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Home My WebLink About15188-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildlng Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .z- 1.662.2 .. THIS CERTIFIES that the bmldmg Location of Property 345 Meadow House No Date. 7anu~r~.~) [9~fl. C.onstrRct.g~E9g~ .qdf~on ............. Street Hamlet County Tax Map No I000 Section I I 5 Block . .5. ...... Lot .4 ........ Subdlvismn ............ Filed Map No .... Lot No ......... conforms substantially to the Application for Buridmg Permit heretofore fried an tlus office dated August 6, 1986 pursuant to winch Bmldmg Permit No. 15188 g dated Au gu s t 19,.198. 6. .. . was issued, and conforms to all of the reqmrements of the applicable provisions of the law. The occupancy for winch tins certificate is issued is GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING The cert~ficate is assued to PATRI C IA HE I SER of the aforesaid bufl&ng. Suffolk County Department of Health Approval . Iq/.A ................. UNDERWRITERS CERTIFICATE NO ............... .u.7.9. ! J 0.9..-. P~IJI, IBERS CERTIFICATIOIq DATED: · 7' '~n/~fl/din'glnspict'°'r ........... Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTME~IT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERJ~61T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1515S Z Permission ~s hereby granted to ~....~.~........~~ __ ...~.~.../,....~.~.~-._~ ot premises I~oted ~t ...... ~....~.~....~.. ~~~~'~.~.' · · .............................. ~..~...~..~ ................ pursuont to ~pphcotion dot~ ... ~ ... ~ ....... , 1~ ~ond opprov~ by t~e Bu~dlng 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 A Th~s apphcat~on must be filled In typewriter OR ink, and submitted ~ Immma,m~ to the Building Inspec- tor w~th the following, for new buildings or new use' 1 Final survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topoqraphlc features 2 F~nal approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal) 3 Approval of electrical instailat~on from Board of Fire Underwriters. 4 Commercial buddings, Industrml buddings, Multiple Remdences and s~mdar buddings and installa- hons, a certd~cate of Code comphance from the Architect or Engme'er responmble for the budding. 5 Submit Planmng Board approval of completed rote plan requirements where applicable. B For ex~st~ng buddings (prior to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses' 1 Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographm 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 informa- tlon required to prepare a certificate. Additions ~'J~0~ POOLS $25,00 C~ Fees 1. Certlflcate of occupancy New Dwelling~ZS~0, Accessory ,$[0.00 Business $50 00 2 Certificate of occupancy on pre-ex~sbng dwelhng $ 50.00 3 Copy of cert~flcate of occupancy $ 5 00, over 5 years $1,0 p0 , 5.updated C.O. $ 50.00 Date ..... NewC°nstuuct~°n z~. Old or Pre-existing Buddmg ...... Vacant Land ............ Location of Property ....~ .~.S Z ............ Owner or Owners of Property .................................... County Tax Map ~o. 1000 Section //,~ ...... Brook ..... ~ot ............ Subdivision .... Filed Map No ......... Lot No .......... Perm,t of Perm,, ........ Unclear,rets Approval ~TfZ/~ ~ .Planning Board Approval ~~ Request for Temporary Certificate .... Final Certificate .............. Construcbon on above described budding and permit me.ets all applicable codes and regulations. Apphcant . . ~-4~;~ ............... Rev 10 10 78 r!ELD I.SY mC~OJ FOUNDATION ~(lst) FOUNDATION 2. ROUGH FRAME & PLUMBING 12nd) CO: ' ZI~SULATZO~I PER N. STATE ENERGY CODE FINAL ADDZTIONAL COMMENTS~ 765-1~)2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR /// c/? t/h,.//// / BUILDING DEPT. INSPECTION o~' \.-~ ~ ~.4~ 76S-1.802 ~ n~ BUILDING DE~. FOUNDATION 1ST E ] ROUGH PLB~ FOUNDATION 2ND [ ] INSULATION ;, DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~,ST ].FOUNDATION [ ] FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL DATE 7'65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMinG ~:[ ]FINAL REMARKS. :~:tr/~ DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS 'lO0~ 3Lq] BUREAU OF ELECTRICITY ]~- 85 JOHN STREET, NEW YORK NEW YORK 100'48 ..,e January 29,1987 A,,h~.t.o. No ..yde 433880/86 N791109 THIS CERTIFIES THAT Mrs. Pat IIeiser, %~eadow Lan~,, New Suffolk Ave., Hattituck, N.Y. m thefollowmg Imatmn, ~ B~sement ~ I~t ~l ~ 2nd ~l ~tmn Bilk ~t ~s exa,nmed on ~ ~ ~ r~ ~ 9 t ~ Q ~ 7 and found to be ~n comphan¢ e u t th the requtre,nent~ of this Board FIXTURE OUTLETS 3 DRYERS I [ FIXTURES ' RANGES COOKING DECKS ECEPTACI. ES~ T HE ~N I ~Rcu~ OVENS AMt DiSH WASHERS EXHAUST FANS SYSTEMS E R V OF CC CONO PER,g AWG OF CC COND AWG OF HI AWG OTHER APPARATUS Jmdy Pumil!o Pat Lane ~4attituck, ~.Y., iic. 2300E 11952 -'" ,~x-- This certificate must not be altered in any manner, return to the office of the Board tf incorrect Inspectors may be identified by th~e~r credentials COPY FOR BUILDIHG DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL 765-1802 Permit No (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus apphcabon must be completely filled m by typewriter or ~n ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of bmldtngs on premises, relatlonsh~p to adjoining premises or pubhc street or areas, and giving a detatled descnptmn of layout of property must be drawn on the diagram which ~s part of th~s appll cation. c The work covered by tins apphcatmn may not be commenced before ~ssuance of Bufldmg Permit. d. Upon approval of th~s application, the Building Inspector will issued a Budding Permit to the apphcant. Such penni shall be kept on the premises available for mspect~on throughout the work· e No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc,, shall have been granted by the Bmld~ng Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmld~ng Permit pursuant to th. Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o Regulations, for the constmcbon of buddings, additions or alterations, or for removal or demohbon, as herein described The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housm~ code and regulations and tt admrt authorized mspectors on premises and in braiding for necessary mspectlg_m), /ff~ /F?.~/ftc/,' · ............ (S~g!;m'~ure of applicant, or name, if a corporation) / (Mailing address of apphcant) State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ... Name of owner of premise, ~r~T~ t' ~, 13' r (as on the tax roll or latest deed) If appltcant ~s a corporatton, s~gnature 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 OCCUPANCY 0R USE iS UNLAWFUL WITHOUT CERTIRC^TE OF OCCUPANCY 1 Location of land on which proposed work will be done .................... House Number Street Hamlet County Tax MapNo 1000Sectmn .l I~ Block ...~ .. Lot. (Name) 2 State extstmg use and occupancy of premtses and intended use and occupancy of proposed constructmn 3. Nature of work (check which applicable) New Braiding .. Addition ~ . ... Alteration . . Repmr ..... Removal .......... Demolition ......... Other Work ......... '~'5 ,ff~__ (Description) 4 EsnmatedCost .~ .~' ................ Fee .... d ..~.~.~..~.. .............. (to be paid on filing this apphcation) 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, spemfy nature and extent of each type of use ............. 7. Dlmenmonsofexist~ngstructures, lfany Front... (. f/ .. Rear ..d fr~ ..... Depth..g $.~ Height ......... Number of Stones ........................................... Dnnenmons of same structure with alterations or additions Front .......... Rear ........ Depth ............ Height ....... Number of Stones ............... Dimensions ofenhre new construction Front . /.& ./ Rear .../g;. Depth ~.~'. Height ./~ f. ......... Number of Stones ................................................... Slzeoflot Front .... ,/4v.~ ......... Rear.. ./..~.~. ........ Depth ...~.~.~ ........... 10 Date of Purchase Name of Former Owner ~; 1 I. Zone or use dxstnct ~n which premises are situated ............. *. .: .; . .; ' ......... 12. Does proposed construction vmlate any zoning law, ordinance or regulation ?~.~.:.i~.2.,t. 13. Will lot be regraded ............... Will excess ~flI b~ ~emiaved from pri~m~;e~ t: Yes 14. Name of Owner ofpremmes ......... Address .... ~.~ .~.,~ f~,..}.,~, ,Plm~n~,-~ ....... Name of Architect ................... Address .... "" ' ~I '}-~ ~ .~ Name of Contractor ................... Address ~ ~ * ~i ~LJ~ ~,~'-~ '" ' ~' ' ' ~' ' .~._t~e, No ...... · If yes, Southold Town Trustees Permit maybe requ~e~.~ -~ ~ ~ ~: PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. andmate all set-back dwaenmons rrm property hnes Give street and block number or descnptlon according to deed, and show street names,and andlcate wheth. intenor or corner lo ,..,o,~ 4, t. l_,~ ~., -~ ........ . STATE OF NEW YORK, COUNTY OF ...... S.S .............. being duly sworn, deposes and says that he m the apphcm (Name of individual s~gnmg contract) above named He is the ........................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl~ application, that ail statements contained m this apphcation are true to the best of h~s knowledge and belief; and that tl work will be performed m the manner set forth m the application filed therewith Sworn to before me th~s .... ..... ~l~t maig.~,~l~8~ (Signature of apphcar FULL SIZE TEMPLATE FOR RAFTER CUTS TYPICAL. ROOI~ COH~TP, UC.'3'ION 105/,4 --TypiCAL-- OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SECTION "4A" formed foundation OONC, FT~. SECTION "4B" turned down slab 17/8" SECTION "4C" APPROVED AS NOTED [~ &.TE: B.P ~ FE~: BY: NO13FY BUILDING DEPARTMENT AT 786-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUblBING 3. INSIJLATIOd 1684 ISHEET 4 TOTAL 4 12 TIP- OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE :_~_ OF OCCUPANCY ,i-" co~c. ~_~, ~4/~ J L¢/~¢ ~'/~'' coi-4c ~' va/~/~" ~F~,cEP. CA/JLIX'A~ SECTION "4C" FOLLOWING TYPICAL CORNER DETAIL" 3C" GABLE END RAKE DETAIL "3B" SECTIONAL DETAIL" 3A" GARAGE DOOR J1684 SHEET 3 TOTAL 4