The URL can be used to link to this page

Home My WebLink About15593-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Z[58.0.6k Date May 28, 1987 THIS CERTIFIES that the building..a.d.d. $ .t.~.o.n...~9..e.x.~.s.t.i.n.g..d.w.e..1.1.J:.n.g: ........... Location of Property ..... 2.750 ........... .l:t.axW~t ¢.e.~.s' . Bp.a.d. ............ .C.u.~.qh..og.u.e... House No. Street Hem/et County Tax Map No. ]000 Section .... 1,]..1. .... Block ..... .6 ......... Lot ..... .1.8 .......... Subdivision ............. 2( ................ Filed Map No ..... .X...Lot No ..... X. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated December 18, 1987 . pursuant to which Building Permit No .... .1.5.5. 9. }.g. dated ...... p.e..cg.m?.e..r' .2.3. ~...1.9.8.7... . 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 ......... Addition to an existing one-family dwelling as applied for. LOUIS AUERBACH The certificate is issued to ..................... io~n'o'r~~ ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ...................... N811432 PLUMBERS CERTIFICATION DATED: N/A Wdilding Inspector Rev. 1/81 ~0~ NO. ~ TO~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15593~ Z Permission is hereby granted to: , ' , ............... ....~.~..~.~......~:~..,...!.!.~...~.~,~ ....... ................................................................................ at premises located at ....'..~.~.~Q......~...~..~.., ........ ~~.~ .... County Tax Map No. 1000 Section ......... ///. ........ Block ........ ..~..~. ...... Lot No ....... l.~... ........... ~,~s,on, to appl~cot~on da, ed ...~..~....1..~. ........... , ~9.~.~..., an, approve~ ~y the Building Inspector. Fee $...~..~..:.~. ..... Building Inspector Rev. 6/30/80 ~ooo~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITy .~ay ;~,, I~7 ~s ~OHN STREET, "~W ~O.~, NEW ~o~ THIg CERTIFIES THAT o~ly t~e ~le~tric~l eq~pme~ ~ ~sc,~bed ~lo~ a~ int~duc*d by t~ apmlico.t ~med on the a~e applicat~n numb.r in the premises of ~. averoacn~ uay waters Roao Off Vanagon Road, ~tchogue, N.Y, ~sexa,ninedo. ~'~ay ]8, 1987 and found to be in compliance ~'ith the requirements qf th~s Board OUTLETSFIXTURE SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 7 6 5 FURNACE MOTORS [~UTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C E A,W G. NO, OF HI.LEG A W G NO OF NEUTRALS Glenn Bradley Box 602 Laurel, N,Y, 11948 Lic, 1227 G~.~N~NAGBR This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be iden ~ieb/ ~'their credentials. I IlL_ ~ .-, \ I .,qi II LBLL ....... - .......... APPLICATIOI\I FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 ~OWN OF $OUTHOLD Bui{ding Department Town Hall $outboM, N.Yo 11971 765- 1802 Instructions A. This application must be filled in Wpewriter OR ink, and submitted m I~mmm~m 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. 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and install~ 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 applicable. 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 features. 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 ACCESSORY $10.00 2. Certificate o¢occupancy on pre-existing dwelling $ 50.00 3. Copy of cerdficate of occupancy $ 5,'00, over 5 years $I0,00 4oVacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date . New C OhS truc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. House fiD. Street Ham/et County Tax Map No. 1000Section ..././.! ......... Block . C) d~ Lot ./~. S bdi i i '"""-' Fil d M p No L N U V S on ................................. e a ........... ot o Permit No. }?: .~.~..~ Date of Perm t t04e' /' · . .... ~.Zg.~.g .Apphcant . ~..~ ....................... Health Dept. Approval ............... ~' ........ Labor Dept, Approval Underwriters Approval ........................ Planning Board Approval ...... ~,2 ........... Request for Temporary Certificate .... ........,,....~'~'"- ...Final Certificate ....................... FeeSubmitted$...~Z..O~..v['.',~,. ~L!~ ........ Construction on above described building and permit meets all applicable codes and regulations. ~, O.:~F-~::~/~ ~ 0{¢ Applicant..------------------~,~.~ .................................. Rev. 10-10-7a TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. I~O~X 728 TOWI~ I~tA LL SOUTHOLD; N.¥~ 11971 TEL. 765-1802 TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /_--~ An application for Certificate of Occupancy is not on /~ No Underwriters CertifiCate on file. /~ The check is(c~/not on file.)~*L~.~O /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact ou~ office on this matter. Thank you for your cooperation. .-Building Permit ~ _/ ~'~,,:~'.~ ,,~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OUNDATION (2nd) OUGH FRAME & PLUMBING 'NSULATION PER N. STATE ENERGY CODE FINAL 765-t802 BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FINAL DATE I INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~ ,,0~ Z 3F38~ 'ii' Charles J. Zahra P.O. Box 1137 Mattituck, NY 11952 December 22, 1986 Southold Town Building Department Main Road $outhold, NY 11971 Re: Permit - Auerbach Dear Sir: Enclosed please find check No. 1062 made payable to Southold Town in the amount of Fifty Dollars to cover the cost of the above permit. Thank you for any consideration you may show in this regard. Very truly yours, Charles J. Zahra CJZ/jtz Enc. "%, 17' FORM NO. 3 ToWN OFSOUTHOLD BUILDING DEPARTMENT TOWN CLERK'SOFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Date. 19 F~e No ..... : ....................... =" '~F'-"-"' .......... ' .... ~ .o~ , L~ PLEASE TAKE NOTICE that your application dated .... ~..~.~. ........... 19 .~.~.~.. for permit to construct. ~-~ -~- ~ ~- ~-~ '~ ~ I-~ ~ at .......... 3 ................... ~' ..... ~' :." "~ ...... Location of PropertyHouse ......... No, ' ' '~ Street rmmter County Tax Map No. 1000 Section .... J .t.I .......Block .... .Q)..~ ..... Lot .. J..~. ........ Subdivision ................. Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds. 0~. i .c~....~..~-~-./6~..- ......... ........... Building Inspector RV 1/80 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined. [~x~J[.~. 2~.~, 19 .~. ~ Approv~' .~'~..~..~.~., 19~. ~. Permit No..] .,~".~.'~..~..~.. Disapproved a/c ..................................... (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 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 tiffs 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. (Signature of applicant, or name, if a corporation) ........ ~i~{ii~g ad~ess of applicant)build"]-'-er. State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Name of owner of premises ..... .L:-..O. ~. I'~...~4....O.d~.-..t~..~.O.C.--.k.t ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) Builder's License No .... ~. I .,5.O.. ~ ......... Plumber's License No .............. - ........... Electrician's License No.~.q.~ ~... ~'~/~. ~ Other Trade's License No ...................... 1. Location of land on which proposed workwillbe done. ~~.~.. --~ ~~ .... House Number Street Hamlet County Tax Map No. 1000 Section ... aZ/ ........... Block ..... ~ ............ rot I Subdivision ..................................... 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 .... t' ,~ '7' ~' 3. Nature of work (check which applicable): New Building ..... '. ....Addition ...~ ..... Alteration Repair .............. Removal ............ Demolition .............. Other Work ............... 4. Estimated (Description) (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ..... .~./..~. ......Number of (~elling 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, ifany: 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 construction: Front ..... ./.~>./. .....Rear .... <~.'7..'.77.2-'.~ .... Depth . .~.ogf ......... Height ....... / ......... Number of Stones ........ ID ot.E ......... 9. S~ze of lot: Front ....... ~'7 ............ Rear ...... .~ttg .~.~. ........ Depth .l~.~o.~h/O .... ~.../.(~.0~ 0.~ 10. Date of Purchase ......... ~ ................... Name of Former Owner ............................. 1 I. Zone or use district in which pYemises am situated ..................................................... 12. Does proposed constructinn vi~late any zoning law, ordinance or regulation: ...A/o .......................... 13. Will lot be regraded ....... i .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of remises t)~z~O~RL~k~..4 Address ~.OV~.OT-~$1~d P ~. ......... ~ ........... : .................. 7 ......... Name of Architect . ~,.,.. v. :i ~ ...... .~ ........... Address .~&.2~ ..~. ~ ........ Phone No ................ Name of Contractor .../~ ~. 0 ros t. t<./~ $ ..... Address .... ~.~..../~.- ........ Phone No..~??.-.t~::~.c/l .... 15. Is th±s property located w~th±n 1.00 feet of a tidal wetland? ~ Yes ..... No ..>~.. * If yes, Southold Town T}ustees Perm:t.t may be requ±red. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and bloc¢ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW,YORK, . ; "S ' COUNTY OF .-~. .'..~...~.~..,5./.~.._c...~.~.Z. ~.~ ........................... being duly sworn, deposes and says that he is the applicant (Name of individual s~gning contract) above named. He is the ....... .~'. i .................................................................... ~ (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 apphcat~o9; that ali statements cor~tamed m th~s apphcat~on are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........... day . < ..... , UNDA J. COOPER (Signature of applicant) Notary Pubge, Stat .e, of No. 4822563, Sunolk C;ounty y/} . Term Expires December 3!, 1~ 0 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ................ ,19... a,,,, ~,,~vrove~ ................ ,lO.,... Permit No ............ a'c/ · ~ ~ Dis ppd ' ' ' ~ ~ .:.................._ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date..~....~.. .... 19 .~.~ a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 ~nust 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 issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No buildin~ 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 taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary in~ections. ""; t g PP , , P ) .... ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· (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 ...................... ] '7 ~%~Z) .... )~Q ~ LtD ~7'/~r-/LX / ... '7~ ~ ~ .~ h,~ ~ ,,~ ~' ,, 1. Location of land on which proposed work will be done..~.-~ .'...~../..'/....: .'..'~:...~ .': ~.. ~? .~:,t..%. j..4~]../... · .?:..': ......... , oT q .... ............................................. House Number Street Hamlet County Tax Map No. 1000 Section ....~../.It ......... Block ..... .¢ ........... Lot .... /.~: ............ Subdivision .... ~..g.~ ,~.¢~.%.. ~.~. ! .~? .............. Filed Map No.. ~..0.'~.~.' ....... Lot...'~.. ~.~. ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ../~(~/~' 5"~ d ~ I~-[(~ }-- ....... b. Intended use and occupancy ............ ~. ........................ - ................... 3. Nature of work (check wl~ich aPPlicable): New Building .......... Addition .. ~ .... Alteration .......... Repair .............. RemoVai .............. Demolition .............. Other Work ............... ~ ~ (Description) 4. Estimated. Cost ..... ~[d .o.O~ ~-- Fee i (to be paid on filing this application) 5.1 If dwelling, number of dwelling cnits ............... 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 ..................... Dimensions of existin structure~, if any: Front ...... ~;. ~ ./i... Rear ... ~ ~ ./. ..... Depth . .,~..K'../. ........ 7. Height ........ .[.a.~.".r.. Number of Stories .......... ~ ....... ~'m ............... >;.'t-,'~' .......... Dimensions of sam~ struct~Ire with alterations or additions: l~ront ..... ~..'/ ........ Rear .. ~../. ............ Depth; ......... :'~.G ...... .. Height ....... /~. ........... Number of Stones .... ~ ............... ' Dimensions of entire new constr¢ction: Front ...... .~.J.-j/... Rear .... '~ .all..: .....Depth . .'.~'2 ./ ........ 8'I Height ............... Number of Stories .................. , ......................... .~ ............ 9. Stze of lot: Front ......... /~,~. ........ Rear ....... /--/.O ........... De, nth ,-,~.~.~ ...... : ...... 10. Date of Purchase ........... !.(. ............... Nam of Former Owner .. I(.,.. i es re 4¢ . ' 11. Zone or use district in which prem's a situated ....... .~.5't¢. ~..q ~.~.~. ............................ 12. Does proposed construction v[o~[e any zoning law, ordinance or regulation: ....................... ..... 13.' Will lot be regraded ....... I."/!?. ................. Will exce~s fill be removed from premises: Y.,es 14..! Name o.f Owner of premises .]~ t~.¢.~'. .~.to: .~. C~q}'Address . .~.~rch. c~ ~,~.."~. .... Phone No.~. 2/~.¢ i~ .~?.[.. · · Name Of Architect .. ... Phone No .............. ~.. ........ : ......... ~., .... Address ................ Naxne of Contractor ,~.e_,o:¢~?.e.~....~.~ ].l.vt ,.. Address ................... Phone No.~..~ ..-,~.';~. [. ~.~.. PLOT DIAGRAM Locate clearly and distinctly all j bnildings, 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 corner lot. STATE OF NEW YORK, ,~ ~ cOuNTY OF .,,~ .~.~..~.~.~. ..... i;~'5 ...... .~. ............. ~ ........ : ............... '. being duly sworn, deposes and says that he is the applicant . (Name of individual signing contract) above named. He is the .......................................................................................... I i (Contractor, agent, corporate officer, etc.) of s~d owner or owners, ~d is dul~ autho~zed to perform or have perfo~ed ~e said work and to m~e ~d file this application; that ~1 statemants contained ~ this application am true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ndr set for~ ~ the application filed therewith. Sworn to before me this ..................... day o~. .[~ ............. ,19.. LINDA V. K~WALsKi ~2 .. i.. NOTARy PUBLIC, State of t'~ew Yor~ ........... ~o. 52.~s~zn (Signature of applicant) : Qualified ia Suf~ol~ County I 11t~~r' ' . ~ , i it.l ..... , ~t.'~ ,t~~ ~ ~;~,' r ' USE :IS UN~WFUL WITHOUT CERTIFICATE r ~ ~' ~ ~ ~ ''~ '~ '~ OF OCCUPANCY APr~OVED AS NOTED - "'-:"'~ ',,. ~h~ ,~Ol'~ ~ ALL