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Home My WebLink About15863-zFORM NO. ¢ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16770 Date April 5, 1988 THIS CERTIFIES that the building . 9.n.e. . .f.a.m.i.l. ¥..d.w.e..1.1.i.n. ~: ....................... Location of Property 125 L a n d s E n d R o a d 0 r i e n t House No. Street Hamlet ......... 09 I 14 County Tax Map No. 1000 Section 0 15 , . .Block ............... Lot .... ~ ............ Subdivision .... L..a.n.d.s. End .Filed Map No..5.9..0.9...Lot No. 14 . conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... A. p..r .i.1.. !:..1.9. 8..7.. pursuant to which Building Permit No ..... 1.5.8. 6. .3 .z ........... dated Ap.r.i. 1. 4...1.9..8.7 ............. wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ....... .O.n.e...f.a.m.i.l.y..d.w.e. 1..1.i.n.g..,. garage under, deck. The certificate is issued to C HARL E S PAF I T I S (owner, of the aforesaid building. Suffolk County D epartmen t o f Health Approval .... .8.7 .-.S.O. 7 .4 .3.. F..e .b.... 5. :.. 1.9. 8..8 ............. UNDERWRITERS CERTIFICATE NO ............ .N .8.4.9. 2. .9.1. I / 8 / 88 PLUMBER8 CERTIFICATION DATED: George J. Berry 3/I/88 Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISI:S UNTIL FULL COMPLETION OF THE WORI(AUTHORIZED) 15863 Z Date ........................................................ , 19 ....... Permission is hereby granted to: ........... ....... , .............. .... ~i .......... u .............................. ,o .~. ~ ........... ..... ~...~ ...... ¢~ ~ ........... ~ ~ ......................... ~.....~....~.; ........ . ........ ; ............................................ :......= ................................. ~ ~,m,~27~t~ ~t ..t~O....~.....6.~...~, ...... ~.~ ..................................... County Tax Map No. 1000 Sectio/c~..~.L.~ ..... Block ....... .,C~...~ ....... Lot No....1.:..(...~.. ......... pursuant to 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 OCCUPANCY BLDG. DEPT. TOWN OF SOUTHOLD 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 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. Su bm it P lan n in g Board app royal of comp l eted site p lan 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 property showing all property lines, streets, buildings and unusum natural or topographic featu res. 2.Sworn statement of owner ir 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 ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 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 ./~;~)~,... t ............ New C OhS t. ruc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ./,. ,~.~ ..... ,~,b,~,, ....................................... House No, Street Nam/et Owner or Owners of Property .... Ch ~¢-I ~'.~ . 4.~.. CQ. ~ County Tax Map No. 1000 Section .............. C)J~:~ Block ...... C~, ........ Lot ..... ........... Subdivision ................................. Filed Map No ........... Lot No .............. .......... Permit No. I ~'&~o~ Date of Permit .......... Applicant. .b35e. . Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ~.----- ..................... Rev. 10-10-78 . Construction on above described building and permit meets all applicable codes and regulations. Applicant ................. ~.oo':[o?:[' THE NEW YORK BOARD OF.,FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 100,38 497367/87 THIS CERTIFIES THAT o~y the electricaJ ~ulpment ~ ~scribed b~low and int~uced by t~ app~icaRt ~d o~ t~e a~ve ~pplication n~ ~ber in the pre~ise~ of Char~.e~ Pa~iti~, c/o ~nds End Rd., FIXTURE OUTLETS SWITCHES RANGES OVENS EXHAUST FANS 51 DRYERS S E R I C E GENERAL MANAGER Pen ~~ return~o the office of the Board if inco?rect. Inspectors may be identified by their credentials. COPY FOR ~UILDING DEPARTk~ENT. THIS COPY OF CERTIFICAT~E Mu,%T NOT BE ALTERED JN ANY MANNER, · TOWN OF $OUT~OLD OFFICE OF BUILDING INS?ECrOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION (please- print7 Plumber ~CO C~____~,__~ ~ - (pl~e pr'int) ~' 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 P~lblic ,__dc/F~/~, - 7: ': ' BARBARA STEPNOWSI~,I Notary Public, State of New ¥~r~ NO. 4844762 Qualified in Suffolk County TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TE~. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. An application for Certificate of Occupancy is not on file. ~ /5/ No Underwriters Certificate on file. /_--~/The check is(outdated/not on file.) /~'; No ~e~th Dent. ~vvro~,a~ on f,.~e.(. ~ q~Z) I-~/ NO final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I, [ O'-- ~ A ~ Z ~ Building Dept. ***/_~o Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) OU~DATIO~ OUNDATION ( 2nd ) OUGH FRAME & PLUMBING iNSULATION FER N. Y. STATE ENERGY CODE FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~ROUGfl PLBG. FOUNDATION 2ND [ ] INSULATION ~] FRAMING [ ] FINAL ~REMARKS: 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: INSPECTION' [~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL 7GS-3.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. £ ] FOUNDATION ZND [ ] INSULATION [ ]FRAMING [/~]FINAL ~ DATE I NSPECTOR~/~,/~,~ ~.., 765-1802 INSPECTION [ ] FOUNDATION 1ST r ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [,~INAL ~~ REMARKS: DATE ~? 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]/ROUGH PLBG. / FOUNDATION 2ND [/] INSULATION FRAMING FINAL DATE /~//?~'/? INSPECTOR ~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING [ AL , .... DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;~ND [ ] INSULATION FRAMING [~FINAL REMARKS: DATE INSPECTOR 19~.7. Examined .~. ...... Approved...(~9~.. ~ ...... 19~..~. Permit No. ).'~-.~..~..~..~. Disapproved a/c ' (Building Inspector). APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ..~..... 3 SETS OF PLANS ..... FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK ~.~-~J': - - BUILDING DEPARTMENT SEPTIC FORM . ~ ......... : TOWN HALL NOTIFY .~.~., SOUTHOLD, N.Y. 11071 TEL.: 765-1803 CALL MAIL TO: BLDG. DEPT. TOWN OF SOUTHOLD 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 plhn 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 ¢ 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 agree,", 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. ... ~ ¢../¢/./.~. V../~.~. ~...x,~ .~.~ x .~*?,:/~¢, (Signature of applicant, or name, if a corporation) · ,,4/¢...~¢.. ~.. ~/~. ¢.4 .~.~.~(~..~.~...r.o~'.r~o.~ ~ (Mailing address of applicant) State whether ,applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........¢£~..g~.c .... ¢¢.~.7:¢~.c.?.,,:'z....~..~.~/.~.~. ~. ................................................... Name of owner of premises .... (as on the tax roi1 or latest deed) If apptican~ ~ a corporation, signature of duly authorized officer. ..... .............. (Name and title of corporate officer) ALL CONTRACTOR'S MI/ST BE SIlI~FOLK COIIN~¥ LI6Ii:I~ISEI) Builder's License No ...... / .~.~. ~. ~,. ~t..~. ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ ................................................. ..... I. &5 ................... g~.,,'..,e~.. ~/... ¢.q: ................ ¢.,¢. ~ ~ ..,,LTT. c .............. '.. House Number Street Hamlet Connty Tax Map No. 1000 Section .... .O../.~. ......... Block ...~. .............. Lot../~ ./.~r. ........... Subdivision ..... .~.~.~. ~.' .....~.~..~. ............... Filed Map No...~'.~]P.~. ...... Lot...].~t. ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /,T/q c/qa/T Zo'/~ b. Intended use and occupancy ~E4/ g~~£tc/~" 3. ,Nature of work (check which applibable): New Building .......... Addition ' Alteration .......... Repair .............. Removal ............ Demolition ............. Other Woi'k. .............. 4. Estimated Cost ......... .o.o. ........ 5. If dwelling, numberofdwellingunits, .O.ni.g .... (Description) (to be paid on filing this application) .... Number of dwelling units on each floor ................ If garage number of cars 6 If business commercial or mixed o~cupancy specify nature and extent of each type Of use 7. Dnnenslons of existing structures, ff any: Front ...... : .... Rear .. ~ ......... Depth Height .... , '. ..... Number of Stones .. ~ ...... 'i... '..' ........... ' ................... Dimensions'of same structure with ial{erations or additions: Front ................. Rear .................. Depth ......... ~e,~...,..?.. · H,~ight ...................... Number of Stories .................... ,,g. Dlmenmons of enti]i~l~hnew c*oni~chon: Front ... ~../ .... ' .... Rear ... ,~..'( ......... Depth ............ Heifht ., Numbe :Stories .77.t-:,.g ..... , ....'/ ...................... · '" '" /7.Y. ............... 9. S~zeoflot: Front .... ~[k~O~.l ....... ..... Rear .... .3. q.~r.~..'& ..... ..... Depth .. ,. ........... 10. Date of Purchase ..................... Name of Former Owner 11 Zon diti i hih " it t d ~t~'~ ? eoruse srct nw c premlsesares uae . ~ 12. Does proposed construction violat¢ any zoning law, ordinance or regulation: ..~.0 .............. ' ............. 13. Will lot be regraded .... )f..ES .... I ................. Will excess fill be removed from premises: Yes' 14. Name of Owner of premises ~[/.~.~tt$ ~F;/~. . Address Phone No. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .1~o.~ ff#.lt~.¢.~.o~.~, d.~ ~qqt... Address . .¢.F..r~.~2r~n~'~...,?/.~.~¢~Phone No..7.(.¢'.~. .:t.? y~... 15. Is this property located within 30~ feet of a tidal wet'and? Yes ..... No .~(... · If yes, Southold Town Trust~es Permit may_ be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property hnes. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. i°~! STATE iF NEW YORK, 20UNTY IF...~. ~.,~. P.~'..~... ................~.o~.,¢.,~ Ti...~ ....... ~ ~ ...... ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~te is the (Contractor, agent, corporate officer, etc.) ~f said owner or ownem, ~d is duly uthofized to perfom or have perfo~ed the said work and to m~e ~d file t~s application; that all statements contMn. ~d ~ this application are true to the best of his ~owledge and belief; and that the ~ork will be perfo~ed in the m~ner s~ t for~ ~ the application flied therewith. gwom to before me this day of. qota~ Public, . . ~o ................. . .............. County ......................................... ~or~av~A~F~"W'" 'pUauc, ~°~O~gSON'--s~to of ~ow v (Si~ature of applicant) m ~ ~ ~F~K CQ~TY ~. ~ HE~TH .- ~.J -~ IERVICES -- FOR APPROVAL OF ~ , ~. ..s.~t~: ~:~ so~ _ ~ ~' - , . ~ O,f~N PIPE ~~: ~ ~e ~ dis~al a~ water s~ )ply ~ciliti~ Chis ¢ "~'" · ~ ' %t ~4~' ...................................... .. ? . ~ .¢~ ¢~ ~ AMENDED: ~Y~, ... ' ~_~ vA~'~. ~,' ~ SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. THE WATER S~Y AND ~WAGE D~AL SY~E~ F~ THIS RESIDENCE WILL ~. ~F~M TO THE $TANDAR~ OF THE LK ~.~ HEALTN SER VICES. ~ '~-~ -; (si ~8 ~ SUfFOlK COUNTY DEPT. OF ~ALT~ SERVICES - FOR APPROVAL OF ~ :, ~[, CONSTRUCTION ONLY/ -.~/ ~ ~ DATE: ~ ~/~/~7 , ~LE:A 50.2C)~, ~ ~ ~FFOLK CO. TAX ~AP ~SIGNATION: Ol~. ~CT. BL~K ~L OWNERS ~ED: L. ul~ P. TE~ ~LE ~AMP ( VAN TUVL, LA~ ~VEY~S ~EE~T ~ Y~K 'ffc?Pertuh;n . 'WITHOUTCERTiFiCATE ,for water distributing OCCUPANCY . , , system; PiPing'shall be of ~pe,~ II