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Home My WebLink About15274-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N,Y. Certificate O[ Occupancy No ..... ~J ~9.5Q ...... Date . ...O. qt. 9.b.e.~. .2.9., .............. 19.8.5 THIS CERTIFIES that tl~e bmldmg .... /{q ~ ~.s.s.q .~ y..g~ ~'~g.e. ........................ 6990 Main Bayvlew Road Soutilold, N,Y. Location of Property ............................................................... House No Street Ham/et County Tax Map No. 1000 Sechon . qT..~ ...... Block ...0.6 .......... Lot . .1.2...&..1.3. ...... SubdivJszon ............................ Filed Map No ......... Lot No .............. conforms substantzally to the Apphcation for Building Permit heretofore f'fled in tins office dated August 25, ..,1986pursuanttowinchBmldmgPerm~tNo. 15274 Z dated . .. ?.e.p. t .e.m.b.e.p...1.8., ...... 19 .86., was ~ssued, and conforms to all of the requirements of the apphcable prov~smns of the law. The occupancy for winch tins certfficate is ~ssued is ......... ....... ~.c.q e..s .s.o.v. y 5.a r;. a. ~:? ......................................... Th fi i dt Haro].d & Josephzne Deneen e certl cate ~s ssue o ..................................................... (owner,/~.x~ ~x x of the aforesaid braiding. Suffolk County Department of Health Approval ........... ~ ./.A .......................... UNDERWRITERS CERTIFICATE NO ............... XT. 7 ~ D.S.z[ ....................... Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWlq HALL SOUTHOLD, Iq. Y. BUILDI~IG PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Perm~ssron ~s hereby granted to' County Tax Map No 1000 Sect,o~-~,) 0'7...~.. Block . ..(~.....~.. ....... Lot No. J.~.'¥../..~ ..... pursuant to apphcot,on dated . I~..~.~..~ .=.~ .......... 19~..~. , and approved by the Budding inspector Fee $..~.. '../ Building Inspector Rev 6/30,/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall .%uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANC_Y Ao Instructions in duplicate Thru apphcat~on must be filled in typewriter OR ink, and submitted to zhe Building Inspec- tor w~th the following; for new bullrings or new use: 1. Final survey of property with accurate location of all buildmgs, property dries, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage d~sposal-(S-9 form or equal). 3. Approval of electrical ~nstallation from Board of Fire Underwriters. 4. Commercial buddmgs, Industrial buildmgs, Multiple Residences and similar buddings and mstalla- t~ons, a certificate of Code compliance from the Architect or Engineer responsible for the buddmg. 5. Submit Planning Board approval of completed s~te plan requirements where apphcable. For ex~sting buildings (prior to April 1957), Non-conformmg uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buddmgs 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 pertment ~nforma- t~on required to prepare a certificate. Co Fees: 1. Cert~fmate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwethng 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.O0 NewBuddmg/... .... .... Old orPre-ex~stmgBudd~ng $15.00 · Vacant Land .......... Location of Property..(,~ .c~,C[..?..../.~./.~ ~..C/? ~ ~. ........... Hou~ No. Street~ Ham/et Owner or Owners of Prope~ . ~..~ .~ ~[ ~.. ~ ~,~ ~,~.~ ................... Coun~ Tax Map No. 1000 Section ............... Block .............. Lot .... ¢. ........... Subdivision ...... ~ ................... Filed Map No.. Lot No. Permit No.~'~ ~.~.~. Date of Permit ~/~ ~/~..Applicant .~'~. P~..~[~] ....... U~de~rtters Approval ............... . ...... v ............. .Final Certificate / Request for Tempora~ Certificate ................... Fee Submitt.d $ ..... ............ Construction on above desc,bed buddmg and per, mt meetA all applicable codes and regulations. Applicant ....................... Rev 10 10-78 ¢o 5OS0 F1ELD I i~EC ION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 7GS-'1802 BUILDING DEPT. INSPECTION I* ] FRAMING REMARKS: FOUNDATION 1ST []ROUGH PLBG. FOUNDATION ZND []INSULATION []FINAL DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ o0012] BUREAU OF ELECTRICITY ~k-1 STREET, NEW YORK, NEW YORK 10038 JOHN ~,,,,. September 25,1986 .~.~,,..,,o.~vo o..fa~ 428244/86 N771084 'THIS C~RTIFIE~ 'THAT Harold Deneen, 6990 Bayvzew Rd~, w/s Ceaar 6 ~atervzew, boutnozo, ~.~. tn the following Iocatmn, ~ B~sement ~ l~t FI .~xom,.~do. September 19,19~6 RXTUEE (~JTI.~T$ ECEPTACLES SWITCHES OI~YERS i FURNACE MOTORS FIXTURES [] 2nd FI c~arHg(~ c~et,on Bilk Lot and found to be in comphance utth the requtrement~ o[ th~s Board RANGES E~KING DECKS ] OVENS ~SH WASHERS EXHAUST FANS FUTURE APPUANCE rEEl)ERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO OF FEET OTHER APPARATUS T NO OFNEU RA St Pau] R. Burns 275 Town Harbor Lane Southold, M.Y., 1197] GENEI~AL MANAGER Per- Thru certd~¢ate must not be altered ~n any manner, return to the off~ce of the Board ~f incorrect Inspectors may be ~denhfied by thmr credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER h,, OCCUP~6¥ OR USE iS UNLA'~L WITHOUT cERTiFICATE ---qCCUPANC'¥ FORM NO 1 TOWN OF 80UTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N Y 11971 TEL.. 765-1802 Ex,mined tlt, 198 [. Approved~~ I~, 19~ Permit No ] '~'& ') [/~ Disapproved a/c .. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in ink and submitted to the Bufldmg Inspector, wi , 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 pubhc st · or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ' cation c. The work covered by this apphcatmn may not be commenced before issuance of Budding Permit d Upon approval of tbas apphcation, the Building Inspector will issued a Bmldmg Permit to the apphcan t Such pe shall be kept on the premises avadable for inspection throughout the work, e. No budding shall be occupmd or used m whole or in part for any purpose whatever until a Certificate of Occup shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Bmldmg Depaxtment for the issuance of a Bmldmg Permit pursuant Bml&ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc Regulations, for the constructmn of bmtdmgs, addlhons or alterations, or for removal or demohtmn, as herein desct The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, ax (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether apphc~lessee, agenb architect, engineer, general contractor, electrician, plumber orbm Nameofownerofpremlses ~'~CJt~k/1,O ~(~ .0~-'/~ .~-:.~-~ ...... (as on the tax roll. or latest deed) If applicant is a corporation, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No ~B ~ ..... Plumber's License No Electrician's License No Other Trade's License No Location of land on which proposed work will be done ltouse Number Street County Tax Map No I000 Section (~)"~ ~ Subdiwslon (Name) Hamlet · Block (O ot/2, V-/. Filed Map No . Lot ! ~ State ex~stmg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~shng use and occupancy b. Intended use and occupancy .].....~"~.._ .~~. .. Nature of work (check which applicable) New Bmlding .~fl~. ~'.~ Addition ...... Alteratmn Repmr ........ Removal .......... Deraolmon ........... Other Work ............. 4 Estunated Cost 2~..C~, ~,, .t~.l~'- (Description) (to be prod on filing th~s apphcaBon) 5. If dwelhng, number of dwelhng units. .. Number of dwelling units on each floor ......... If garage, number of cars .... I ................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............ 7. Dunenslons of ex~stmg structures, ff any Front .'"T".. . Rear . ~ .... Depth ' .' ....... Height . ,---- . Number of Stones .................................. Danenslons of same structure with alteratmns or additions Front . ~ . . . Rear . ~ Depth,. : - . Height. . .~-T ....... Number of Stones,n .i'w" ~.~ .... 8. Dimenslonsofentirenewconstructmn Front I"P . Rear.. ~.~/.' ..... l~e'p't .~. .... Height .... 1o~../ ....... Number of Stones .. i ./ .... ' .................................... 9. Size of lot Front ~ o o' Rear .. [ ~ ~ ...... Depth . J..O.-~..~. .......... 10. Date of Purchase ........... Name of Former O. ~,,ner_ ^ ............. I 1 Zone or use d~stnct in which premises are situated .... ~u~ ............. 12 Does proposed construction moI~,te any zoning law, ordinance or regulatmn . ./~.'..C~. 13. Will lot be regraded . .. ~-~ O ~. . . Will excess ifil be removed fr, o,rn premises' Yes 14. Name of Owner of premlses ~.t'9~.~. 0~a~.*/~..Address ~J~ ~>ay~;~./7-~M~honeNo ....... Name of Architect .... Address . . . Phone No Name of Contractor ....... ~d 0t~i[ i~m~ ' Address ~'~'~.~:~. Phone No PLOT DIAGRAM Locate clearly and d~stmctly all bmldmgs, whether existing or proposed, and, indicate all set-back dnuenslons from property hnes. Give street and block number or descnptmn according to deed, and show street names and indicate whether interior or coruer lot STATE OF NEW YORK, S.S COUNTY OF .... ~--4t,~ '~-~, ~. t'~)/X//~,l- .. bemgduly swom, deposes~d saysthat helsthe apphcant (Name of individual s~mg contract) above n~ed ~e ~ the .. (Contractor, agent, corporate officer, etc.) )f smd owner or owners, ~d ~s duly authored to perfom or h~ve perfo~ed the sa~d work and to m~e ~d file t~s apphcatmn, that all statements contained m th~s apphcat~on are t~e to the best of h~s ~owledge and behef, and that the ~ork wall be perfomed m the m~ner set forth m the apphcatmn filed therewith gwom to before me th~s ..... ~~ (S~ature of apphc~t) .! qOAD