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Home My WebLink About13064-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.! .22.9.5. ......... Date ...~°. Y.e.m.b.e.r..1.9. ................. 19.8.4. THIS CERTIFIES that the building..G..ar.a, ge...a.d.d. 5..~3p.n...~p..e.x..ig.~.~ n. g..d.~. ?.l.l.~.r3g.... Lo~,:~^e~ .... ,. 260 Sunset Lane Mattituck House No. Street Ham/et County Tax Map No. ] 000 Section . ! .1.5 ........ Block 0 3 .Lot 0 06 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~ ??.J:. 3_...2.0. ....... 19~..~. pursuant to which Btfilding Permit No. 13066 g dated ..fi.P.e.......................±1 26 198.~. . , 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 .......... .... .~.a?.a.~ .m .a.~.d. ¢.~Aqn...~.q .e..x.~.s.~. ~..n ~..d.¥ ?.Z.Z.~. n. ~.. ................................ The certificate isissued to JOHN & HAZEL SOBIERAY (owner, I~ Ya~ X X of the aforesaid building. Suffolk County Department of Health Approval ......... .N./.~. ............................. #.N65~039. UNDERWRITERS CERTIFICATE NO ............................................... Rev. 1/al Building Inspector FOB~g NO. 0 TOWN OF SOUTHOt. D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13064 Z Date .. . fi',,, ........... ~ ....... Permission is hereby granted to: .......... .,~.~.~....~.~.~.:-~..~..~ .... ...... ~..×~ ......--'~ ~-~ ---~./iu:z...~:.....~...~/~ ~- ...... ~~.z..~:~=~.~.~......__~~- .~ ~ ~ ~7 .-~-~d~...~ ... ,o .......... ~z.~.~ ................ ~~ ............... ~ ........... , ...... ...... :.....~.~;~ ......... ~Z[Z.~ ........... ~ ............. ,....~.~,:::. ................................. ot p~mls~s I~oted m ...&, ........ ~.~ ....... ~~ .......... ~.~......~ .......... .......................... . ...................................................................................... ;..~..~~:~.~ County Tax Mop No. ]000 Section .... /~'.(',~ ........... Block Building Inspector. Fee $ ....... .'~, .: ........ :.. (.-~'x~ //~// Building Inspector Rev. 6130/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~,!~cct= 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. B. For existing buildings (prior to April 1957), Non*conforming uses, or buildings and "pta-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. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling / 3. Copy of certificate of occupancy $1.00 landuse--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building .. ~'/. Old or Pre-existing Building Vacant Land Location of Property 0 ..~ ,~ <~ ~:-T /~ )) ~ .. . ~ ~ ~ .~ ...................... ..... I Owner or Owners of Property . 7. . ; ............................ /.~ ~ Block ~ ~ Lot County Tax MapNo. 1000 Section ..... ' .... ........................ . .. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ],'~?~.Z/..~DateofPermit //~.~.~/~..~Z/.Applicant .,~-.~?'. /~..,..~.~,~?~/.~ ....... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary~;ertificate ..................... Final Certificate ....................... Fee Submitted $ ........................ Construction on above described building and~ermit meets all applicable codes and regulations. Applicant . ~ .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS A 1000771 ~REAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 B,.. ~ ~, ~o~ ~.~,~..o,,~o.o.~,~ ~/~ N 657039 THIS CERTIFIES THAT only the e~c~rical equiptne~t ~ described below and introduced by t~ applicant named on the abo~e application number i~ the premlses of John ~bler~y, WS ~u~set Avenue~ a~' S/O ~)ute 25, ~attit~ N.Y. i~, the following location; ~ Basement ~ ~st Ft. ~ 2,,d r~. Ga~&ge sect~,, ato~k Lot was examined on ~ ~ ~ $ 1~ and found to be in compliance with the requirements of this Board. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 5 8 o" 5 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R OTHER APPARATUS: i~-G.F.I. I C guland FAectric P. O. Box 143 Mattil;uck, tI.Y. 11952 GENERAL This certificate must not be altered in any ma~ner; return to the office of the Board if incorrect. Inspectors may be identified by their B~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE/~LTERED ~N ANY MANNER. COPY FOR FIEL~IN~FECTION ~--~---~y 1. COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q?DE FINAL ADDITIONAL ~OMMENTS:, FORU r~o. ~ I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.; 765-1802 Examined...~./~..~.. i ..... ,19 ~'.'~,~ Approved..~'.d .~.. ....... , 19 .~. Permit No. Disapproved a/c .. ~.~ ..... ~ ............... - ................. i (Bu lding Inspector) APPLICATION FOR BUILDING PERMI-T Received..~/~./.~.. 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 regu!atio~_s, and to admit authorized inspectors on premises and in buildingfor necessa~(~ns. ~/O amc,ins~eo~cfi ns. , · "~' ' ........... if~co;poration) ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ .~t.C..~, .X~...'~,.~....~...~..~]P,~.Q.~,~ ......................... (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 .... '.'~.. ................. ,. Plumber s License No ........... Electrician s License No ................ / Other Trade's Liceuse No .... t .................. 1. Location of land on which proposed work wil] be done. ~ . .~t~...~. ................................. . ...... ................................... ltouse Nmnber Street Hamlet County Tax Map No. I000 Section ..... /.~.- ......... Block . .O.-~ ............. Lot...4~.~ ............. Subdivision ..... ~ ......... (~q'a}~) ................ Filed Map No ............... Lot ............... 2. State existing use and occnpancy of premises and intended use and occupancy of proposed construction: ...... .~: .z~..~.,'..~. ~....'.,~....~:.¢/,.~'.,.... ...... b.a' IntendedEXisting USeuseandandOCcupanCYoccupancy "'~..~...~'f~.. ~.~" ~'T -7 . :. k~e,,o_~_e~...,q q ~ -"--.~...,,/d.~. . ............. property lines. Give street and block interior or corner lot. 3. Nature of work (check which applicable): New Building ........ Addition .......... Alteration .......... Repair . ............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost ............ ,~ .......................... Fee ............................ ' (to be paid on filing this.application) 5. If dwelling, number of dwellinglunits ............... Number of dwelling units on each floor ' ................ If garage, number of cars .... ! ...................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 ..... if any: Front Rear Depth . D~mensmns of emstmg structures, ............................................ Height ............... Number of Stories ........................................................ Dimensions of same structure w'ith alterations or additions: Front ............. Rear ........ Depth ................... ,.. Height ...................... Number of Stories ....................... 8. Dimensions of entire new construction: Front ..... .~.~.' ...... Rear .. ~q.~ ......... Depth . .~.~ .......... Height ............... Number of Stories ......... ~ .%.-F.o..~.~k ..................................... 9. Size of lot: Front .......... ~ ........... Rear ...................... Depth ...................... 10 [)ate of Purchase ~ - Name of Former Owner 11; Zone or use district in which pr~mises are situated . ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ~/ .................. Will excess fill be remo[,~ from premises:...-Yes 14. Name of Owner of premises . .~. ~..~.~t..~r~.~ . Address .~¢.5~...~'~6~. ,... Phone No. Name of Architect ...~/Ot3fl'O~. (~9.~.'~... Address .... .~Jq~c.V~¢~ .... Phone No. Name of Contractor ....... .~ .~. ........... Address .... ~ ........ 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 '/~' '~"" J'"~'~'~/~i~':~~~wm,~ ~t~. -s -~ ,'~'^ntracO being duly sworn, deposes and says that he is the applicant above named. He is the .. .......................................................... ~ (Contractor, agent, corporate Officer, etc.) of said owner or owners, ~d is duly authorized to perform or have performed th~_work and to m~e and file this application; that all statements contjained ~ tliis application are true to the best of~owledge and belief; and that the work will be perfomed in the manner set forth in the application filed therewith. Swo~l to before me this.~ .............. '..d.v o~ ~) ..... 1 ...... ~,. ~m~0~ · ,~ ~v~ ~ ~gnature of applicant)