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Home My WebLink About15586-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date March 4, 1987 THIS CERTIFIES that the building ....S.a.t..e .1.1.~. t..e. Ac. c..e .s.s.o.r..y..i.n...r .e.a.r., .y.a.r.d. ...... Location of Property 2345 Plum Island Lane O~ient, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . .0.1. 5. ....... Block . 0 5 .Lot 24.3 ... M/o Orient by the Sea Sec. 3 Filed Map No. 6160 154 Subd~wmon ....................................... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 16, 1986 pursuant to which Building Permit No. 15586-z dated .............................. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy ~r which this certificate is issued is ......... SATELLITE ACCESSORY IN REAR YARD The certificate is issued to REINER & PATRICIA LOLLOT ..................... ..................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N793207 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15586, Z Permission is hereby granted to: ...o....~....~.:..¥.:......!..L.~..~..z ................ · ,~ &9,s ~ ot prem,ses located at ......................... ..-~.~....~..~.-~.......1......~.. .............................. County Tax Map No. 1000 Section ...... ..~.../..~':.. ...... Block ...... ~.....~..~. ...... Lot No... ~,~_.t/...,....~. ....... Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 TOWN OF $OUTHOL~ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink. and submitted jam,,,-,---- to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. ~ Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applical~le. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings 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 pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25.00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 5.Updated C.O. $ 50.00 Oate ..................... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property.. ~..~.... '~/~#/~/ .-~...~' ~X2. Hous~ No. ~) Street /1 Ham/et Owner or Owners of Property ...~....~J?~'7...~...~.~..~./?..C.~_~..... ~ ..................... County Tax Map No. 1000 Section ... ~)? 5 Block ~. ~-.. Lot. ¢~'?~' Subdivision ...... ~ ....... Filed Map No, ~/. ~, .Lot No.../'. Permit No,/~"-v~'.O~.~... Date of Per ....... pplicant ~,. ................. .'... Health Dept. Approval ........................ Labor Dept. ApproVal ........................ / Underwriters Approval ..... ~ Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ....~"... ................ Fee Submitted $ ............................. Construction on above described building and pe_~it meets all appli.~ codes and regulations. App cant..~.~., .~....~'~.~...~.' . .~..~ ..................... Rev, I0-1o-7e OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .---~..~..~'- .~., 19 .~. Permit No. 1 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 detaited 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, bgJt~g code, housing cRde, and regulations, and to admit authorized inspectors on premises and in building for necessary i __~ti,ons.. /,~ ~/. ,0,4, } ' (Signature o~f applicant, or nam, e, if a corporation) , .............. .................... ........ im~±l±ng a~r~is of a~iic~ne) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ~.~..~. ~ .~.. ..........................................~__ i ...... ...~.- ................................ Na,neofownerofpre,nises .~.~.,P'2,~. ~, /t~',~/~,~, .~q ~ '~a.~'~. aO ,:'/-: :: ............................ (as on t!tg~t~x, roll or.}ates~t deed) If applicant is a corporanon, stgnature of duly authorized office% ,..~ .... ~ ~ -:' ' (Name and title of corporate officer) Builder's License No. ~ ..... ."~.././~.. ....... Plumber's ~icense No ............ / ............ 1 Electrician s License No ......... ./.f ........... Other Trade's License No ....... . ./~f. .......... 1. Location of land on which proposed work will be done .................................................. .................. ............. ................. House Number Street Hamlet County Tax Map No. 1000 Section ~./..~. ............ Block . .~..~. ............ Lot..~'.2...~. t .~..~.~. ....... Subdivision .~../2./..~../~....~.~..../?.~....~..~..~t...~..~..~:.~. Filed Map No...~../.~..~ ....... Lot../..~.. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ..................... a. Existing use and occupancy ........................... b. Intended use and occupancy .................................................................... 31 Natureofwork (check whlch,~ppllcable). New Building .......... 'Addition .......... Alteration J..:,,,, .... Repair~. ............. · Removal .............. Demolition ............. Other Work .O//-q?.'7 i .~ .... tim ~ 4. Es ated Co / Fee i (to be paid on filing this application) 5. If dweIIing, number of dwelling units ............... Number of dwelling units on each floor ............... If garage number of cars i ' '6. If business, commercial or mix. ed 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 ......... ._~. !. J ....... Number of Stories ...................... '"~' 8. Dimensions_ ~ of entire new construction: Front .... [r.~...~.... Rear ............... Depth ............ Height ...fi&i:... .... N~mber of Stories .... ~.t.. ........................... 9. Size of lot: Front .... (.~..., ........... Rear...'~../. .............. Depth ...~.' .~.'2 .! .............. 10.' Date of Purchase .... //.??...~, ................... Name of Former Owner' .. &?...t/p/. t...~. ................ 11. Zone or use district in which premises are situated .... ~.~..' ............................................ 12. Does proposed construction vigl~te any zoning law, ordinance or regulation: . .~.~ ........................... 13. Will lot be regraded ... .~./~ [ff. .... ~ ..... .~.. ff..~Will excess fill be removed from premises'/-////+- Yes No 14. Name of Owner of premmes ~%:,.ff.~...r~.../~... Address .. ,~-~.~... Phone No. ~. ).% .~..~...~.... Name of Architect ........ ~ ...... ~ ........ Address ....... % ........ Phone No Name of Contractor .................. -~ ....... Address ........... .'.. ..... Phone No.. '4 ........... 15. Is this property located withinli00 feet of a tidal wetland? * Yes ..... No .v.... · If yes, Southeld Town Trustees Permit may be required. ' PLOT DIAGRAM .Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. i USE I$ UNLAWFUl. WITHOUT CERTIFICATE OF OCCUPANCY' STATE OF NEW~OR.K,~ ~ - ' . COUNT% OF ~ ././.~...._S'S ..... ................. .... (Name of individual si~ning contract) above named. being / duly sworn, deposes ~d says that he m the applicant He is the .................................................................... : .................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowled e and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. /.k ........ day Of Notary Public,...~[~-~...~'. ................ County ~ ..... ..... -. ........ NOTARY PUBLIC, State of New.Year (Signatur~ of applicant) Ne. 4707878, Suffel~ CountYG ~ Term Expires March 30,19~ i THE NEW YORK BOARD OF FIRE UNDERWRITERS ].00074~ BUREAU OF ELECTRICITy 83 JOHN STREET, NEW YORK, NEW YORK 10038 ~ P~bruaz~, 10, 1987 4~772/87 THIS CERTIFIES THAT Reine= Lollo~ PI~ [~ ~slan~ ~ane, FIXTURE OUTLETS 1413 ~ECEPTACtE$ SWITCHES 15 S FIXTURES FLUORESCENT ~2345, Orient, ~J~ 2nd FI. ~a~a~(~ Section Block Lot and found to be in compliance with the req re.~ent s qf this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET )THER APPARATUS: i~G.F.C. 2[. i smok~ Detector E R V I 'C NO OF CC. COND A.W O NO, OF HI-LEO A,W.G pER ~' OF CC, COND OF HI-LEO E AWG, OF NEUTRAL Richard G. Relyer P. O. b~ 372 Laurel, N.Yl1948 Lio%2148E 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 BU!LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT· ~BE ALTERED IN ANY MANNER. 76~.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [] FRAMING [C~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: ~ su~. co. ~,~^~vS, ~. ^ppeov^~. , I "' s. ~o. ~ ~C.~ ION ,.~ - ~-r ~o~mCK VAN ~u~:, T~'t/ O~~' ~O~JT'I~g~,L~, fl/' ~'~ ~IC.~ND~URV~YORS-~Rll~.N.Y. 2:D,4...~ 'I::'L..L.IM IGI../kMD L.A,I,~ 2:545 'PLtJI',4 15,LAI,4D LA, HE "OV-..t [~-4T ~ N4, y. / I ~ ~,'3' (.~1~.) LoLLOT' ~ ~F'rE "RLAW · 254S ?LU~4 ISL/~M'~ LAME'