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Home My WebLink About15483-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-16506 December 16, I987 Date ..................... THIS CERTIFIES that the bmldmg Construct One Family dwelling with attached garag& &'fi~fi6~ea ~ooa aack ............. 885 Old Farm Road Orient, New York Location of Property H~us~ No .............. ~/e~f ....................... ~ County Tax Map No. 1000 Sechon 026 ..... Block 06 . .Lot 06 Subdzvzsion .... ....... Fded Map No ..... Lot No ............ conforms substantially to the Apphcation for Budding Permxt heretofore fried an this office dated November 7, 1986 pursuant to which Building Permit No. 15683 z dated . .N.ov.emb?.r !.0: !.98.6. waslssued, and conformsto all of the requirements of the apphcable provimons of the law The occupancy for wluch tlus certfficate is ~ssued is . ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED WOOD DECK AS APPLIED FOR LEVON & SEVON ARMAGON The cemficate ts issued to ......... ~owner, ~X~)~X ' ' of the aforesaid building. Suffolk County Department of Health Approval 86-8.O-.I ,96 ................... UNDERWRITERS CERTIFICATE NO N827332 PLUMBERS CERTIFICATION DATED: August3, 1987 - K & K Plumbing & Heating Budding Inspector Rev 1/81 FOR~ NO. · TO~H OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, bi. Y. BUILDiHG PER~,~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15483 Z Permission Is hereby granted to' ~. ..... .e.~..~. ~: ..~ :.~.....a..~..~T. . ,o ..~....,,.....~.~'.~::'' .~.~....~...~ ~ ............................... ~..~:. ....... ~.~....~ ....................................... , ............................ at premises located at ....'~. ................ ..~.-..~.. .......... ~.. ~, ......... ..-~..-.~ ...................... County Tax Map No 1000 Sect,on . O,%..Lf,. Block ..... ..~..~.. ...... Lot No .... ~ I~- pursuant ,o apphcatlon doted ~ ~ "~ .... , 197.~., and approved by the Budding Inspector, Fee $ ....... Building Ir~s~ector A FORM NO. 6 TOWN OF SOUTHOLD Bu~ldmg Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Th~s application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inspec- tor w~th the followmg; for new buddings or new use: 1 Fmal survey of properW w~th accurate location of alt buddings, property lines, streets, and unusual natural or topographic features. 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 F~re Underwriters. 4. Commercial buddings, Industrial bulidmgs, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the buildmg. 5. Submit Planmng Board approval of completed site plan requirements where applicable. B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or bu~ldmgs and "pre-existing" land uses I, Accurate survey of property showmg ail property hnes, streets, bullrings and unusual natural or topographm features 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housmg code or safety mspectlon of buddings or premises, or other pertinent reforma- tion required to prepare a certificate. C Fees Addlt:[ons $25.00 POOLS $25.00 1, Cert~flcate of occupancy New Dwelllng $25.00, Accessory ,St0.00 Business $50.00 2 Certificate of occupancy on pre-existing dwelling $ 50.00 3 Copy of certlflcate of occupancy $ 5 00, over 5 years $[0.00 4.Vacant Land C.O. $ 20.00 t ).~.~. 5.Updated C.O. $ 50.00 Date ...\.~. [.~. ............ NewCon~ ~'uct] on ..... Old or Pre-ex~stmg Budding ........... Vacant Land ........... Location of Property ................................. House No Street Handle r Owner or Owners of Property ............ , ...................... County Tax Map ~o. 1000 Section .............Block ...............Lot .............. Subd,v, ,o No..he ..Lot ...... Permit Ho ........ Date of Permit ......... Apphcant ................................. Health Dept. Approval .4~::~.~....~(~.~', Jg.~, . . Labor Dept. Approval ........................ U ndenvr~ters Approval ............... Planmng Board Approval ..................... q~s~ TOt Te porary Certificate ...F~nal Certificate ....................... Fee Subrmtted $ ~/O,, ~ .............. Construction on above described budding and/~T me~ts ~?cable codesand regulations Apphcant . .~'~. ~ . ,¥'/7%'~.....~ ...................... Rev 10 10 78 THE NEW YORK BOARD OF FIRE UNDERWRITERS '10007'~)8 BUREAU OF ELECTRICITY ~- kh SS JOHN STREET, NEW YORK, NEW YORK 10038 Armagen, Ol~ Farm Rd., King St. & Orchard St., Orient, u~sexammedon A~q~st 6, 1987 andfoundtobetncompltan~e~ltht~erequ~rementsofth,s~rd Lot 13 DIMMERS MOTORS: ] -lhp. ELEC. WATER HEATER: l-4.5kw. 3-G.F.C.I. SMOKE DETEC~RS - 2 TRACK LIGHTING: 8'-0", 2 lites Sal Prato Electrician Wiggins Lena Greeaport, N.Y. 11944 lic.4~1049-E G~ItllAL MANAGEI~ This certd~cafe must not be a~tered m any manner, return to the off,ce of the Board ff [ncorred Inspectors may be ~dentsfmd by their credenhals COPY FOR BUILDING DEPARTMEHT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date %\~ \~ Building Permit No. Owner ~C~C~(D(~ (please print) (please prin~ 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 ~ day of ~ ,' 19~7 . Notary Public,~~___County Notary Public ~OUNDATION g~(1st) 'OUNDATION (2nd) ~OUGH FRAME & PLUMBING iNSULATION PER STATE ENERGY CODE FINAL )DITIONAL : 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~r~INAL REMARKS: DATE: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [?SULATION [ ] FRAMING REMARKS: ~~ DATE ~7 INSPECTOR ~A~ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING REMARKS: ~~ DATE INSPECTOR~ 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [~FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [b~OUNDATION XST [ ] ROUGH PLBQ. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 7GS-t802 BUILDING DEPT. INSPECTION [ ] FOUNDA'11ON 1ST [ ] ROUGH PLBG. [~OUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL DATE , ////~ ~,/~ // INSPF. CTO~ 765-~.80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~*'~SULATION FRAMING FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~[ ] FINAL REMARKS: ~ DATE ~//'~///~7 INSPECTOR ~'~~~,,_ , . FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N Y 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This application must be filled In typewriter OR ink, and submitted ~n duplicate to the Building Inspec- tor with the following, for new buddings or new use 1. Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2. Final approval of Health Dept. of water supply and sewerage d~sposal--(S-9 form or equal) 3. Approval of electrmal installation from Board of Fire Underwriters 4 Commercial buddings, Industrial buddings, Multiple Residences and similar buildings and installa- trane, a cert~hcate of Code compliance from the Architect or Engineer responsible for the building, 5 Submit Planning Board approval of completed rote plan requirements where applicable B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of peoperty showing all property lines, streets, buddings and unusua~ natural or topograph m features 2.Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent mforma- t~on required to prepare a cert~hcate C, Fees: 1. Certificate of occupancy $5.00 2 Certificate of occupancy on pre-existing dwelling or land use ' $5 00 3, Copy of cert~hcate of occupancy $1.00 Date June 15, 1984 X× Vacant Land ...... New Budding .... Old or Pre-exmting Budding .... Location of Property ........ ~ c~' Old Farm Road Orien~ . House No, Street Ham/et Owner or Owners of Property . ,i~,et.e~..~.la.~.k,. Jr. and Mary L.ou.is? .~.i. an.~ ..... County Tax Map No 1000 Section . 026 8lock 04 Lot 004 Subd~v~smn Map of Bayv~.ew.Farm.. ... . FdedMapNo 7045 Lot No 13 Permit No .......... Date of Permit ........ Apphcant ...................... Health Dept. Approval ............... Labor Dept Approval ..... Underwriters Approval ................ Planning Board Approval Request for Temporary Certificate ............... Final Cert~hcate Fee Submitted $. 5.00 Construction on above described budding and permit m~e,.e~ts~.ai4~ c~o~_es and regulations ~lIiam H~ , ~ ~e~ ~Attorney/Agent for lO1078 Peter Blank~, Jr~C~nd Mary Louise Blank ATTORNEY AT LAW 826 FRONT STREET GREENPORT, NY 11944 P~ONZ (516) 477-1016 June 15, 1984 Building Department Town of Southold Main Road Southold, New York 11971 Re: Lot No. 13 Map of BayvieW Farm Gentlemen: Enclosed herewith please find application in duplicate for a vacant land certificate of occupancy for the subject parcel. Also enclosed please find copy of the appropriate section of the filed map of Bayview Farm, to- gether with my check in the amount of $5.00. Please forward the certificate of occupancy at your earliest convenience. Thank you for your courtesy and cooperation in thls matter. Very truly yours, William H. Price, Jr. WHP:kk Enclosures \\," ~ 7t 95 OLD FARM 12 J ROAD /4 A~ FO~LtOST ABS TtMCT ~ ~'VA~L AI~MAGAN L£VON A~MASAN donack associates 1 40 west main street riverheod ,new york 11901 (516) 569-1717 Aug 20, 1984 ,Job No 84-6ZI 1000-026-04'04 Scole 50' AT ORIEIV T TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. FIL~'O JAN 19, 19~ /4 SUFFOLK r OF HEALTlt ~ ' s~.~EFA~CY ~L~ DA~O~C 151987HS ,.0 ~ ~e sewage dlsposat and water , facilities for tJll~ ~ocabon have been respected by h~s Department anddo~ other* u of LOT I$ MAP Otr FOt~EMOST AB~qACT L EVON AI~MA C~A N BA)"VIEW FARM AT ORIENT TOWN OF SOUTHOLD SUFFOLK COUNT~ NY. '~OJO' ,~//E'O ~/AN /9, 19oR ~ I '"'"'"'""-'"~ - -', -- !1 Examined )O.~.~-~,~a~, .I o. , 19~ Approved jk31ro, a~..(¢~.-. I o Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y 11971 TEL.. 765-1803 , 19].(' Permlt No J ~.'.~..~ ~..-?-' APPLICATION FOR BUILDING PERMIT Received ........... ,19.. Date ......... 19 INSTRUCTIONS a Ttus apphcatlon must be completely filled m by typewriter or ~n ~nk and submitted to the Budding Inspector, with 'sets of plans, accurate plot plan to scale. Fee accordmg to schedule b. Plot plan showing location of lot and of buildings on premises, relahonshlp to adjoining premises or public stre, ' or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the dmgram wlimh m part of this apl: catmn. c. The work covered by tins apphcahon may not be commenced before issuance of Bu,ldmg Permit d Upon approval of th~s appbcatmn, the Bmld~ng Inspector will ~ssued a Buddmg Penmt to the apphcant Such pern shall be kept on the premises avadable for inspection throughout the work e. No building shall be occupied or used m whole or ~n part for any purpose whatever untd a Certificate of Occupan shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the Issuance of a Bmlding Penmt pursuant to t Bmldmg Zone Ordmance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmances Regulations, for the construcnon of bmldmgs, additions or alteratmns, or for removal or demohtion, as herem descnbL The applicant agrees to comply w~th all apphcable laws, ordinances, budding code, housmg code, and regulations, and admit authorized mspectors on premmes and m budding for necessary ~nspechons 2515 Pine Tree Ro~d, Cutcbo~ue (Mmhng address of apphcant) State whether appbcant ~s owner, lessee, agent, architect, en~neer, general contractor, electncmn, plumber or budd. Co~r~ ctor Levo~ Name of owner of premmes (as on the tax roll or latest deed) If apphcant ~s a corporanon, s~gnature of duly authorized officer (Name and t~tle of corporate officer) Bmlder's L~cense No 543 .... Plumber s L~cense No Electrician's License No .... Other Trade's hcense No .... ~ F~rw Rowel, Orient (B~view F~rms) 1 Locatlon of Iand on which proposed work will be done ttouse Number Street Hamlet County Tax Map No 1000 Sechon ~ ''~ ~ Block 4 .. Lot Subd~wsmn ~nVvlew Fnrm Fded Map No 70/45 Lot . . (Name) State ex~shng use and occupancy of premises and ~ntended use and occupancy of proposed construcnon a Ex~stmg use and occupancy V~c~t b Intended use and occupancy Ecs ide~ee ................................ 3 .X Nature of work (check which applicable) New Building Repmr . . Removal ........ Demohhon 490,000.00 Estimated Cost ...... If dwelling, number of dwelh¥ umts .. Addition .... Alteration ...... Other Work .... (Description) (to be paid on filing this apphcahon) Number of dwelling units on each floor If garage, number of cars ............. If buszness, commercial or mixed occupancy, specify nature and extent of each type of use ......... Dunensions of existing structures, if any Front . . Rear ............ Depth ....... Height ...... Number of Stones .......... Drrnenslons of same structure with alterations or additmns' Front ... Rear .. Depth ........ Height Number of Stones ..... 8 Dimensions of entire new construction' Front g(5' Rear Depth lf/,~ Height ......... ,Number of Stones ........ a ...................... , ..... 170 ar 1~0.57 ~oorox 325 9 Size of lot Front . ,,~cm .... Re ......... l~epth ............. 10. Date of Purchase .............. Ngroe of Fo%met Owner ...................... 11. Zone or use district m which premises are situated .~? s l~le??l.~ .[. ........................ %TO 12 Does proposed construction violate any zoning law, ordinance or regulation' . ..................... 13. Will lot be regraded ..... ~t;m ~{~ .......... Wlll e~s~ fi~ be z~ve~ from premises. ~[~ No 14 Name of Owner of premises . ~¢ .... Address 1. ' J.... ~'Y.'Phone No ............ Name of Architect .~, ........ Address ....... Phone No . .... ,... 9 ...... Name of Contractor .................. auoress . .. · ..... t'none mo .. ~ .... 15. Is this property located withinl00 feet of a tidal wetland? * Yes ..... No ...o.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distmctly all bufldmgs, whether existing or proposed, and lndmate all set-back dunenslons from property hnes G~ve street and block number or descnption accordmg to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF ...... ......................... bmng duly sworn, deposes and says that he is the apphcan (Name of individual signing contract) above named He is the ...... (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 th~ apphcatlon, that all statements contained m thru application am true to the best ofhls knowledge and behef, and that th work will be performed m the manner set forth m the application ~ed therewith. Sworn to before me this Notary Pubhc, /~.' ./~ .F~..~'/.Z~. NOTARY PUBLIC, Stale of New York ~ Expires M~lch 30, ~.9_~o' ..... 19 .~. .. County L2__-, LJ. r RTIFICA TION . ~:'RTIFICA71: ~' SOLDER USED IN WATER SUPP~LY SYSTEM CA)vNOT~'; EXCEIED 2/10 of 1%/.ifAD. If coaxer tubing II used for water distributing system; piping shalt ~)e of types K~';b,only, OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APP~OVE. D AS NOTED NOTIFY BUiLDiNG DEPARTMENT AT FOLLOWING INSPECT~ONS: Unauthorized alteration or addition fo this document ~s a violation of section 7209 of the New York State Educ~_fion Copies of this document not bearing the engineer's inked seal or embossed seal shaft not Unauthorized alteraflon or addition to this document is a violation of section 7209 of the New York State Education Copies of this document not bearing the englnee¢s inked seal or embossed seal shall not Unauthorized alteration or addition to this document is violation of section 7209 of the New York Stets Education Copies of tbis c~o~ument bearing the engineer's inked seal or embossed seal shall no~ ,[ %) Unauthorized aJterahon or addition fo this document is a violation of section 7209 of the New York State Education Copies of fh~s document not bearing the englnee/s inked seal or embossed seal shall not be considered valid COpJ~Sr addition to this docum,~nt ~s~ violatlon of section 72.09 m