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Home My WebLink About12935-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificete Of Occupency No. Z12989 Date November 15 .,198.6. THIS CERTIFIES that the building .. fi. d..d .i.t.~ g .n. ~.q..e .x.~.s. ~..& .ri.g,. d. ¥ .e .5.5. ~ .n .g ............ Location of Property .,...6~.~.Q..Np.p.L.h. Ba~view Road Southold I~ouse tva. Street Ham/et County Tax Map No. 1000 Section . .7. ~ ........ Block ..... .3 ......... Lot 1 ? Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ........ , 195.4. . pursuant to which Building Permit No. ~. .2 .9 .3 . 5. Z. .............. dated M. a. ?.c.h.. q. ~ ................... 19 .8.4., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... ..... A0d~_.t,~.on..t,o. ex.J.s t ~-ng. dw.e.ll~-ng ......................................... The certificate is issued to JOHN L, AND, CYNTHIA R. KINSELLA .................... k .................. of the aforesaid building. Suffolk County Department of Health Approval N / A #N664528 UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Building Inspector FOB..~ 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) 12935 Z Permission is hereby granted to: '....~..~.~,..~ ................................................... ..~..~..~.....~.:~.:......~..~ ............ ,o ...~..~..........~~~.......~.....~~.....~.~.~....~........~....... at premises located at ........................ ~ .................... ....~....~.~.....~..~ ....... ..~..~ ........ ...... ................................................................................................ County Tax Map No. 1000 Section ....... o...-I....~ ....... Block ........ ~ .......... Lot No ......... ~..~. ........... pursuant to application dated ........ .~...c~......~..~,...~. ......................... , 19.~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 ~OOlO71 THE Date October THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 2.2, ~9a4 ,,,,,,,,c,,io,,No.a.~,le 297~.26"~ N 664528 only the electrical equipment aa described below and introduced by the applicant ha,ned or~ the above application number in the premises of John Kinsella, North Bayview ~4750F Son,hold, N.Y. was examined onOC t. ~-) ~ and found to be in compliance with the requirements of this Board. EIXTURE OUTLETS 5 OltYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO, OF FEET OTHER APPARATUS: R v I C G & S glec. Box 215 Southold~ N.Y. 11971 ltc. 578 g GENERAL MANAGE 11 ~This certificate must not be altered in any manner; return to the office of the Board if incor~rect, Inspecto~ may be identified by CO~Y FOR B ANY MANNER. FOflM 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-J~:flupl[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, p,roper~y lip.es, 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. F~3~ existing buildings 'iprior ko 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. Certificateofoccupancyonpre-existingdwelling/landuse--?re-E×±sting C.O. $15.00 3. Copy of certificate of occupancy $1.00 ~ Vac~n+~ La,ct C.0. $ 5.00 Date .......................... New Building ............. Old or Pre-existing Building ....... [ .... Vacant Land ............. Location of Property. ~ .?.~..~,.,..~.. ~.~L......"~.... ,~..~?.' ! .~ ,(~....~.. ~.~.; .... . .~... ?..~..O..L~. /.~. House No, ~,~¢--~ Street I ,~ Harnle~ Owner or Owners of Property '-~O)~'/~J L, .,¢_x~,.., C~'/~J~'T~],~. ~), .].~. [../~..~..~'..LL~/~r- County Tax Map No. 1000 Section ~ ~ Block 3 Lot. I ? Subdivision ..................... ~, ~.. ...... Filed Map No...~ ........ Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .,.. ..................... Planning Board Approval ...................... Request for TemporarV Certificate ..................... Final Certifmate ...................... Fee Submitted $ ............................. Construction on above described building a ~.~l~lations. Appl,ca~/~.~. '.-'.. '.-;-. 7. ?. ,'~. ,f~ ~,, ...................... -F I ~LD ~ I NS P-ECTION 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY COMMENTS oA~ C,ODE FINAL ADDITIONAL COMMENTS: Approved..~0~.% /.~.. "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~. ~. Permit No.I?~. ~.~..'rq'..-.~.. =. Received ........... ,19.,. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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 accx)rding 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ...... 5?: .............. (Signature of applicant, or name, if a corporation) Cutchogue, New York (Mailing address of applicant) State ¢zhether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Builder John L Kinsella Name of owner of premises .......................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ]0 Builder's License No .......................... M. Dohm Plumber's License No ......................... Robert Gurello Electrician's License No ....................... Other Trade's License No ...................... q'~ b--8 M0~],~ 1. Location of land on which proposed work will be done .... ~.13.ay.v. $~.w.,.. $.o.[l~ho.],d ............... House Number Street Road to Bayview Hamlet Southold County Tax Map No. I000 Section ...... .~.P..~ ...... Block ...... .~... ......... Lot...~ 3 ............. 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 ...... [.~.e.s.J,. c.t .e B.C.i ~ J ................................................... b. Intended use and occupancy .................................................................... 3. Nature ofwork (check which applicable): New Building ..... ' ..... 'Addition ...x. ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ (Description) 4 Estimated Cost 25,000.. 00 Fee : ~" (to be paid on filing this application) number of dwelling finits one Number of dwelling units on each floor 5. If dwelling, ; ............................... If garage number of cars ' ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure if any:Front...7. ! ......... ear ....... ' .... Depth ..... 26 ........ Height ..... .2.2. ....... Numlber of Stories.. ................................ ?b" .......... Dimensions of same structure with alterations or additions: Front 70 ' Rear Depth ...... ¢2. ........... I' · Heaght .......1. ~ ............. Number of Stones ..... .1.~ .............. 8. Dimensions of ~0tire new constrUction: Front ..... 2..0.' .......Rear ....]q~...2~Q '... Depth .1~.' ........... Height ..... .~?. .......Num!ber of Stories ............... o..np ...................................... 9. Size of lot: Front .. . .1,0 ................ Rear .... 1.].0.' ....... Depth .... lB.0 '. ............. 10. Date of Purchase ...... 1.9B.3.! .................. Name of Former Owner ............................. 11. Zone or use district in which pr~mises are situated .............. g.e.~,de.n~$o.1. ......................... 12. Does proposed construction violhte any zoning law, ordinance or regulation: ....... B9 ....................... 13. Will lot be regraded ......... ;. B9 ................ Will excess fill be removed from premises: Yes No 14. Name ~en,,,,~r of,,~mlses John Kinsella A,lar~ Phone No. Name Name ......... : ................. Phone No .............. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Gwe street and block number or descnptmn according to deed, and show street names and red,cate whether interior or corner lot. " I STATE OF NEW YORK, ~S.S COUNTY OF ................. ; being duly sworn deposes and says that he is the applicant (Name of individual sig~ing contract) above named. 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 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 manner set forth in the application filed therewith. Sworn to before me this NO'[ARY PUBUC, State of New Yo~'k · ....... , NI~ 4/~)7818, StlJfolll Count}~2 (Signature of applicant) i Term kxpircs {vlarch 30, 19~" [~ L!iJl -L,