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Home My WebLink About13046-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certi[icate Occupancy No... z2.466 ~ ........ Date ....... .J. uJ, Y..1.~, ................ 19..8.6 THIS CERTIFIES that the building ....... ingr.o, und..awirar~ing, p.o.q 1 ............... Location of Property 335 Smi%h Drive Peeonic, New York House No. Street Hamlet County Tax Map No. 1000 Section 09 8 .Block 4 .... Lot 4 Subdi~isionFi/o. ,Tr, dS_~n .[qecX .l~;cX ....... Filed Map No. $.5.1 ..... Lot No...8. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... AP.r i .J-..1,7. ~ ....., 198..6. pursuant to which Building Permit No..1.3.0.4. .6 .Z .............. dated April 17, 86 ............................ 19 .... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ........... .lng .r Q.u/lc~' 8.w.J, rcrg.i.n.q .P99.1. .......................................... The certificate is issued to ...... .R.o.b.e.r..t..W.,:..A.l.c.u.s. ................................... (owner, te~~ of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ............... .N.6.4.7. 4..9.6 ........................... Rev. 1/81 Building Inspector IFORBS NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 130~$ Z Permission is hereby granted to: # .................. ' ..~.~,~:~.....~..:~..,......L~.n..L~ ............. ............ ! ".,, ~ at premises located at ...~,~.~..~........~.....~..:~..~......~.J,~L~- ........... .1...~..-~..~.. .............................. L County Tox Map No. 1000 Section ..... ,.C~,.~..~ ........ Block ....... ~ ............ Lot No ...... / ................. pursuant to application dated ........... .~. ..................... , 19.~...L/.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, 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 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 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. C. Fees: 1. Cert{,,cate of occupancy $5.00 ~ 5-/ 2. Certificate of occupancy on pre-existing dwelling land use $/ $5.00 3. Copy of certificate of occupancy $1.00 Date ........ J.~c~. '. (J. VJ. ......... New Building ............. Old or Pre-existing Building .... ~. ..... Vacant Land ............. Location of ProperW ...~ ~... ~.~. ~.~ ...... ~ ......... ~ ~.~ ~.~ .......... House No. Street Ham/et Ownar or Ownars of ¢ro~erW .......................................... County Tax Map No, 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.,~.0.~/.~. ·~, Date of Permit .......... Applicant ....i~..~,C'.~.~...7~.....~2. ,. ~..e.¢.~.. ....... 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 .... ~ .~J,~:. , .0.r~..; ~. ........................ Rev. 10-10-78 THE NEW YORK BOARD OF FIRE uNDERWRITERS ~{~-~4~ BUREAU OF ELECTRICIT~ 88 JOHN STREET, NEW YORK, NEW YORK 10038 N 647496 THIS CERTIFIES THAT only the elec trial equipmen~ as describqd b~lo~ and introduced ~y t~llcm~t ~ ~ the able application number in the premises of in the following location; ~ Basement ~ 1st FI. ~ 2nd ~3. ~¢~L~i~ Section B~ck Lot was examined on and found to be in compliance with the r~quirements of this Board. FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS FANS i DIMMERS SERVICE DISCONNECT S E R V I C E NO OF CC C0~49 A x~, O. NO, OF HI-LEG I A' W.G. INO, OF NEUTRALS A W, O. '6~--~, ~Yv~rom~n't.~:~ l~ .Is ~dv~le to h~vc ~r~ent te~ ~/or re. irs ~.do by ~ q~i~ied i::er ~n. This certificate ~st not be aJtered in any manner; return to the office of the Board [{ igcor~ect. Inspector~ roof be identified by their credentials. MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 APPLICANT: DATE: July Il, 1986 Dear: Whil~ reviewing our files I find that your expired pool permit ~i_C~ has never been finalized. Kindly return the enclosed application with a check for $~.00. Also, please call and aruange for a final inspection so that we may issue a Certificate of Occupancy on the above pool and complete this outstanding file. Yours Truly, Victor Lessard Executive Adminstrator OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,~ FIELD INS?ECTION FOUNDATION FOUNDATIO~ 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL COMMENTS ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS: DATE ~.//~//}}/-~-~ iNSPECTOR, , (~~ TOWN OF SOUTHOLD BUILDfNG DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined .... C~ .................... , 19..~.L.I Approved .... ..~.....t.i~ .......... , 19.~.q. .... Permit No..J..~.......~...~.....~.. ........... Disapproved a/c ............................................................................................ Application No ................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................................................ , 19 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or' in ink and submitted in triplicate 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 application. 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 issue 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 ir~ buildings for necess~ections. "' '~"~' 'i'~"g natu re o~' '~'1~1~i icant,"~r (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises Robe./~ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. 35~5 ItL 0/[. Ill Plumber's License No ................................................. Other Trade's License No ............................................... Location of land on which proposed work will be done. Map No.: ......... ..~'....~...! ..................... Lot No ........ .8. ............... Street and Number ~....S.~..~.o.~.E.~...?..~..c..o...I~..'.~ ..................... ; .......................................................................... Municipality State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy .......... ~....~.~..~!~..,~..~..~.~...~....~..e. .............................................................. b. Intended use and occupancy ...... .4;.~.g..~.?...u~....~....v.z'.~..F.~...~..~.?..~.?..~..~..."~..~..?..°.~.~. ..................................................... 3. Nature of work (check whichI applicable): New Building.. ................. Addition .......... : ....... Alteration .,,~(~ .......... Repair .................. Removal i .................. Demolition .................... Other Work ................................. re ............. . .... ; (Description) 4. Estimated Cost 4500.~0 Fee .......................................................................................... ..................... I ....................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....................... ,.**.Number of dwelling units on each floor ............................ If garage, number of cars .....~ ........................................................................................................................................ 6.' If business, commercial or imixed 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 structur~ with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth ........................ Height .................... Number' of Stories ..................................................................................................................... 9. Size of lot: Front I00,00 Rear ............../..0..0. t..0..0. ................. Depth 110.15 10. Date of Purchase ................. i ....................................... Name of Former Owner ........................................................ ] 1. Zone or use district in which premises are situated ..................................................................................................... 1:2. Does proposed construction vi'olate any zoning law, ordinance or regulation: ................................................. ' ....... 13. Will Jot be regraded' . .......................... Will excess fill be removed from premises: ( ) Yes ( ) No PLOT DIAGRAM Locate clearly and distinctly al;I buildings, whether existing or proposed, and indicate all set-b~ck dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner STATE OF NEW YORK, ~ S COUNTY OF .$[l~J( ................. .~.~.,~,..g....~...~.~. be ng duly sworn, deposes and says that he is the ~pplic~nt (N~me of individual sighing contract) above named. Co~ 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 m~ke and file this application; that all statement~ contained in this application are true to the best of his knowledge and belief; and that the work will be performed in tee manner set fo~h in the application filed therewith. Sworn to b~fore me this ~ ~ ~ ~ _ ........... [.~. ..... day~~~of ..,~.....~....., 19..~ , , p~SC~L J, s~L[ ~ ~ ~ ~- (Sig~ appJ cant) ,, ~'., ~ '.C State 0f ~ew ~0rk ,~OT,,,', Pu~L' ,