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Home My WebLink About16151-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI6701 Date March ]4, 1988 THIS CERTIFIES that the building Alteration and conversion Location of Property 580 PLUM ISLAND LANE ORIENT h3ds~ hid ....................... 's't/e;i ....................... bk'~el County Tax Map No. 1000 Section 0 15 .Block 07 .... Lot 06 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 22, 1987 pursuant to which Building Permit No. 16151Z dated.....Jun e ......29, , .... 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 ......... Alter and convert attached garage to living area with two dormer 'd~i't'f gh'd '~' h'p'~ i i~'d '~6Y. .................................................. The certificate is issued to CROSS SOUND FERRY SERVICES, INC. ..................... ~d~,,'o;, '~;~oX'~l~x'x x .................. of the aforesaid building. Suffolk County Department of Health Approval .... N {A UNDERWRITERS CERTIFICATE NO ...... N..8.5 S.2.8. ), .3./. 7. / ,8.8 .............. PLUI~BERS CERTIFICATION DATED: N/A ............ Building Inspector Rev. 1/81 FOB, MC NO. 0 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) Permission is hereby granted to: ...;...~...~ .............. ~ .................. .~.~.....~ .......... ,..~ ................................ ~o ..~...~.~...~.~...~.~..~...~.....~ at premises located at ..,.~..~.....~.......~..~:~...~~.,...~.>....~...~ .............. County Tax Map No. 1000 Section ...... ,.,~,.,/,.,~., .... Block ....... .~..~. ...... Lot No ........,~...~. ........ pursuant to application dated ...... .,,.~. ,~,.,.,~.,...~m,,, ............. , 19.,~...~,., and opproved by the Building Inspector, Fee $,~;'~ .~...'....~. .......... :'"'Bu~ding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Tewn Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted aa I~a~m~ to the Building Inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Healtl~ 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- lions, 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 asto 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: ^dditions $25,00 FOOLS $25.00 1. Certificate of occupancy New DweI[ing $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 .......................... NewC°ns~;ruction ...... Old or Pre-existing Building ............ Vacant Land ............. 580 Pl.um Isl,a.n,d ,L~Ae 0.r~_e~.t New York J~957 Location of Property ............... , .... , ..................................... House No. Street Ham/et Owner or Owners of Property ....C.r.o.s.s..S.o.~.~.d..~.eTTT..S.eT¥~.c.e.s¢..Z.~.c.. ......................... County Tax Map No. 1000 Section ...~ ........... Block ...7..,......... Lot..,fi...,........, Subdivision 0~ient by the Sea J49 ................................. Filed Map No. 3444 .Lot No. PermitNo. J.6.1.5,1 ..... Date of Permit .......... Applicant.......,.,,,......._...,....,...Cr°ss Sound Ferry Services, I.n,c. App ' Lab pt Approval Health Dept. royal ..... or De ........... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Cert f cat~ ............. Final Certificate ..................... Fee Submitted $. ,2,5..,0.0. , . ~ Construction on above described building and permit meets all applicable codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS .'L000~78 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW y~O~I~K 10038 Me. rob 07, 1988 53~668/88 THIS CERTIFIES THAT Cro~.s .o~.d F~rry Co,~ ~lu~ Is~.~d DrJ.ve~ 560, Orein~ NY FIXTURE OUTLETS RECEPTACLE~ iD SWITCHES 5 FIXTURES RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TtME CI. OCKS UNIT HEATERS DiMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT .... ~ E ~ R V I C NO OF NEUTRAL5 A, WG P.O. B~b~ 1268 This ce~ificote must not be altered in any manner: return to the office of the ~ord if incorrect. Inspectors mgy be identified by their credentials. COPY FO~ BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE '~: IN ANY ~NNER. 2 FERRY STREET · P.O. BOX 33 ,' NEW LONDON, CONNECT[CUT 06320-0033 · (203) 443-7394 November b, 1987 Mr. Vic Lessard Town of Southold Main St. Southold, NY 1J971 Dear Vic: Enclosed you will please find our check for $25.00 which you requested from Tom Shaughnessy. Should you have any questions regarding same please feel free to call me. (203-443-7394) TMT eric. Sincerely, Richard MacMurra~ Vice President UNDATION ( 1 st) UNDATION (2nd UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Approved . ¢~..~..q.., 19~..7. Permit No. I.~,l.,,$7.! ~ Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWM OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 TEL,: 765-1802 CALL ................ MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date . ..~. ?--....%. a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descriptio ol?~out of property must be drawn on the diagram which i~ part of this appli- cation. . ~ ~%'~ ~ ~ c. The work covered by ll~ ~ On.nla~'~com~m, cnced before issuance of Building Permit. d. Upon approv~{l~h~}] .l:l[~hti.o~ ,~h~in'~.Irj4pKL~d~wi[l issued a Building Permit to the applicant. Such permit shall be kept on the l[r~v~ i~bll[ 1~ [~l~e'c}ig~l~l~3~gi4bt~t~he work. e~ No building slh'l[J~c~ ~ci~ ~s/d~t~l~$Jli ~fi part for any purpose whatever until a Certificate of Occupancy shall have been granter~b~il~E~..,__ . ~X~rdijl~q~ ~¢~1i~ ~. APPLICATION IS ~"F~lt~! ~1~ ~qdJ~l~l,~l'~'~g Department for the issuance of a Building Permit pursuant to the Building Zone Ordinanc~ ~o-~ ~}{~l~)?d'7 Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the const~u_c$i, ~"~t~ il~rlgs, additions or atterations~, or for removal or demolition, as herein described. The applicant agrees to co{~. ' ~,{l~'all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors~e~'' ~remises and h~ building for necess/ry in~ections. (Signature of applicant, or nam'e, if a corporhtion) (Mailing address of applicant) (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the ~ax roll or latest~) If applicant is a corporation, signature of duly authorized officer. F~ 1. Location of land on which proposed work will be do~ ................... House Number Street Hamlet County Tax Map No. I 000 Section ...... ~. ~ ~ Block Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupan~ of proposed construction: b. Intended use and occupancy ......................... ~~..M2 ...~....~z~ ..... 3. Nature of work (check which applicable); New Building ..... ' ..... Addition .......... Alteration ........... ' ' Repair .............. Removal .............. Demolition .............. Other Work ............... (Descriplion) 4. Estimated Cost ...................................... Fee ...................................... ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units 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 e>~isting structures, if anY: Front ............ ·:.. Rear .......... , ....D. epth ........'. ....... Height Number of Stories · · Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... $. Dimensions of entire new construction: Front .......... ..... Rear ............... Depth ............... Height ............... Nmnber of Stories ......................................................... 9 Size of lot: Front Rear '~ Depth urc ' 10. Date of P rase ............................. Name of Former Owner ........................ 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Wilt lot be regraded ............................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ............. ; ............ Address .... : .............. Phone No ................ 15. Is th:is property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit maybe required. PLO-T DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, end. indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show sfreet names and indicate whether nterior or cornerlot. · ~ ' gTATE OF NEW YORK, S.S 2OUNTY OF ................. (Name of individual signing contract) tbove named. being duly sworn, deposes and says that he is the applicant is the ......................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplieation; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ~worn to liefore me this ........................ day of ...................... 19 ... 4otary Public, . ................................ County (Signature of applicant)