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Home My WebLink About13014-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z%405.% .... Date December 5 19 ..8.5 THIS CERTIFIES that the building ..... 9.n.e.r .f.a.m.i.l.y..d.w.e. 1..1.i.n.g: ................... Location of Property ... 1.6.45 ............. .M/~p%~..L.~r~.e ............. .G.r..e.e.n~.o..r.t ...... House No. Street Hamlet County Tax Map No. 1000 Section ..... .3.5. .... Block ......... 8. ..... Lot ..... .3...~. ........ Subdivision .......... .X .................... Filed Map No.. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...A~r..i.1..1. Q ......... 19.8.4. pursuant to which Building Permit No. 13014Z dated .... .A.l~r il. 3, 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 ......... ..... P. ri.v~te. ~e .-£~miSy..dw .e.l~.i.n.g, .......................................... The certificate is issued to JUNE & OTTO SCHOENSTEIN (owner~ of the aforesaid building. Suffolk County Department of Health Approval .......... ~..4.-.S.~.5.3.]:~ . .................. UNDERWRITERS CERTIFICATE NO. N688051 Rev, 1/81 Building Inspector FOB,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 130i4 Z Permission is hereby granted to: ...~....~.~ ........ ~.~ ....... 1....:: ..................... ,o ....~.~.~.. ~ ..~.~...~. ~.~~.~ ........ q .~. ~f~.' ..... at premises Iocoted ot .)...~..~...~../.....,..~ ........~ ~...~,z~., ........ ....~.,~f..~ .............. County Tax Mop No. 1000 Section ..... .,.(~...~..~.... Block ......... .~ ......... Lot No ....... ..~..,~ ........... pursuant to application doted ........ .1 ........................... , 19~. ., and approved by the Building Inspector. Building Inspector 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 ~ 0EC - 2 1985 BLDG. DEPT. TOWN OF $OUTHOLD A. This application must be filled in typewriter OR ink, and submitted I I~mmm~mm 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. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 / Date ........... New Building ....~.. ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property. /~ Z/~ ~/g ~, .~, ~- House No. Street , Hamlet Owner or Owners of Property ............................................................ County Tax Map No. ~000 Septic.. ~3. d:'. ..... ~loc~ .. ~ ..........~ot.. ~..~. ~. ....... 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. I ................... ~ ,~0, ~).-~ O~ \'~-. Applicant. Rev, 10-10-78 · . Q METRO PLUMBING Aquebogue, Long I~land, New York 11931 (516) 722.4032 EAST BOB WADDINGTON TO WHOM IT MAY CONCERN: REF: residence of Otto Schoenstein, 16~5 Maple Lane. East Marion on All domestic water lines were soldered with 95/5 solder. ~ob~rt Waddington Li'c. # 857-P BARBARA DIACHUN glotary Public, State of New york No 52-4635190 Suffolk County ~.~ml~q~01~ Froq~lre~ Marcl130~ ~,9,g THE NEW YORK BOARD OF FIRE uNDERWRITERS 1000~93 : BUREAU OF ELECTRICITY 1~ 85 JOHN STREET, NEW YORK, NEW yORK IOO3 Da,e April 19. 1955 ~pp,catio. No. on/i,~z)1440/84 N 688051 THIS CEETiFiES THAT only the electrical equipment as ~scribed below and introduc~ by t~ applicant ~d on t~ ab~e application number in the premises of Otto 8eh~nste~ was examined on Apr~ ~* ~ 5 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS 38 DRYERS RECEPTACLES 51 SWITCHES 4O FIXTURES RANGES :OOKING DECKS OVENS DISH WASHERS EXHAUST FANS FLUORESCENT SYSTEMS NO. OF FEET E R C NO, OF CC COND PER ,~ AWG. OF CC COND ,?.,Jo OF Hi-LEG E AWG ~/o -~moke Detector. Piekut Electric Inc. 23 IIill Road St. James, N.Y. 11780 Lic, 8~ OSNJEA[ 11 ~ J~ This certlficole must not be altered in any manner; return to the office of the Board if incor~rect. Inspecto<s may be !dentified by their credentials. COPY FOR 8UiLOINa DEPARTMENT. THIS COPY OF CERTIFICATE.~U~T NOT BE ~LTERED IN ANY MANNER. FIE~D INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL Examined . . J. 9..., 19 . Approved . .~ J. ?..., 19~fi.. Permit No. ! . .'~. )j. cf..~... Disapproved a/c ..................................... 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Ddt e ~~73'~./(. 19~.~ 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. e. 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 throug~aout 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 inspections. (Signature of gpplicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises.../:J~,./~'~. · · .~.' ~'~./~. · .~"Jf-d~.; .~:}t. ~e.d.) ........................ .. If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..... ' . ' ' ~- Electrician's License No.. ~~..~..~'~ Other ~rade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .... .6. . 4. :. ..... :../?:.. :.:... .............. . ' House NumberStreet County Tax Map No. 1000 Section ...~. ,~.'~.~. · ...... Block ..... ~. .......... Lot...~..~.'.~...>~.7 .... 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 ................ ..................................................... b. Intended use and occupancy ..... ~..t~F~X~....../~....~.~." .p~./.~.Fd~. ~.....',. ................ 3. Nature ofwork (check which applicable): New Building .~...'..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... - ~,~.~' (Description) 4. Estimated Co ................................ ' ............................... *'. (to be paid on filing this application) , ./ 5. If dwelling, number of dwelling units ............. Number of dwelling units on each fioor ................ If garage, number of cars .... · · .o~. .............................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories' ........................................................ Dimensions of same strncture With alterations or additions: Front ................. Rear .................. Depth ................... i. · · Height ...................... Number of Stories ...................... 8. Dimensions of enti~e new cons(rnction: Fi'ont ................ Rear ............... Depth ............... Height ...-?~;/2.. ....... Number of Stories .../ff~/~. -~.. ........................ ~,' Date of Purchase .......... ! ................... Name of Former Owner ,~f~.. ~-...~ '..2-~?~.~-~ ...... Zone or use district in which premises are situated .................................................... Does proposed construction vi61ate any zoning law, ordinance or regulation: .... ~.~..'. ................... Will lot be regraded ........ vt,.,._. · .,~., .... .~. Will excess fill be removed,fro~l, premises: Yes No Name of Architect .~-~ ~.x~o~..c?.; ......... Address *.~...~. ~e..~.~¢7.~.'. .... Phone No ................ Name.of Contractor .f,7~,~..../~. ~.~..c-rf.~....' ..... Address ..//...~..~....Cp. ...... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all 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 10. 11. 12. 13. 14. property. Hnes. Give street and bloc} interior or corner lot. STATE OF NEW YORK, COUNTY OF ..... S.S ......... ........................................ being duly sworn, deposes and says that he is the applicant ~'(Name of individual sign mg contract) above named. 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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann4r set forth in the application filed therewith. Sworn to before me this ............ · /!...~. ..... day or... Notary Public ......... ~. HEL[N Ii. DE ¥OE ounty NOIARY PUt~[iC, State of Now Yodl j . L.~./. ¥?¢7-..~.Lr~/.t~FffTT .%~.": .%~.'; .'f.'~ ................. :N0 4 ?07878.5ulf01k County I (Signature of applicant) Ter ~ kxptr{ ~ ~ ,:~rch 3u, ~ ~ . - · 4 ;5- ""' '"' '" ~:~ t I~ ~ ~ ..'.~ ~---' "--.. , ~ /,, ~-,,.' ~ ,'~ ......... ~ J ..a~ ~N ~0. -' ~ ~ t I· ~ ; ~.~, _ '.~..~.~.~.~ I ' // I ' ': ¢0 I · ~ '-. ~ ~''