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Home My WebLink About16240-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall 5outhold, N,Y. Certificate Of Occupancy No ...... Z.!.6.9.2.8. ..... Date gay 31, 1988 THIS CERTIFIES that tbe building ........ .p .op.1.. a...d.e.c.k. ........................... Road New Suffolk Location of PropertyHouse ...... No.'8'6'0' ......... County Tax Map No. 1000 Section ...... .I .1.7...Block 6 .Lot 35 Subdivision ............. .X ................. Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .J.u. [. y....1.3. ,...I .9.8. 7, pursuant to which Building Permit No. 162 dated ....... J.q 1. y 2.1.9. ,...1.9.8. 7. ...... 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 ......... Above ground pool and deck. The certificate is issued to .......... VINCENT & ROBIN HARTIN of the aforesaid building. Suffolk County Department of Health Approval ................... UNDERWRITERS CERTIFICATE NO. Iq 830738 PLUMBERS CERTIFICATION DATED: · Rev. 1/81 FO~3~ NO. o TOWN OF SOUTHOLD 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~ 16240 z Permission is hereby granted to: ~ ,~ . ~.~.~..~.u..£~.,.. ...... ~.~.. ...~.~.~.....~~....~.., ....................... ..~..~......~..~......~.~......,..a~-..~. ~ ,o ..~....~...~.~.....~.~.~.~...e.~.~....~ .... ............. ...... ............... .................................... ..................................... at premises ,ocatea at ....~.....~. ........ ~.-...=.~.=:;-..~..~...~., .......... :..~... ........................................... County Tax Map No. 1000 Section ..... L.J...?. .......... Block ...... .l~....~. ....... Lot No....~,~.'~g .......... /- 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 OCCUPANCY Instructions A. 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 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" ~and 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 dr 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ ]O.00 Business $50.00 2. Certificate of occupancy on pre-existing dwet~ing $ 5 0.0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 0.0o 5.Updated C.O. $ 50.00 Date...~ ............ NewCons trucgion....V~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ,.,.~.~..q .......... .~..O¥~.~..h~.~..t~,(~...j~...~. .~,o...z~..J House No. Street Hamlet Owner or Owners of Property . o. ~ ..... County Tax Map No. 1000 Section .... tl.~ ....... Block ..... (~. ........ Lot ...... .~.~ ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ....... Date of Permit .~ll ..... Applicant.. V' ~ /~)',../~). ~,~fT).. ?J r7 ................... Health Dept Approval - Labor Dept Approval Underwriters Approval ........... Planning Board Approval ...................... ~equest for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. 3C.~ ......... ~.~.~ ...... Construction on above described building and/permit meets all ap~)lica~ble codes and regulations. (~,'b,~::~( f06~,¢~.~ Applicant ... -~ ,~. .(~ ................... Rev. 10-10-78 THE NEW YORK BOARD OF FIRE, UNDERWRITERS 1001165 BUREAU OF ELECTRICITY ~-~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 ' 3 738 Da*e September 4 1987 4~.~io~o.o.f~ 498762/87 N THIS CERTIFIE~ THAT only the electrical equipment ~ ~scHbed below and introduc~ by the ap~i~ant ~med on the above application number in the prem ~e s of Vincent ~rtin~ 860 ' F~uninB Ro~d~ ~ew S~xffolk~ ~sexamD~edon ~t 20~ 1987 ar~dfoundtobelncompllar*cew~ththereqt(ire.tentsofthislioard. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I C E No OF Hi. LEG A.w. G OF Hi-LEO 1-.G.F.C.I. ~I_I._~I_Np~L).. This certificate covers compliance at the date of inspection only. Because of unusual envirouments it is advisable to have frequent test/and or repairs made by a qualified person. Howard Dilllngham Box 524 Laurel, N.Y. 10948 Lie. 256E This certificate must not be altered in any manner; return to the office of the Board if incorrect, may be credentials. CrOPY FOR;BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED N ANY. MANNER 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION / FRAMING r~FINAL REMARKS: DATE ~/~//~/ INSPECTOR~ ,~//~/ UNDATION (1st) UNDATION ( 2nd ) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE · ADDITIONAL COMMENTS: 7GS-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING 2ND [ ] INSULATION [/~NAL REMARKS: PANNING M, D, KELLY NOTE ~ ELEVA TION~ ARE ON AN ASSUMED PA rUM, ,/! VINCENT El ROBIN MARTIN AT NEW SUFFOf-K ,,U~OI.K~' '" CO~J~ h~4.'8 alteration or addition 1o ~l,i~ ~u~vey Is ~ v~,lT' ' Y TITLE a 6UA~NTY TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved Disapproved a/c ..................................... 'FORM NO. 1 TOWN OF SOUTHOLD CttECK BUILDING DEPARTMENT SEPTI~ NOTIFY CALL MAIL BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... FORM ............. TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ....... ~.~/..-~. ..... 19 .ff'~. 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 oFa 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 inspect..~..y.,. ~ ..... (S)~natnre of ap~i,cant, or z~me, if a corporation) .... . q.... (Mailing address ot' applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 0 ua,vd L ~ . .............. Name ofownerofpremises . ~].lll]..'C'eAlr.?..../? ~...~.~.a/~a) V,' t{g/t:[/~-~7'-,~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No. 2~--~F Other Trade's License No ...................... 1. Location of land on which proposed work will be don& ...~ ..................................... ...... ..................... ........... < .......... House Nmn ber Street Hamlet County Tax Map No. I000 Section ........ (/..7. ...... Block ........ & ........ Lot...~.. ~.~.. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended rise and occupancy o£proposed construction: a. Existing use and ocqupancy . ~../~.~...~.~tq/./-. ~..~(4/.ff..~..( .~/~-.. ~/a. {5~t.7~.~ .~.~.... ~/~. Oq..~. ........ b. Intended use and occupancy t~..~.¢.t~./4.t4ff...~...e~./.~ ...-... '...~.Z~.'.~. ,~..a~ .Z:....~.~01 .~...~ · ........ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ...... Removal , Demolition .............. Other Work (D ip. ti ) e$cr on 4, Estimated Cost ........... ,,,3.~0 ..................... Fee ...................................... ; (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 .... ...i.. ................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use'~ ..................... k pth 7. Dimensions of existing structure , if any: Front ................ Rear .............. De ........ Height Number of Stories ' / Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ~; Height Number of Stories Dimensions of entire new constrUction: Front .......... ' ..... Rear ............... Depth ............... Height ............... Number of Stories 9. Size of lot: Front ........... --i ........... ~Rear ...................... Depth ...................... 10 Date of Purchase ' Name of Former Owner 11 Zoneo se district inwh'chp~ ' ' d · r U 1 r mlses are situate .................................................. 12. Does proposed construction rio!ate any zoning law, ordinance or regulation: ................................ 13. Will lot be rcgraded ......... i ................... Will excess fill be removed from premises: Yes No f p J ......... Address .............. Phone No ................ 14. NameofOwnero remises ...i ............. Name of Architect .......... : ................. Address ................... Phone No ................ i ... Address ..:. . Phone No. Name of Contractor ......... , ........................................... 15. Is this property located iwithtn 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trdstees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all s~t-back dimensions from ,tion according to deed, and show street names and indicate whether -8. property lines. Give street and block interior or corner lot. STATE OF NEW YORK, , S.S COUNTY OFe~.--,-F~...: ........ : .............. .~¢Lb.t.~0 ~/.~t~L, . .~-~....~ ~ ............. being duly sworn, deposes and says that he is the applicant (Name of individual ' ' ' slgCmg contract above named· Itc is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file tiffs application; that all statements contained in this application are true to the best of his knbMedge and belief; and that the work will be performed in the mannbr set forth in the application filed therewith. Sworn to befo?e me this PUIiI-IC, $ta~ d I{~ ~d~ (Signature of applicant)