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Home My WebLink About15249-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate of occupancy No..~I~95.6 ..... Date July 17, 1987 THIS CERTIFIES that the building ..... Iagx.c~ocl. v. qq 1.. ............ t735 Wunneweta Road Cutchogue Location of Property Ho[~se ~Vo~ ................ S't/e~[ .................... Hamlet County Tax Map No 1000 Section I .I I .... Block .. 0.4 ........ Lot 33 Subd~v~mon ................... Flied Map No ...... Lot No .......... conforms substantially to the Application for Building Permit heretofore Fried ~n flus office dated ..... Au.~; ...2 2.: .I.~8.6.. pursuant to which Budding Permit No.. 1 5.2.4.9. Z. ......... dated ...S.e.p t:. 9.,......1 9 8 6 .. .. was ~ssued, and conforms to all of the reqmrements of the applicable provmor~s of the law The occupancy for which this certfficate ~s issued is ..... ip~r.o.und..v.opl,..ff.n, ce. .a.nd..d.e.ck. Windows from house must be kept blocked not to open more than 2~' iH' f~ea''~ddl' afeh ........ The certificate is issued to . .R,U. TH .B. HOROWITZ ·" /gssY$395g;$Tdtxx ............ of the aforesaid buitdmg. Suffolk County Department of Health Approval N/A N80.6214 4/28/87 UNDERWRITERS CERTIFICATE NO ..................................... PLUMBERS CERTIFICATION DATED: N/A BjMldlng Inspector Rev 1/81 · ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPAI(TMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15249 Z Dote . .~d~.~ ~.....~. ................ Permission ~s hereby granted to' '"~'"' ~tt! -~.~ ................... ,o .~~...~,...~.~.~,,~..~-~.; .. ~,.~.;...~......~.......~ ... ~. _~.'.~ .....~.~. '~...~...~~, ~...~...~ .......... otprerniseslocetedot../....-7,.4~..~....~...~~ ...~... ~ ~ .... County Tax Map No 1000 Sech~j~ pursuont to opphcation dated Budding Inspector. ~""~'... ~ ~-- ...... , 19.~/~, and approved by the Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Budding Department Town Hall Southotd, N.Y. 11971 765- 1802 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This application must be fdled ~n typewmter OR ~nk, and subm,tted ~ Im~m to the Budding Inspec- tor w~th the following; for new buildings or new use: 1. Final survey of properW w~th accurate location of all buddings, property lines, streets, and unusual natura~ or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposel-(S-9 form or equal) 3.Approval of electrmal installation from Board of Fire Underwriters. 4. Commercml buddings, lndustmal buddings, Multiple Residences and mmdar buddings and instaila- t~ons, a certificate of Code compliance from the Architect or Engineer responmble for the building. 5Submit Planning Board approval of completed rote plan requirements where apphcable. B. For exmt~ng buddings (pmor to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses. 1. Accurate survey of p~operty showing all property hnes, streets, buildings and unusual natural or topograph m 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 buddings or premises, or other pertinent mforma- t~on required to prepare a certffmate. C. Fees' Add~tzons $25.00 1 Certlflcate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-exmtmg dwelling $ 50.00 3 Copy of certlficate of occupancy $ 5.00, over 5 years $t0.00 4.Vacant Land C.O. $ 20.00 l 5.Updated C.O. $ 50.00 Date ..... -'7. /,~, -? ....... NewCons%ructIon ...... Old or Pre-existing 8u ddmg .......... Vacant Land ............. Locat,on of Property .. ~.."TS:~...~'t~"..~ ..~.. ' '- House No· Street Hamlet Owner or Owners of Property .. ~..,,~/.~, J'~. .~ ..... County Tax Map No. 1000 Sect,on ... l.J..~ ...... Block .. J~.Y ........ Lot.. Subd~vlmon ........... Filed Map No ..... Lot No ........... Perm,t No. J.~['~ ¢..~-Date of Permit .~ ).~./? 7.Appl,cant .~.../~¢~.."..: ~.~' Health Dept Approval ... ~ .~ ............ Labor Dept. Approval .. ~ ................ Unde~r,tersApprova, y a~S.~).~ .... Plann,n, Board Approval ...... E~ .......... Request for Temporary Certificate. . ~ ......... Final Certificate ....................... Fee Submitted $ ~_~-~./~/' ......... Constructmn on above descmbed building and permit meets all appJ. lcable codes and regulations Apphcant ¢¢-Z'..44: ................ ¢ FIELD INS[~ECTION COMMENTS FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1S02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~/~ NA_.I. / DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Dr · ~orowltz~ tn ~he followmg hwatmn, [] Bo~sement ,,~..-..~do. April 20, 1987 RXTURE OUTLETS 1 DRYERS 3500 Nassau Point Rd., Nassau Point(Greenport) ~ Ist FI ~ 2nd ~l ~ectton BIo~'k MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET SERVIC~ DISCONNECT S E R V I C E OTHER A~I~ARATUS A W G NO OFHILEG OF CC COND G.F.C.I.-1 (Swimming Pool)Th~s certifY, cate covers compliance at the ¢tatr-, of inspection onlF. Because of unusual environments it is advisable to have frequent test and/or repairs made-, by a qualified person. Raynor Elec. 360-~2 Knickerbocker Ave. Bohemia, N.Y., 11716 GENERAL MANAGER COFY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER G TO ~L~'T E LAODER POOL PLAN "~-,,~:_.i ~ ~'-~'-i- ~-~-:-- ..... :'-, SA~D PRE COPING ~.eK~SG r ~-:~ 2xETOP RAI~ VINYL LINER ~"' ~OETAIL~-A A PR E CA~T PRE CAST COPING TO WASTE LADDER POOL PLAN TAMPED SAND CENTER SECTION FIEERGLASS MOLDED ONE PIECE OP'TIONAL STEP VINYL LINER 0~:~o; UNDISTURBED EARTH ~r~ DETAIL 8" TOP 12' BOTTOM GRADE WOLMANIZED TOP RAiL A-A o_'~-,[4:~0~'--~T~c.~ ..... ~,c~=:~,. ' ~o~ oo-~o-~CONCRET~WALL 5 WALKSTOEESMOOTHNONSKI~TYPESLOP~OAWAYFROM TH.OU~.O~'~ F--~ j ~ ~ "t '~ ~'~ j ~ {="~] / 767 SMITHTOWN BYPASS CONCRETE SIDE WALL SECTION ' N~P~ ~ J SMITHTOWN, N.Y. [~787 -.M~,p~ LOT Town o~' S~'~Ul ;40LO, N:Y: FORM NO. 1 TOWN 0~: SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL., 765-1803 Examined ~'~.~., 19~ Approved~~ e~, 1911[*. Permit No .] ~ ~ D~sapproved a/c (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Ttus application must be completely filled m by typewriter or in ink and submitted to the Bufldmg Inspector, wit sets of plans, accurate plot plan to scale Fee accordmg to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjmnmg premises or pubhc strc or areas, and giving a detmled description of layout of property must be drawn on the dmgram winch ~s part of this ap cat]on. c The work covered by this apphcatton may not be commenced before issuance of Budding Permit. d. Upon approval of tlus application, the Bml&ng Inspector will issued a Budding Permit to the applicant Such shall be kept on the premises avaz!able for respect]on throughout the work. e. No budding shall be occupied or used m whole or tn part for any purpose whatever until a Certificate of Occupax shall have been granted by the Bufldmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldmg Permit pursuant to Bullthng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance- Regulations, for the construct]on of buddings, additions or alterations, or for removal or demoht]on, as herem descnb The apphcant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulat]ons, and admit authorized inspectors on premises and m bmldmg for neces, sary"ra4pecAtons / - ..... %::::::~Slgnature of applicant, or name, if ~l~corporatlon) 72r.-./(. ......... .... '' 'ir~.l±ng addresstot? applxcant:) State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ............... Name of owner of premises )6/OA°aF~)/-~'~ /~7~2Z// ......... (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No /6.7`-2 q/'~'~ tr Plumber's License No Electrician's License No Other Trade's Dcense No 1. Location ofland on whlch proposed work wlll be done {'~3 ~/6t/q/q~'-//J~. . . . . . . . .. ttouse Num her Street Hamlet County Tax Map No 1000 Sect,on ] [ f Block ~ . Lot.. Subdivlston ~ ~. ~ ~ FfledMapNo ~ /~ Lot (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy / //~Z/q~F~ P/ ~)~)~/d.d/'C~]~ '' ~fl-~ ~-~i ~ -' I~ ' - b Intended use and occupancy . . ~:. I.: ............... 3. Nature of work (check which apphcable) New Building ... Addition ~. Alteration/ .... Repatr .. . Removal Demohtion ......... Other Work ......../,"' /&~f~' {/I.,'TY'~ ~t'~/~O~/7~ ~f~)/t'~f~, ~2k~-~ ,,,~z'~',q~-~-7-O ~5~.-/-_ (Description) 4 EstnnatedCost . .x~..zjf.~Sf:~. welh ' '; . / (to be paid on filing this application) 5. If d ng, number of dwelling units . ./.. Number of~elling units on each fl~/or .......... If garage, number of cars ......... // ........... /z ............. ./z .............. 6. If bumness, commercial or maxed occup~'?, specify nature and/Mxt_ent of each type of us~ ~. .............. 7. Dimensions of existing structures, if a~: Front ........ /... Rear ......... /. Depth ........... Height ..... Number/eft Stones . . . .,/. ......... 7/ ................. Dimensions of same structure wit~,!ter.ati, ons or addition' Front ,, . ,/~, .... Rear ........... Depth ............. .7/ ,Heigh~t .., .../. ......... Numberfff Stories ............... 8. Dimensions of enhre new con;}fruction Front . . ./ .... Rear .... ,/A ....... Depth .......... He:ght ......... ~l'umber of Sto~s 9. Size of lot Front .// ..... ./Rear ..,, '";U "' h/' '' Depth ................. I0. Date of Purchase ............. /f . .. Name of Former Owner ................... 11. Zone or use district in which premises are situated 12 Does proposed construction violate any zoninglaw, ordina~;'o'r reg~Iai;o~" i. 13 Will lot be regraded . . . 'f~'.~. .......... Wall excess f'fll be removed from premases f__,_Yes 14 Name of Owner of premises /~/~.,qO/,o'/7-~ ,.. Address .~.a.~.~.dq/.~r~...~..~....PhoneNo..9'.~q.~-.~&..$'~. Name of Architect . Address ............... Phone No ......... Name of Contractor .~t~) ~./~?..'~. i.~.' iii i. Address {r~.7 ~.t~.~..ff~e'~lqo . .77. ~.-~...~-f~.. 15. Is this property located withinl00 feet of a tidal wetland? ~ Yes ..... No .~'... * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly a.il buzldmgs, whether existing or proposed, and, indicate all set-back dimensions ftc property hnes Gave street and block number or descnptlon according to deed, and show street names and indicate whett: intenor or coruer lot. STATE OF NEW YORK, S S COUNTY OF .. {~ (~'./'~.. ~//'~.~('/") [~. ~".. being duly sworn, deposes ~d says that he m the apphc (Name of m&mdual mgmng contract) above named ~mthe ..... ~.~.~ ......... (Contractor, agent, corporate officer, etc.) of said owner or ownem, ~d is duly authorized to perfo~ or have perfo~ed the said work ~d to m~e ~d file apphcahon, that all statements contmed m this apphcahon are true to the best of hm ~owledge and behef, and that work will be perfo~ed m the m~ner set forth m the apphcatmn filed ~erewlth Sworn to before me tins Nota~Pubhc, ~~ ~~.';~ty ' ' ~ /