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Home My WebLink About13312-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N.Y. Certificate Of Occupancy No..Z.1.4.1.2. ] .......... Date ....D.e.c.e..m.b.e.r.. ~? ................. 198.5.. THIS CERTIFIES that the building ..... ~ ~i ~i.~ J~ 9 ~ .................................. Location of Property 485 Oak Street Cutchogue House No. Street Ham/et County Tax Map No. 1000 Section . .1. 3 ~ ....... Block ........ 1 ....... Lot ....... 2.8. ........ Subdivision ............................... Hied Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. v~.t~l,~...2.0. ......... 19 .8.6. pnrsuant to which Building Permit No. q. 3..3.q.~z. .............. dated ... ,d.U.L.g., .3.0 ................. 19 .8.6, , was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupaucy for which this certificate is issued is ......... .., ~di~zL~n. L.o..exit. ting..q~, .f.~r~.i3.Y...d .w.~.~, ~, $ .n~, ............................ The certificate is issued to J 0 ~ D ?.ti. ~. ~i A R I E K 0 Z E L ............ ?o;;.'~;, '/~,'~?~&~7, x .................... of the aforesaid building. Suffolk County Department of Health Approval .............. ~ ./.fi ......................... UNDERWRITERS CERTIFICATE NO, I/N711900 Rev. 1/81 Btfilding Inspector I~OB~ 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? 13312 Z Permission is hereby granted to:. -- .. ....~_ .._.~...~.....u..~,..~.L!s~.-.__ .... County Tax Map No. 1000 Section ..... !....~.....~'.. ........ Block I Lot No. ~--~ pursuant to application doted ....... Building Inspector. and approved by the Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. ( ~ 5 I ~-~ Owner ~0~5 ~/~ )~O2-~- ~(p~ease print) ~please print) ~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ~r (~lumber' s signature) Sworn to before me this Notary Public,~. County tary Public REGINA. I~, MATTH[W$ NOTARY PLJ[]LIC, State of New York No. 52-4635665, Suffo!k Count¥.~/ Cemm~s~on Exp~r~s March 30 19~ COMMENTS FI~ELD ~NSPECTION FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION FOUNDATION 'IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~X~ FINAL REMARKS: DATE l/., , ~ INSPECTOR ,,i~- THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000771 BUREAU OF ELECTR{~IT¥ ~'~J 85 JOHN STREET, NEW YORK, NEW YORK 1003,8 Oct~z 0S, 1985 3455~0/85 THIS CERTIFIES THAT o~y the electrical equtpment ~ d~scribed below and introduced by t~ ap~iea~t ~med on the able applicaEion number in the premises of ~sexamlnedon O~t~e~7 0~: 19~5 and found to be i~ co.~pli~nce wlth the requiren~ents of this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS OTHER APPARATUS: E R V I ~.O. ~OX 143 ' ~a~ti~U~, N~ 11952 ~1~42S GENIAL MANAGER Per Th~s certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved . ~..~..., 198.~. Permit No.J..~..~.]..~...~:. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERM IT 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 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 regulations, and to admit authorized inspectors on premises and-- in building for necessar~inspections. . , (' (~gnaturg of applicant, or n'a~ne, if a corporation) . , . .?. ......... ¢ .... t . . . ............... ~ t /ti ?t ..... 2' ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contrfl"Ctor, electrician, plumber or builder. Name of ownerltof premises...~. ?...~.~.'?..I-.4....%7....~.. ~ .~..I..~<. .... .~..~.. (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 License No ...................... Location of land on which proposed work will be done .................................................. ....................... ltouse Number Street H~et County Tax Map No. 1000 Section ...].~.~o ........... Block ... ! .............. Lot .... .~..~. ........... 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 . ?~..~.m .P~..~.....c~....~..~:..~:./.~.¢.,~. ~.(.. ~ .C.~.-?./D.../.o..~. '.T~.. .............. b. Intended use and occupancy ....T.°. .&.C....~.t..r~...~.~...~.e~h' ~. ~.(..o~, .9..-g~. ............................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .¥~........ Alteration .......... Repair ..............Remdval .............. Demolition ..............Other Work ............... .3. (Desoription) 4. Estimated Cost ..... O.t· O.~P. · .cA. .................... Fee .... ' ....................... ~ "" (to be paid on filing this application) 5. If dwelling, number of dwelling Cnits..· · ...........1 Number of dwelling units on each floor ..... ./ .......... , Ifgarage, number of cars .. i . .............................................................. . 6. If business, commercial or mixed occupancy, specify nature and extent of each .type of use '. ..... . ..... 7. D~mens~ons of ex~st~n~ structures, ~f any' Front ,:~ 2. ~ c~ Rear .2,~ ~, Den,h :1, :5- Height ...f~. ......... Number of Stories , /.././.~. . Depth .... '~' '-~"~ f~ ....... i.. Height .... .~. f.~..~. ......... Number of Stories... ~ ...... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... , Height ............... Number of Stories ........................... 9.Size of lot: Front ....... ~ ........... Rear ...... ~.~. ........... Depth . .'~....'~ ........... 10. Date of Purchase ..... /..~.. ?.~.. ............... Namg of Former Owner ............................. 1 1. Zone or use district in which pr{raises are situated ....... ~ ~ ~t ~,/t,v ~ ,'* C, 12. Does proposed construction rio!ate any zoning law, ordinance or regulation: ..... ~f.c?. .................... 13. Wfl lot be regraded . .~-~.~... ........... Will excess fill be r,~moved from premises' ~ No 1 4. Nmne of Owner of pren~ises ~/' ,o.~, ,e47~. i t~,' .~.~.'. i X'ddress ~.g'~.. ~]q-~.7-~ ....... Phone No.' ...... ~ ........ Name of Architect G..~ r~/4e~'F..7~, i ~[ .,¢-'~..r'~...~..~.... Address ?.4): ~..X.t.~/~-..~..,~i-.~.Cr~Phone No..~..d,.~.7..,~..~.~...~. Name of Contractor Address Phone No Locate clearly and distinctly all property lines. Give street and block interior or corner lot. PLOT DIAGRAM 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 STATE OFNEW YORK, COUNTY OF ............ iS'8 (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the .................... 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 con(ained 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. Swon~ to before me this · .{ .......... .~. · .~. · ..... day of..~-(d .............. 19 .~./ ..... ~ ' ~t I( 0£ VO£' , ....... ~ . ....... : .... i N0. 4707878. Suffolk Cbunt~ hereon shall run ~he lending In~-