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HomeMy WebLinkAbout13319-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O( Occupancy No. Z126B6 Date August 9 198.~.. THIS CERTIFIES that the building A1 tera tion 65 SuLton Place Location of Property .625..%ound..Road ............. Street Greenport House No. ' ........................... County Tax Map No. I000 Section ... 055 ...... Block ........ q ! ..... Lot ....... 0.0.3. ....... Subdivision ................ X. .............. Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. J. uly. 3.Q ......... , 1~.4.. pursuant to which Building Permit No. ! 3..3.1.9.Z. .............. dated ....J.u·l. ¥..3.0 ................. 19.84.., 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 ......... gr..~,2, t, .er.a.~ t. 9.n..q 9.ny.qr..t.ip.g.g.a.p.a.g ,e..t.q..f.a.m.~. ~¥..p.o.o..m..a.n.d,..b.a.L.h..p.o.o.m...~.n ...... a one-family dwelling. The certificate is issued to ........... .P.A.T. ,R.Z.C.Z.~...By.T..L..E.R .............................. (owner, I~'~X ~[IXt[rl~ X of the aforesaid building. Suffolk County Department of Health Approval ...... .~/. ~ ................................ UNDERWRITERS CERTIFICATE NO. ~) N 5 9 0 6 2 ~. Building Inspector Rev. 1/81 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) N? 13319 Z Permission is hereby grantefl.d.d.d~ ~,, ^ , ....... ~......m.~~ ....................... ..... ~..~.~.:~~~....~ .......... .c~.~...~.:..%,....tt.~...'Ll .... .~.~..~......~....~...~...~4~..~]..~....~....~...~. ot premises Iocoted et ..L~..~.....~...~.JL.c~.l~...,...~...,..~.....~......r:q~.. ~..-..~'~~ ,~.~i....~....~ ...................................................................................................... County To× Mop ~o. lO00 Section ...... ..~..~..~.. .... B~ock .......... [ ........... Lot Uo ..... .~ ................ ~.,~o~ ~o o~,,~o.o~ ~o~ ........ ~..~ .................. . ,~.~.... o~ o~o~ ~ ~ Building Inspector. Rev. 6/30/80 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Ol: Occupancy Date August 9 1~? conforms substantially to the July 30 dated ....... ~u. ,1¥..3.0. .... of the applicable pro~l~xions of ~ an alteratio.n. · ..... i The certificate is issued to .X.~ \ THIS CERTIFIES that the building . al.t~agiq~ .................................. 65 Sutton Place Location of Property .... .6.2.5 .......... Souncl Roacl Oreenport House No. Street Hamlet County Tax Map No, 1000 Section '. 035 .Block 01 .Lot 003 Subdivision ,~ Filed Map No .X. Lot No X ,, · 8.4. pursuant to ~hich ]~, ildi~enmt No .... .1.3.3.1. 9,..g .......... ..... fv~19 .87./, was m~, and conforms to all of the requirements e law.{The~occup~ncy/~ ~ ~ !or whictl.this certificate is issued is ......... ?.L.a.c.e.t~.d .c4.a...rag.~. o L..o. ?.a.m..~.1.~.. r..o.o.m..o..n.L.o.. ,o.n.e.-~f..a.m3.Z.~.. PATRICIA BUTLER (owner, t~'~qe'or't~t~711') .... ~', ........ of the aforesaid building. Suffolk County Department of ! ?~alth Approval ...N../..R .................................... ~0628 UNDERWRITERS CERTIFICATE NO ........... I~.. ~5 .................................... Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~;=uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted-?dul=l~cctc 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. 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: I. Certificate of occupancy $5.00 / 2. Certificate of occupanc¥ on pre-existing dwe~ing/ landuse--Pre-Existing C.O. $15.00 3. Copy of certificate of occupancy $1.00 / Vacant land C.O. $ 5.00 · Date.. ................ New Building ...... Old or Pre-existing Building ........... Vacant Land ............ Location of Property . .~.~ ~ .%'~.~? .~ ~ .~. ¢~E~, ~'C~ ~Z ... ~~ Hou~ No. Street Ham/et ................................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. ~oquast ~or lemoorarg Cortificate ................. Final Cortificate ..... ~' ............ Fee Submitted $ ............................. Construction on above described bu ilding and~it mee~H~des and regu lations. Applicant .. ~. ;~. ;t.. ~/. y.~.~.~ .......................... FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. 2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL looo7o8 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- ~B 85 JOHN STREET, NEW YORK, NEW YORK 1OO3~ Date ~a~'7 2~., 1983 ~,.piic.,o.~o.o..~,e 145133~81 N 590628 THIS CERTIFIES THAT only the electrical eq~tip,nent as described below and introduced by the applicant named on the above application nuotber irt the premlses of J~mes L. Burbler, 29 Sound Rd., Oreenl~c, N.Y. in the followlng locatton; [] Basement [] let FI. [] 2nd I"'l. Section Block Lot was examined on J~l~ '17, 1983 and found to be in compliance with the requlremen~s of this Board. FIXTURE OUTLETS RECEPTACLES SWITCHES ~ 6 DRYERS FURNACE FIXTURES RANGES COOKING DECKS OVENS INCANDESCENT FLUORESCENT 4 4 DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET OTHER APPARATUS: ElecZric ~ Heaters:2-1.5 K.W., 1-G.F.L E R V I NO OF CC COND, A W G, PER ,e' OF CC. COND 1-1o0 C OF HI LEG NO OF NEUTRALS A, W. G OF NEUTRAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectc~fs may be' identified by their credentials. ~ART.M~ENT. THIS CpPY OF,gCERTI~FICAT~M~,'p~,N~,T.., B~E ~,TERED LN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Approved .~..0.., 19~..q. Permit No. !.~).~...~ Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ..... ~.~..~..f. 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i)~ctions.~ ... ...................... (Signatur~ of appli~c~f~ ~r n~ame, if a corporation) ~' (Mailing address of applicant) State whether applicant is owner, le sse~)a~ect, engineer, ge neral'contractor, electrician, plumb er or builder. (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...O~ .~7 .................. Plumber's License No ......................... Electrician's License No ....................... Other.,.~rade's License No ...................... I. ~o~ca~og/or land on w~roposed work will be~done .................................... , ............. .............. .......... ... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~.~..~,~. · ........Block ..... / ............ Lot ..... ,'~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intende~ use and ~ccupangy of proposed construction: b. Intended use and-occupancy ..... ~--'-J~t~'~'' ~ ~'~ ~'~. ·. · .% · ': .... ...................... 3. Nature of work (check winch apphcable): New Building .......... Addition .......... Alteration .'l~.. ....... Repair .............. Removal .............. Demolition .............. Other Work ............... ~ (Description) ff'O0 o Or) 4 Estimated Cost · Fee , ~" (to be paid on filing this application) 5. If dwelling, number of dwelling[ units ............... Number o f 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 Dimensions of existing structures if any: Front Rear 'Depth..... Height Nur~ber of Stories ' ' .. Dimensions of sam~ structure with alterations or additions: Front ................ Rear ................ Depth ' Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... · Height ............... Nurhber of Stories ........................................................ 9 Size of lot: Front ' Rear Depth 10. Date of Purchase ....... i ................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... c':~.._.Z...,,'~....../~ .... Will excess fill be removed from premises: . Yes No 14. Name of Owner of premises. I ./~.t:;~.. ~~. Address ................... Phone No. ~. ~.. ~.."T..~fC.~.y Name of Architect . )x~,,;j. 't"JI~)~j '~y~ ........ Address ................... Phone No ................ Name of Contractor (pie/rt..~: ~ .-///J~ ........ Address ................... Phone No.'7.~.ff. · PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ; S.S COUNTY OF .................. ' being duly sworn deposes and says that he is the applicant (Name of individual signing 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 mann?r set forth in the application filed therewith. Sworn to before me this Count.~. (Signature of applicant)