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Home My WebLink About15674-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17440 Date OCTOBER 20r 1988 THIS CERTIFIES that the building ADDITION Location of Propert~ 55 DOUGLAS & 2570 KING STREET ORIENT House No. Street Hamlet County Tax Map NO. 1000 Section 26 Block 03 Lot 006 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this off~ce dated FEB. 10r 1987 . pursuant to which Building Permit No. i5674Z dated FEB. 10t. 1987 . was issued, and conforms to all of the requirements of the appllcuble provisions of the law. The occupancy for which this certificate is issued ~s TO CONSTRUCT AN ADDITION TO EXISTING ONE FAMILY DW~/.LING. The certificate is issued to RICHARD J. ~ HELEN PASSANANT (owner, ~) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N826535 AUG. 12r 1987 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST' BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~5674 Z Permission is hereby granted to: ,~, ~ ~e~..,..~ ~. , tl ~'7 .... ................................................................ ~un~ Tax Map No. 1000 ~ction ....... .~.~ . Bilk ...... ~..~ ...... Lot No ..... .~..~ ........ pu~uant to application dat~ ..~~..~ ./..~ .......... , 19.~..~., and approv~ by the Budding Inspector. ~.~... / Fee $ ..... :. ......... Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~hFth'/~;3 BUREAU OF ELECTRICITY ['-- ~h B5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CE~tFIES THAT R~cherd Pas~enet, Douglass Rd.~ K~nq St., Orient, N.Y. ~sexammedon AUr~ust 3, 19~7 andfoundtobe,,,,ornpha.,geutththereq.,re,.,entsofthtsBoard FIXTURE FIXTURES 2 9 2 2 RANGES :lOOKING DECKS OVENS DISH WASHERS EXHAUST FAN' DRYERS MOTORS FUTURE APPUANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT S E R V I C E OTHER APPARATU~ NO OF CC COND A V/G NO OF HILEG J A W G NO OF NEUTRAL5 A WG Arthur Ruroede M~in Road Orient, N.Y. 1~957 GENEEAL MANAGER This cerhf;cate must riot be altered m any manner, return to the off*ce of the Board d ~ncorrect Inspectors may be idenhf~ed by fhe;r credenhals COPY FOR THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNI=1~ FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A Th~s 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 survev of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supplv and sewerage disposai-(S-g form or equal}. 3. Approval of electrical installation from Board of F~re Underw,ters. 4. Commercial buildings, lndustrml buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the building. 5. Submit Planning Board approval of completed site plan requirements where applicab)e. B. For ex~sting buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property show~ng all property lines, streets, buildings and unusual natural or topograph ~c features. 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 buddings or premises, or other pertinent informa- tion required to p,repare a certificate, C. Fees' Add£tzons $25.00 1. Cert~flcate of occupancy New Dwelling,$25.Q0, Accessory ,$t0.00 Business $50.00 2. Certificate of occdpancv on pre-existing dwelling $ 5 0 0 0 3. Copy of certlf~cat~ of occupancy $ 5.00, over ~ years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O~ $ 50.00 Date .......................... New C on s t r u c t 1 on ...... Old or Pre-existing Building ............ Vacant Land House No: .......... Street ....... Al~nle't Owner or Ow.ers of Prope=y . . . . ............ County Tax Map No. 1000 Section .............. Block ............. Lot ............... Subdlws~on .............................. F~led Map No .......... Lot No ............. Permit No./.,-~-~. 7~..Z.. Date of Perm,t ........ c~/~.~. Applicant ~:..f~..'?~ ~-[ ~ ~J.~. .............. Health Dept. Approval ..................... Labor Dept. Approval ........................ Underwriters Approval ....................... PIanmng Board Approval ...................... Request for Temporary C~rtihcate ................. Final Certificate ....................... Fee Submitted $ ~.,dO OUNDATIO:I ~ 1 s t ) OUNDATI0~ { 2nd ) OUGH FRAME & PLUMBING ,'~SULATION PER N. STATE ENERGY CODE FINAL ADDITI COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~']"~NSULATION FRAMING REMARKS: FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [p/~RAMING [ ]FINAL REMARKS: INSPECTOR~' A/¥,~ 7Lq-xS02 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS: (~) ~ DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~~.} o., 19 ~..-1. .~.~-A'~... ~..~, 19 .~ Permit No. / .~-..~.~..~=. Approved I' Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS O.~ SURVEY CHECK SEPTIC FORM NOTIFY CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. ,19... 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 construct, lion of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to coml~y with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized .. f.~..~~ .~..~... i .................. inspectors on premises and in building for necessary i pec ions. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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.....,ff-r. ?.,~.f~.~..~ .~...c)~...~fj.... Electrician's License No .......... ~'&'d~ ~' ' , - Other Trades L~cense No. Co'~ ~ ~°~ ~ ~' ~ ~/~ ~ Location of land on which proposed work will be done .................................................. ....................... .................... .................... House Num her Street Hamlet County Tax Map No. I000 Section ....... ~.~ ....... Block ........ ~ ........ Lot.. ~ ............... SubdMsion ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy '~'~ ,. Intended use and occupancy ................................................................... Z~6I ............ ~' "JO .4ep ........ ~< ............ s.[tt,t om ozoJoq o~, tuo,'aS 'ql[~i~ql polu uo[l~[ldd~ oql ul ql~oJ los ~au~m otll u[ pouuoJ~ad oq I~X ~o.~ pl~s aU1 pouuojJ*d o,x~q ~o m~oj~od ol poz~oqlne XIap si p~ 'uaunxo ~o ~*u.~o pies jo Cola uo~ljjo olmo~oa 'luo~e 'JO1O~iluoD) ......................................................................................... 0ti1 si OH '[)o ttlCt[ oAoqu (131~IlUO~ i~tI[U~lS iunp!,qpu[ jo lu*~!Idd~ oql s! ot[ lmfl sl~s pu~ sosodop 'u~oa~s .qnp l~u.~oq ................................................ --:: 'i77 7 ........... HO ,kJ34flOO S'S 'MMOA .~\HN HO CO01 - ' :-t ..C.) .3S ,6'I;- N ~ o _j. o 2 O>- 'xl' z CJ. ~ (.,0. :. '.[7. 0 .I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY Igt_ O" Fe, wob/%rro/4 Iq ". /,