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Home My WebLink About13267-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z.t ~ 9 ~.3. Date October 1, ... .......................................... 19 86 Satellite Antenna THIS CERTIFIES that the building ................................................ 7800 Horton Lane Southold Location of Property ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 054 .Block 1 .... Lot .2 9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6, z ............... , 198..4. pnrsuant to which Building Permit No ..................... dated ...J.u. ~.y..6.: ................. 19.8. ?, was issned, and conforms to all of the requirements of the applicable provisions of the law. The occupancy mr which this certificate is issued is ......... Satellite Antenna accessory The certificate is issued to Richard &..N.a.p.y..Lou Manfredi .............. ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ..... N 5 6 5 9 7 0 Rev. 1/81 FOB]f NO. ~ TOWN OF SOUTHOLD 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? ~3267 Z Permission is hereby granted to: ~ ...J..~~....~ .................................... ...... ~.,..~...~.. _~.~;....~.....~ ................. ..~:....~..~..~...~.:~,.....u.~..~.l .... ,o...~.~....~.~.~.~...~~.~ ...... ~~.....~ .......... o, prem,se, Iocoted at ...--!.....~...q...0. ....... ~....~..~......~--~.~ .................... County Tax Map No. 1000 Section ...... .,0,,....~, ...... Block .......... ~. .......... Lot No...,~.,~ .............. Building Inspector. Fee $ ........................ and approved by the 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 Instructions 1,5 101986 TOWN OF SOUfI~IOLO This application must be filled in typewriter OR ink, and submitted ~ I~==m~ma 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 disposa[-(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 p~operty 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date .......................... New C OhS t r u c t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 78.00 Hortons Lane Sguthold;. N:.Y. House No, Street Hamlet Richard Manfredi & Mary Lou Manfredi Owner or Owners of Property .... · ........................................................ County Tax Map No. 1000 Section 054 Block 01 Lot 029 Subdivision ................................. Filed Map No ........... Lot No .............. 13267Z Permit No ........... Date of Permit .......... Applicant ................................ Health Dept. Approval ........................ Labor Dept. Approval ........... N565970 Underwriters Approval ........................ Planning Board Approval .......... Request for Temporary Certificate ..................... Final Certificate ................ Fee Submitted $ .$, f)~0..,. ..... ~ .3~)~ Construction on above described buildingl~ Applicant ~/~ Rev, 10-10-78 R c. 3oq/7 )licable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 Jo.. STREET. NEW ¥O.K, NaW ~0.~ ~00~ ~ THIS CERTIFIES THAT only the electrical equipment as ~scribed belo~ and introduced by the applicant named on the ab~e application number in the premises of ~ ~, ~ ~e, ~ ~e~ ~ ~o~ Pa~, ~old, N.Y. in the following locatlon; ~ Basement ~ 1st FI. ~ 2nd FI. Section Block Lot ~~.~do, 3~ 1~,1982 and fo,nd to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS ~ECEPTACLES SWITCHES FLUORESCENT DRYERS SYSTEMS OTHER APPARATUS: E NO OF CC COND J 0~: CC COND, 2 OF HI.LEG NEUTRAL Electric, 215, Southold, N.Y. 11971 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspector,s may be COP THIS Y OF GENERAL MAN~G~I~ credentiaJs. ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Bu il(ling Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted mlaammmmm to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate (ocation of ail 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 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. 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 5. Updated C.O. $15.00 $15.00 Date .......................... New C OhS tz~uc ti on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................... t ............................... House No. Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... 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. Applicant .................................................... Rev. 10-10-78 ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-t803 Examined ~x~..~o ..... , 19 .~J. Approved ..~%.~o ..... ,19gq PermitNo ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ..... ¢~' ........ , 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 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 tintil 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 co/~e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ / //, ........... ........ (Signature of applicant, or name, if a corporation) f 0..r59 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .p. ~qff..re. ......................................................................... Name of owner of premises ........ .~..lC...W. ¢.~. ~. O./. ..................................................... (as on the tax roll~l~l~l~d~fi If applicant isa corporation, signature of duly authorized office,'. DATE: ~ [~L~_- . NOTIFY r~. I!L. DING DEPARTA'SENT Al' ,,/65.1~r' '~ AM TO 4 PM FOR THE FO[.IC' qi,.,< ~¢.PECTIONS: · L Fm"N~r~ATION - TWO REQUIRE~ F¢-" r'~URED CONCRUFE 2. r' "~'~ - FRA~ING & PLUMBING 4 ''~,'^I. - CONSTR~JCTION ~UST 1v- ca~PL,ETE FOR C.O. ~/*~ !. CONSTRUCTION SHALL MEET l. Location of land on which proposed work will be done. / 'l-tqE REQtJtREMEN'IS OF THE N.Y. ........ i~-,LY'~' 'c6ffs~r'ffdd?fOq' '~ · ~N~k~V .......... ."..~.... ').~. ~ .o ....... ,qo.e. ?..w...~..' .4 .~.....' '. ~-¥p.~.~s.,~,....d~..,eat:.... ~S'~LE .......... FO~ ........... Street ~ ~ES GN OR C~I~[~UCTION ERRORS.' ......... House Number County Tax Map No. 1000 Section ..... .~'..~, ......... Block ........ /. ......... Lot ..... .~'..~. .......... Subdivision ...................................... Filed Map No ............... Lot ............... (Name) 2, State existing use and occupancy of premises and intended use and occupancy of proposed construction: ?~.~. c.? Lz.~'.~ a. Existing use and occupancy ............. ¢ · .iP~¢~ .................................. '. b. Intended use and occupancy ............ ~¢~l:}[~ .................. , ........................... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 3. Naturelofwork (check which applicable): New Building ..... ' ..... Addition .......... Alteratig~n .......... Repair .............. Rem6val .............. Demolition ............ Other Work. ~v o~ 0 0.0. (Description) 4. Estimated Cost , ~ . Fee ....................... (to be paid on filing thb application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... ~ ................................................................. 6. If business, commercial or mixe~ [ occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structurels,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 ..... ~f. ....... Rear .. ,~..,q~...~ ....... Depth Height ./~. Number of Stories 9 Size of lot: Front ' Rear Depth 10. Date of Purchase ........... ! .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does prnposed construction violate any zoning law, ordinance or regulation: ..................... '. .......... 13. Will lot beregraded.............................Willexcessfillberemovedfrompremises: Yes No 14. Name0fOwnerofpremises ...i ................. Address ................... PhoneNo ................ Name of Architect ' Address Phone No Name of Contractor ......... i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate Clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and interior or 4orner lot. blq.ck !number or description STATE OF NEW YORK, COUNTY OF ........ !S.S (Name of individual sig~ing contract) above named. according to deed, and show street names and indicate whether 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 duly authorized to perform or have performed the said work and to make and file this application;that all statements contgined in this application are true to the best of his knowledge and belief; and that the work w&ll be performed in the manner set forth in the application filed therewith. Sworn to before me this ......... ~ ..... ~ ..~Y .... day of...~45.: ............ 19 Notary Public,.... ~ i~.., .~?, U.O~... County HELEN K. DE VOE ~ NOTARY PUBLIO, St~Ie o! New Y~ ............................. .............. i No. 4707878, Suffolk C0untxi~ (Signature of applicOn't) .I Term Expires Nlarch 30, 19~-5 ~-~g'~ UU. ~ N T'O S .~ FIELD'INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~ODE FINAL ADDITIONAL COMMENTS: