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Home My WebLink About16607-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildln§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ....R.E.I,] .O.V.A.T.I..071..A.N.D...A.D.D.I..T.I.O?. ................. Location ofProvertv 1440 FOUNDERS PATH SOUTHOLD - - House No. Street Ham/er County Tax IViap No. 1000 Section . . .0.6. 4. ...... Block ...0.4. .......... Lot ...0.8. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms st, bstantially to the Application for Building Permit heretofore filed in this office dated .... .N. qv.....8.,.. ! .9.8.7... pursuant to wtrich Building Permit No... ! 6. .6.0.7. g. ............ dated . .N..oy....8. :. ~1.9.8..7 ............. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wh/ch this certificate is issued is ......... Renovate Ist'floor 7 construct 2nd floor addition to an existing one family dwelling. Tile certificate is issued to . AGNBS PEGGY BANICK .................... ?o;;,.'o;. ~ro~ix'Y~t,d~t9 ........... ~ .......... of the aforesaid building. Suffolk County Department of Health Approval ...... Nf.A. ................................ UNDERWRITERS CERTIFICATE NO ...... N. .0 .2 .7. 9. 7..5..A.u.g .u.s.t.. [ 7. :..1.9.8..8 ................. PLUMBERS CERTIFICATION DATED: MIKE JACOBI July 8, 1988 ' ' ' ' ' ' ' ',3/' ' 'l~tlii~i~'I~c't~); ............. Rev. 1/81 FOI~[ NO. ~ TOVtH OF $OUTHOLD BUILDIHG DEPARTMENT TOWN H~LL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO. 16607 z County Tax Map No. 1000 Secttork ............... C~ ~ .~. ...... Block ............................................... ~ t~ Lot No Q)''~ pursuant to application dated .i...~.~...3.'. .............. , 19..~.7/.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY .... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~.oVACANT LAND ........ HOUSE NOo STREET HAHLET Owner or Owners of Property ........ I. ~ou~Ta.~ap~o.,O0O~e~tion..~..~.%lo~.05 Lot o~ Subdivision ....................... Filed Map ........ Lot .......... Health Dept. Approval .................. Underwriters Approval.~Z..~.~. .2...~.... Planning Board Approval ................ Request for Temporary Certificate ....... Fee Sabmitted: ~..~.~.~,?..~. ......... Final Certificate APPLICANT . . ~ .~~2~ .~. ....... rev. 10/14/88 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN H,kLL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. i~0 7 Z- (please print)- I certify that th~ solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ day of Notary Public, County NOTARY Pi~t31,1C, gt~to of New York N~. 4707~7~, suffolk (plum~. 's signature) Notary Public i rot~,~ o~ soum FOUNDfiTION (2nd) 2. ROUGH FRAME~// ,FLUMBiNG/'/ INSULATION FER N. STATE ENERGY CODE F I'N A/ ADDITIONA'L COMMENTS'. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [, ~FRAMING [ ] FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING r~I~AL DATE /~/~~//,~:~ 'NSPECTOR~X~~ ~~ ?, THE NEW YORK BOARD OF FIRE UNDERWRITERS P'~<;~ ~ BUREAU OF ELECTRICITY 027975 Dat~ ~4ppli¢~tlo~ No. on file THIB CE~IFIES THAT ~y t~ ~t~ ~uipment ~ ~ ~w a~ int~ by t~ ~t ~ on the a~ ~t~ numar in t~ ~ of D~:~YSE ~I KET~S~,N, ~OJNDE~S P~TH, POLE~].~, SO/ITffOLI), in the followln~ hwa~ ~, ~)~ent ~ Ist FI. fiXTURE RXTUR~$ ~ 2nd ~. ,Section Block Lot and found to be in compliance with the requiretnents of this Board. RANGES OVENS D~SH WASHERS EXHAUST FURNACE MOTORS SMOKE DETECTOR:-3 S E R V I C 2/0 . t5 TOWN HARBOR LANE · T SOU [{OLD, NY, 1197~ hICENS~ NO. 282 E This certificote must rmt be alfred ia on), monner; ~urn to lhe o~ic~ of *he Board it incorrect Per , ~ be identified by their credentials, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ SU IoN FRAMING FINAL BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION FINAL DATE ,/~C~ iNSPECTOR ~/~/~ 1 0.,~. ' IO°,~ i.A. ' 7o' f 0.17' 0.0~ /u 3,~ ,, ? O. 0.5 30 ? 0 !) HEATING EQUIPMENT TO MEET 7813.23 - 75% EFF. 2) HEATING CONTROLS TO MEET 7813.13 RANGE 45 TO 75 DEGREES FAHRENHEIT. 3) WATER HEATING PER 7813.31 THRU .35. 4) PIPE INSULATION 7813.19 5) WINDOWS - DOUBLE GLASS. 6) CONSTRUCTION TO MEET N.Y.S. ENERGY CODE. /77yo / I TO THE BEST OF MY KNOWLEDGE, BELIEF, AND PROFESSIONAL JUDGS~ENT THESE PLANS ARE IN COMPLIANCE WITH THE CODE. Examined .~. ~ .~1~....~., 19 ~.~. Approved .~..~.?., 19.8?. Permit No. ]..~.h .~.~...~ BOARD OF HEALTH ...... 3 SETS OF PLANS ..... FORNI NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL 9OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: Disapproved a/c ................................ ..tr~ ................................ ..... (Building Inspector) APPLICATION FOR BUILDINGr ~ ..... ~l~,Nil, Date/~/0.(.?. eDg~.GF... ~., 19 g7 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa inspectio~,~ ' (Sigfiature of applicant, or name, if a corporation) ........ (Mailing addre,ss of applicant) State wh. ether applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. premises.. ~)~...~ .............................................. ~ ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUS~ BE SUFFOLK COUNTY LICENSED Builder's License No ........ 3..~.. J..~ ............ Plumber s License No .................. Electrician's License NO... ~ .~...~.. ~ .......... Other Trade's License No..' ............. : ...... 1. Location of land on which proposed work will be done: . J.~..~ .... ,.~, . House Number Street Hamlet County Tax Map No. 1000 Section ...... (z?.q ........ Block ....... q ......... Lot ..... .~. ............ Subdivision ~.~. ~4-41?....~ ............ Filed Map No .... ~ .......... Lot....a~..(O. ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy b. Intended use and occupancy .... ~ ..................................................... 3. Nature of work (check which a~plicable): New Building ' Addition . t,/ Alteration Repair .............. Removal .............. Demolition .............. Other Work .............. (Description) 4. Estimated Cost : Fee .. i ....................... , ' (to be paid on filing this application) 5. If dwelhng, number o f dwelhngl unzts ..... Number of dwelling units on each floor .............. If garage, number of cars .... ~ ....L. i~i ........................................... i ............. 6. If business, commercial or mixeld occupancy, specify nacre and extent of each type of use ......... ' ............ 7. Dimensions of existing structures, if any: Front .... ~.~ ......... Rear ..... ~.~ ...... Depth .... ~'. [ ........ Height .... J. ~ ........ Number of Stories ...... '. ].... ~.... ................... ; · .' .................... Dimeqsions of same structure ~ith alterations or additions: Front ...... D.-.~. ........ Rear .... ./~ ........... Depthl ....... ~../ ......... :... Height .' ....o~. ~ .............. Number of Stories ...... .o~...~., .......... Dimensions of entire new construction: Front .... ~..~.... ..... Rear .... /.~ ........ Depth ...,~-../ .......... Height .... ~ .~ .... '. :. Number 'of Stories ..... .~. ~ ................................................ Size of lot: Front .... .~. (o,. ~(t? ....... '.. Rear ...... .-7.. ~. ..... : ....... Depth ...................... Date of Purchase ..... ]..~.7.~. ................. Name, of Former Owner .~-AxA.. ~ ......... Zone or use district in which p~emises are situated... ~..' ...... ~. '...if. ................. 12. Does proposed construction vioiate any zoning law, ordinanceorregulatinn: ...'~t~O ....................... 13. Will lot be regraded .... ~'~"~,-' ] ~. ................ Will excesa fill be removed from premises: Yes 14. Name of Owner of promishs .~.(,~,~, O¢lqC'c~... Address . ~~.... Phone No..~.&.~r..~.~.~ l.. Name of Architect .(r',~, ,~c~...]-'~' ........... Address ~ ..... Phone No. ~.~-.". ~.~-~. · · Nmne of Contractor ~,/~,)~ ........ Address~.~ .... Phone No..'7..~. 7. 15. Is thi~ property locatediwithin 300 feet of a t~al wetland? *Yes ..... ~ ..... · If yes, Southold Town Trostees Permit maybe required. ' i PLOT DIAGKAM . Locate clearly and distinctly al! 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 1, ~ 9. 10. 11. NOT,~RY PugLIC, State No. 472979~, Suffa!k Comlt~ Term Exp~r~. (Signature of applicant), STATE COUNTY OF ................. ............................ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) abow.· named. He is the ..................... i .................................................................... (Contractor, agent, corporate officer, etc.) of 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 in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Swam to before me this Notary Public ................. ~..~.* J~.~/..~ ....... County L II