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Home My WebLink About14935-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z15609 Date April 8, 1987 THIS CERTIFIES that the buildh~g ...A.d.d..i .t .i.q n. .................................... Location of Property ... 7. .I .0..I: ~..t .t.1. e...N.e.c.~..~.o.a.d.... C u t c h o g u e House No. Street Ham/et County Tax Map No. 1000 Section 097 ..... Block 07 .Lot 026 SubdivisionLittle .............. Neck ..................... P.r. ?.p.e.r.t..i.e.s .....Filed Map No. 6048 .Lot No. 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated - M a y 22, 1986 ' . pursuant to which Building Permit No. 14935 z. dated......................June 4, 1986 ...... ~,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... To enclose pgtio. The certificate is issued to QTT0 & HELEN BOOKMILLER .................... ................... of the aforesaid building. Suffolk County Department of Health Approval .... .N [.A ................................... NS0129.2 UNDERWRITERS CERTIFICATE NO ................................................. PLUMBERS CERTIFICATIOBI DATED: N/A Building Inspector Rev. 1/81 TOV,'N 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) Permission is hereb/granted to: .....~..,..//..,~....~... ~.~..¢.. ............... ..... r.~. ~.....<**,r..~.,,~......~.~..~ .,- ~'~ --~ ~ .~~.~.....~...~ ........ Z/..~...5~ to ..... (.~......~..c~..o..~;~.......C~.~..Z~.~ ....... ...~zf.~Z.~ ................................................ ....... ~~.¢..a~...~.......;<~.~......~---~ ........................................................ at premises located at .....7./.~. ..................................................... ................................................. .~ ........................................... .~..z~..~,.~,~..:.-.. .... .../~/:/Z~.~.~...~..~.~...~c....~...~... .............. ----~...C..~./....~....~...... ~Ca,~ Ta× Mop No. I000 Se¢~,o~ ....O..~.7 ...... B,oc~ ....O...Z. ....... ~at No...~..~ ........ pursuant to appJication dated ........................................................ , 19 ........ , and approved by the Building Inspector, Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001071 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK 10038 ]927 464917/~7 o.,~ ~ ~,,~.,,o.~..~.~,,~ N 80~ 292 THIS CERTIFIES THAT only the electrical equipment ~ ~scr~bed b~low a~ introduced by t~ ep~a~t ~med on the e~ve oppJlcation number in the premises of ~ E, ~1~11~, 7]0 Little Ne~ RO~, ~t~ue, N.Y. FIXTURES RANGES OVENS EXHAUST FANS RXTURE OUTLETS SWITCHES FLUORESCENT 3 7 3 3 DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS ~INIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C O ~ $ ~l~ectric ]3ox 3outhold~ E.¥. 11971 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credential COPY FOR BUILDING DEPARTMENT. TI-tIS cOPY OF CERTIFICATE MUST ~OT BE ALTERED IN ANY MANNER, FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 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 applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate survey of peoperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3, Copy of certificate of occupancy $1,00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location ofProperty .~.[J~) J- ('T'~/~ J,,/~-CIz (-~ .C.c~.,T-C...~.?...~.~:. ?'.~.¥.,.. Owner or Owners of Property ..0. ......................... County Tax Map No. 1000 Section .0:~.7. ................ ......... Block . .O..'~. ........ Lot (~) ?)'' (¢ Subdivision...~..(...~...~../~...~.(C. ..............~¢~¢'~'/'~) FiledMapNo..~..~.~..~....LotNo. ............. ~/ PermitNo. f.~,.~.~.~... Date of Permit '... ,Applicant .~,~.~..:. ~.{~S .......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval . .~ . ~,~-: ............. Request for Temporary Certificate ..................... Final Certificate ., .1~'. ................... Fee Submitted $ Construction on above described building,~;~,l~,/~/~i,t meets~l apl~able cod,es and regulations. ...................... FIELD INSPECTION i,iDATE COMMENTS ~ .~ ~ou~DA~=oN ~ !.~_~;£: 0-~ _'To c ,~~ ....... ROUGH FRAME & __ /~o~~ PLUMBING ~ C,ODE - / ....... ADDITIONAL COMMENTS: 7LS-X80Z BUILDING DEPT, INSPECTION I' ] FRAMING REMARKS: ,,, [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL 76S-~L802 BUILDING DEPT. INSPECTION FOUNDATION FOUNDATION 2ND FRAMING [ [ ] ROUGH PLBG. ] INSULATION ] FINAL DATE 7GS-1802 BUILDING DEPT. NDATION ~.ST FOUNDATION FRAMING REMARKS: [ ] ROUGH PLBG. 2ND [ ] INSULATION [ ] FINAL 7GS.Z802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ~ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..... -; . . . :~. :. ........ ~,, ..... /~... "t;;i ........ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS M/~Y 2 2 ~986 Application No .................. Date/.~..: ............ 19.~.G 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. Hot 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. e. 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 heroin 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 applicaff~ or ~he, if a corporation) '..'t ........... ~'~ ....................... 7' ..... (Mailing address of applicant) 91 State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .. a.l~>.~../~ ~ .... .CO..'~)-/~....~...~..0 .~...~..t. ((.er_.~.. ........................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .... 7/. ~. ............. ......... ~ . . .~ .... .re. ............. - .... :..,/. ....... ~ ............... House Number Street Hamlet County Tax Map No. 1000 Section... aT. 7 ........ B,ock .... ~"7" ......... Lot...O..7~... .......... Subdivision ~. [ ./~/~.. q~..~.oQ'~ ........ Filed Map No..( .o..? ~. ...... Lot .......... 2. State existing use and occupancy of premises and intended use and occapanc, y of proposed construction: a. Existing use and occupancy . . / :'. ..... ~r;'6~i~i .................. 3. Nature of work (check which applicable): New Building ....... Addition~J Alteration Repair .............. Removai .............. Demolition .............. Other Work ............... ', i (Description) Fee 4 Estimated Cost (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 .. ~....2 .............. 7. Dimensions of,existing structuresi if any: Front ............. Rear ...... ....... Depth ............... Height . ./~. ~. .......... Number of Stories...~.' ........................... i ....................... Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................. , Height ................. Number of Stories .................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height } ~ ' Number of Stories 9 Size of lot: Front : Rear Depth 10. D-',te of Purchase ............................. blame of Former Owner ............................. 11. Zone or use district in which pren~ises are situated .... ~ ~ 1 .~..~...'~-f....~5..~:' ..... ,~ ......................... 12. Does proposed eonstruction violateAn, y zoning law, ordinance or regtdation: . . ~ ~. ~ ........................ 13. Will lot be regraded ......... ~ .~.':. ............. Will excess fill.he removed from premises: ~r Yes No 14. N~ane of Owner of premises .~. ~ .?~o..~ a??.,~ I/~ Address Name of Architect ........... ................ Address . v .................. Phone No. .............. ~..~ i~.. ::~,,~ .... N?ane of Contractor ~ "~. ,~:co~/C- Address -, . . . PLOT DIAGRAM Locate clearly and distinctly all property lines. Give street and block interior or corner lot. )uildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street names and indicate whether STATE OF NEW YORK, COUNTY-~/_ ~'// -- OF .... ~ ....... trl ,'~ ..... .... /.~. (.~ .f~.,~..~y....7//..~.o.~f.~..~. ~..~... ............... being duly sworn, deposes and says that he is the applicant (Name offndivi~ual signing contract) above named. 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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed m the manner set forth m the application filed therewith. Sworn to before me this ............. ....... ............... , 7.(,. Notary Public, ..:~...,...~..~..f~....x ...... Count.~ ~..~..~...~.....~... N~ARY ~Ki~. _~hew Yo~ " (Signature Of applicant) No. 47o7~71; Term Expires Mi~reh MOOSE TRAIL F~,qNK Al. ATKII~$OAJ ir .J. FOUNDATION - ~,/0 REQUIRED FOR POURED CONCRETE 3 INSU~TI~N-'-'-~ ¢ RAMING & PLUMBIN~ THE REQUIREMENTS OF TH~ CODES. NOT RESPONSIBLE slonal Enaneer, Is IIl~al"~ ,r re*use Sedlon 7209, SubdlvlI~ ~, ~meer Ap~