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Home My WebLink About12859-z ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 12859 Z Permission is hereby granted to: .... .~.~~.~...~,~..~ ........... ......... -~..~..~....../..../...,...d.. .................. :_.. ........... ........ ,~. .<z,-~..~.~.~.~.~..~ ......... /.~..z/ ,o ........ ~.~.~.~.~ ~ ~....~.~.~ ~. ~ .~. ~...,...~.......-~./~. ~.~,~?....~..../....~.. i~... .~ .~.,..~.~,~,,..,,.~~..~.,/~~..~ ........................... .~........ ./~,0, o . ' , at premises located at; ........................... .~.-'.. · County Tax Map No. 1000 Section ....~. ~..~.. ......... Block ..~.. ........... Lot No..Ofl~ ........... pursuant to application dated~--n~.o.../.../~... ......... , 19 .~../~,.., and approved by the Building Inspector. Fee $...~..~. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 submitted in duplicate to the Building Inspec- tor w{th the fo~[owing; 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. Certificate of occupancy $5,00 2. Certificate of occupancy on pre.existing dwelling / land use --Pre-Exis ting C. 0. $15 · 00 3. Copy of certificate of occupancy $1.00 ~ Vacant. 1anti C.O. $ 5.00 New Building aid or Pre-existing Building Vacant Land ........ . . t'.. . F Location of Property ...... Street Hamlet Owner or Owners of Propert¥ ............................... 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 $ 5 ~. ......... Construction on above described building and permit meets ali applicable codes and regulations. Applicant. ~,,~~~... ¢~~. ~ooo7o~ THE Date Jt~le THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 ~pplic.tio,,¥o.o.file ~?~-~/~ N 647530 only the electrical equipment as described belotv and introduced by the applicant named on the above application number in the premises of tterb N~u~del, inlet imae~ Left of ~dm~set Avenue, Greenport~ N.Y. in thefidlowlng Iocation;_ [] Bgser~ ~ 1st FI. [] 2nd FI. Section Block Lot was examined on dDll~ ~ J.k~,~d and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS SWITCHES 28 24 DRYERS FIXTURES RANGES , OVENS INCANDESCENT FLUORESCENT 28 E R V I C NO, OF HI-LEG NO. OF NEUTRALS AWG. OF NEUTRAl. OTHER APPARATUS: ~oto~s; 1-,3/4b~;). 3-LLF. C.I. 2.-Smol~ Detectors. T~ck LiE~tins 10' ~' 4 lites. S~I ~to, Electric~vA WlggiDz~ lane C~ween~z't ~ 1049 This certificate must not be altered in any manner; return to the office of th~ 8oard if incorrect, be COP~ FOR B;UILOIqG DEPARTMENT. THIS COPY OF CERTIFICATE MUST ~ .:~ IN AN~MANNER FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To .~,~,<~..ff.. 5.~,~/~ .... ...z'.~o..~.../..q/. ~. .................... .... ~o.~o~. ~--.~. ....... PLEASE TAKE NOTICE that your application dated...TD~ ~ ....... /..7 ..... ,19 .~ for pemit to construct .... ~/. (~.. ~.. ~//~ .................... at Location of Property ~o~o ..... ~' '~ ~' ' ' ' ~ ....... ~ County Tax Map No, 1000 SeCtion .... ~ .... Block ..... ~. .... ~t~~. ~ ~ ...... Subdivision.. ~ * Filed Map No ................. Lot No .... -,~ ....... is returned herewith and disapproved on the follow~g groand~~.: ~~' v~.~..~..~ .... ~*/A~.. ~c~... ~/~... ~ .... . ~-.. ~¢~...~ ~./ T~.. ~~. ~5 ....... ., ~~ ................................................................. Building Inspector RV 1180 FORM NO, 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ile No ................................ lo .~,e,r~..~... ~..7:.,z,~,J'~ .... .... _~o.c,7../m~-o.~./~....W.. ........ PLEASE TAKE NOTICE that your application dated... ~'~, c~ .~, ....... 1..7 ...... 19 .~ for pc=it to constn, ct... ~1. [~ ~.-~... ~g/[~ .................... at co..,yt.~p ~o. ~00o s~.o. .... aS( .... .~o~ ..... a~ .... ~t ,~~.~ ...... Subdivi~on · · · ~ · · · ? ...... Filed Map No ................. Lot No ..... ~+~ ....... is returned he.with and disapproved on the following groun~'~~.; ~ ~;.~ .z ~../~... ~=//,~.. ~ ~ ~... = ~ ~... ~ .... . ~..~ ~...~. Z~.~.. ~ - ,~. ~~~...~ ....... .. ~o~ ................................................................. Building Inspector RV 1/80 ~ ,~;ED~ JAN. 25_~__1~984 Appeal No. 3202 · . ' ' ~ - , . HERBERT R. MANDEL I~ any: applicants: ~ -- · and ~ocatlon: A~&~o~ ~o~ g~ee~bo~se/~zde~a~d setback, Charles Serge Robert Gerard Joseph. Griaonis Doyen Douglass Goehringer Sawick~ ACTION: ( ) Approve as applied (XX) Subject to County Planning Referral ( ) Deny as applied ( ) Subject to Planning Board approval ( ) Deny without prejudice ( ) Subject to D.E.C. ( ) Deny ( ) Withdrawn V~'ithout Prejudice as requested ( J ~;'/~Approve with the following Conditions: [3] [41 ( ) Special Exception criteria applicable ( X ) Prior application conditions applicable, if any NOTES: / VOTE OF THE BOARD: Ayes: (~') CG Nays: ( ) CG Abstain: ( ) CG Absent: ( ) CG Resolution was passed: ( /,$~nanimously Resolution was not passed: ( ). This application was recessed until ( ) by majority vote FIELD INSPECTION FOUNDATION COMMENTS FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ?DE FINAL A COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 . . . . . .-. . . , . . ..... . / ~ ~ ~ ' (Building Inspector) ,/~-/,~7 ~ ~..~f~CTo~ APPLICATIO'N FOR BUILDING PERMIT ///(/--~fr~ ~7~/~_~ Date..D?.c.e..m.b?.r... ! .3 ....19 .8.3 INSTRUCTION a. This apphcation must be complet?l~y filled in by typewriter or in ink and submitted to thc Building Inspector, with i sets of plans, accurate p. lot plan to scal~/Fe~ according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street 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 permi shail be kept on the premises available for inspection throughout the work. e. No building shall be occupied or u~d in whole or in part for any purpose whatever until a Certificate of Occupanc! shall have been gr~nted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for thc construction of buildings, additions or alterations, or for removal Or demolition, as herein described The applicant agrees to comply wit.h all applicable laws, ordinances, building code, housing code, an~ reguiations, and t~ admit authorized inspectors on premises and in building for necessary inspe~:~olla:'. - ~ fi/. - · ......... (Signature of applicant, or name, if a corporation) Garrett A. Strang · .?, Q...~9¥..1.4 1 2. ~.Qu~q~d,. i~..¥,..1.1.9 7.1.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................................Arphitect........ . .............................................. Nameofownarofpremisas Herber.~ R. Mandel (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. Not Selected Plumber's License No " " Electrician's License No. " " Other Trade's License No ...................... 1. Location of land on which proposed work will be done .......................... ~, ....................... /~..(~. ~ Lane Extension Green¢ort New rk Inlet House Number ,,,, ,. Street Hamlet County Tax Map No. 1000 Section ..... 3.6. . . Block 2 Lot ~ 6. 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 .......... O..n ?..F.a..m.i.l.y...D .w?.l. 1. ~.ng. .................................... 3. Nature of work (check which applicable): New Building Addition .... .x . Alteration × Repair .............. Removal ..... , ........ Demolition .............. Other Work .............. ' (Description) 4. Esiimated Cost ...... : ...................... Fee ......................... i , (to be paid on filing this application) 5. If dwelling, number of dwelling units one ............... Number of dwelling units on each floor ............... If gars. ge, number of .cars . ! ..................................................................... 6 If business commercial or mixed occupancy specify nature and extent of each type of use 7. Dimensions of existing atm0tums, ifanv Front . . 57 .5 ' ~.o. 57.5 ' De- Height ....q ,8.' ......... Number of StorieS ........ ] ~ ............... , ............................. Dimensions of same stmctule with alterations or additions: Front .... .5 .8 ............ Rear 58 ' 54' ' ' i% ............... Depth ............. i ..... Height ......... 1.8. I .......... Number of Stones ..................... 8 ' ' ' Front ' Rear Depth . D~mansmns of entire new construction: ............................................ H0ight ............... Number of Stories ............... . ....................................... 9 Si~e of lot: Front 1 0 0 ~ ' Rear J 0.0. I- Depth 2. .0 .5.' ..... 10. Date of Purchase ....... i ........... i ......... Name of Former Owner ............................ 11 Zone or use district in whic~l promises are situated A-Residential 12. Does proposed construction violate any zoning law, ordinance or regulation: . Yes - ' Side Yard 13 Will lot be regraded no Will excess fill be removed from premises Y N ........ ' ....... , ............ : X es 14 Name of Ownar of premises! .H R. ,M.a.n..d,e.1 aaa..~o Greenport N.Y. ~- .~r~ 477-2223 ' '" 1' , · , . , , ,*....v.. ...... , ............ rnon~ ,.v, . . Nam fArchite t g .A. ~.r.a.n. 9' ~412 S 1% ............ aaa .... Box outho h~.~ ~ 765-5455 Name of C~ntractor . Not selected ..... - - , · · ''~. .... , .............. Address ......... , ......... Phone No .............. PLOT DIAGRAM Locate clearly and distincfli~ all buildings, whether existing .or proposed, and, indicate ail set-back dimensions fro~ property lines. Give street and bi ook number or description according to deed; and show street names and indicate whethe interior or comer lot. · . STATE OF NEW YORK, COUNTY OF . · .S.q¢ .~p.l.l~ .... S.S .............. .G.~<C ~.e.e..~,i..s.~;~ o~a ...... (Name of individual iifning contract) above named. of said Owner or owners, and is application; that ali statements work will be performed in the m~ Sworn to before me this See Attached ...... befilg duly sworn, deposes and says that he is the applicaw Term Expires M~r~h ~,' 1~L (Sisnatnre of applicant- 1 9 da~ of December 198.~ He is the ............................. .5~9b.~. v~.t .................................................. (Contractor, agent, corporate officer, otc.) lniy authorized to perform or have performed the said work and to make and file thi; ,ntained in this application are true to the best of his knowledge and belief; and that th~ mcr set forth in the application filed therewith.