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Home My WebLink About13330-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. certificate Of Occupancy No. Z~ 3662 Date July 23 85 .................................................. 19 ... inground pool & fence. THIS CERTIFIES that the building ................................................ 900 Fox Hollow Rd. Nsttituck Location of Property ~t~s~ h/o[ ....................... 'S'tt:e~,{ ...................... Hamlet ~3 6 22 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Xugus s.? 333oz ..................... ,19 . pursuant to which Building Permit No ...................... dated August 7 19 8~ ............................... , 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 ......... Inground pool and fence. t~EN1VETH & FiARILTN RAHSALrER The certificate is issued to ........................................................... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO ......... N656796 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? 13330 Z Dote ..... ~ ........................... , Permission is hereby granted ~ ~"~. fj~ ~:~ / .... ;'"""//"~"~'1 .............................. ........................................... ^ ...~.~......~..Y......L./..~.~ ,o ~,~~...../..'",~......~. ....... ~..~......~ ............. at premises located at ...~....~P..........~.....~.......~....~........~.. .......... ...~..~ ...... County To, Map No. '000 Sect,o~.:....!/..~ ...... Block ........... /~. .......... Lot No ......... '~-......:~. ......... )ursuant to application dated ...~.~..../ ................. , 19.~...~., and approved by the Building Inspector. Fee $.../.~,,:.~.. Rev. 6/30/80 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 ia ~ 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 p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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._~.. 2, Certificate of occupancy on pre-ex~sting dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .......................... (Pool) New Building X Old or Pre-existing Building Vacant Land ' ttit Location of Property 900 ........ Fox Hollow Rd. Ma uck House No, Street Ham/et KENNETH & MARILYN RAMSAUER Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 113 Block 06 Lot, 022 Subdivision ................................. Filed Map No ........... Lot No .............. 13.330.~ Date of Permit ,8/7,/.,8,5 Applicant Permit No .................... t .......................... Health Dept. Approval ....... N. ~/.A .............. Labor Dept. Approval ........................ N 6 56 79 6 Planning Board Approval Underwriters Approval .............................................. Request for Temporary Certificate ..................... Final Certificate ..... ~. ................. s ' dS Fee ubmltte : 0 C) ~IEL~ INSPECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) e INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: A. RE:ILLY' & SONS, INc. MATTITUOK, LONG II:II.AND NEW YORK 11r~!52 DATE: _~__B.P. ~, 760 18C2 9 AM ~O 4 PM - ,x TWO ,'- ~ ' 1. FOL~NrDAIIO~'I - ,¢, .., 2, ROUG~4 ' ~(AF,,dN-~ & PtuMBhqG 4 FIN~'I' OF 5"~*/'P :%. FOR C.O. ALt_ (7:B?rp~jC' ION sHALL MEET ]'HE' Rf~'''ur~'~r'~-!5 OF I-HE N.Y. 5TAqF coNRTRUC/'ION g~ ENERGY NOT Rft~}poNSIBL'E Izo~ COqE5 OR cONSTRUCtION ERRORS. r?$1GN ,,/-/o/_.. ¢Oto - , i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN BTREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as descd6ed belo~ and introduc~ by the applicant ~an~ed or~ the above application number in the premlses of was exa~nirwd on and found to be in compliance with the require~nents of this Board. Y~ut 10, 1~4 RXTURES RANGES ~OOKING DECKS DISH WASHERS ~XHAUST FANS FIXTURE OUTLETS SWITCHES FLUORESCENT DRYERS SYSTEMS S E R { C NO, O~j~C.~COND A, W.O. NO OF HI-LEO A, W, O NO. OF NEUTRALS A, W O OF CC, COND, OF HI-LEG OF NEUTRAL OTHER APPARATUS: b_~l~G 1~ ThJ.~ car~tficate cover~ c~pliance at ~ ~ of ~n o~y, ~ ~ ~1 env~nts it is ~l.~le ~ ~vo f~t t~t ~d/or rep.s ~e by ~ This cer*i~icote must not be aJtered in any manner;, return to the office of the Board if incorrect. Inspectors may be identified by their credentialS. COPY:FOR ~UILDING DEPARTMENT. T.I~ qO~0~FI~T ~ B~R.E~ ~ AN FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined~Wq%....~ . .., 19~t~. Approved..~.. '.e~k~%...-I..., 19~.~.. Permit No. J .~...~.~'. P..'.'.~.. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ., 19 .e.g 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 necessary .......inspecti, ons./~... ~..~..~../~?.. ]'7...~..o?. ~.~.....~-~...C.: ...... (Signature of applicant, or name, if a corporation) - ... I3o-/...4,7..'-/ ..... ~..,,eT-/'.zz~../g...4, Z'....Ar: .Y.,.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. 6'.Ooz-~, . ..~,.!..,~...a.~.'.~..< .................................................. Nme of owner of premises ........... l{~7I]~. i.-O7.//....-/5. .... ./17 ./q.~. ~,~. ,/'v' ........................ . ~. ~.A'~.~'~..O,~,',~. (as on the tax roll or latest deed) /(Name and title of corp6rate oligcol~' Builder s License No .......................... Plumber's License No ......................... Electrician's License No ...... ~ ./(.~.2,.~..'7..~.~..~-~L~'-~ Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. ...... ?.o. ~..: ...... .ZS.o. ~. ..... ~ .~.,-?..w .... /2o.,~.. ......... p///:~/r .'7,~.. C'... ,N.,..Y,.... l/.~.~z,.. House Number Street Hamlet County Tax Map No. 1000 Section ..... ,~/.~. .......... Block ..... ~. ........... Lot ......~..~ .......... Subdivision ........................... Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy · ..~,. ............................................. .~ ...... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteratiofi ' ......... Repair .............. Removal .............. Demolition .............. Other Work .............. i (Description) 4. Estimated Cost ............ ;.:.--..- ............... Fee ..................................... i *" ~to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of 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, ifany: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... !... Height ...................... 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 .......... ~ ................... Name of Former Owner ............................. 1 1. 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 .......... 14. Name of Owner of premises .... Name of Architect ......... ,. Name of Contractor ........ Locate clearly and distinctly ali property lines. Give street and bloc} interior or coruer lot. ................... Will exce'ss fill be removed from premises: Yes No ·.: .............. Address ................... Phone No ................ ................. Address ................... Phone No ................ ................. Address ................... Phone No ................ 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 OF NEW YORK, S.S COUNTY OF .................. · ·; ......................... i ..................... 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 confained 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 ..........--[./9~.~.. .......... day o? ..... ~ ...... 19~..~{~ .,~ ... ~ ~lo. 470787a, Su,0~ em,t~ ~ (Si~a~'of applicant)