The URL can be used to link to this page

Home My WebLink About15311-zFORM NO. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z'I 5~439 Date December 2 ]986 THIS CERTIFIES that the bulldirlg . .A.~ ~..e.r,a.~. ~ .o.n..~..o. ,2.n.d...~.~.o.P, .y..o.f... e, .x.~.~.~..i.n.g. family dwelling. Location of Property . ] ~ 7.5....C .a,~.v.e.U..~.e.c..!5..L.a.n..e .......... .S ?.u.~.h. 9.1.d. ,.. ~: .Y.. .......... House tVo. Street Hamlet County Tax Map No. 1000 Section .Q 7.0 ........ Block .0.4. ............ Lot , .4. ~. ..... ' ... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5 e p.t.e.~l~ D.e.r.. 1 ~., ....... 1~9.8. 6 pursuant to which Building Permit No.. J .5.3.1. 1...Z ............ dated .. Se.gt emD.e.p.. 23., ........... 19.8.6, 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 ......... C. 9.n.s.t:..p.u.c.g' ..~..~.l.g..e r. ?.n..d..s.g..o. ry' .qr. ?.x.J:. s..g.~.n.g. 9.n.e.. f. 9.m.i. 3:¥. dwelling The certificate isissued to JERRY & PHYLLIS BADY (owner,~g~et~ i~(t~Kf~ X X X of the aforesaid building. Suffolk County Department of Health Approval .......... N/A H/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/B1 ~0]11~ NO, 0 TOWN OF SOUTHOLD I~IJILDIb,IG DEPARTME~,IT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~'TION OF THE WORK AUTHORIZED) 15311 Z Permission is hereby granted to: .... ........................ ............ ~.~..~c~.~.,.~..~ ........ ~ ......... ~ ...... ~o.~~.~.....~.~...~..~ ....... ~...,4..~ ....... ~ ..... '-" '",-'--~"-"-'~-~.....x....).~.:,~.~...~...~...~....~..,.~ ............ ~ ..................................... pursuant to application dated ....~..~~.....L..~.. .............. , 19..~...~., and approved by the Building Inspector. 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 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 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 br Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. 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 featu res. 2, Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of anv housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancv $5.00 2. Certificate of occupancy on pre-existing dwelling $15,00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 /~ - 5.Updated C.O. /~ $15.00 Date C.F/~ .4~....~../~ ./z~.~..4 ...... NewCOnstruc tion.. ~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property/$o/uf.~.~...~'..' .~.~.../~. ~,.../y~....~2. ~ ............ use ~Vo. /~ ~ ~ Street..~ Hamlet Owner or Owners of Property ....~...~.'. ~....~...~../.~...~. .................. yTa ap No, 1000 Section ...... ~..- ...... Block ............... Lot ..... ~..- ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. Z~.~././... Date of Permit Z.~. ~ ...Applicant .......... Health Dept. Approval ........................ Labor Dept. A/pprova] ................. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit n~ets all applicable codes and regulations. Rev, 10-10-78 1000307 THE NEW YORK BOARD OF FIRE UNDERWRITERS ' BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 - THIS ~ERTIFIES THAT o~y the el~trlcal equipment ~ ~scrlbed belo~ and int~duced by t~ appBcant ~med on the a~ve application number in the premises of J~rry Bady, Ca~ve~ Neck Rd.~?1775~ Southo~d, N.Y, i. the fo,owl.g location; ~ Basement ~ Ist Fl. ~ 2nd ~7. Section Bl~k Lot ~s examined on ~C~ ~ t ~7 and found to be in compliance with the requirements qf this Board. ~T+ K.~, OiL ~, p, GA5 H, p, ~T. NO A W+ G, A~T ~p. ~T A~ps TRANS. ~ MO, OF FEET ~ ~ ~RVI~ DI~ONNECT NO. OF S R I C E OTHER APPARATUS: Elco. Room joseph J. Frohnhoeter Main Rd. Southold~ N.Yo~ 11971 (Fro. Elect GENERAL MANAGER This certificate must not be attered 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 OF CERTIFICATEMUST NOT BE ALTERED IN ANY MANNER. F1ELD INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) INSULATION PER N. STATE ENERGY CODE Ye ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [] FRAMING [] FINAL REMARKS: Examined .~~ .~.~., 19~. .~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y, 11971 TEL.: 765-1802 Approved .'~..~ .~..~., 19 ~.(~ Perlnit No. ~..~..~. !J.."'~... Disapproved a/c ..................................... ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT. TOWN OF SOUTHOLD 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 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 necessary i~spections. , ............. / (Signatur{ of app}~cant, ~) name, if a,corporation) I. malJ_zng aaaress or app±lcanc) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~l~. · ~. -~..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 -'~0 Block .¢ Lot ~.~ Subdivision ..................................... 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... S! .~.tl . .~.... F~..~.'.~.~ . .~.. ~y .o.~..,J...~.. ............................... b. Intended use and occupancy ..... '~.~.?..~:'. .... 3. Nature of work (check which applicable): New Building .......... Addition..~. Repair .............. Removal .... Demolition .... ~ ..... Alteration . iS.: .... Other Work ............... iii 7. tqo i (n ,-ipti ) 4. Estimated Cost ......... O ese on (to be Paid on filing this application) If dwelling, number of dwelling units. 5. "-- Number of dwelling uniis on each floor ..... ~ ..... If garage number of cars --" · 6.If business, commercial or mixed occupancy .specify nature and extent of each't;,;~;'i/,;~'o' .... ZZ .............. 7.Dtmenslons of exmt~ng structures, if any Front ~..7¢ . Rear . ~..*. Da H'h cig t ... 1¢~ .......... Number of Stories ....... ~. ....... . i . . Dimensions oftsame* structure with alterations or additions· Front ~; .... ~ ......~2~ ' ' ' '~'~? ......... ~);}'-~ .....;*...~. ............. ne~gnt .... [.i} .... ,..., ......... Number oflStories .... .~.. . . ¢, . 8. mensmns .of, entire new construction Front . ~}q~' ~. Rear .... ' ' ;; r ,; .... Height ....~.'.-07. ...... Number of Stories.iil.ilj.iiiiil...~..ill ..... ii ...... .uepm .... t.:.-y. ...... 9. Size of lot: Front ...................... Rear ...................... pepth .............. 10. Date of Purchase · ..................... Name of Former Owner ..... t4,..$¢n~ O~. ......... 11. ~' : ....... Zone or use district'iff which premises are situated i ....... 12. Does proposed construction violate any zonin~ law ordinance or re-u'-~"-'-' ' ' ' '~[~ ........................... 13. Will lot be regraded . t, m:, ....... ' ~ 7 ' . ....................... ~ f~ .O ............. i~ .......... ,m =x~ess tm oe removeu trom premises: Yes No 14. ameo w,n.e.rofpje..m{s, es~ .~.,a~.y ....... Address(-*P'ff'fi$-,,~e4!.~J..~.,..rhoneNo ~ame m ~.rcmtect t.::~.W'~ g..:~? ~,~,w ~ ,~q~ ~,-,,o ~ ......... :.. .. · ·: ':~' .tff.~ .......... Address .. .,q.7. ~.~.0.0.~... Phone No.[tAk..)..q.~ .O.~. ¢.~. Name of Contractor ' ... Phone No. .......................... Address .......... ~ ............... 15. Is this property located withinl.00 feet of a tidal wetland? * yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all 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 sho~ street names and indicate whether interior or corner lot. TATE OF NEW YORK, OUNTY OF .......... S.S ... ................ (Name of individual signing contract) )eve named. e is the ~1.~ . (Contractor, agent, corporate officer, etc.) ' said owner or owners, ~d is duly authorized to perform or have perfo~ed the said~ work and to m~e and file ~is ,plication; that all statements contained N this application are true to the best of his k] towledge and belief; and that the ark will be perfomed in the m~ner set forth ~ the application filed therewith. yom to before me this ,ta. Public, .. ~ ~ ~. ~... County ' ................ m. 4707878, S~o ~7 f appliJ~t~ being duly sworn, depose~ and says that he is the applicant II [ T I I OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED A~ NOTED ,;, ~.--' "_.,,. W ~.~-. T'~OTIF~ BUILDING DEPARTMENT AT ~ ROUGH FRAMIN~ & pLUMBING 3, iNSULAtiON ~ COMPLETE FOR ALI CONSTRUCTION ~HALL MEET THE REQUI~MENTS ~ ~E N.Y ~A~ CONS~UC~ON & EN~GY C0D~. NOT ~NISI~E m~IGN OR CG~S~ION