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Home My WebLink About15191-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bu~ldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18701 Date JANUARY 10f 1990 THIS CERTIFIES that the bu~ldln~ Location of Property 400 MAJORS PATH House No. County Tax Map No. 1000 Section 54 Subdivision ADDITION SOUTHOLDr NEW YORK Street Hamlet Block 2 Lot 9 F~led Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed an thls offlce dated AUGUST 19f 1986 pursuant to which Bulldlng Permlt No. 1519i-Z dated AUGUST 22r 1986 was lssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is · ssued is 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is ~ssued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 EUGENE & JUDITH FISCHER N-850988 - JANUARY 22~ 1988 JANUARY 9~ 1990 - EUGENE FISCHER ~ld~n~ ~n~pector TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDIHG PERI~,~IT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15191 Z Perm~$sron ts hereby granted to ' ......... ................................... ~ 2"_' -L': ~' ....................... ~.'"'~ .................... at premises located at ........... ~..~..~..~....~ _~.~......~..~,,~ff~..../. .......................... ................................. ...... County Tax Map No 1000 Sect,on k~. pursuant to apphcatlon dat~l BumJding Inspector Fee $.'~/.~ .~ .~... Block .... ~ ...... Lot No .... 7' ' /..~,.., 19.'~, and approved by the Rev 6/30/B0 T0~N OF SOUTROLO TOUN HALL SOUTDOLD, t{E~ YORK 765 - 1802 11971 BLDG ,' , r TOWN Or ' -"OLD APFLICATION FOR CERTIFICATE OF OCCUFANCT ?. ...... ~E~ CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.~...VACANT LAND ........ Loea=~o~ of ~roper=,..~'..m~C~ .~.~...~_,~¥ .......... HOUSE NO. STREET HAMLET O~uer o~ O~ncrs of Property. . .. ................... . . o. .. . . . .. Courtly Tax Hap No. 1000 Section ...... Block ..~-.... Loc ....... Subdivision ....................... Filed Map ........ Lot .......... · ~/~ ' . .. ~,/~f~/ Health Dept. Approval .................. Uoder~ricer~ Approval Planning Board Approval ................ Request for Temporary Cergificace Fee Submiceed: $ Final Ccrtificage rev. 10/14/88 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E R T I F I-C A T I O N Date _ //~;~/~d; Building Permit No. /~/~ {please print) Plumber ~'Zt~ (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 ~otary l~ubl~c ,~County HELEN & DE VOE NOT/tRY FOBLIC, S~a~ d New Y~ Ne 4"/0787% SuffoL~ CQuni'A, Teem Expires Id~ch 30, ~ FOUNDATION (1st) FOUNDATION 2. I2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING r,~I~NAL DATE 1001071 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY -- B5 JOHN STREET, NEW YORK, NEW 10038 YORK N 83 988 THIS CERTIFIES THAT Gene Flscher,I,',aJors ~ath-3rd on Righ~ ~Hor tons Lane, Southold,New York RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DIMMERS SYSTEMS CFCI-!-$mok~ ~ ...... ~ E R V I C E AWG OF CC COND NO O& HI LEG C &,S E elctrIc ~ox#~15 5ouchold,New York 11971 Lic#578-E GENFJAL MANAGIg~ Per ~ This certificate must not be ahered in any manner, return to the off,ce of the Board ~f incorrect Inspectors may be identified by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE k,g,JST NOT BE ALTERED IN ANY MANNER Exam,ned d.~'a:~ / e~ ~., ~19a~e FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.. 765-1802 APPLICATION FOR BUILDING PERMIT Received ........... ,19.. Date ~-~,'. [ .... t9 INSTRUCTIONS a. Ttus apphcatzon must be completely filled m by typewriter or ,n mk and submztted to the Budding Inspector, wtth sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locat,on of lot and of braidings on prem,ses, relatmnsinp to adjo~mng prem,ses or pubhc street or areas, and gzvmg a detmled descr,pt,on of layout of property must be drawn on the d,agmm whzch ~s part of thzs apph catmn. c. The work covered by tins apphcat,on may not be commenced before ~ssuance of Building Permxt d. Upon approval of th,s apphcatzon, the Budding Inspector will ,ssued a Budding Perm,t to the applicant Such perm, shall be kept on the prem,ses available for mspect,on throughout the work e. No buddmg shall be occupzed or used ,n whole or ,n part for any purpose whatever unttl a Cert,ficate of Occupanc,. shall have been granted by the Build,ns Inspector APPLICATION IS HEREBY MADE to the Bmld,ng Department for the ,ssuance of a Bmldmg Permit pursuant to th. Building Zone Ord,nance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances o Regulat,ons, for the constructaon of burldmgs, ad&taons or alteratmns, or for removal or demoht,on, as herem described The apphcant agrees to comply w,th all apphcable laws, ordinances, bmldmg code, housing code, and regulatzons, and t, admit authorized mspectors on premmes and in building for necessary respect,ohs. _ (Sh. nature of apphcant, or name, ff a corporaUon) ,' >.29' .. State whether apphcant ,s owner, lessee, agent, arch,tect, en~neer, general contractor, electncmn, plumber or budder Nameofownerofpremzses ~--~Cp*tt.gZ. ~ /'~'~t"6e'2~.. /../%-'~.*-(.d/'/.~'.t~ ............. (as on the tax roll or latest deed) If apphcant ,s a corporatzon, szgnature of duly authorized officer (Name and tztle of corporate officer) Bmlder's License No. Plumber's Lzcense No '~ ~ Electnczan's L,cense No ~ ?.,. .. Other Trade's Lzcense No .... Location of land on winch proposed work wall be done ............... /rT. ,4.Tv, do r c ......... House Number Street Hamlet County Tax Map No I000 Section 'Dr"q Block. ~ ........ Lot. Subdlv~sion. Fried Map No . . Lot (Name) 2 State ex~st]ng use and occupancy of prem,ses and intended use and occupancy of proposed construction a. Existing use and occupancy . b Intended use and occupancy 3. Nature of work (check which apphcable) New Budding .... Addition . ~. .... A/teration ...... Repaar . Removal .......... Demohtion . . OtherWork .......... 4. Estimated Cost hg~t g~t9 t9 ~ f,~..~.: (Description) ...................... Fee. ............... " (to be paid on filing th~s application) 5. If dwelling, number of dwelhng umts .... I. ..... 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. Dlmenmonsofex~tmgstructures, lfany Front 5/1 ..... Rear .~?' ........ Depth. i~. ~..' · Hmght . . U .... Number of Stones ./ ... Dunenmons of same structure with alterations or ad&nons Front' ii ~.~... i'iiii 'l~;~r'' ~'~.' 'i.i i · Depth .. ~ 0~. .......... Height ../~ . . . Number of Stones ~ ........ - 8 D~nens~ons of enhre new construction' Front . ~,ffff . . . Rea~ . ..~f. ........ Depth /, ~1 ....... Height .~ ......... Number of Stones .,/ ........................... 9. S~ze of lot Front /.PT/: ........ Rear . /..~.~/ ...... iii' Debd . ,/.3..~.', 10. Date of Purchase . .ff'/~./~. ......... Name of Former Owner .~4de~,~...~" ~:~,, 1 1. Zone or use dmtnct ~n which ~premmes are situated 12 Does proposed construction wolate any zoning law, ordinance or regulation ........................ 13. Wall lot be regraded . /9"~, ~: ........ ~, ..... Will excess f'fll be rentoveal from premises Yel i 14 Name of Owner of premlse~/(4fl, t-'~ , .~7~.,.~:~. .~.~,. . . Address 73"'1.~) ~..,~.,~.~,r~PhoneNo.~.~..~..? .7.~ Name of Architect .................... Address ............. Phone No ... Name of Contractor .................. Address .......... Phone No ......... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit may be required. PLOW DIAGRAM Locate clearly and distinctly ail buddings, whether existing or proposed, and md~cate all set-back dwnenmons fr~ property hnes Give street and block number or descnptlon according to deed, and show street names and red,cate whetl ~mtenor or corner lot STATE OF NEW YORK, S.S cou v . % .. ~. ~'.~./'.. t~2 ~(-'/'/'. '.~/~~~/' '/.~'~.~ ~ng duly sworn, deposes and says that he m the apphc~ (Name of ~n&vidual mgfimg contract) above named He ~s the ,. d.9. dg)Z. '.E>~. .............................. . ............ (Contractor, agent, corporate officer, etc,) of said owner or owners, and is duly authorized to perform or have performed the sa~d work and to make and file apphcat~on, that all statements contained m this apphcatlon are true to the best of kts knowledge and behef, and that work w~/l be performed ~n the manner set forth m the apphcatmn filed therewith. Sworn to before me this ........... ./f ...... day of .... W .,-x4 , 19 Notary Public, . ~...~.....~?_.~.~.~.~, .c/ County-~/.../.~["' .15J_L~B~, ~l~l~l~t (Signature of apphc~ ~r~OV~D A~ NOTIFY I~ILD!NG OF-PARTMF4HT AT 7~B6-1802 9 AM TO 4 P~ FOR ~OLLOWING FOUNDATION ~O 4 FINAL C~NSTRuCT~O~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ;~JPANCY OR ~ IS UNLAWFUL ~i' ~HOUT CERTIF!~ATE OCCUPANCy Il- OCCUPANCY OR USE IS UNLAWFUL O: .~C-CUPANCY E AI~'ROVED AS NOTED BUILDING DEPARTMENT AT 7~5-~,~2 9 A~ TO 4 PM ~R TH~ ~LO?/~G INSPECTIONS: ¢ov~o~z~ /J Y 7 ~-t;Iw i )CCIJPANCY OR' USE I$ UNLAWFUL. A/ffF~OU'F CERTIFICATE ~r?, ~ OCCUPANCY USE I$ U~LAWFUL WITHOUT CERTIFICATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATe. OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY