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Home My WebLink About15391-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17587 Date DECEMBER 12, 1988 . THIS CERTIFIES that the building. Location of Propert~ 585 OAK AVENUE House No. County Tax Map No. 1000 Section 077 FOUNDATION SOUTHOLD Street Hamlet Block 01 Lot 16 Subdivision GOOSE BAY ESTATES Filed Map No. 1176 Lot No. 19-20-21 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 6~ 1986 pursuant to which Building Permit No. i5391Z dated OCT..7~.1986 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 FOUNDATION UNDER AN EXISTING ONE FAMILY DWELLING. The certificate is issued to BARBARA M. BROWN & FRANCIS STEPHAN (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N044657 NOV. 11~ 1988 DAVID BROWN OCT. 30~ 1988 /~ui~ding Inspector t~OR.~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOt. D, N. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15391 Z Permission is hereby gronted to: ..... .......................................................... . ,,o.. ll"l~l ___Q_ _,~ f, ~ - , ^..--~~ ............... ~.. County Tax Map NOl 1000 Section ....... ..0...-)...~ ...... Block ....... .q~..) ........ Lot No ...... J,.,.~.. ............ pursuar~, ,o application doted ....... 0...~....~....b ................. , 19.~..~.,, o,d approved by the Building Inspector. Fee $..~....,:.~... Rev. 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPI FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEFT, TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 disposel-(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 or Engineer responsible for the building. 5.Submit Planning Board approva~ 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: I. Accurate survey of property 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 $25.00 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 $]0.00 4.Vacant Land C.O. $ 20,00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n Did or Pre-existing Building Vacant Land Location of Property ....................................~.~..- 6'~ ............. o' 'T/-/ ~.L~. ...... /-/ou~e AID. Street /Yam/et Owner or Owners of Property. , . . . . . . , , . . . . . .t~*~ ~~/ CfE 2~'~'~. ,H,A ~. . . . .~. '.~. .4'~.~. .~1~. /'1, ,~./~P.O .d~. ~. County Tax Map No. 1000 Section ..... .~..~. ...... Block ~. ..... /..~o Lot .... . .-~.....I.7~. [ . . Subdivision....~.o.~.5.f;. ~.~..y..-L~.$?.~..v~.. .......... Filed Map No.../J..-/.~.. ,Lot No, ,..'.,~...~,..2-.~. 7; -- Permit No . Date of Permit ...... Applicant ........................... Health Dept. Approval ........................ Labor Dept. Approval ..................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant ....... ~..~J._...~.~.., .~.. .................. ' ~ ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 I~[] Dete Jpplic~tlon No. on.file ' TH~S CEriumS ~H~ .x~ ~ [ T I RXTU~S I U~ Ic~i~ / III I1~1 TO~VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 TOWN OF SO;,JTN2~ CERTIFICATION Date 0 Cn'~ Z~O /g~ Building Permit No. /~! Owner F~d/J ~/¢~ ~ (please print) (please print) 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 Notary Public, ~o~J~ County - Notary ~c PHILL[P J, ~AY~ ~QTA~Y PUBLIC, State of New Yor~ NO, ~,0198100, Suffolk County ~m [xpires AuEust 3I~' 19 ~ FI£LD I~,;S I" :2C T i ON FOUNDATION ( 1 ~/) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION []/i~/~TION 2ND [] INSULATION '.:ff"h-h, :i: T [x!Ci,, :1 ~:'~:::;9 :, Z, 0~' tO~'~T<j ~7~d T FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .~.~.~..~ .q.-, 19~.{P. · Permit NO.]. .~ .~/./..P~'.. Disapproved ajc ~ .................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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. e. 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 ~ 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 inspections. · ...................... (Signature of applicant, or name, if a corporation) .c.c... ...................... (ma±ling address of apple_can ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .o. -c..k ................................................................................. Name of owner of premises . ~g.b'.~..~./.~.. G.~.. G.T..aQ¢..~-.b.~... ~..~.~.~. ~?..P.G.. ~ .~?..~.d ......................... (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. 1%0 Section . ~.,. ............ Block ....... I ........... Lot ..... (6 ........... ~oos¢ B ~ ;~r~r&a Filed Map No. tl7g Lot Subdivision ..... .. . .~ ..................................... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ................... b. Intended use and occupancy . SM~.~.~. ~65, 3. Nature of work (check which applicable): New Building .......... Addition . ~ ........ Alteration ........ Repair .............. Removal .............. Demolition ........................ -,~ Co~5'rRocr ~£~.~, tor-r~t~J ~x~ ~w~ ¢ cR~to~- -g ?~oc~ i (Description) 4. Estimated Cost .................. ~' ~v' ~' ............. Fee ......... ! ........................... . (to b~ paid on filing this application) ' it 5. If dwelling, number of dwelling units .::';-..:-.-... Number of dwelling un. soneachfloor...n...: ........ If garage, number of cars ..... - ...................................... i'. ............................ 6. If bumness, ommermal or m~xed occupancy, specify nature and extent of each tY~pe of use ........ 7. Dimensions of existing structures, if any Front ~.~/.t .... Rear ....~,2.( ..... ' ' ' '--~-" ' ..... ) ' Depth..*~.~ ........... Height /.~ / ~. ?~/~' Number of Stories ~.~. ' Dimensions of same structure with alterations or additions: Front ..... .,q'O/0~-- .... Rear ...4f~. ........ Depth .... ¢' .~. ~ ............ Height .... .~ ............ Number of Stories...qid~: .............. 8. Dimensions of entire new construction: Front ~..~'.~ ..... Rear ... ~ ~./. ...... Depth . . ./.47,~. ....... Height .... ~.~ ......... Number of Stories ' 9. Size of lot: Front ... , ....... '.'./J~..~... Rear .... ~.~. (~-P ............. .] Depth . .]..~.t? ................ 10. Date of Purchase .... .¢q .-.ir./.qT.O. ............ Name of Former Owner i' 1 1. Zone or use district in which premises are situated ................... I ............................. 12. Does proposed construction violate any zonin~ law ordinance or re-ur-+~'-'' 13. Will lot be regraded ......... /P~.~ ................ Will excess fill be removed from ~remises: (~ No 1 4. Name of Owner of premises .F..x.~.p~ ~.]3,t~R~ld~ .... Address 3~g~At/4~.527~.~i..~?~.~o~e~(~o~.°! .,fg ~,. ~9.~. · · · Name of Architect ................... : ....... Address ...... ":: · .-, .... i .....Phone No.....--:7,.. ......... Nanle of Contractor ~:,$ahv.,~:f.ec.*c, ......... Address .~3p.8,t~t~. ~?.q/*~.... Phone N~o ~.-¢¢.~'~2 .... 15. Is this property located withinl,00 feet of a tidal wetland?' ~Yes ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, iudicate 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 lot. ~7 v STATE OF NEW YORK, COUNTY OF.. ..... S.S (Name of individual signing contract) above named. ......... being duly sworn, de says that~e is the applicant (Contractor, agent, ' corporate officer, et¢) of said owner or owners, and is duly authorized to perform or have performed th~ said work and to make and file this application; that all statements contained in this application are true to the best off, knowledge and belief; and that the work will be performed inthe manner set forth in the application filed therewith. Sworu to before~me this , ....................... day of.. O ItOTARY PUBLIC, State of New York No. 5Z-0198100, Suftolk Count~, Term Expires March 30, 19~'7 County S',a ~ro(t~ f (Signature of applicant) ~-------~765-1802 INSPECTION [~FOUNDATION 1ST I- ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING FINAL REMARKS: ~~ --/~? / ! /, DATE