber or description according to deed, and show street names and indicate whether [¢l'Jor or collier lot. TATE OF NEW(~OIgK, . OUNT¥ OF..1% ..... !s.s ·' '"' *~'~.~. ~ ~'~,..~. h~...l~.lh.~..~.L.~.~.. .............. being dub' sworn, deposes and says that he is the applie~.nt (Name of indMdual slgn.'/ng contract) )ore named. is the .OO..~ ~O i (Contractor, agent, corporate o ft'iccr, etc.) said owner or owners, and is duly authorized to perform or bare performed the said work and to make and file this ~plicatmn; that all statements contkmed in this application am true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth fl~ the application filed d,erewith. wonl to before me this ......................k~ day o~. ....... . ...... , ota~ Public, . ........... ~5'. ..... , .. ~,ntv ~ /~' 72~~ .... l~a ~U~ . Quallfi~ i0 Suffo k c~ ~- (Signature of applicant) 'T_TFIC:4 L .... ~Zili OTr:D ~MENT AT M FOR THE iS: REQU IRED ..... ~-"~ CONCRETE 2, r,,~.,~-; _ r:_%&MfN( & PLUMBING ALL C: ....... CmmN STATE ~ '-~ '~ m ~ CuN> R~, I~N CODES. KOT RESPOr 9ES GN OR CONSTRUCT -!ON MUST 6. -'ALL MEET ~HE N,Y. & ENERGY SiBLE FOR DN ERRORS.~ __DJ., ,,, rkkN il