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Home My WebLink About13598-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy *-~Plumbers Certificate No. Z14323 Date March 27; 198..7. One family dwelling THIS CERTIFIES that the building ................................................ Location of Property .. 39.5 .Sun.s.e~;. ~¢ ................ G..r?.o.n.~?.o.r.t. ................ House No. Street Hamlet County Tax Map No. 1000 Section ....0.3.3. ..... Block ....4 ........... Lot. 51 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · ·..NOV....2~ ......... , 19.8..4pursuant to which . · · 13598Z Bmld~ng Permit No ...................... dated ....... N.o, ·. ~.0 ............. 19.8..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 ......... One family dwelling. The certificate is issued to JOHN .& KATHLEEEN BOWNES .................... ?oYn'o;,i, ieiff ..................... of the aforesaid building. Suffolk County Department of Health Approval ........... 14-v SO.-: 196 ..................... UNDERWRITERS CERTIFICATE NO. N 726525 Jan. 20, 1986 Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N _o 13 5 9 8 Z Date ...~/~.~ ........ ..~...O. ............ , , 9...~...¢ Permission is hereby granted to: ...'~_~.....~~~~ ........ ..%~..~..,..~.:~.:....u..~.,....o. ........ , ~ .................................. ~ ................................. ~ .................... ~'""~7 .................................... at premises located at ..~.~.,~......~...Z~.Occx~..., ...... ....~..~.~...~.~ ............ County Tax Map No. 1000 Sectiont ...... ~....~...~ ..... Block ....... .~ ............ Lot No. I ~ursuant to application dated .../~...~~....c~..~. .......... , 19.~..~., and approved by the Building Inspector. Fees ./....~. ...... Building In~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. OEP']' Instructions A. This application must be filled in typewriter OR ink, and submitted 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 featu res. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~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. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ......::~ //.'~'./.~./.'~ .</"~.~.~ ........... New Building ...~.e.s. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...3.9.5...5-~..s.e.~...~q..e., ................ G.~e..e.q .po..~c:,. ~..e~. ~.qrk 11944 House No. Street Hamlet Owner or Owners of Property ..... .~.Q~T~..&..~.~..t>~..e..e-q..~q..~q.e.s. ................................ County Tax Map No. 1000 Section ...q3.3. ......... Block .... 4. .......... Lot...5.7 ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No..1.3.5.9.8.Z.... Date of Permit [.1~.3.0~8.4...Applicant ...3..q .h~..&. ?.~...~..e.e.q..]~q .-~.e.s. ......... Health Dept. Approval .~.Z~.....~.~...-. J.O3..~ ....... Labor Dept. Approval ........................ Underwriters Approval . .N..7..2.6.5.2.5. ............... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .X. .................... Fee Submitted $ .5...qq ........................ Construction on above described building an/~er~/~2 meets all_applicable codes and regulations. Apphcant' ~~.'~.~~ ...... ~ ................... i ............ Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ O~ 86 JOHN STREET, NEW YORK, NEW YORK 10038 ~.te ~i~ :~:~, ~.~s ~.~...,,~.~.~.~ :~t~s N 728525 THIS CERTIFIES THAT only the electrical equipment as desc~bed below and int~duced by the applicant ~med on the able application number in t~ premises of in the following Iocet~on; ~ Basement ~ 1st Fl. ~ 2nd FI. Section BIoc~ Lot w~examinedon ~ ~ ~ and found ~o be in compliance with the requirements of ~his Board. FIXTURE OUTLETS DRYERS {ECEPTACLSS SWITCHES 24 FIXTURES RANGES DISH WASHER SYSTEMS NO. OF FEET OTHER APPARATUS: E R V I C E "E" ,~' OF CC COND. Of' HWI?t~G O OF NEUTRA[ oFA~4~UTG~AL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i~tifie ~ their credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date January 20, 1986 Building Permit No. Owner John Bownes (please print) Plumber Frank J. ~eyer Plumbing & Heating (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumbe~' s signature) Sworn to before me this ~-day of ~-,~. , 19 ~G . Notary Public, ~~unty Notary Publi~ F~ELD ~NS?ECTION FOUNDATION FOUNDATION 2. (1st) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~ODE (2nd) COMMENTS FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING ~x~ FINAL DATE Approved .0...e~..'~...~.. 'FORM NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL.: 765-180:~ .~.~..., 19~.~.. Permit No. 1~...~. l-~. -'~. · R-c~ived ........... ,19...~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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. ¢. 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 issued 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 Certifiea. te 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 Zon~ 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 ~pplicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neeessa~ inspections. 2696 Cheshire Drive. Bald~in~..N.ev..Yg¥t~. (Mailing address of .applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner ............. John P & Kathleen Bownes .... Nmne 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 ofcorporate o r Builder'~LicenseNo. qot ~el~ct~4: ......... Plumber's License No. n. qt..s.e.l~q~cl ............ Electrician's License No. not selected not selected Other Trade's License No ...................... on which proposed work will be done .......................... ! Location of land ..................... ~ Sunset Lane, Oreenport,Town o.f Southo. l.d., .N.e.w..Yo.r.k.. 119.71 ........................ House Number Street Hamlet County Tax Map No. 1000 Section . · .3.3. ............. Block ...4. .............. Lot...5.1 ............... Filed Map No Lot . · Subdivision ..................................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy empty plot: one family dwelling "ranch" house b Intended use and occupanCY ............ · .............................. 3. Nature of work (check which applicable): New Building ...X..',. .... Addition .......... Alteration .......... ~Repair .............. Removal: .... ,..: ...... Demolition .............. Other Work ............... : ; (Description) 4, Estimated Cost..$.5.0.,.o.0.0. ..... i ........................ Fee ...................................... ~' (to be paid on filing this application) number of dwelling u~its Number of dwelling "' .... ~g' If dwelling, ............... Unl/:S OIl ~u~si ,,~, .... '.'~': .'~: .... '.'. 6. i~' ot~, .~,less, commercial or mixed ~ccupancy, specify natm d extent oi Dimensin~,si~¢~xistingstructures,lifany Front .l/o.~.~ Rear Depth Height .... ;/. ......... Number of Stories ........................................................ Dimensions ,.~f same structure with alterations or additions: Front ................. Rear .................. D,.,~4,..~ :~: .............. [. Heieht .............. Number of Stories ..................... · . . ,.. 6 iii ii 2'6" - - Rear . 2 ............. Depth .. ~. ,~p.. 8. Du~ensl~ns~of entire new construchon. Front ....... · ..... Height ........... ;,. Number of Stories ..... :!7~5'. "'~e;~ ..................... 9. Size eliot: Front..7?.. i; ..... , .......... Rear ~ '~67'~i~ii~ii~i.. ~ .1.1.5,L2.0.'... I 0. Date of Purchase . .A.ulLu.s~..1,5~.1.1~.8.4 ............. Name of Former Owner 6~-l~t~tt. It,. Jabs. vGerald. Doro~ki I I. Zone or use district in which premises are situated 7;..l~p.0p ............................................. 1 2. Does proposed construction violale any zoning law, ordinance or regulation: . NP ............................. 13. Will lot be regraded .....Y.e.s .... i .................. Will excess fill be removed from premises: X Yes No 14. NameofOwnerofpremlses .5p.h.n..P..~..K..?.o.wn..e.s. a,ta,,ee 2696 Cheshire Drivepho~eNo 223-1034 N~me of Architect ........................ ~, ................................. Name of Contractor ...n.o.c..s.e.le.c.c.e.d. ........... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description ~ccording to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, :S.S CO~TY/~F~ ~ ............. i ' ' ' ~,~f_ _ .l~. ~.~ .......... being duly sworn, deposes ~d ~ys ~at he ~ ~e app~c~t .~/,( (Name of individual con,act) ,' fie is the ...................... ' ................................................................... ' co.orate officer, otc ) [ (Contractor, agent, · of ~id owner or owne~, ~d is duly authored to perfo~ or have petered ~e said work ~d to m~e ~d ~e ~s application; that all statemen5 centred ~ this application ~e t~e to the best of his ~owledge and be~ef; ~d that the work will be perfo~ed in the m~n~r set for~ ~ the application filed ~erewith. Sworn ~No 60-277 960 . ~ ..... " ........ , (S~am~ ofapp~c~t) ~alifled in Westch~sfe~ 'CbOn~ / / ' . -_ Te~ ~s Marc~ 30, 1985 ~ ; :-"-'. ~ , ~ - ' ~ ,2' 8 0