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Home My WebLink About12936-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15619 Date April 9, 1987 THIS CERTIFIES that tbe building ADDITION TO EXISTING ONE FAMILY DWELLING Location of Property 882 South Lane East Marion, New York House ~Vo. Street Hamlet: County Tax Map No. 1000 Section 038 .Block 06 . .Lot . 014 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Ma r c h I 5, I 984 pursuant to which Building Permit No. 12936 z dated Ma r cla I 5, I 984 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to WILL 1AM BEHR ..................... io¥,,'e;, x .................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO... N 66686 I N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FOBM NO. 2 TO~N O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NV 12936 Z Date ........ .~. ........................................ , Permission is hereby granted to: ,o'..~~:......~.......~.~..~-~....~..,~.~,~-- --- ---- ....... ~ ........... ............... ..................................... at premises located at ...~..~...~......~j~.....~..u .~....~ ............. :~.......~......(~).~..'b~.. .............. County Tax Map No. 1000 Section .... ...~).....~....~.. ..... Block ...... ..,(~.....~,. ...... Lot No .....~...!.,.L~. ......... pursuant to application dated ..... ~....~..~...~,...!..~.~.. .................... , 19.~.~.., and approved by the Building Inspector. Fee ~ ...................... Rev. 6/30/80 :toooT~ T H E THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10035 Applic,tio, No. o,.~ile a87~eg/a4 N 6 6 6 8 61 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of in the following location; [] Basement [] Ist Fl. [] 2nd FI. Section Block Lot was examined on ~,~r ~ ~ ~.~)~4 and found to be in compliance with the requirements or this Board. 9 9 DRYERS FIXTURES RANGES OVENS DISH WASHERS FANS SYSTEMS NO, OF FEET OTHER APPARATUS: 1-4LF. I. S E R V I C OF HI-LEO NO OF NEUTRALS Rula~d E~ectrtc 0o. P 0 Box 143 Nattii, uck, N Y ~.952 Lic: This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR B!~ILDING DEPARTMENT TH S COPY OF CERTIFICATE MUST NOT B~ ~,LTERED lin ANY MANNER FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions 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 electrica~ 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: I. Accurate survey of p~operty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ......................... New Building ............. Old or Pre-existing Building ~ Vacant Land Location of Property....~..~..~..: .o.~..~..M..~..~.~..~. ......... ~ ...... ..~. ~ ?.-r..d.../~.. }?..~ .... House No. Street Hamlet Owner or Owners of Property /..~ I ~ ,L.. ~ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ?.L'..'~.7..Z..~?..~.. ?, .~.?t..~.~'~.~.~' ..... Filed Map No ........... Lot~ PermitNo. l~}~.~.. Date of Permit ~j'~ ~ 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 app~ca~'e codes and regulations. Applicant ..... /~, ~ . , . ,~,,(~-... ,~C~,, ...................... Rev. 10-10-78 C ~D INSPECTION COMMENTS FOUNDATION FOUNDATION (2nd) ' ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 'tOWN IIALL SOUTtlOLD, N.Y. 11971 TEL. 765-1802 This is Co advlne you that the. job under building permit no, 12936Z issued to willxam Behr on .~_/15/84 for Addition is completed and a final inspection has ( ) has not ( x ) been done. in order to complete this file, it is necessary that a Certificate of Occupaucy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or usc ia nn]awfnl without a Certificate of Occupancy. l'lenne help u,~ to clear np th~s matter so that legal action does not have to be taken. Thank you for yonr prompt attention. Vet! truly ~, Victor Lessard Executive Administrator VL:gar cncl. FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180~ ..... , Approved....~. ~,.I.~ .... 19~.q.. Permit No. )~ Disapproved a/c ....... : ............................ . Application No ................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date,..-~.") ~ ............ 19.~''f INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre¢ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[. cation. c. 'Die work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc','al of this application, the Building Inspector will issne a Building Permit to the applicant. Such pern shall be kept on the premises available for inspection throughout the work. e. No buildiug shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS I IEREBY MADE to the Building Department for the issuance cfa Building Permit pursuant to t Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructiou of buildings, additions or alterations, or for removal or demolition, as herein describe The applicaut agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applicant, or name, if a corporation) .... ............. (Mailingaddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bnild, Nmneofowncrofprcmiscs ,/l~a..~ .~ ~,'L~. t,~0,,'~. (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 ...... .I .~ .~ ................ r's Li N q o Plumbe cense o ......................... Electrician's License No.. "L°r'~ 1'~' Other Trade's License No ....... : .............. Location of land on which proposed work will be done ................................................ .......................... .d. ?. i ............... x . : ........... House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ................. Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of pr.~:nises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ! .~.,.Q.A..~..~...Q~..~.'--.3.; ........................................... b. Intendea use and occupancy ....................... , .................................... 3. Nature of work (check wbicl, a plicable): New Building .......... Addition . ~ Alteration P, epair .............. Rembval ............ Demolition .............. Other Work .............. , ~ (Description) Estimated Cost ..................................... ' ................ , .......... ! (to be paid on filing this application) ' I, Number of dw Iling units on each floor ;, If dwelling nmnber of dwelling~units .............. e ............... If gara~e, number of cars ~ If busihess commercial or mixe~ occupancy specify hature and extent of each type of use ~ Dimensionsofexistingstmctur~s, ifany:Front...~9YP, g ..... Rear ..~,,9.~ .D~pth }Imght ............... Nu ~)ber of Stoues ............................................. Dimensions of same structure ;~itb alterations or additions: Front .. .~ 7~.. m ...... Rear .. .-s..~ ........ Depth ~ 5. 7 ~. ~. ' Height ~ - a g Number of Stories I .' {~. 1. Dimensions of entire new construction: Front .. ~ 9~ . ~ .... Rear . .~7 ?. ~ ...... Depth . .q~.;~ X ...... Height ............... Number of Stones ....... l ...... .~. ~. .. .................... ). Date df Purchase .......... [ .................. Name of Foyer Owner ............................. . Zone or use d~stnct in which pr~nuses are situated ..................................................... 1. Does proposed construction rio:late any zoning law, ordinance or regnlation: .. ~9~ ........................ ~MiJ lot be reoraded ........ ~ ................. Will e~cess fill be removed from premises: Yes L Name of Owner of premises~.~ ~*~. . AddressSpP. r.~ ~..,~..~.~,~9.. Phone No ................ Name of Architect ....... ~. ~ .............. Address ...... '..~.; ......... Phone No .......... ~ ..... Name of Contractor . ~.....*~* ~.~ ........... Address ~>. ~3[~ .~ 7~vV .... Phone No~.%~ Y~ .... PLOT DIAGRAM Locate clearly ~d distinctly ~i buildings, whether existing or proposed, an& indicate ~l set;back d~ensions from roperty lines. Give street and block] number or description according to deed, and show street names and indicate whether -terior or corner lot. ............ i ..... d~t3'~, deposes and says that he is the applicant './N~lin~.~act)' ~ ~-- ..... being duly sworn, )ove named. els the ~ .~ ~ s~d swner or owne~, and ~s duKau~?d to perform or have per, formed the said work and to m~e and file ~phcat~on; that all statements conVert__application are true to the best of his knowledge and belief; and that the 'ork will be perfor~ned in the manner set forthS-the application filed therewith. worn to before me this I~ . o t. arg Public, ............ .-,-... 1'' County State o~ New Ym~; ~' ~ .......... (Signature of applicant) .<0 q-4t