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Home My WebLink About13587-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No....?.1.6.6.8.7 ........ Date ....M.a.r.c.h..4.,..1.9.8.8 ................ THIS CERTIFIES that the building .... .AP.I).I.T.IgF. 79. ?.X.I.SyTF,~, 97.g. ?.~..~lY..R~.!k~7?.~.... Conafinn nfPrnnartv 560 Bayview Avenue East Marion, New York County Tax Map No. 1000 Section . . 0.3.7 ....... Block ,. 9.5 ........... Lot . .0.0.1 ............. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 22, 1984 pursuant to which Building Permit No. 13587. Z dated ~py.e,m.b,e.r. ,2.8,,. ,1.9.8.4 ............ 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LYNN M. SCHEBE (owner,,~F~l~X~( of the aforesaid building. Suffolk County Department of Health Approval ........ ~./.A. ............................... UNDERWRITERS CERTIFICATE NO ............... I'!.8.6.9.171. - De.c. 3 ~ 9.87 ........... PLUMBERS CERTIFICATION DATED: December 9, 1987- King Plumbing & Heating Inc. Bmld~ng Inspector Rev. 1/81 FO'n.M' NO. ~1 TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CT'HIS PEP~41T MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13587 Z Permission is hereby granted to: ..... 4"//~zr/,,~.....~.....T~.~ ..... .... ...-~~.,..%...~...-.~......z./.f.:~:~.~ ' --~... /4, .... '-- ,o ...... ~.~../.Z.-.z.,:~c...~....,,~....~.,.... ------~.~.~.~. ..../ ...:-~,~.~ .............. ...~Tc ~.~.'7,,~.~;~. 0, p,emises ,ocot,~ at ..... .,~-'-dO. ........ ,~:~.U~..~2.......~...,......~..~...../.~./....'F-''/~- Co,nty Tax Map No. 1000 Section '~"~"'7 ....... Block..~.~'-~.. ......... Lot No..~./, .......... pursuant to application dated ,..l~..t ......... ~...~..: ................. , 1c)~....~, and approved by the Building Inspector. Fa. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCI Instructions A. This application must be filled in typewriter OR ink, and submitted mllmm~m~m 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 approvat 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 property 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, C. Fees: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ./y.~ v,, ~.Iv. 5.Updated C.O. $ 50,00 Date ........ ./?..~.? ....... NewC°nstructi°n Old or Pre-existing Building . ,. Vacant Land .. . Location of Property ... ~,~',~. ,~,y~,./f~,..' .Z?~,~, ~_ ............... , ,.~,~,~,, ,,~,~,~. ,~,~.~ , , ~ ~,. ..... House No. Street Ham/et Owner or Owners of Property , . ¥/~?.n.. M ~..¢ County Tax Map No. 1000 Section ~ '7 Block ~ Lot ..... Subdivision o ~,~ee~,'o,~ o? ~',~z~,w~ ~y Filed Map No. ~ 7.5~ . .Lot No. 11~,, Permit No..Z',~ ,~p~. ,~.. Date of Permit/,~,/~,~,~ ,~,~,~, .Applicant .... ~,~,~, ,/~.~,,, 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 meets all applicable codes and regulations. Rev. 10-10-78 TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECq~OR P.O, BOX '728 TOWN HALl[, SOUTHOLD, N.Y. 11971 TEL, 765-1802 CERTIFICATION Building Permit Owner /~y¢~o/c/ ~/, (please print) Plumber ~/~_~/_~_r~_ (~lease pr ir[~'i- -z .... I certify that 'the solder 'used in the water supply system contains less than 2/10 of 1% lead. Sworn to before~me this, Notary Public ,,~~unty MARILYN P. NORKELYN Notary Public, $~ete of New Yc~k C~mis~,ion Ex~ires March 30, iooo??.~ THE NEW YORK BOARD OF FiRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~y the electrical ~ulpment ~ ~scribed below and introduced by t~ applicant ~med on the a~e application number ~n the premises of ~arold Sche~e~ 5~0 Bavview Dr., East ~a~.on, ~.y. ~s exatnined on December ~ ~ ~ ~ 9~:~7 arid found to be ln co~npllance with the reqttiretue~t ~ ~f this Board FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUT.TS SWITCHES 3 1 DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: E NO, OF CC COND NO, OF HI-LEG NO OF NEUTRAl OI~ NEUTRAL FIELD~Ii~ECTION COMMENTS ,~,,,.A'~ . FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: ffEt,~ Y~RK STATE DEPAR~?E~!T OF E~VIROq~TSlTAL CQ~IS~RVATIO~t Regulatory Affairs Unit Building 40, SUNY Stony Brook, NY ll?g4 Henry G. Uilliams Commissioner ~0 PER?~IT ~,)ECESSA~Y - TIgAL N,,'ETLA;)I)S ACT e. Dear ~It has been detemi~eO that no pemi~ is necessary under Article 25 (Tidal '2etlands). Ho¥~ever, any aadittonal work or ~difications to the project may require a germit. It is you~ responsibility to notify this office in writtn~ if such additional v~ork or ~odifications are contemplated. Assumtnq-you have obtained any other ~911cahle permits, you may nroceea with your project. Very truly yours, ~'~antel J. tarktn ~ Reninal Permit Administrator nJL: R~'.~T: l 1 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765~ 1,B)02 E amined. . .... Disapproved a/c ........... ':.. ;~ ......... ~. · ./· APPLICATION FOR BUILDING PERMIT Application No .................. IN ST RUCTIONS 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 drown 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 issaance of a Building Permit purs~tant 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 in buildings for necessary inspections. ~5'o~,. . 2/.. ~. er.o.,~ ,'c.a .~ F, . . .11~. ~.~ ...... (Mailing address'of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,.~.~...~./..~ ~,~o c.4~:'. .............................................................. Name ofka'owner of premises ..../.~oa, a/.d., k?C/~ ¢¢.d~ ............................................... (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 ....... ,~ ~q- ............. Plumber's License No ......................... Electrician's License No ..... ~ ~.5/~-~. ~ ....... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ......... -.~74.o ..... /~oy u.~. e~.. ,,F')~,. ~,,,.,, ~ ......... ~ ~-/../~....,...~.. House Number Street Hamlet County Tax Map No. 1000 Section .... .'~...~. ......... Block .... ~ ........... Lot .... I .............. 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 -f~ ,1/ ~/ ~ ..,..,... b, Intended use and occupancy ..... '~' ~t.~.~,~.. P7. ¢~do/g~'~. O.~.~.../.*.O~ .~/.~/ff../~... Locate clearly and distinctly all property linas. Give street and block r interior:or c6rner lot. 3. Nature of work (check which appiicable): New Building .......... Addition ...... Alteration .......... R ir ......... Remo~ai Demolitin .. . Other W rk ............. epa I ..... ..... ' ........ n ........... o , . ' ~ __ I /6 (Description) i (to be paid on filing this application) 5. If dwelling, number of dwelling units ............. Number of dwelling units on each floor ................ If garage, number of cars ...... ~ .................................................................. 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresi if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ DimensiOns of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... ~. Height .... · .................. Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height NumSer of Stories ' '" 9. Size of lot: Front ........... ~ ...... .. Rear ...................... Depth ...................... 10. Date of Purchase ............ i ................. Name of Formqr Owner 1 I. Zone or use district in which prer~isesl are situated.., tcco'.lc¢'~.** ~/~ f, .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................. ~ 13. Will lot be regraded .... ,h O...i .................. Will excess fill be removed from premises: Yes (~No~ 14. Name of Owner of premlses ../~/a,o./r~...cbeet(¢.Address ...~-a~.~<r.~.o~o...PhoneNo Name of Architect ...........................~ Address ................... Phone No. " PLOT DIAGRAM )ufldings, whether existing or proposed, an& indicate all set-hack dimensions from umber or description according to deed, and show street names and indicate whether STATE OF qEW YORK, S.S COUNTY OF ................. (Name of individual signing contract) above .named. being duly sworn, deposes and says that he is the applicant He is the..; .............. I .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or 'owners, and is dul~ antho~rized to perform or have performed the said work and to make and file this application; that all statements conttiined in {his 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 me this .............. day oI~ ..... .0.'..Cd~.. ...........19 ....... County HELEN K, DE ¥OE , ......... ~ ~0.T~¥ ~U~UC. sato of N~w v0~ i ' ' ' ~ NO 4707878, S~ fo k County : lerm [×~lreS ~rch.30. J~ !