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Home My WebLink About13463-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13961 Date October 24 1985 THIS CERTIFIES that the buildh]g .......... .N.e.w...D.w.e.l. 1..i .rig. ....................... Location of Property 455 West Lane East Marion House No. Street Ham/et County Tax Map No. 1000 Section 038 . .Block 06 .Lot 003 Subdivision ......... .X ..................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Fried in this office dated October 5 19 8..4pursuant to which Building Permit No. 13463 Z dated .... O.c..t.o.b.e,r....5. ............ 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 ......... ...... New Dwelling ( Private One Family ) ......... The certificate is issued to Mc MONIGLE, DANIEL & GENEVIEVE (owner,-d~,~} of the aforesaid building. Suffolk County Department of Health Approval . 11-SO- 116 N701743 UNDERWRITERS CERTIFICATE NO ............................... Rev. 1/81 Building Inspector JvOB~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13463 Z Permission is hereby oronted to:,,, ^ ~.~ ~j * County Tax Map No. 1000 Section ......(~......'~'.....~.. ..... Block ..... ..~.....~. ........ Lot No ...... ...~ .............. ~~. ~. ,,,~.~., ~,o~ ~ Building Inspector. Building Insl~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall 8outhold, 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 al~ 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 e~ectrical 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 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. Fees; 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ...... ~. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..r~ ~)-- . ..o:~....~.... House No, Street Hamlet Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section ...0..~..~. ..... Block O .~ Lot ~ ~'~ Subdivision..T. 7 ' ' .Filed Map No. . .'. .LotNo. Permit No / ~6 ~ ~ate of Permit /. ¢~/~.Applicant.~ ~ '-'~ .... "~-t~- -- O.,t. Oe,t h'..¢: ........ .... Unde~riters Approval .~.. ~/.~.~ 3 ...... Planning Board Approval .~. '.~ ............... Request for Tempgrary Certificate ................. Fina Cert f cate ~ .............. Construction on above described building and p~mit meets all applicable codes and regulations. ~ ~ ~ Applicant ........................ Rev, 10-10-78 ~.oo:[o?:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- O1 86 JOHN STREET, NEW YORK, NEW yORK 1OO:38 THIS CERTIFIES THAT otdy the electrical equipment as described below and introduc~ by the applicont named o~ the above appli~t~ ~er i~ the pren~ises of D~iel Mc ~nigle, West ~e, (~rd~ers ~y E~. )E. ~lon, N Y was exarrtlned on ~ ~.~ ~ ~ ~ ~nd fou~d to be i,~ comptlance wlth the requlrements oJ thls Board, DRYERS FIXTURES RANGES COOKING DECKS OVENS OISH WASHERS EXHAUST FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R - V I C OTHER APPARATUS: ~o~ors 1-1~P 1-O~-CI, 1-~moke Detector NO OF CC COND I A W G. J NO OF HI-tEG AW, G OF HI-LEG AWG NO. OF NE~TRAL$ OF NEUTRAL G & S Electric Box 215 $outhold, N ¥ 11971 Lic 5'7~ E This certificate must not be altered in any mc~n~er; return to the office of the Board if ~ncor~ect. Inspectq~s may be identified by their credentials. COPY[OR B~U|LDING IN ANY MANNER, HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 Inc. CERTIFICATION October 24, 1985 Building Permit No. 134 63Z Owner McMongile West Lane Gardiners Bay Estates East Marion, New York Plumber Henry J. Smith & Son, Inc. Main Road, PO Box 487 Southold, New York I certify that the solder used in the water supply system contains less than 2/10 of 1~ Henry P. Smith President lead. Sworn to before me this day of ~ 1985. Notary Phblic, Suffolk County EiEL~D I§~SPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qOSE FINAL ADDITIONAL COMMENTS: 67.. 2.~ Compact Plan, Many Amenities 14 ~ -~ stor Mud Rrd Dining Rm Liv. ing Rm ~ 2 6'-10'~ 1 3L4'/ Kitchen/FamlJy Rm 18'-8'"x I O'-4'~av, J Double Garage J 20-0 x 20-0 .. ......... ~;"_~___~ /i hearth Master Bedrm , 14CO~xl IC4# hall cl cl Bedrm 3 Bedrm 2 I OCO'k I OCO' 1 3'-4">< I OCO'' PLAN NO. R-276 -- This economically-structured L-sharped ranch puts a great many desirable fea- tures into a mere 1,193 square feet of living space ... wood-burning fireplace highlights the living area.., sliding glass doors open to the backyard terrace .,. kitchenlfamiiy room, with an eating bar, faces two directio[~s ... covered entry wel. comes you to the central foyer for easy channeling to any part of the house ... located in a wing of their own are three bedrooms and two baths ... for a narrow lot, the garage door could face the '"' ~ front ... living area is 1,193 sq. ft.; garage, mud ~ '.".,'~ .. ' ,:-.,- ---.',- .:,' : ..-. room, etc. 551 sq. ft.; optional basement is 1,193 . ., sq. ft. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~..~..-~. .... 19~.~.. Permit No. I.~..~.~ .~..~. · Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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. 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 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 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 in building for necessary in sp~ti~ons. ~. (Signature of applicant, or name, if a corporation) ...... '...~... ~. ~ .~.~ .¢.,././..~. ~: ..... (Mailin~ address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofpremises ~.~..~..~. · .~. · .~.~ ......................... (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... 2..~..iT{. ............... Plumber's License No....~.'-..~. ?..P .......... Electrician's License No..,~:.7..~ .g .......... . Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~ .'~'...~...~...~...~. 7~..~. ~ . · .~..~. .... ....... ~ .... .¢. ~ ....... ..~.~.~... ~.~.~..~.. ............ $.~...~...~...o~:~.. ............. House Number Street Hamlet County Tax Map No. 1000 Section ....O.. ~..8:. ...... Block .... ~ ............ Lot.. $ ............... Sub divisio n. T~..O-f~r~-cMNl~a~-- -- ........... Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............................................................ b. Intended use and occupancy .~..a., . .t~.. ~ ~ .................... 3. Nature of work (check which appiicable): New Building ... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ i (Description) tim dCd/ .... F ...... 4. s ate est ...... /. ~ . ................. ee ................................ ~'- (to be paid on filing this application) hr 5. If dwelling, number of dwelling ulaits .... ~ ..... Number of dwelling units on eac eot ................ If garage number of cars ' 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresl if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... i. Height ......... ¢ ............ Number of Stories ................. .,,: .... 8. Dimensions of entire new construction: Front . .~..~..--. ~¢'./.'... Rear .. ~. ~. ........ · Height ./..~ ............ Number o~f Stones ..... ~..-w ................... '. '2 · '~t'; 2 .'~t ........ 10. · · 11. Zone or use &smct an whmh premises are mtuated.. ~.g~-~~ ................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. J.'/~...~ ........................ 13. Will lot be regraded ~.,, . ........ Will exces~s illl.be removed..fr~m premises: Yes 14. Name of Owner ofpremases ~.~.hn.~'...l~.'o~Adaress 3.~t~~honeso. ~/~.~.-.~.~7.~.& Name of Architect . .~.~ ...... ~ ................. Aaaress . ..~ ................ rut) ................ Name of Contractor . . ~.~ ..... Address . ~.~. . Phone No. ~3.~/. .6 .~ & .. PLOT DIAGRAM Locate clearly and distinctly all Ibuildings, whether existing or proposed, and. indicate all set-back dimensions from interiorPr°pertYorlineS'cornerGiVelot.Stree't~and block humber~or d~escription according to deed, and show street names and indicate whether '%¸ STATE OF NEW YORK, S.S COUNTY_OF'~ .... ~ .....'-" ' '~' i ...... ~..~...~.ff~,~ ' .... being duly sworn, deposes and says that he is the applicant (Name of individual sigping contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements conlained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith. Sworn to before me this Notary Public, . ..... ~ .~.~. .... :A-.J.~Aw..County /~//~ NOTARY PiJBLIC, State of N~w York ' ~ ~- ' ' No, 4707878, S~uffolk OOLqily (Signatur~ of applicant) Term Exptros iV.arch 30,