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Home My WebLink About14888-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17420 Date OCTOBER 18~ 1988 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 26025 MAIN ROAD House No. Street County Tax Map No. 1000 Section 018 Block 03 ORIENT Lot 22 Hamlet Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1986 pursuant to which Building Permit No. 14888Z dated MAY 14, 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 REPAIR PORCH ON EXISTING ONE FAMILY DWELLING. The certificate is issued to CAROL MEYER & JOANNA ASPERGER (owner, X~X~EQQLMYdfXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N763049 AUG. 8, 1986 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14888 Z Date Permission is hereby granted to: /~ ~..)~.~..~.~.~,...~.~..?.~ ~.~z..~.:...b.~r.., ........... ~.~..e.. ........... /.. ..... · ~ ......... '(3' ............. , ......... " ............................... . 1 ~o.~._~,....~...~.,~~0.:_,~,, ...... ~...~.....~..~~.~.~ .~.....~....,-~...._ ,~ ........... .: .................. :...~ ................ ~;.~.~ ............................... at premises located at ,.~.,.,,~....~.. ....... ~..0~:¢~ ................................................................................ County Tax Map No. 1000 Section ...... ..O...J..~ ........ Block ...... .~...~ ....... Lot No......~m...2:~-. .......... pursuant ,o application dated ...... :~..,,.~.L~ ...................... , 19.~..~.., ¢lnd approved by the BuiJdlng Inspector. Fee $.~..~.~ ..... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the following; for new buildings or new use: I. Final survey of propertv 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 in~alla- 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-eximting" land uses: 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic features. ~, vvv,,~u~ uw er ~ u~u,~ccupanc~; an~eor~f~rr~f-b~dd~,,gs; 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: Additions $25.00 POOLS $2$.00ALTERATTON $25.00 1. CeFtificateofoccupancv New 9wellin~ $2.5.00. Accessory ,$~0.O0 B~si~ess $50.00 2. Certificate of occupancy on pre-existing dwelling $ IOO.OO 3. Copy of certificate of occupancy $ 5.00, ove~ 5 yea~s $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...................... . ... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property House No. Street tCam/e~ Owner or Owners of Property..~. ~.~/~... 7..~f~.. ~ ............. County Tax Map No. 1000 Section ....... B o ~ -% ~ 3.-- · ck ............... Lot ........... Subdivision ................................. Filed Map No ........... Lot No .............. .............. .... Date of Permit Applicant .................................. Health Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations~ Applicant ... CAR. gA. MEYER ...................................... Rev. 10-10-?a 13_00773 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~1 85 JOHN STREET, NEW YORK, NEW YORK 10038 v.,. August $,1986 ~ppU.a,io. No.o./il. 417906/86 N 763049 THIS CERTIFIES THAT only the electrical equipment as described belom a~ introduced by the applicant ~med on the a~ve application number in the premlses of .~oanne Asperger, Hain Rd., Platt ~ Brown Hill Rd., Orient~ N.Y. inthefollowlnglacation; ~ Basement ~ IstFI. ~ 2nd Fl. Section Bl~k Lot SERVICE DISCONNECT ~AMT' TypE OTHER APPARATUS: '°2, A"u="c'"?w'.' RANGES Io. oF × S I E I .=QUIP. t~e'2w I.e'3w 3~3w 3.~4w NO O~E~C~.COND- A O. 4 OVENS DISH WA':: ' .I,..TEES ¢ E EXHAUST FAN H P DIMMERS NO. OF HI-LEG A W O, NO OFNEUTRAI AWG OF NEUTRAL [I Arthur Ruroo · Ma~n Rd. OiN~eAt Orient, N.Y., 11957 This cerhh~Gte must not be Gltered in ~ny m~.er; return to t~e offi~e oE the Bo~r~ i~ in~orre ' · ~w~f~ Ct. Inspectors may be ~dentmfled by theJr~ credentials. COPY FOR B~ILD N* DEPARTMENT. THIS COPY OF CERTIF CA~E MUS~NOT BE ALTERED '.~ A~Y ~NN~R. ~TATE ' ' Dt'.Sq" lO00, ,.~e,..t., C.l,~ .... o..L ...~/...coq'. FIELD INS[~ECTION f~-~ (2nd FOUNDATION FOUNDATION ROUGH FRAME & PLUMBING COMMENTS INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: O 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~SULATION / FRAMING [ ~ FINAL DATE I NSPECTO~h 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~UNDATION ZND ['] INSULATION ./ FRAMING [ ] FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined.....~..~[ .~..., 19~.k ...~...~.l.t~.., 19~..~. Permit No. ! .~..~.8.~.-~... Approved Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT UBi BLDG, DEPT. '[OWN OF_SOUT~ Received ........... ,19... Date .................. , 19... INSTRUCTIONS a. This application must be completely tilled 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 tke 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 cod,~,~l~ausing c,c~tg/t and~ _re, g. uJations, and to admit authorized inspectors on premises and in building for necessary inspections.--~)~6_,~-~ ~t~t~--,~- , ~ ..... :-. ~: :':-:. :: :-: :~-..~'-7:-~..:. ~. ~...'. :.~ 0 ............. c' ,-, ......... (Signature of applicant, or name, if a corporation) 2 lr E. gJoco (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~.~0 !....'~-.: ~..~.~.~.~.~'.....0~..~...~.O.&,..tS.~.~..' .~.). ~$.1~.~.¢.q ~ .............. (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. :aqy .[..~.,3 Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done~ .................................................. House Number Street Hamlet County Tax Map ~o. 1000 Section .....~.~. .......... Block . ..~. .............. Lot. g~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... ,~...~. ........ W ......... '~..~.. ~..(i~.....~ ................ t p ,' - Q o b. In ended use and occupancy .. ~$.~.t~. · .&G.~ .............................................. : 3. Nature of work (check which applicable): New Building .......... Addition ........... Alteration .. ........ ~ep. air ... ,~. ........ Removal .............. Demolition ........... i' · · Other Work ............... S~'~¢k. b)~ ~h~c~ ~u, vt~ ~¢~,h~'~;to,~.) (Description) 4. Estimated Cost . -,--t ............................... Fee . .* ............................ (to be t>aid 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 ~ature and extent of each type of use ....... ~! ........... 7. Dimensions of existing structures, ifany: Front .~ ........... Rear . .~.(~*...i ....... Depth .o ............. Height .. ~ ........... Number of Stories ...~.~.~- ..................... '. ........................... Dimensions'of same structure with alterations or additions: Front .~.~t. ....... i ..... Rear . .~...~D~.. .......... Depth . .~ ............... Height ...~.~.M~ .............. Number ofi Stories..~...~.. .............. : Depth ' ~'-8. Dimensions of entire new construction: Front .......... . ..... Rear ........ i ...................... Height Number of Stories ' 9. Size of lot: Front ..... Rear ............. iDeoth ...... 10. Date of Purchase ...~¢ bt'~.~ ...... hq.."/~. ....... Name of Former Owner ...~.~..r(0-q'r~ .-. · I 1. Zone or use district in which p'~emises are situated ......................... .................... : ..... 12. Does proposed construc~tion violate any zoning law, ordinance or regulation: . ~.~.~ ............. ' 13. Will lot be regraded .,~. 0 ........................ Will excess fill be removed from premises: ..... ~'~i ' ' ' ~ 14. Name of Owner of premises .................... Address ............... i ....Phone No ................ Name of Architect ............... Address ............... i ....Phone No ................ Name of Contractor ,I).a.~.~t~: .~[~i i i i i Address .............. ' Phone No ................ PLOT DIAGRAM.. Locate clearly and distinctly all buildings, whether existing or proposed, and, inflieate 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, S.S COUNTY OF ...... ' ........... ................... .............................. being duly sworn, depo?s and says that he is the applicant (Name of individual signing contract) 'above named. ~te 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 all statements contained in this application are true to the best ofhi~ knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............. ...... day of...Ta ............ , Notary Public,..~...~:...D...~.'(~'.( . .~... County