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Home My WebLink About13264-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z12884 Date ' Oct. 11 19 84 THIS CERTIFIES that the building .,..I.n.~ir..o.u.n.d...S.w.i, .m~..i.n.q. Pool w/ Fence Location of Property ...3. 3. .7.5 .............. D.e..e.p..H.o..1.e. ?.r.: ............M.a,t.t..i.t.u,c.k. ..... House No. Street Hamlet County Tax Map No. 1000 Section ...Z.~.5. ...... Block . .Z.6 ............ Lot 017 Subdivision..D.e.e,~..H.o.Z.e., .CKe. e.~' .E.S.L.: ...... Filed Map No. 42 56 .Lot No, 57 conforms substantially to the Application for Building Permit heretofore fried in this office dated .... ~.u.n..e...4. ......... 19 .8.4. pursuant to which Building Permit No... 1..3.2.6.4. g. ............ dated ...~.u.ly.. 3. .................. 19 .8.4., was issued, and conforms to all of the zequirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ..... z.n.g.rp.u.n..d..s.w.~..r~..~.n.~, ?.o.o. ~., .w.~.~.h., ?.o.n.c..e .................................... The certificate is issued to ......... 8..T.g?.H.E..N..~..B..~.R.B.~ .R.,~...~.B..B.O~.~. ..................... (owner, lessee of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO ..... N 6 S 0 5 9 7 Building Inspector Rev. 1/81 FOB, I~ HO. B TOWN OF SOUT~OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1326~ Z Permission is hereby granted to: ........ ~..~?~.~ .... ~~......~/~ .~..~....~l~....,~.~.~.~...~...: ............. ~ ~ ~ ............................... .................................... ~.~.,~~..~ ............ ~ ...... ~ ........ Z .................... ................................................................................ % ........................... ~~.~.:~. ~ .~...~_/~....~~..~~:..... ~~ ........ ,,/~...~z ......... co~.~ ~x M~p No. ~000 Serlio. ...... /~.~ ....... e,~k......................~ ~o~ No..~Z ............ Building Inspector. Fee $../ ........ ~. ......... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~)~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~l;l~cctc 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 peopertv 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 .~.'.~...2.~.. '/~&/~ /~/-£ ~)2Z. /¢'~//~.~..'/.7'~,'~'~ ...Z~.:~.,, House No, Street Ham/et Owner or Owners of Propertv ..,k~,',2?.~ff,~,~,. r ,~,,~,~¢~,.~.,,~, /~fZ~Or?~,, .................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No../.~..'~'Z. 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 regu lations, Applicant .................................................... THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YOI~'K 1OO3~8 o.t~ Oe'~;c~az~ 2~ 1984 zJpplicationNo, onfile 234453-83 TH,S CERT,.,ES T.AT N 661844 only the electrical equipment as described below and introduced by the applicant named on the above application nu tuber in the premises of 8teph~ Abbott~ 3375 ~ole Drive~ ~attituok, N.Y. in the following location; [] Base,neat [] ;st FI. [] 2nd FI. Section Block Lot was exam{ned on and found to be in compliance with the requirements of this Board. 8ep~nk~r 27~ 198/t FIXTURE FIXTURES RANGES OVENS EXHAUST FANS OUTLETS 10 DRYERS SYSTEMS E OTHER APPARATUS: 10 ~%ko Det~,to~' E R V I C OF CC COND I PER .~ ~tePhen Abbott 3375 Deep Ho~e Drive ~ :. ~{attit uc2~, N.Y. 11952 ~ AW, G. OF CC COND AW, G OF HI-LEG NO, OF NEUTRA/S RTMENT, THIS THE NEW YORK BOARD OF FIRE UNDERWRITERS lO00~'J~g~ BUREAU OF ELECTRICITy . ~ 85 JOHN STREET, NEW YORK, NEW YORK 1OO38 o.,~ .~,~.~' o~,, z~ ~,'.'~""~"~'~"~ ~/~ N 650597 THIS CERTIFIES THAT in the followln~ location; ~ Basement ~ 1st Fl. ~ 2nd FL ~l~ Section Block Lot 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R ~V I C 1~ i~an 1177d Lio~llO1 This certificate must not be altered in any manner; return to the office of the Board if inco?rect. Inspecto~ camPY FOR BUILDING DEPARTMENT. THIS COPY.OF CERTIFICATE I GENERAL MANAGER may be identified by their credent~lals. A~'[ERED I~ ANY MANNER FIELD INSPECTION DATE COMMENTS FOUNDATION (lst) FOUNDATION ' (2nd) i~___~.~___ ........... ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ,__ ~DE --------- FINAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL oeOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Approved.. &. X. ..... ,l Pe nit APPLICATION FOR BUILDING PERMITDate ....... .~..~....~..} , 19~..~ 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. 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 perry, it shall be kept on the premises available for inspection throughoi~t 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 c9¢e, and regulations, and to admit authorized inspectors on premises and in building for necess ry in ections. ~~cant, or name, if a corporation) (Mailing address oflgla'plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N~me of owner of premises .~Y .r~...~.. ~. ~ (as on the tax roll or latest deed) If applicant is a corporation/signature of duly authorized officer. ................. .~../.zT..//~ ...................... (Name and title of corporate officer) Builder's License No ........ .~/. ............... / Plumber s License No ...... .,~../~. ......... .... Electrician's License No...././'.~../..~..~. .......... Other Trade's License No ...... .~.~../~.. .......... 1. Location of land on which proposed work will be done .................................................. .&~-?. .... .~.~.../~....z~....~..~., ............. z~z.~./..z~..~...<... House Number Street Hamlet County Tax Map No. 1000 Section .... 4./..~. ......... Block .. .......... '/~' ...... Lot.....(~t/7. ........... Subdivision ,~,~... ~..~. ~.~ ...... Filed Map No. ~ ....... Lot ..~ ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. ~'. 4~.~....,~'_2'_~/~... b. Intended use and occupancy . j~. tiC..gf~.../~/~..~-~. ~f..-*-:f. ~....5~,4~t/. ,~7/'2~./,r~Sff....~..~..,~-~. ............. 3. Nature of work (check which applicable): New Building ..... ' .....'Addition .....~..... Alteration .......... Repair .............. Rembval .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .... ~.~-~..'. ~. ................ Fee ....................... ! *" (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor ................ If garage, number of cars .... i ................... , ................................................ 6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use ..................... 7. Dimensions ofexist~ng structures, 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 Depth Height ............... Number of Stories ........................................................ ~ ron ..... t ................ * ......... ~ ........... Date of Purchase .......... ; .................. Name of Former Owner ............................. Zone or use district in which ' ' ' premises are situated ..................................................... Does proposed construction vioiate any zoning law ordinance or regulation: .... /,d..~:~ ....................... Will lot be regraded ....... ~-~ ................ Will excess fill be removed from premises: ~ No Name of Architect . .~..../d~f~.... ~ ............ Address .......... :.../. ..... Phone No ................ PLOT DIAGRAM 10. 11. 12. 13. 14. Locate clearly and distinctly ail property lines. Give street and block interior or corner lot. buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether STATE OF NEW YOR_K~ ..../~. ~...,~ .7~...,~...,~_~2~ .~. .... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) 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 work and to make and file this application; that all statements contained in this 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 NOhE[~N L, I[h~GER ........... Notary Pt~blic, Stale of New York ~Q~r (Signature of applicant) No. 52-~,q~!6433 Commission Expires Mmch 30, Lot 'NOTE: SUSDIW$10N MAP t~L~D /N TH~ OPPIC~ OF THE C~/~ O~ SUFFOL~ COUNTY ON JAN. 2 ~ , 19G5 ~S MAP NO. 4256. :,;,- "~ YOUNG & Y( ,' ~00 ~STRANDER ~AVENU'E, 'RIVE SURVEY FOR: ' ' BEN MENDOZZA L. OT 5T "DEEPHOLE CREEK ESTATES" O0 V Z