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Home My WebLink About15571-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17668 Date JANUARY 10~ 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Propert~ 1025 GOLD SPUR & 85 OLD SADDLE LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 095 Block 04 Lot 18.32 Subdivision OREGON VIEW ESTS. Filed Map No. 624t · Lot No. 32 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 19, 1986 pursuant to which Building Permit No. 1557tZ dated DECEMBER 15, 1986 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 ONE FAMILY DWELLING~ GARAGE UNDER, DECK AND WOOD PORCH. The certificate is issued to WILLIAM T. LADEMANN (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-So-90 DEC. 7, 1988 UNDERWRITERS CERTIFICATE NO. N048292 DEC. 7~ 1988 PLUMBERS CERTIFICATION DATED PERFECTION PLUMBING 1/4/89 Bulldlng Inspector Rev. 1/81 FO~,~g NO. ~ TOWbl O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, b~. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15571, Z Permission is hereby granted to: ..... ~.~...~:....~....~.~ ...... ...~.~.,~..?.. ~..,,,**o. ............................................. ...... e,.,.,,,.~....~ .~.,...~:.~.:...!..!.~...A .~ ..... . ~ ....... ot premise~ Io~oted at..L~.~.~...~.~...~...~...~ ...... ..-.~......~-.~.~.'...'~~ County Tax Map No. 1000 Section .....(~...~....~'... ...... Block ....... ..O....LJ ........ Lot No ..... !.,~3...~....~..'..= pursuant to application doted ...~,~....L~:~..,.)..c~ ................. , 19.,~,.~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION .~.~-...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Owners of Property ~./~f~.~.~ County Tax ,ap No. 1000 Section ...~$~ Block ...~... Lot .~,7;~.. Subdivision ....................... Filed Map ........ Lot .......... Health Dept Approval Planning Board Approval ............... Request for Temporary Certificate ....... Final Certificate ..~.~ ............. Fee Submitted: $ . .~? .~,' ............... rev. 10/14/88 OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION FER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION *"ST [~P~ ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND [~SULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR 7GS-X802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. [~/~'OUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL 76S-~,802 BUILDING DEPT. NSPE(:TION FOUNDATION ZST [ ] ROUGH PLBG. [~OUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL / / DATIE//~/~~~ INSP£CTO~_~ BUILDING DEPT. INSPECTION /]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS ! 000505 BUREAU OF ELECTRICITY THIS CE~IFIES THAT mdy t~ e/eetr/ca~ equipment as descr/~ed ~ and introduced by the eppfleant named on the ~ ~d~tkm number in the prem;ses oy ~ exam~ed on and~ound to be in compliance with the ~ui~menls o~ th~ ~rd. FIXTURES RANGL=S OVENS DISH WASHERS SIRVK31 DISCONNECT This certificate must not be altered in any manner; return to the offic! of the Board if incorrect. Inspectors may be identified coeY Fm maLOmG D~P*RT~rt. ~H~S COPY O~ CERT,F~TE ~US? HOT BE TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Owner ~/~-/~ Iplease print) Plumber ~cJTfi~ (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 ~/~ day of ~1/~ ~ Notary Public, -N~ [a-r y Public/ ~ota~ Publi~, 8tare of ~ew York Term ~ires O~o~r 31, 19 \ , FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.; 765-1802 Examined .-~~ Approved .~...ck~..~..~..~'.., 19~..~. Permit No. I .:~.'~.'~.. { 7¥. Received ........... ,19... Disapproved a/c ..................................... ................................ ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 public streets 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 issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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 to admit authorized inspectors on premises and in building for necessary inspections. .... wz a, . . ........ (Signature of applicant, or name, if a corporation) £o 8ox 0 o o~ h u~_ /0Y], itq3~. ., ....... I.O. ....C. ..q ..~. ...... ,~ ....... (maSl~ng address of appl~ ) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . J~nT. 3b...OW.~e~...~?. ~on~ ............................................................. Name of owner of premises . .~][~..~..~0~.~.~ ~ ...................... (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 ....................... Other Trade's License No ...................... ~~. Location of land on which proposed work will be done .... .~1~. £~t~.l~ .... C-¢.1~..5~,~.$.~ ................ .Cv..'.r.c. t~o~ House Number Street Hamlet County Tax Map No. 1000 Section ....~..~.. ........ Block ..... ~/. ........... Lot..../.~. ~.~..~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing nsc and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~.O.t~,~ ..... .C..~.".T...~.qT ........................... b. Intended use and occupancy ../..~..a..m.t !7... ~.o..~¢ ............................................ I '~3' Nature of work (check which applicable): New Building ..... ..... Addition... ...... Alteration ........... Repair Removal Demolition Other Work Fee~..~ ~';~ (Description) 9¢ ao.o ~ Estimated ................................. . ........................... Cost (to be phid on filing this application) i , 5. If dwelling, number of dwelling units ............ Number of dwelling units[on each floor... : If garage, number of c~s .. . gfi~. e. VD~i~..~u~ ............... ~ ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typd of use .............. , ....... 7. Dimensions of existing stmetures, ifany: Front. .............. Rear ..............~ Depth ... ,...... Height ............... Number of Stories ............................. ! ........................... D~ensions of same structure with alterations or additions: Front .............. , ....Rear .................. Depth ...................... HeiSt ......... Number of Stofies ....... ~ . D~mensmns of enb~ new constructmn Front ~.~ .... Rear ~2 Depth ..... *.* ....... umb rofSto ......... J J.; JJiJjJJ ; ... "" j ;' .... 9. Size of lot: Front lF~.~r... Rear ~./.?~r ...... De.th~b&/r'"&' '~[ ~. ' 10. Date of Purchase .. ~ ~ Z. ~ ~../.~ ......... Name of Fomer Owner . ~oo~la. ~.~ o. ...... ~[.. 11. Zone or use dist~t in which premises are situated ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ........................ 13. Will lot be regraded O~[~. ~.. fl0~ ......... Will excess fig be removed~from premises: Yes 14. Nme of Owner of premises ~/[l~E ,L ~d~Address ~ ,¢.~T~0~.~,., Phone No.. 7~.~r 2~ ~. ·Nme of Architect.~aKg~lI...5.g R~NO, .... ~ddress. ,5oer~lv ...~... Phone No...~ffr Nme of Contractor .6'~.Z. ~oi[ae~ ......... Address ~imre~[ ...... ~.,. ehone ~o.. 15. Is this property located within ~.00 feet of a tidal wetland? * ~es ..... No ~ · If yes, Southoid To~ Trustees Permit may be requ5red. PLOT DIAG~M Locate clearly ~d dist~ctlg ~l bulldogs, whether existing or proposed, and, indicate ~l set-back d~ensions from property hnes. Give street ~d block number or description according to deed, ~d show: steer n~s and indicate whether interior or lot. ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. , He is the .............................................................................. (Contractor, agent, corporate officer, etc.)i of said owner or ownem, ~d is duly authorized to perfom or have perfomed the sa~d work and to m~e and file this application; that all statements contained ~ this application are true to the best of his~ knowledge and belief; and that the work will be perfomed in the m~ner set forth ~ the application flied therewith. Sworn to before me this . 8~ ~.~[ ~.~..~. ~X~ ............. Nota~ Public, . ~, ~. ~..~ ...... ;... County ..... ........ (Signature of applicant) / / SUFFOLK CO. HEALTH DE,pT. APPRO¥~L STATEMENT THE WATER SUPpLY AND-sEwA~GE CONFORM TO T~ STANZA ISl ~~T. SUFFOLK CO. ~A )~ ~tST. s~¢T. BLOCK · SEAL RODER fCK u¢£.$ED'L~-o C).EE..O.T .~w VO"K · I.J~FFOLK CC). HE:ALTH DL~PT. APPEO~L SUFFOLtC COUNTY DEPT: OF 14E'AILT14, SERVtCES -- FOR APP~OV.~L OF /// DATE: 14,. S. R~F. ~.: ~FOLK CO. TAX DIS, T. SECT. BLOCK l oO OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY If ~oAoa, tubing la used for water distributing ay~tem; piping Shall be of types ~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. GARRETT A. STRANG /^~'/~. ~,v~.~/,-,.. a r c h i t e c t LOCATION Main Road P.O. Box 1412 Southold N.Y. 11971 oX~E.j?/;~/~ ~-~- 516- 765 - 5455 Brchi:tect Main Road RO. Box 1~12'Sou,th~ld N Y. 11971 5455 516- ~6 ' GARRETT A. STRANG architect Main Road P,O. Box 1412Southold N.Y. 11971 516- 765'- 5455 LOCATION · ri f~ TT .A- STRANG ~rch,tect 551616. 765 - 5455 GARRETT A. STRANG architect Main Road P.O, Box 1412 Southold N.Y. 11971 516- 765 - 5455 iT GARRETT A. STRANG architect Main Fload P. 0. Box 1412 $outhold H.Y. 11g71 516- 765 - 5455