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Home My WebLink About15835-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupnncy No. Z-16286 Date October 14, t987 THIS CERTIFIES that the building ADDITION TO EXISTING ONE FAMILY DWELLING Location of Property 20 Vincent Street & Willow Street 0rient~ New York h~dsb 'N'E .......................... Street Hamlet County Tax Map No. 1000 Section 026 ..... Block 01 .Lot 06 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 30, 1987 pursuant to which Building Permit No. 15835. z dated April 1, 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to WILLIAM & JOANN GESELL (owner, l~g~tf~KYgOlffi. EO~ of the aforesaid building. Suffolk County Department of Health Approval .... .N./.A. .................................. UNDERWRITERS CERTIFICATE NO, N835114 PLUMBERS CERTIFICATION DATED: October 6, 1987 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT O,N THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15'835 Z Permission is hereby granted to: ................. to ~ L~. ~ ~/-~ ./ .............................................................................. r' .......... 'T '~ .............. at premises Iocat;d at .....,~. ,.~..,.~. ,,....~.,.,0,,...~.../¢~,,.~..,.~,~,,. ...... .,~.~ .............. County Tax Map No. 1000 Section ..... .~.,.'~,,.,~. ...... Block ....... ,.c~,..~ ........ Lot No ..... ,C),,~ ........... pursuant to application dated .... ~.0~/~..~ ................. , 19,,~...~.., and approved by the Building Inspector. Fee $~..~...:;~ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERT{ FICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~m ~mammm~ to the Building Inspec- tor with tl~e following; for new buildings or new use: 1. Finat, survaV of property with accurate location of ail buildings, property Hnes, streets, and unusual natura{ 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. §. 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 usgs: 1. Accurate survey of p~Operty showing all property lines, streets, buildings and unusual natural or topographic 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 buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy New Dwe[].ing,$25.00, Accessory ,J~10.00 ]Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of certificate of occupancy $ 5.00, ove~ 5 ),ears $10.00 4.Vacant Land C.O. $ 20.00 5 U d %ed C, $ 50.00 Date ....... .3, .~L.9.~.7. · ~ a .0~. .. Au~u.s~. ~ ...... 6. )%iteration $~2~.00 NewC one t, ruc t, i on...'~., Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~, J-~ O.W ?~ ?,Q .V~ qq~ [~.~ ~ ~pp ~ . O~f.e n~ House No. Street Ham/et Owner or Owners of Property · 026 Block ,0,~ Lot O~ County Tax Map No, 1000 Section ......................................... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .... ~. .................. Fee Submitted $ 25:.00 y,~. /~'05~'~ Construction on above described building an~Lper~nit me.~s ¢lJ~ applicable codes and regulations. Applican ........ .P.. ~' e ~ .............. ~viro~ent Esst, Inc. for owners R~. 10-10-78 co TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date /(~/(/O /~7 / / Building Permit ~33CZ Owner Wfllta~ Oesell (p%~ase print) (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 ~9 ~7. / Notary Public, ~/~~ OUHDATIO~ ( ls t) OUNDATION ( 2nd ) OUGH FR Ab~& FLUMS~G USULATION FERN. STATE ENERGY CODE IA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [,~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :~ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: *~~~-~ ~/~*. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~INSULATION FRAMING [ ] FINAL. .m~RKS-- ~~-~ !NSPECTOR .--/~' /~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL ,, ,INSPECTOR ~"~/ ~_~, ~ / ~ 76S-1802 ~F/~BUILDING DEPT. INSPECTION DATE INSPECTO~ Environment East, Inc. tl. R, No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 August 6, 1987 Mr. Gary Fish Shld. Town Bldg. Dept. Town Ha±l Main Road Southold, NY 11971 Dear Mr. Fish, TOWN Enclosed is the information requested on the pipe installed at the Gesell residence in Orient under Permit # 1~83~Zo If any furl info~mation is needed please contact my office. / Sineerelyj Peter R. nburgh Pre side E nviro East, Inc. // 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 .~.~ TEL.: 765-1803 Examined . ( ....., Approved~..[ ...... 19~..7. Permit No./~-..~ .'~..~..~::. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PEBMIT Date...F.e..b.r.u.a.r. 1C .6., .... ,19.8.7 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 pait 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 inspections. (Signature of applicant, or name, if a corporation) ·. 3.075..I O0 tan. Ne ak. Lane,. Ps.co nil. biz .... (Mailing address of applicant) 119~8 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. C or~t.~ac.~.an ....................................................................... · Name of owner of premises ...Wi. lliam. 3: .JoA, nne. ~.e. sell ............................................ (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 .... HI. ~,556 .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. 26 · .Willow. 3: .Vil%Qet~l:..S ~roe.t~ ................... ...... 0.~io n.t ..................................................................... : .......... Itouse Number Street Hamlet ~' ~ County Tax Map No. 1000 Section .. 26 ............. Block .... 1 ............. Lot .... .6...' ........... Subdivision ..................................... 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 One Family Residence b. Intended use and occupancy 0ne Family residen~e wi~h addi't;ion % 10. 11. 12. 13. 14. Nature ofwork (check,~WJfii:~/appheable): New Building .......... Addition ... X ..... Alteration .......... Repair . ........ ; .... R.~.~,~,~al .............. Demolition .............. Other Work ............... ', :'~ ~,, '/i~ J (Description) Est~ed Cost ..... ~ ~g~'~ C~ · ..................... Fee ..................................... , ..... j~ _ :~'~ ' (to be paid on fihng this application) If dwelling, ~6f ~i~g units ..... Z ........ Number of dwelling units on each floor ................ If garage, number of cars .... .................................................................... If business, commercial or mixed occupancy, specify nature ~d extent of each type of uso .................... D~ensions of existing structures, if any: Front .... ~.~ ....... Rear &~. ....... Depth... ~ ....... Height ... ~. fi ....... Number of Stories .... ~ .................................................. D~ensions of same st~cture ~ith aitorations or additions: Front ...~ ~. ......... Rear .... Depth .... ~?. 6.,.~ ........... Hel~t ..... ~. ~ ............ Number of Stones ..... ~ .............. Dimensions of entire new construction: Front ...~ ~ ~.. Rear .../XX~~. ..... Depth ... ]3 ~'~. H~ight , . , /~ ~ , .... Number n~fltnfies ........ / Size of lot: Front . 1~0 t .... : ............ Rear ....... 88 ~ ............ Depth .... ~3~ ~ ............. Date of Purchase ............................. Name of Fo~or Owner ............................. Zone or use district in which premises are situated...~0 ~.~ 0~.~ ..................................... Does proposed construction v/dlate any zoning law, ordinance or regulation: .. ~Q. ........................... Will 16t be regrade~ .~q ..... : .................... Will excess fill be ro~qv~ ~om ~re~o~:88, NameofOwnerofpremis~s ~.~.(~ ...... ' A44r~29 Meyop aa ~ox~ ' ' ............................................... 79~8 ' N~o of Architect ......... : .....~ ........... Address Nme of Contracto~.q~P.~ ?~..~?~.,.. ~?.,. Address 30~5' ~n'd~ a~' '~o a~P~° No ................ Po c.o ni c.,.. ~..1.~ 95~one No. 73~-.~7h ...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See Attached STATE OF NEW YORK, S.S COUNTY OF ................ ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ' ~ ' '~~- ~" gent He is the .................... , 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 fil~this- application :;~hat 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 ........... G~ ~'''r ..... day of ..... .~,g64~. ...... 19 ~..7 ....... Coun HELEN IL DE NOTM~Y ~JBUC, SMe d New Yod( , ' ........ . N~ 4707878, ~ffoll~CouFIT.,~ (Signature of applicant) i ~wm Expires M~rch 30