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Home My WebLink About13340-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z..1.3.0.3.6. ........ Date .......... N. gyg. m.b.e..r .... .39 ........19 84 THIS CERTIFIES that the building ........ I?.99.1. ( ~ .W.a.l.k...&..F.e.n. 9.e) .................. Location of Property 985 Elijahs .Lane Ma,t, tituck ~ House No. Street Hamlet County Tax Map No. 1000 Section ....1.qB. ..... Block . .. 9.4 .......... Lot ..... 0.0.7.: .5 ....... Subdivision .~.l?.j.a.h. I .s..I~.n. :. ,E.s.~.: .......... Filed Map No...69.6.5...Lot No.. 3 conforms substantially to the Application for Building Permit heretofore fried in this office dated 7 19..8.4pursuant to which Building Permit No. 13340g dated ............. .A.uz[ .. ..... 1. .3... 19.8..4, 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 ......... Pool (,Walk & Fence) The certificate is issued to ...... S..¥.Ip..lv~..I?12 J.O.S..~.P.H..~...C.A.T.H..L.E.E.N. ....................... (owner, 4e~ee-ew-te~ectO of the aforesaid building. Suffolk County Department of Health Approval ....... N. [.A. ............................... UNDERWRITERS CERTIFICATE NO. . ,N. 6 .5.6.7 9 S Building Inspector Rev. 1/81 I~ORM NO. Il TOWN OF SOUTHOLD BUILDING DEPAitTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPu~IT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N? 133~0 Z Permission is hereby grant~: (~ . J f . % j~ .~.L~.:....gu~-~...~.....g. ~.....~....~: .......... .......... : ................................... ....~.~.~.....~....~.: ...... u.~.~.~ ...... - ~,~ ~ .... ~ .. ,o ..~...~.~....~.~ ......................................................... .................. , ............. ~. ........ ~....,.--~ .......... ~ ............. ~ ................ ~. ........... : ................ ~ ~r,m,,~ ,~ted a, ....~.~ ....... ~~.....~......~.~~ .............. pursuant to application dated .... J '~..~'~...~....~.. ................. , 19..~...~., and approved by the Building Inspector, Fee $ ........................ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall · ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Bo This application must be filled in typewriter OR ink, and submitte~pl~cc*~c 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 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: Certificate of occupancy $5.00 1. Certificate of occupancy on pre-existing dwelling 2. 3. Copy of certificate of occupancy $1.00 land use --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date . .~.~.~...~.~.... ! .~.3~..~./ .... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..... ~. ................................. House No. Street Hamlet Owner or Owners of Property ~'~..~?, .~....~.%..~t~r~... ,~..C~...~ ~.~. ~..... ~,~r~ ..~?. County Tax Map No. 1000 Section Block ......... Lot . Subdivision ~.[.~. .' ......Filed Map No. ~ .(~..' .t~,'~., .Lot No. '.~. .......... Permit No ......... Date of Permit ~. (~.~J{~(~Applicant .~... ................................... Health Dept. Approval ..... .~J~ ............... Labor Dept. Approval ........................ Underwriters Approval . . Planning Boar roval, .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~..'..?..~.. ................... Construction on above described building and permit meets all applicable codes and regulat~ns. ~ ~'0~<~ Applicant ~~..,,.~,. ~--~'~,~,~, ,,~:~. .......... CO \ C %Lo ................. ' ....... R~v, 10-10-78 F~ELD~INSPECTION CObIMENTS FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING 2nd) INSULATION FERN. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS [(.,)0~.~[ BUREAU OF ELECTRICITY ~g 85 JOHN STREET, NEW YORK, NEW YORK 1OO:38 THIS CERTIFIES THAT in the followlng location; ~ Basement ~ 1st FI. ~ 2nd FI. ~S~ Section Block Lot was examined on and found to be in compliance with the requirements of this Board. ~XTUR~ ~IXTUR~S RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 1 1 ~, 1 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIMECLOCKS MULTI-OUTLET DIMMERS ! SYSTEMS NO. OF FEET gody 15~11o Box I$~A~ P~t L~ae ~attttvck, N.Y. 1195~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their COPY ~FOR B ILDING DEPARTMEI r NOT BE ~ ~ANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 TEL,: 765-1803 Approved . .~..~..~.~.o~..~..~.., 19~..~. Permit No. I .~..~..~.'~. ~ Disapproved a/c ..................................... Received . .I.~..x~~. . . , (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ..... ~./..~. ....... , 19~.7 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 inspj~ftion~. _ ~, .... ce_/. : ¢ /4 .z. . . r. . . . /. ?. . .c. ., (Signature of applica'fit, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. u / ,e. . Name of owner of premises q?.8.? ?. ~... ?.? .~..77.'(4. .~ .~..ff..~. .... .~. d./'.?..~...~..A(/. ........................... (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 ...................... - , ....................' ........... ................... House Number Street Hamlet County Tax Map No. 100p Section .... ].~.~ ........ Block..~ .~J ........... Lot.. ~.'.~ .......... Subdivision Q ~./~.~ ..... [. ~.~ ....... Filed Map No .............. Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy,of proposed constructi°n: a Existin~ use and occunancv . ~ ~ ~ ................ y .......... ~j&.1 ~ ~g~ ,iq. ~,~ · ( ......................... ~ J~o ~ ~tx~'?~?~l;~;''~:~'t': -- ~'~- b. Intended use and occupancy /~ ....................... ¥ ..... ~ ~ .-~ ........ ~ .~ ..... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... ' (Description) 4 Estimated Cost ........... ' *" (to be paid on filing this application) 5 If dwelhng ' ' ' Number of dwelling units on each floor · , number of dwelhnglumts ............................... If garage number of cars 6. If business, commercial or mixeid occupancy, specify nature and extent of each type of use. ..................... 7. Dimensions of existing structures, if any: 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 oflot: Front .......... .; ........... Rear ...................... Depth ......... ............. 10. Date of Purchase ........................ amc o ormer 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 ........................ Will excess removed from premises: Yes No Name of Architect ......... , .................. Address ................... Phone No .............. PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blockl number or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NFSW~RI~, ~ ~ ,, o ....y~ .'?~~ ~D.~ .... being duly sworn, deposes and says that he is the applicant ~a~dividual sig~ing contr~t) ' above name& .~ ~ Heisthe ............. t. ·: ....................................................................... ' ~ ' t, corporate officer, etc.) of said owner or owners, ~d is duly au~d m p~m or have perfomed the said work and to m~e ~d file this application; that all .statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith· Sworu to before me this ' ......... f..~ ........ day o~.. ..... 19.. N~ Pu~ic, . ..... ~. ~~ ~... County . ~U~FOLK'COUNTY HEALTH DE~FARTMENT sewage Oisposal and water faollitios for this .~ooation bqvo inspeotod by this department and Services APPRCU:D AS NOTED FEE:_J~_._ .......... BY: "~ ?~. L'~g: NOTIFY BUILDING DEPARTMENT 765-1802 9 AM TO ~ PM EOR TH FOLLOWING INSPEC?IONS: ,1. FOUNDATION - TWO REQUJREi FOR POURED CONCRETE ~, ROUGH FRAMING & PLUMBIN( ~. INSUI.AqON 4, FINAl CnN'qTR UF'I'tON '~J. CnNq~'m~CTIGN S~IALL MEf Pg$~GF oR CONSTRUCTION ERROr'. SUBDIVISION OF FEB I~ YOUNG & ' 400 OSTRANDER AVENUE, RIVERHE~ 'Al.DEN W, YOUN ,G SURVEY FOR: ', JOSEPH SHIPMAN;,a CA FHLEEN SHIPMAN , MA~TITUCH ' ',', '~::, ~o~rlrt~91VlSlON or c~lc~o rl~E ~. ' ' TOWN OF 'SOUTHOLD