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Home My WebLink About16494-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16630 Date February 2, 1988 THIS CERTIFIES that the building CONSTRUCT ADDITION L t' ~p t 80 West Drive Southold, New York ocatloll o- _roper_y ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 058 .Block 02 ..... Lot l 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 30, 1987 pursuant to which Building Permit Nol 16494 z dated October 1, 1987 wasissued, 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 ERNE ST SCHROEDER ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N002757 - January 21, 1988 Jan. 28, 1988 - Matt±tuck Plumbing & Heating Corp. PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 1 6/~.7~] Z Permission is hereby granted to: ........ .... ............. ............. ~,,~,,,..... ~....'-/. ...... ,L..~..~ ..................... at premises-- --located at ....~...O.....~.~r:~..~......I..~...~'.......l'~........c~.~ ..................................... County Tax Map No. 1000 Section ...... ..~...~.~. ...... Block ..... ..C~..~.. ........ Lot No ...... ]..~. ............. pursuant to application dated ..... ..~.~,~..~..~.~....~:~ ......... , 19..~.~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instruations A.This application must be filled in typewriter OR ink, and submitted m gramme to the Building Inspec- t0r with the following; for new buildings or new use: 1.Final suwey of property with a~curate location of all buildings, property lines, streets, and ur~ natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage d!sposel-($-9 form or equal). 3.Approval of e ectrical installation from Board of Fire Underwriters. 4.Commercial buildings, Industrial buildings, Multiple R, esidences a,nd similar buildings and installa- tions, a certif cate of Code compliance from the Architect .or Engineer responsible for the build{n~] 5.Submit Plannblg 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 topographic features. 2. Sworn statement of owner or previous owner as to use, occupancv and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent nfarma, lion required to prepare a certificate. ' ' C, Fees: 1. Certtficate of occupancy tle~ D~elling,$2$.OO, ·Accessory ,,$10,00 Bue.~,neas ~50.00 2, Cectlftcate of ,.occupancy on pre-existing dwelling $ 50.00 ' ' ~ 3, Copy of certiflcate of oecuPancy $ 5.00, over .5 yeate ~10.00 4.Vacan{: Lan~'C.O. $ 20.00 6. ]~lterat~o~!: $25.00 New¢ona ~rbc t, ton Old or Pre existing Building Vacant Lend Location of Property .8.Q ~v~ s,~ ~r.L¥~ .Sp.u,~ ~_p,~j]; House No. Street Ham/et Owner or Owners of Property gr~e,~ So.h.r~cl~r · ' OF& mock Lot County Ya~< Map No 1000 Section Subdivision Filed Map No Lot No ~T/A Labor Dept Approval Health Dept. Approval ... ~ ................. .., ..... , .., ...... U App · g d App oval nderwriters roval ............... , ....... PIannin Boar r ................ Request for Temporary Cerfificata Final Certificate ,~ ... Corlstruction on abova described bu/~g ~n~ p~codes :nd Rev, 10-10.75 IR c., 3 /70 o t[DATE COM~£NT~ FOUNDATION {1st) FOUNDATION { 2nd) ~OUGH FRAME & ~FLUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LATION / FRAMING [//] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ~a14 PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING REMARKS: FINAL DATE INSPECTOR ?~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST 1- ] ~QUGH PLBG. FOUNDATION 2ND [/.'~ INSULATION FRAMING [ ] FINAL // ? THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY .JOHN STREET, NEW YORK, NEW YORK 10038 ~-- aANUAi~Y 21,191~ 5179618'7/87 N 002757 ~ ~l~ati~ No. on file THIS CE~IFIE~ ~T PAGE 1 SCHROEDgR, 80 VEST DRIVE, ~OUT~OLD~ N.Y. ~ exam~n~ ~ and~ound to ~ in ~ntpllan~ with the ~qui~me~ts o~ rh~ ~rd. 425 MONS~h LANE This certificate mu~t not be olttrtd i. ny manner; return to the office of tl~ Board if incorrect. Inspectors ma~4 idefltified th~ / i. . TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION Building Permit No. l~ JS/~&'/'~-~ Owner ~ l\ l~~___ (pl-eas e print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this 2T~k day of ~u~/ , Notary Public, ~_~o~_{/X County Notarv Public ' FORM NO. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~xamined .~.~....s~4ka~..~,>.0., 19 .~.] ~ppr0ved~...-u-~....~....'~.., 19~. Pe~it No./~.~ )~appruved a/c ..................................... (Bulldog ~spector) ~Pg~IC~TIO~ FO~ B~ILDI~G Received ........... ,19... Date . .$e.P.~'.e'.m.b.o,r..2,~.., 19~37. INSTRUCTIONS This application must be completely filled in by typewritbr or in ink and submitted to the Building Inspector, with 3 :ts of plans, accurate'plot plan to scale. F~e according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public ~Tee'ts r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- alien. 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 fall 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 0 Certificate of Occupancy ~tall 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 milding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Legulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections· ·.. ¢.nv. iw.nme n.~. 5:a s.~.,..X mc ................... (Signa, ture of. applicant, or name, if a corporation) 3075 Indzan ~Teck L~ne ... ?.o. q99;i?.,.. ?.Y..%1. 95.~ ...................... (Mailing address of applicant) ¢tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Controc~o~ qame of owner of premises .. ~.r. t]~ s.t.. $ ¢ h~'.o ~ ~ ~ ~r. .................................................... (as on the tax roll or latest deed) ff a/p~ ~duiy authorized officer. ..... .... Builder's License No... HI..5..5.5A · ............. Plumber's License No ......................... Electrician s L~cense No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~.O.V.e.~g...D?.&v.~ .... ~'9¢.g.h.o.~-.d ................. House Number Street Hamlet County Tax Map No. 1000 Section ..... .~8 .......... Block .... 2 ............. Lot .~...~6 .............. Subdivision .............................. k,. ..... 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 ....O.~,3.. ,~:gr~..cl~r~.~ ~, Cg ........................................... b. Intended use and occupancy .. D. he. L~mily..d~se 1.LL ~g. :~.it h. ~dd~J;&q~ ........... ;: ............. k which a@plic hie) N B tiding ' Additi .X Alt ation 3. Nature of work (chic a : ew u .......... on ........ er .......... Repair ................ Remova~l .............. Demolition .............. Other Work ............... , (Description) 4. Estimated Cost~, ............................................................ (to be paid on filing this application) i N b f dw Iii h fl 5. If dwelling, number of dwellingl units ............ um er o eng units on cae ocr ................ If garage, number of cars ........................................ , .......... ,...', ,,, · .. ·, ....... 6. if business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7. Danens~ons ex~stmg structur s if any. Front ,, ......... Rear ..... . ...... ','. Height ,.'. ~ ....... Nu er of Stories ................................................... Dimensions of same structure With alterations or additi/~ns: Front ....... ,:',5'~,/~, ...... Rear.. · .'~.. · .......... Dep~! ..... ~l~. ;; ;. Height ...... .'~ ............ Number of Stones .... : ................. 8. D~0sfo~s of entire ne~n~qhon: Front ........... Rear .....~ ...... Depth ....]. ~ ......., 'i0. Date of Purchase ............. . ................ Name of Fo~er Owner ............................ [ 1 Zone or use district in which p[emis~s aro situated ................................ ' ' ~o : l 2. Dogs proposed construction violate any zoning law, ordinance or regulation: ................................ [3. Wffl lot be regraded ...~ ........... Will excessffil be removed from premises: . . Yes ' No ~4. N~e of Owner of premises . .: .............. .......................................................... N~e of Architect ......... ~ .................. Address ................... Phone No ............ ~ .... ............ ' ..................; Peconic, ~:tu~ l'~OOn~vp ...... P~T DIAG~ Locate clearly ~d dis~ctly ~l bufd~gs, who~or' existing or proposed, ~d, ~dicato ~1 set-back d~ensions fromr ~ropcrty ~nes. Give street ~d block number or description accord~g to deed, ~d ~ow street nterior or comer lot. TATE OF NEW,YORK, 'OUNTY OF , ............. ................................................ being drily sworn, deposes and says that he is the applican[ (Name of individual signing contract) ~ove named. re is the ................. ; · · :', ................................................................. i ent, corporate officer, etc.) ,_ f said owner or owners, and is duly au~.~zed to Old,form or have performed the said work and to make and ffl~"thi8 pplication; that al! statements coptained in this application are true to the best of his knowledge and belief and that the 'ork will be performed in the man,er set forth in the application filed therewith. worn to before me this .............. ........... , na~n r~ ~E~E. vo~ /~~c...9 ................ !. #0TARY PUBLIC, S_~..e.~._.~?2-. ~ (Signature of applidant) ~. 4707878, SullOIF,~;otm~.! ~ Term Expires Mllfch ~0,19~J~/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]hNSULATION FRAMING [v~/ FINAL ~ // 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~ ROUGH PLI~G. FOUNDATION ZND [ ] INSULATION FRAMING [ V~/FINAL DATE E NERVY CODE CALCOL.A,T ION5 0.~,. : IO°~' Z.A. ' -ZO 1) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATINC CO~.'?i"ROLS TO MEET 7813.1~ .RANGE 45 TO 75 DEGPk'~ FAHRENHEIT. 3) WATER HEATING PER 7813..31 THRU .38. 8~ 19 l? l? O. IF 0.0~ 0.$~ O. ZlO O. OZ O- o-.c' O. TO THE BEST OF MY K19DWLEDGE, BELIEF AND PROFESSIONAL JUDGEMENT THESE PLANS ARE IN COMPLIANCE WITH THE CODE. 4) PIPE INSULATION 7813.19 5 ) WINDOWS - DOUBLE GLASS. 6) ODNSTRUCTION TO MEET N.Y.S. ENERGY/ CODE. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 1, L .Y'd" ro q4 Iv/ 8L.k ~¢dc