The URL can be used to link to this page

Home My WebLink About13360-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14465 Date June 3 19.8.6. THIS CERTIFIES that the building .... 9 .n .e.-. f.. a..m.J_.~.y...d ?.e.Z. 3_. ~ .n?... .................... Location of Property ....27.0. ............. ?.e.t.t.~: .~..pr.~y?. .............. 97.~?..n.~ ...... House No. Street Hamlet County Tax Map No. 1000 Section ...... 1.~ ....Block .......... .2 .... Lot ........ 9. ........ Subdivision .... .~ .e.t;. ~. 7 ,' .s.. B. ~. g .h.~. ........... Filed Map No.. 5. .8 .5 .9... Lot No ..... 1. ! ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..&u, gu..s.~..~.~ ........ ,1¢3fi.. pursuant to which Building Permit No....1.3.3.~..0.Z ............ dated ... P~.~ g g ~ .~.. 1. ~ .............. 19.8.~., was issued, and conforms to all o f the requirements of the applicable provisions of the law; The occupancy for which this certificate is issued is ......... · .0~.e.~ ~' g~& ],y..d.~e..15.i.n.g ........................................................ The certificate isissued to ANDREW & CATHERINE ZURL ..................... io~,,'o;,iti/~i~i &~bi~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ............... .1 .~.-.S.O..-.1.6.0. ................ UNDERWRITERS CERTIFICATE NO ....................... .~ 7.2.q ~. 7.4 ................... Rev. 1/81 Building Inspector FOB~f NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT CI"HIS PEP~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13360 Z Permission is hereby grant~~.---~ L~ .... ~...~:. ...... tt.~..~,. ......... :. ,,, · ~. ............................ ._.. ............... ~....~ ............. ~ ....... : .......................... .;.....= .............. at premises located at ...~.~.....-]..0.. ............ t.~lZ,,,,.,.~. ,,~ .......... ..~.~ ................. County Tox Mop No. I000 Sectio~g-,KT..~...t..~.. ........ Block ........ ~ .......... ~l.ot No ...... 2 ............... Building Inspector Rev. 6/30/80 '~., FIELD ~"INSFECTION DATE COMMENTS FOUNDATION ( lab) __ FO~DgTIO~ ( 2nd ). 2. ~ 0~ PLUMBING INSULATION PER N. Y. C~DE ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT. TOWN 0r SOUTHOLO Instructions This application must be filled in typewriter OR ink, and submitted ,~ ~ 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: I. Accurate survey of pZt)perty 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. 4 Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacan% Land C.O. $5.00 $15.00 Date .......................... ........ Vacant Land ............. New Building . ~ ....... Old or Pre-existing Building .... Location of Property .<:2:~..~... ~./~,~./~..-¢. .... ~). ?../.¢'~--~' ........ ~..~/~cF-.'¢~, ~.-~. ·'. ............ House No. Street Hamlet Owner or Owners of Property ~./¢/~Z-~ ~- .(~../,Y,.Z~/,TT'/4~,,/Mz-~ County Tax Map No. 1000 Section ./.~...TO-..'-, ~... Block ..... ~. ....... Lot ................ Subdivision .... /2~ ~ .~. ~. .... ~./. ¢:;..~...~. .... F.led Map No._~..~.~. ~...Lot No.. Permit No. Date of Permit. .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... ~ ........... Fee Submitted $...~- .~. -~ ....~...~.. Q.[.I. 9. ....... Co?~)t,~tion on above described building and permit meets all applicable codes end regulations. ~' ~ ~:::/LCZ'/(¢~/~ Applicant .~..~ ..J.~...~~,, ........... ......... Rev. 10-10-78 TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765~1802 Building Permit No. (please print) Plumber (please.print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public, J~OTAR¥ PIJBLIO, Sl~te of ~esiding in Suffolk County ~rl Comffi~ston Expires March 30, County - Not~y Pu~l-ic 765-XSOZ BUILDING DEpT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR- BUILDING DEPT. INSPECTION [~/]/FOUNDATION Z, ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND.[~ ],INSULATION FRAMING [ ] FINAL REMARKS: INSPECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION xST [ ~]/~OUGH PLBG. [/~"'FRAMING REMARKS: FOUNDATION ZND [ ] INSULATION [ ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH LBG. [[~FOUNDATION :)ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE uNDERWRITERS BUREAU OF ELECTRICIT~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 .ate Ja~aa~¥ iS~ 'U~ A~..llc.tlo. No.o,,/il~ '~0~0~/S4 N 73047~ THISCERTIFIES THAT only the electrical equipment as described below and ~ntroduced by the applicant named on the able apphcat~on number ~n the premises of Andx'¢~ ~a~l~ 270 t%tty DrJ.ve, O~ient, sS~mthold~ in the following tocatlon; [] Basement [] 1st FI. wasexamlnedon J~'rt~,~ 6~ l~d [~ 2nd Fl. ' Section Block Lot and /ound to be in compliagce with the r~quirements of this Board FIXTURE FIXTURES RANGES SOOKING DECK ~ OVENS OUTLETS SWITCHES DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS DISH WASHERS EXHAUST FANS TIME CLOCKS ,INIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: 2~ G.F,C. I. 1-S~oke Det~or T~ack Ll~ating ~X), 1I Lit~m;. s E a v ~ · NO, OF CC COND. A, W G. NO. OF HI-LEG PER ,ff OF CC COND. i 1/0 C OF HI-LEG NO OF NEUTRALS AW.G, OF NEUTRAL 1 This Tc~ t~or Iane 2~tlt;hold, N~Y'. 11971 not be altered in any manner; return to the office of the Board if /nspecto GENEI~AL ~MANAGE~ Per may be identified by their ANy. MANNER Areo= 55848 ~q' fl, '7~ ,. Lot CATHE£1NE ZURL ~WG .ONLY SURV£Y FOR ~'[ OF HEALTH SERVICE5 ANDREW ZURL NSTRUCTION ONLY AT ORIENT SUFFOL~ COUNTY, NEWYO~K ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 A roved~.~.~.~7. } k°, 19~.~· Permit No. )..~a pp u .',,,~.'~. :- :~ \ ............... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 s~'~eets 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 fids 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 bnilding for necessary inspections~ __ /] /7 ~_g/ , '~ (Signature of ~plicant, (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises /~,,,JOO. et, J CD '/-' C~T/'/eF</roe P (as on the tax roll or latest deed) If applicant is a corporation, signature of duty 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 ....................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section O/z-/ Block ~-x Lot ? Subdivision ~DcFT,F,.~ .~..I. 6.'.]J~. Filed Map No. . . ~. ?. ..~. .? .... Lot ..././ .......... (Nmne) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~./'7P b. Intended use and occupancy ............................. ~ ~ .0~a~-¢ ,0J ...................... 3~:,?,:Na~:,u~,?~._o~k~e_.~l~ ~J~h applicable): New Building ... ,'7'.'.. Addition ........ Alteration ~/R~p~iF:~. t!.~ ..~ [f~l~emoval .............. Demolition .. (~t'her Work ..... ~"!:: ~ i~J i (Description) 4}. Estimht/I/~ ~)~t ~1~/. 1'~.. i .......................... Fee ...................................... ??' i~ ~.__~ ~l i *" (to be paid on filing this application) 5~ ~[~ gtwe 'ng units ... ] ........... Number of dwelling units on each floor ................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .tld. ~/~ ................ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure ~ith alterations or additions: Front ................. Rear .................. Depth ................... :... Height .......... ;, ~, ........ Number~of ~[ories ............ ) ....... 8. Dimensions of entire nesv construction Front R. '2... ~. .... Rear ,~ '7 .o° ... Depth *2 ? ....... Height ~.?e.~.°&...~.0. .,~u,m~ber of Stories .~. ~c~.~i ..... ii.iii.iiii., i /'i i' 9. Size of lot Front /'t' ~' .... Rear .... 3 ............... .. Depth'~'~0' '.' 'i"i 10. Date of Purchase ~e..~C .~..2~ Name of Former Owner ~.q,r~_l~.~ ~Lt$~q . . 11. Zone or use district in which p~emises are situated..0.~.e.y.57. ......................... . ................... 12. Does proposed constru/~mn wOlate any zonmg law, ordinance or regulation .../V..0 ........................ 13. Will lot be regraded ... 0 .... i .................... Will excess fill be removed from premises. Yes 14. Name of Owner of premises ~d.~(~.e.~.'.~.~.~./~ ..... Address ('..~.q~O.'.~fC ~ I./.75'.6Phone No .'~-.~(9.9.~. Name of Architect f:~tq~ .~.orl. r~?.'q ......... Address~.'/~.*..~/*i~.. i.. i. Phone No'~ ii .. Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAIvI Locate clearly and distinctly al! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocki number or description according to deed, and show street names and indicate whether interior or coruer lot. STATE OF NE~Y~RK~ ~ 'S S c~,,,.,,,~,~ ... being duly sworn, deposes says that he applicant (Name of individual sigl~ing above named. ~ He is the ................... ~~t'o' ] ~;~t] ........................................... r 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 manner set forth in the application filed therewith· Sworn to before me this Area , 4 Lot / ~U~VLY P~ SUFFOLK'COgNTY DEPARTMENT GE HEALTH S~VIC~S ~ ~Z~ ~ ~E~/~ Z~L FO~ APPROVAL O~' CONST~UC'rlON ONLY AT SURV[Y(OR'~ INKE,D SEALER EMBOSSED SEAL SHALL H~LTH ~NEARE~T WATERMAtN MI,~ ~URS~FWATER, P~IVATE~BLIC__ MENTA~'A~ENCYANO LE~OING INSTITUTION LISTED ~SU~.CO. TAXMAPD(8~ ~ECTIO~BLOCK ~ LOT~ H~REO~:~A~ TO THEAS~NEES OF~HE LENDING ~THERE ~RE NO ~LLIN~"WITHIN~O0 FEET OF THIS PROP~TY , ~NSfI~TIQN, GUARAN,TEE~ ~RE NOT' TRANSFERABLE ~E WATER SUPPLY ~D SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE 'YOUNG YOUNG MONUMENT ' ~' ' , r ~/~/~ ~Ap ~/~ /~ ~ ~/~ ~ ~ ~, ~ ~LO¢N W, YOUNG,PROFESSIONAL ENGINEER ~ ~T~WELL(W),IE~IC T~K(S~$O~S ~P}SHffi HEREO~A~E FROM FR~ n~u~e ~ ~S~ LIC/'NS~ NO; 4589~ SCALE' I"" 50' N o ,94- 702 400 OSTRANDER AVENUE RIVERHEAD ,NEW YORK :. .:::...... , . ' . , ?~ , . . _~--.. , .~' :.;. . ,, . .... !~: ~ ~ ..~' :~' ~ . ~ ~Eo 05 fg~5 ~; ~. ~v. ~~~ ~0~ :~o,~.:/-/~::..~. ~6.~-rr,s e/ayr -: , , .ocr. / ./. '-. .fao~iti~ ~r thi~ ~ooation have been ~,,~L~-~'*N~..~.., ~-... ,.,. NE~':~OR~ ' ' - '. ~0 ~. l~sp~ted b~ this department ~d fo~d . [:: ~ ~,;:~ G.'"3- ':.' ~ ., ' .: ' , , * . : ~' , II