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Home My WebLink About16215-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17340 Date SEPTEMBER 22~ 1988 THIS CERTIFIES that the buildin~ Location of Property 2890 House No. County Tax Map No. 1000 Section ONE FAMILY DWELLING HIGHLAND ROAD Street 102 Block 8 Lot CUTCHOGUE Hamlet 24 27 Subdivision HIGHLAND ESTATES Filed Map No. 6537 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 3, 1987 pursuant to which Building Permit No. 16215Z dated JULY 12, 1987 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 ONE FAMILY DWELLING W/ATTACHED GARAGE AND PORCHES. The certificate is issued to MARIE C. DIVINEY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 87-SO-111 9/15/88 N018614 PECONIC PLUMBING & HEATING 4/8/88 JildingInspector Rev. 1/81 FOR1W NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: .....~...o.....x.....~7.~...q .............................................. ... ~ ...... ~. ............ ~ ......... ~....~....~....¥~..~. ....... :.:...:. ............. ~ .......................... ._. ............................. at premises located at .....c~...~..~..,O,......~].~..~.~....,~,.!....: ........ ~~~ ...... County Tax Map No. 1000 Section ..... ~....~.....'~... ...... Block ...... .~ ............ Lot No. pursuant ,o application dated ........ ....~.~....~.. ..................., 19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPA Instructions A. This application must be filled in Wpewriter O R ink, and submitted m ~ 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 featu res. 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. B. 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, occapancy 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory',S10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0-. 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstz~uction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... .~-...~. fi.~. ..... l .~j.6..~ ./../~..~...~....~..6:~............. ~/¢,..~L..~.).~).~.~./~. House No. Street H~Jmlet Owner or Owners of Property... ~/-~ .~..~./..~...~ ..~..; .~/..Vi! . . .~ ..... ...... CountyTax Map NO. 1000 Section ...... ~..~...'-~..... Block .............................-- OD' Subdivision.. t~t (~. !'~./..~... ,.5...~'..~.~.~ ~ .~...Filed Map No. ~ 5.~. :7..Lot No....~...~. ...... Permit No. L~..~J .5..~... Date of Permit .-~.*..7/~J~ {.Applicant' · .--~. · .b Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval / Planning Boar roval ........................ d App . . . .~ ............. Fee SubmRequest forittedTemporary$ .... ~..sCer tif~_.~..1.~..~,~ ..~ ................ ....... Final Certificate ....................... Construction on above described building and permit meets all applicable codes and regulations. ('~ / ~ . ~pp,icant . .~.%:~ ...... ~ ...... ~.~....~..~.. TOWN OF SOUTEIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD. N.Y. 11971 TEL. 765q 802 CERTIFICATION Building Permit No. (please prine) / I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. s signature) Sworn to before me this · ,~..___day of. ~F~zg~/ , Notary Public ,~F ~,/>/~___County ~ Notary/Ph~ic ~AR~ STEPNOWSKI No~e~ ~blic, Stato of New York No. 4~752 Oualifi~ in Suffolk COU~ TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable ~o complete your Certificate of Occupancy because .of the fo!~owing reasons. / /_--~/An application for Certificate of Occupancy _~ is not on file.' / No Underwriters Certificate on file. /~/. The check is(outdated~ot ou file-)~$~OO /_ No Health Dept. Approval on file. /-~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. ~e~L~ O,,.~ Building Permit It J_ ~ .~_ J_ ~- Z ~876 ~/~ Building D~pt. ~ ~ ***/~No Plumber Solder Certificate on file. ( all permihs involving plumbing being issued after April 1,1984 UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL :f 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ~DATION 2ND [ ] INSULATION FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL BUILDING DEPT. PECTION [ ] FOUNDATION 1ST ~"] ROUGH PLBG. [ ] FOUNDATION 2ND ~SULATION r [ ] FRAMING REMARKS: FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 765-t802 BUILDING DEPTi INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: r '~NAL DATE 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~ISULATION / FRAMING [/J FINAL DATE FORM NO. 1 TOWN OF SOUTHOLD · BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined ,,~../..~. ·., 19 ~.? Approved ........~. ~. 1..-~-..., 19~.~. Permit No. ], .~..~,..t..~'~..~. Disapproved a/c .......................... i .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT R'eceived ........... ~ 1 9 · .'. 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, an{ r~gulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) . ?:..,. ....................... [mai.ting aauress or app.Llcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... . .<. . . ./. . . '. . ................................. Name of owner of premises .. ('~..(~..~.(.~.-~...C.: ~ t.~ l ~ ~'.~ ....................................... (as on the taxlroll or latest deed) If applicant is a corporation, signature of duly authorized officer. · ...... Builder's License No .... .~.~. '~..--1.. ~.~...J~.. ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... ~ .~.'~...~ .J'7. ·~ ................. House Number Street Hamlet County Tax Map No. I000 Section .... 10.~ ......... Block ...... ~ .......... Lot...a~..~.~. ..... Subdivision...-~. i..~. !.a.~.<~...~...~..~. ,~..~ ........... Filed Map No..~DffL~'-] ...... Lot. c~.'~ .......... (Name) 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 ............................................. I' ::~=~':"'~ ~ - ~'' /'' 'l X~,unoo .... ~4~/'ff-~/~,' ................. o!Iqnd ~oN ~ .,~ .-. ,, '.~ . ,~t i~'6t ........... A~%~'"~oxup .......... ~'L' ....... ' s!ql o~ o~o~oq ol ~o~S ,. , 'q~!~oaogl poIg uoB~o!Idd~ oql u~ gl~o~ ~os ~ou~m oql u~ p~o~od oq 1~ ~o~ o~ ~ pu~ iJolIoq pu~ ~p~laO~ qqJo lsoq o~ ol omi o~ uo!l~olldd~ slHl ~ poul~luoo sluomol~ls i[~ l~gl !uoll~ol[dd~ slgl olg p~ o~m ol pu~ ~:oa p~s o~ pouuoJ~od oA~g ~o ~oJ~od ol~ozpoqln~ Xlnp si p~ 's~ouao ~o zouao pl~s jo ........................ J' ' '~' ' ~' ' '~ ........................ g~j S~ ~ 'pg~m/OAOq~ (iO~JlUO0 Minuets l~np~m om~) i ....... ~* ~--: ........~ ~'h'~l ~ ~ ' .... ~'Sa~'~' ' HO X~flOO · 1oI ~amoo ~o ~opalu} moaj suomuo~p. . ~o~q-los l~ ol~oi~m,l . 'pu~ 'posodoad io ~gllSlXO, . 7oqloqM 's~p~nq. , [~ ~[louBslp. . p~ xI~olo ~gVla ,'''~' oN ''~.'' sa% ~ ApueI~aa, I~pT~ e ]o ~a] O0*IuTR~Ta paleooI il~adoad sTq~ si ....... : ........ oN guoq~ ' · · ~ ............... ssa~PPV '" .................... "': ' ~' ~oa$~qoJV ~o N A . · J ~ q IIJ II.~ ........................ popex~o~ oq ~oI II[~ '~[ '~I ........................... ~ :uope[~o~ ~o ooueulpxo 'au[ ~uluoz Xu~ o1~[o~* uollomlsuoo posodoid soofl 'gI ........................... '.~ ......................... polunlm, o~ sos~. ~d qotqa, m. lou. imp. osn ~o ouoz ' I [ ............................. xouaO xo~oH jo omen ............................. ose~osnd jo oleg '0 I ......... · , '~ ' ' s*9ols jo ~oqmnN ....... ~, )~ k'g ' ' ;, ;B~ q~do~ [ , ~ ~oM .... ~ '~' ' ' ~uo~H :uo~om~suoo ~ou omuojo suo!suom~ '8 ...................... so~ol~ Jo ~oqmnN ...................... 1~oH ...................... .................. J~o~ ' ' · ¢~ ............. luoxd :stm~l[pp~ ~o suotluxoli~ ~1~ o~nlo~s omus jo suomuo~ ........................... ~ ............................ souols, jo ~oq~nN ............... ............... ~ldo~ ...... ~ ....... ~o~ ............... luol~ :Xu~J['Solnla~ls~ups[xojosuo[suo~[G 'L ..................... ~sn jo {dXl ~ouo jo luolxo pu~ o~nl~u ~ao~s 'Xou~dnooo poxt~ ~o [mo$o~o, 'ssoursnq JI '9 ........................... ~. ................................. ~ ......... s~eo jo ~oqmnu 'oamu~ JI ............. ~oo~ ~o~o uo ~lmn ~u[iio&p jo ~oqmnN ............... slmn ~uqlo~p jo ~oqmnu '~UqlO~p JI 'g (uoBeo[Idd~ slql gu[[u uo p[~ oq o~) .................................... ....................... · ,,oo (uoqduosoa). . ............. ~0~ I~glO ............. uotltlO~Oa.. .............. ie,o~o~ .............. i!edo~ ........ uoB~sol~ ....... ~ ' ' uo[l[ppv .......... ~ulpt!na ,~oN :(~[q~o!Idd~ ~o!q~ gooqg) ~oa jo ~sn3~N 'f MOd, , )': I am tan-/illar with the Stand~r..d~s. ~'~nstl~Vction of Subsurface Sew~ for Single F~mHy Residences construct. Signature WlLLIAM G. ELS LAND SURVEYOR HUNTINGTON STA,, NEW YORK (5,6) U~DER TITLE ,. 0~. ti~e The offsets for dimensions) shown here- on from the srructur~ to the property h~e?,,are for a spec~6c pumos~ and use and therefore are not intended to JOB NO, and tl{~t~fer~-~re not, ~ S/N~MI[Y DWELLIN6 ONLY The sewa3e disposal and wa~r supp y Iocat on have been inspected by this D~ffment and/or other ~g~?es ~d Chief o(~Bureau of Wa~ewa~Mana~m~I l, 0' WILLIAM G. EL,~ ,.~ . ' LAND SURVEYed_. ~ ~.r~-~ xv~ ia. ~,~f~¢~s HUNTINGTON STA,, NEW YOR~I ~ :, , ~ ..~ '~ * use ond therefor~ are not i.fended ~ UNDER