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Home My WebLink About16125-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16771 Date 'APRIL 5, 1988 THIS CERTIFIES that the building ..... I U g.r.o.u.n..d, l~.q o, .1 ............................ Location of Property ...... .8.9. 5.. p.e.l.m..a.r..D.r..5, y.e. ............ L..a .u.r.e. 1. .................. House No. Street Hamlet County Tax Map No. 1000 Section ..... .1.2.7....Block 4 .Lot 15 Subdivisi Laurel Country Est. . ..... 6 on ............................... Filed Map No, 5486 , .Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... J. uoe..8.,..1.9.8.7., pursuant to which Building Permit No. 1.6. ] .2.5.z.,.. dated . . J..u.n.e.. 2. .4 .,.. [ 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 ......... ...... I og.r.o.U .n.d..s.w..~ .m.m.!n. g. ;p. qo..1..w.i.C..h..f.e.n..c .e.. .................................. The certificate isissued to JAMES AI~ID CAROLE ~lORIIqI ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval ..... N /A UNDERWRITERS CERTIFICATE NO. Iq 830740 9 / 4 / 87 PLUHBERS CERTIFICATIOIq DATED: N/A ]~mld~ng Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING FElt, MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- ] 6l 25 Z Dot.~....~.......~... ................... , ,,..~....~' Permission is hereby granted ,o; /~I~/~,~ ..~.,.~~~..~..,. ...... at pre ........ - .... co~ ,o~ ~ ~o. ,0oo s~,~,o~ J..~...~ ....... ~ ...~ ............. [o~ uo ...... Z.~ .......... Building Inspector, ~, ~/~,.~.. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY LJ uL ..... BLDG, DEFT. TOWN OF SOUTHOLO 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 buildin§s, 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 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: Additions $25.00 POOLS $25.OOALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$|0.00 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 $]0.00 4.Vacant Land C.C. $ 20.00 5.Updated C.C. $ 50.00 Date .......................... NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................................... House No, Street Ham/et Owner or Owners of Property ............................................................ County Tax Map No. 1000Section / ~. ~ Block .z_/ Lot /~-.~.~ Subdivision ................................. Filed Map No ........... Lot No ............. PermitNo. /~ /~,~-7_ Date of Permit ?/P.~/~.~ cant ....... ............ App, .......................... Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ..................... o Fee Submitted $...,r .~-; ........................ Construction on above described building and permit meets all applicable codes and regulations, Applicant ................................. THE NEW YORK BOARD OF FIRE :UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET. NEW YORK. NEW YORK ~OOSB THIS CERTIFIES THAT only the electrical equipment as described below and ~ntroduced by the apphcant named on the above application number in the premises of Jamea Morini~ Delmar DriYe, 1/4 Mile We~t Bray Avenue, Laurel.~ N.Y. in the following location; [] Basement [] 1st FI. [] 2nd FI. O~taid e Section Block Lot ~sexa,ninedon August 20, 1.987 and fouttd to be in compliance u'ith the requirements Qf this Board FIXTURE FIXTURES RANGES OVENS DISH WASHER EXHAUST FANS 1 1 1 1 DRYERS FUTURE APE[lANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: OF CC COND, V I C NO OF NEUTRALS) OF NEUTRAL .,(S_~_P~I~_N.~_PO_g~),,'~is certificate cover~ compliance at the date of inspection only. Because of unusual environmenta it is edvi~able to have frequent teat/and or repairs made by a qnalified person. Ted Cheshire Jr., Co. 9280 Sound Avenue Matti~tuck~ N.Y, 11952 Lic, 953 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR ~BUILDING DEPARTMENT. THIS COPY MANNER. 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PIBG. FOUNDATION 2ND [ ~ULATION FRAMING [~FINAL f~' REMARKS: _ _, DATE INSPECTOR UI~DATION ( 1 st } UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER STATE ENERGY CODE . ADDITIONAL COMMENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOIJTIIOLD, N.Y. NOTICE OF DISAPPROVAL FileNo ................................ Datc.~--''~'. '~'' ..... 19~..~. ,~o ,4.. ~. -,~3.. ~. d~. ~- m/c~~ ~ ~, ~.~.. ~ f~..,..~~...~ ~~~,~.~./~. ~ ,'LEASE TAKE NOTICE that your application dated .~ .... ff ....... 19 ff~ 'FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approve~ .~.. /...., 19~.TPennit No.../ .~.. / ~. ,~e'-~__, DisapprOved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, kousing code, and regulations, and to admit authorized inspectors on premises and in building for necessary itlspections. .../t... g.~./.t..t.~...~..,.~.~,....?...c ........... (Signature of applicant, or name, if a corporation) ...,,¢..o. ~.. ~..7.%..JT..,¢¢..,¢.~. ~..r¢¢....~.,¢,,w./~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. 67..Z~..~....~.o.,v./.'~..~.c..7~....~ ................................................... Name of owner of premises .... .B}~..~..../f~'.'JJ~..5., .... .~.../~..~f. /~ o./~..I]0 ( ............. (as on the tax roll or latest deed) If applje~¢J is a corporation, signaLur~e of duly authorized officer. / (Name and title rp ) - Builder's License No .... .~...~.~... 7../~'../ .......... Plumber's License No ......................... Electrician's License No. j///--f.~J~'~....~.'~..,~..~O__.., N COMIC. ETlON BEFORE "WATER', Other Trade's License No ...................... ~Z~~ 1. Location of land on which proposed work will be done] .......... ~ ~ . ~.,. .............. ...... ........ ....... ....... House Number Street County Tax Map No. 1000 Section ..... /¢.~.. ....... Block .................. Lot ..... /~-. .......... Subdivision ~, .~. (d ]~..~.'2:-. ~Ol~/,T~. ~ ~"~'7~ ~"-~' Filed M ap N o. . .~..~.~ Lot (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 ........ ~?.~.(.~..~..'?./.~..~...6~..I..'~.[.~. ....~..0.0..~.. ................ ..... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .i ......... Alteration .~..~ .... ! · · Repair .............. Removal .......... .... Demolition ........ i ....Other Work .......... ./ ... ~.. 4. Estimated Cost ............. : ...................... Fee ...... : .... : ............. ' (fo be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling u~its on each floor ........... : .... If garage, number of cars ........................................... ! ............................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ...... : ........ Depth ............... Height ............... Number of Stories ............... ,. ........... i ............................. Dimensions'of same structure with alteration~ el'additions: Front .... . ....... i. [ .... Rear .................. Depth ...................... Height ...................... Number Of Stories ...................... '--8. Dimensions of entire new construction: Front .......... '..'... Rear . .' ..... i ........ Depth ............... Height ............... Number of Stories ........................... ~ ............................. 9. Size of lot: Front ...................... Rear ...................... ! Depth ...................... 10. Date of Purchase ............................. Nan~e of Former Owner: ............................. 1 I. Zone or use district in which remiseS are situated [<~./~.~q..T'/.,~. 12. Does proposed construction wolate any zomng law or&nance or re ulat~on' 13. Will lot be regraded ....... Z~. 0 ................. Will excess fill be remo~a~.~l~l~r~rhi's~s'[O~ No Name of Architect ~ ._ ....... Address ...... Name of Contractor .~]:..~.g.?. (-~0 .~..~ ...... Address . .~.~.~?FJT.T~..~..O~./~I,~ p~'n'~No. ,[~?.7. ~.O.~Y~... 15. IS this property located within 300 feet of a tidal wetland~ *~es ..... No ~.. · If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ihdicate all set-back dimensions from property Hnes. Give street and block number,o~ description according to deed, and show street names and indicate whether interior or corner lot. (Name of individual signing contract) i . above named. ' ' ~ .. "i~>~, Heisthe ......... .~. Z~g.. ~..d..ce~.~. .. , ..... ~'...~...~S,~*~ (Contractor, agent, corporate officer, etc.) ~:: .~: .~ .. ' ' . of said owner or owners, ~d is duly authorized to perform or have perfomed the[ said ~0~k and to m~e and file this application; that all statements contained h this application am true to the best of fiis knowledge and belief; and tha~ the work will be perfo~ed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ............. ~ ~.day~~ ..... ,19.~ $otaw Public, ~~. County ~~~~~-- ~ ~ ~ ~M~ 8fete of N~ York ~ ~ ~ D~mber 8.1 ~B .,', ,':.,..i, ,.:. ~.~ . . · 'a' ' ..'" .,'~ ':. ' ' ...:.'i., ~ ?~: ~ ?" ' "'~' ""~ , i . " f~ '? . .:. ,, , ,!, ~. .. :.,. , ..., .., . . .... .,~ '~,/~.~.'.... ~ . . ~,~ ... . . ~ / . . . ~;.},...:~.~ ~,.,~,~., .~.. ..., . .~ __.. ~.,.~ .. ~ ..~. ; · ~.... . . . ~,..~ . ~. . ~ , ~ 'a ...~. ,'- . '~, ~ · ..' ~ , occuP OR .:. .. . . .' : .. '.,..:~ '.~":;'" ~ '. -. ,.. . .,'. . '.%~,., ,. ..' ~FO~ SUBDIVISION M~P ..~ ~ OPFIC~ O~ ~H~ C~RK O~ SUFFOLK " COUNTY ON dUN~ ~ 19TO A~ ' '" ' ' ; 'YOUNG ~ ':. YOUNG ' ' qO0 0STRANO£R AVENI~,Ed' I~IVF. HH£AD, PRO~ESSIONAL KNGI~ER AND ' LAHD S~RV~TOR ~ ANO SURVEYOR, H~ S, (lC. ~,~8~ N. ~S. LI C. ~. L~T~; ' ~AU~EL C~UNT~y ESTA ~-S"~u r~o~ ~ ~o. ,, ,~.~O~THO~O SAVINGS BANK ' ',.SUFF CO, ~K ' a .// . _ ... .~ ,,,., , , ~.,. ,~ - _ ~~, · ~.. ~