The URL can be used to link to this page

Home My WebLink About14875-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SouthoId, N.Y. Certi[icafe Of Occupancy November 12 86 Date ................................. 19... THIS CERTIFIES that the bulldog IBgroqnd ~ool & fence. 1365 JOCKEY CREEK DRIVE SOUTHOLD . Location of Property D~$s~ Ho] ....................... ~}/e$i ....................... o2. County Tax Map No. 1000 Section 070 .... Block ..~o~ ...... Subdivision ............................... Filed Map No ......... Lot No .............. confom~s substantially to the Application for Building Permit heretofore fried in this office dated ·..Iq.aX . .~.2 ............ ,19 .~6. pnrsuant to which Building Permit No. , 14.875 Z dated May 12 19 86 ................................ 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 ......... ·. Z.r~q¥O.u. gO. p.o.q~. ~_.n.d...f.e.n.c.e.: ................................................. Tb.e certificate is issued to ....R.I.C.H.A..R.D. fi...D.E.B.O..1~..H..C.O. ?.R.g;R.D..Y ......................... (owner,,~r~r~z~) of the aforesaid building. Suffolk County Department of Health Approval ............. N./..~ ..................... ~ng Inspector Rev. 1/81 1~0~ NO. ~ $OUT~LD. No %'. BUILDING PERMIT ('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CO/APL. ETlON OF THE WORK AUTHORIZED) N? 1 $75 Z Permission is hereby granted to: at premises located at ..................... ~....~ ...... : ............................... County Tax Map No. 1000 Section .......... .~..~...0.... Block ....... .(~....;~... .... Lot No ........... :. .. pursuant to application dated ..... ~..~....~. ....................... , 19~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1025023 BUREAU OF ELECTRICITY ~ ~e~t~.l?;[~?2 18~ ~R~JOHN~ STREET, NEW YORK, NEW YORK~IO03~/~ THIS CERTIFIES THAT o.ly the el~trical equipment ~ ~rlbed belom a~ introduced by the appllc~nt ~ed o~ the u~e application number in the pr.m~es of ~rardy, I365 Joc~y ~e~ Drive, ~)uthold, FIXTURE OUTLETS 1 SWITCHES ~ 2nd FI. Otk't~iCl~. Section Block Lot at,d found to be in compliance u.ith the requirentertts qf this Board. FIXTURES RANGES OVENS EXHAUST FANS DRYERS SYSTEMS NO. O~EEET DIMMERS E R V I C E OTHER APPARATUS: 1-G.F.C.I. ~_Sw~imjn~_in_n~___~ol__) This ce~iflcate oovers c~mpliano~ at the date of i~spection only, PJeca~se of unusual envtrorn~nts it is ~dvis~])le to have gteeqt~nt test/~n~ or rep~i~s :r~de by a qualific~d person. He.r~ry. Bohn 121 Sheep P~sture ' 8etaul~t, N.Y. 1.1733 Lic. 2675E GENERAl. MANAGER Per /~. 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RouGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: ~/~ DATE INSPECTOR FOUNDATION ~lst) FOUNDATION 2, (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~ $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Ex,mined.... 19 ¢. · Approved . i..~..c~. [ .~..., 19 ?.~. Permit N9. ) LJ.~. 7'-~-~ . Disapproved a/c .................................... Receivi?..~..~. (Building Inspector) APPLICATION FOR BUILDING PERMIT · Date ................. ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 o~ public street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli cation. c. The work covered by this application may not be commenced before isst~ance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such pern~.i~ 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 a Certificate of Occupanc3 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 thc Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ 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 tc admit authorized inspectors on premises and in building for necessary inspections.f.~,, ~ ~ ~'~ ~ ·~ ~ ~ ' (Signature of applicant, or name, if a co~6oration) ~. ../ x, (Mailing address, of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofpre,nises . ./~.../.~...~/..5... ~.~./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 ....... .o.-.~...&. ?. ~.-. ...... Other Trade's License No .......... :~. .......... 1. Location of land on which proposed work will be done...,~..~.~...'~..~.~. ~.~...~.,Qo...~..........~"(f .~5~.o......~.?.~/.g/.... ~..D House Num bet Street Hamlet County Tax Map No. 1000 Section ..... ?. 17..Q ....... Block ...2~. ............. Lot ......... '.~.'~... Subdivision ..................................... Filed Map No.. ~:~. :'...~.7..&'... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: / a. Existing use and occupancy .......................... 'i ........................... b. Intended use and occupancy .... ff~.-.S}/.D..~?'d. 6. .~. .... .cD.~. . /.~. . .,.~.~. ~. . . ./. .~. .6. .~.~. :~. .,? . . ~. .Cu.. (.~. /?7/.~. .&. . .~.~o(_ .. 'Addition ' ~' Alteration 3. Nature of work (check which applicable): New Building .......................... Repair .............. RemOval .............. Demolition .............. Other Work..~'.Lq/. ~: ..~.o .0 ' ~'~ . (Description) 4 Estimated Cost . 1~'~. ~- ............................................................ ......... . Fee · · (to be paid on filing this application) 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, specify nature and extent of each type of use ........... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ..... Height ............... Number of Stories.. ............................................. Dimensions of same structure with alterations or additions: Front ................. Rear ........ Depth ................... i... Height ......... ~ ............ Number of Stories ............ 8. Dimensions of entire new cons{ruction: Front ................ Rear ............... Depth ..... 10, Date of Purchase .......... : ................... Name of Former Owner ................... 11. Zone or use district in which premises are situated ........................................... 13. property lines. Give street and blocl~ interior or comer lot. Does proposed construction violate any zoning law, ordinance or regulation: . ,~,? ......................... Will lot be regraded ..... ~., .................. Will excess fill be removed from premises: ?es ~ 1~, Name of Owner of premises .... ~...c~<. .... Address ...... ~.... ~ . Phone No ........... Name of Architect ........................... Address ................... Phone No .............. Name of Contractor .~,~v.. , . ' ..... Address ,./.~1~. ............. Phone No..~.Y~...~f.~.~. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propose~d, and, indicate, all set-back dimensions fro number or description according to deed; and show street names and indicate wheth STATE OF NEW YORI~ (Name of individual si~g con~act) above named· He i~ the ................................................................... .......... (Contractor, agent, chlorate officer, etc.) of said owner or owne~, ~d is duly authored to perfo~ or have peffo~ed the said work and to m~e ~d file th application; that al statements cont~ed M this application are tree to the best of his ~owledge and belief; ~d that ti work will be perfo~ed ~n the m~ner set fora ~ the application filed ~erewith. Sworn to before me this [ No. 52-4526433 Q~alifi~ in Suffolk Cou~/ ~0098 3J, 3BON 0:3 Z TITLE NO.T - 12 -82-01959 / "'?04x//~O/C:,' ST C~CUPANCY OR ~v~iS UNEAWFUL ~JT~,,C~RTIFiCATE OOCUPAj~¢¥ NOTI~ 8UN.[)tNG O~PARTMENT INtiPECTIONS: ,')N & ENERGY FOR; SURVEY FOR RICHARD CONRARDY & DEBORAH CONRARDY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK MAy II, 1985 DATE. .JUNE 29,1982 SCALE: I": 40' NO. 82 -