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Home My WebLink About16559-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17463 Date OCTOBER 26~ 1988 THIS CERTIFIES that the building Location of Property 405 PINE NECK ROAD House No. County Tax Map No. 1000 Section 070 subdivision ADDITION SOUTHOLD~ NEW YORK Street Hamlet Block 06 Lot 015 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1987 ..pursuant to which Building Permit No. 16559-Z dated OCTOBER 23~ 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 DONALD & JOAN YON EIFF (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PENDING - OCTOBER 4~ 1988 PLUMBERS CERTIFICATION DATED3/10/1988-PECONIC PLUMBING & HEATING Rev. 1/81 ~7~4 - '-={ding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~6557 z N~~ Permission is hereby granted to: . I ' ..... /l~ -~ . ................. r.+ ............... .~a~..k~.. ............................ ...o......~....~.~...~.:~,, ....... I,~.~.~..q. ......... . , .......... at premises located at .~~ ......... County Tox Map No. )000 Section ..... ..C~....~....~.. ...... Block ....... .(~..J~g ..... Lot No ..... .~..~..~"~.. ........ pursuant to application doted .....~..~..~.....~..?J ................ , Jg.~.l.., and approved by the Building Inspector. I~'dding 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 OCCUPAN 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 features. 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 instaila- 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 pZ'operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 ,_j.~i~_Or~--P 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 $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.C. $ 20.00 '°/ 5.Updated C.C. $ 50.00 Date .... ./ .................. New C ohs t r uc t ion .,/.... O~d or Pre-existing Building ............ Vacant Land ............. Location of Property . .~57',. :'~. ~./',w~;~., .'~_.p.c? ?.~./., .~.,<~o.~.~_<:/.*p./. ,~. ..................... House No. Street Ham/et Owner or Owners of Property ..-'7,/~,,~. ,/? ,~ ~ ~..~..~./'.~...~. County Tax Map No. 1000 Section ~"~0 Block z~..~. Lot .~../.~. Subdivision ................................. Filed Map No ........... Lot No .............. .......... - PermitNo. /(~72' Date of Permit ....... Applicant .~9~zg..¥..~?.~../.~.,~..~., ........ Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval . .y ................ Request for Temporary Certific~e£ ....... ; ............ Final Certificate ....................... Fee ubmitted ...... Construction on above described building and permit_<.~ro~eets all applicable codes and regulations. Apphcant .......... Rev, 10-10-78 % RXTU~ ~HA~TF~S mMMm OF CC. COND, SOl,THOr,O, ~Y, 119 1 .... r ~ ~is ce~ifica~ m~t not ~ alt~ in any ~n~r; r~rn to t~ o~e of THE NEW YORK BOARD OF FIRE UNDERWRITERS ~te ~pplieation No. on file THIS CE~IFIES THAT ,:lOAN VON Bl~k ~ exomin~ on and found to be in compliance with the ~uire~t&enl. of th~ ~rd. INI:OIIMATION l;Oll IIUII,IIIN(; I)EPAIITMENT WI;~ ARE IN TIlE PROCESS OF ISSUING A CERTIFICATE (lit COMPLIANCE FOR TIlE ELECTRICAL INSTALLATION AS C(,VF, REI)IN AN APPLICATION I, ILEI)W,ITH OUR TOV/N OF SOUTItOLD OF UUILDING INSPECFOR P.O. BOX 728 TOWN 1tALL SOUI'HOLD, N.Y. ! 1971 TEL. 765-1802 CERTIFICATION I certify that the solder used in the water .supply system contains less than 2/10 of 1% lead. (l~umb~r' ~ s:tgnature) No, 4844752 Qual~f ed n SuHo k Co m Comrn,umrp E?,re8 ~..'r;.~ CP., 19~ 60UTHOLD, N. Y. 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []FOUNDATION 2ND []FRAMING REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ~r ] FINAL 7GS-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. ~/~] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ ]FINAL REMARKS:"~ ~,~P ~, ~.~ DATE ~)~ ~ , c~ , INSPECTOR ~ ~$~C'-( ....................... ~ 765-1802 BUILDING DEPT, INSPECTION ~//FOUNDATION 1ST [ ] ROUGH FOUNDATION 2ND [ PLBG, ] INSULATION ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [/ROUGH FOUNDATION 2ND [ [ ] FRAMING REMARKS: ~/u~~/ PLBG. INSULATION FINAL DATE 7~-~,802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [,~FINAL DATE /~/~/~~'/ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ]FINAL :'1ELD FOUNDATION FOUNDATION ( 2nd ROUGH FRAM~~ PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ TEL,: 765-1B0~ Examined .o.g.~..~..~.., 195.~. Approved c2~.o~...~..~..', 198..7. Perm/it No. ,/.(0.~. ~..~. bi / ~ ~ sapproved a c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERM IT Received ........... ,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 whicl~ 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 pm·t 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 heroin described· The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to building for necessary inspections.~ ~ ,~ admit authorized inspectors on premises and in .... :..... :.i .... ~-Td,~...C~.~. m~e...~.i~; .~von..~ .... (Signatu/~r~f applicant, or name, if i,ffSl:porati ) ·//.o..3,., Nfl.//."z. ? ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... .'-~>. o.rl~t,[d..'~7..~.o.(5./Q.-- .%0..~.~. [ ~. ~. ............................... (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 ......................... Electrician's License No ....................... Other Trade's License No .............. ........ 1. Location of land on which proposed work will be done ................................................. House Number Street Hamlet County Tax Map No. 1000 Section . .o.r/.O. ............ Block ...O.(o. ......... :... Lot..O. [.~". ............. Y Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building .......... Addition i Alteration .. Repair Removal Demolition Other Work 4.' Estimated Cost ~./~OO '"- i (Description) Fee ' °" (to b~ paid on filing this application) f 5. If dwelling, number of dwelling units .. [ Number of dwelling un: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 ...... ~. t. ...... Rear ... ~..( ....... Depth .............. Height q~f. Number of Stories /. ' Dimensions of same structure with alterations or additions: Front .... /.~..r...I ...... Rear .../.~.o~..w ........ Depth ...................... Height .... /d~,f. 4_,~rq,~?,i~ ...... Number of Stories. ./. 8. Dimensions of entire new construction: Front ..... ./~ ..... ,r * ........... ...... · Rear..,f.~,~ ....... 'l~epth .............. Height ... f~.~/t~(<~.. N~,mber of Stories g'. ................. r7 .... ..... ............................. 9. Size of lot: Front ................... Rear .... / .: Depth 10. Date of Purchase · · ??/.~.~'. .............. Name of Former Owner . 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~¢. ................ :,,~-~: ...... 13. Will lot be regraded .../Mo. .............. ~. a,~ · ·. Will excess fill be removed from premisesi (r Ye~ No 14. Name of Owner of premises ~. ,,n,~.l>p.n..Vo.o' ~., J-~-.. Address Ot~.~Me. ~o.~.,~ .~(e. [tT.6.~Phone No. ~S.?~/:.. 0{0.~o .... Name of Architect ~.~I~q F~'s.h¢~. 6i~jr0r..L.o~ [~0 Address 5:~o~,. ,.-..~fi, d..~r¢~/~t'PPhone No. t'fi~.*T..nO. ~.O.°. .... Name of Contractor .......................... Address .................. Phone No ................ PLOT DIAGRAM Locate, clearly and distinctly all buildings, whether, existing or proposed,, and, !ndicate 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 pr corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, d~poses and says that he is the applicant (Name of individual signing contract) above named. l~Ie is the ........................................................... i .............................. (Contractor, agent, corporate officer, e~c.) elf said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained kn this application are true to the best o~ 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 · ~ ,/ ......... day of ....... .Q...c~.. ~ ............ v-c ........... .i CERTiFiCA TE OF OCCUPANCY SUP~Ly'SYSTc~v' ExcEeD 2/!0 of I% LEAD~ ': If ~er tubing, iS used for Wate~ distributing i~tem; ~ ping shall ~ ' ~o~ ~ ~T= F~NAL Co~ST~UCT~Oh[ ~U~, ' ' R ' I'L OCCUPANCY 0!, USEIS UNLAWFUL WITHOUT CER]IlFICATE OF ,OCCUPANCY Main :Road