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Home My WebLink About14940-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy January 6 19.8.7 Date ................................ , . THIS CERTIFIES that the building Oge fla.u~il ¥ .d,~el 1 lag ' Lo tionofProp ty 820 O. LD I~.E. NHAD. E.N ?.D. CUTCHOGUE ca er : .................. · ........ House No. Sue. et Hamlet. County Tax Map No. 1000 Section 1.1 I . .Block . 0.4 ...... Lot 18 Subdivision., .N.~. S. :..P.T. ;..C.~.U.B...r.r,.O.r.: ...... Filed Map No. 8.0.6. .... Lot No. 347 conforms substantially to the Application for Building Permit heretofore fded in this office dated .M.a.y..2 I 19 .8.6 pursuant to which Building Permit No 14940. z~ ...... dated 4u¢~ 5 19 ~ 9., was issued, and con~rms to aH of the requirements of the applicable provisions of the law. The occupancy ~r which this certificate is issued iS ......... One family dwelling including ~q~? ~ deck. The certificate is issued to WALTER & DO.R..OTHY AUER ..........' '" ' ' " CMn X ..................... of the aforesaid building. Suffolk County Department of Health Approval 8.5. 7 .S .O. ~ 2. .4 .2 1.2. / 17/.8..6 ..... UNDERWRITERS CERTIFICATE NO ............. P,E, ,Np,!N, G,,' ,1,2./, 2 j,/,8, .6,. . ................ PLUMBERS CERTIFICATE 1/8/87 / /uilding Inspector Rev, 1/81 ~0~1~ 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) 14940 z County Tax Map No, 1000 Section ......... .~..L.). ......... Block ....... ,.O.....~ ....... Lot No ..... ~.,.~. .............. p[Jrsuant to oppJJcatJon doted .... ~~...~...J ....................... . 19-.~...~,.. ond approved by the Building Inspector, Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL soUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit NO. Owner ~LL~ (please print) Plumber ~ (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 ~~ 19 P7 Notary Public, /~ ~ M. ROACHE _ No. ~26~ Q~Ii~ ~ S~olk ~ County Notary Public FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY TOVVN of SOUTHOLD OFFICE OF BUILD{NG iNSPECTOR Town Ha{{ Receipt NO. 3 1 0 6 0 Southold, New York 11971 ..................... % ....... ......... ............................................................. ................................... ~,~......~ .......... /..Lo...a ....................................................................... noo ~ollars .~ ~/.~ .F..~ ~ * D ...j~... ........................... Fee for Fee for E~ Yard Sale [] [] ........... ~.o..~ .... Fee for r._~ C~x'tificate [] Building Permit ~L~rof Occupancy [] Mi$c, Building Inspector ~_~ · ............ Vacant Land ............. House No. Street Ham/et O~,ner or O,~.e,s of ~ropatty . .~., .a~. ,~. .......... ~ .~. ~..~_v~ .... ..................... ~ County Tax Map No, 1000 Section ~,. ,~J.~ ....... Block ...~.~ ........ lot { ~ ~ ~ ~%~ ~ o,~ CL~Z~ ~ _ ' ................. S,b~ivi~io, ~,..~.~.m'~.~¢~. ~.C .... Fi~,d ~ap No.~.~ .... Lot No. ,. ~¢.~ ...... ,~.~,, ~,,~. ~,,ro,.~ .~ ~%O. ~ ~ .~o~ ~,,t. ~,~o~,~ ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ........ ..~ ............ Fee Submitted $ .... k~.~. ~... ................. Construction on above described building and permit meets all applicable codes and regulations. Rev, 10-10,78 FIELD INS['ECTION FOUNDATION FOUNDATION 2. st) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL COM~ENTS ADDITIONAL COMMENTS: 7GS-'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING ~-~NAL DATE / ' ' INSPECTO _ . 765.t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~FINAL, INSPE~ 7GS-180~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING ~INAL r ~ ~OA~ ~ ~~ INSPECTOR, BUILDING DEPT, INSPECTION []FOUNDATION ~IST [ ]ROUGH PLBG. []FOUNDATION 2ND [ ]INSULATION []FRAMING [ ]FINAL REMARKS: ..... 76S-18~2 BUILDING DEPT. INSPECTION / [~//~/OUNDATION IST [ ] ROUGH PLBG. / FOUNDATION 2ND [ ] INSULATION ]FRAMING [ ]FINAL REMARKS~. DATE, ,, BUILDING DEPT. INSPECTION DATE: ,,~1/~/')/~/d INSPECTOR ./~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 'IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL s c. De~t. o~ SUFFOLK COUN~ ~OR AppROVAL OF COHSTRUCTIOH Si~gle ~amily Residence Only APPROvED~ r~rs ero~ D~ OF .! i $ C I)~PT. t-I£^LTIt 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined...~ ~ ~ ..... 19~. .{P. Approved ....~],-~'~-[..~..., 19~.~. Permit No..I.~.~.~..0..~.. Disapproved ajc ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 1 .. 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 granied 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. ( Sign aP~[t~ il [~,L~) {~ 1~ '~ ~.t i° n ) .... P~ O~ BOX 594 ........... ~[ 'giggC'~q~} ~,~iiii~' .......... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. d,e 3ecc cL .................................... Name of owner of premises ................................................. (as on the tax roll or latest deed) If applicant is a~or~r~tion signature of duly authorized officer. .... (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .......... .Y..a.o. ...... ....... C i ...... House Number Street Hamlet County Tax Map No. 1000 Section ... ~.~ ............ Block ..... .~..~ .......... Lot .... ! .~. ............ Subdivision .~.~..~....~.' ?.O.t).~.~..¢.[,~. ~..~..~..~.. Filed Map No... ~_)(~ C,~ ..... Lot .... ~..~.7 ...... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........... kj..~.Q .~....v'77..\. ". ............................................. b. In~en,~ed us~ aud ocoupa,,~y .~.~.o...~..c..~....~.~. ~ ~. . ¢..~ .~.~....o%..~ ........... 3. Nature of work (check which applicable): New Building .......... Addition ... ....... Alteration ,..[ .... !..' Repair .............. Removal .............. Demolition ... ~ ........ .. Other Work ................ [ (Description) 4 Esti dC t ~.0.~* ~ OO Fee ' · mate os ........................................... i ........................... · (to be phid on filing this application) 5. If dwelling, number of dwelling units: ............ Number of dwelling unitsl on each floor ................ If garage, number of cars ............................................. ' ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of eaqh typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ I ...... Depth ............... Height ............... Number of Stories ............................. ! ........................... Dimensions of same structure with alterations or additions: .Front ............. i ....Rear . !. ~. '~. ~././.,..I ....... Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ......... i ...... Depth ............... Height ............... Number of Stories ............................. i ........................... 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . .! ........................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... i .................... ' ....... 13. Will lot be regraded ............................ Will excess fill be removedlfrom premises: Yes No 14. Name of Owner of premises .................... Address ................ i. · · Phone No ......... , ....... Name of Architect ........................... Address ...... [ ......... i.. · Phone No ................ Name of Contractor .......................... Address ................ !... Phone No ................ 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 showistreet names and indicate whether interior or corner lot. STATE OF NEW YORK,' S.S COUNTY OF ......... : ........ ................................................. being daly sworn, deposes and (Name of individual signing contract) above namecl. says that he is the applicant is the .............................................................. , ........................... (Contractor, agent, corporate officer, etc.) i said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application 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· ~worn to before me this .. a/ . dan ............... · . ..... y ~f ....... (~ ........... , 19 . . . 7 ' hcant) OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I~ ~'~ID. o~ ~ ~ 4EFORE CERTIFICATE Ot~ OCCUPANCY fl:.' ~ dllttilN,Iti~ ~ plpl~ .,hall d tyme K or L onl,/, APPROVED AS NOTED NOTI~ ~ILDING DEPAR~T AT 766-1802 9 AM TO 4 PM ~R THE FOLLOWING INS~C~ONS: 1 ~UNDA~ON ~ REQUIRED FOR POUREO CO~E 2 ROUGH FRAMING B PLUMlqING 3. ]NSU~TION 4. FINAL CONSTRUCTION MUST BE COMmiE FOR C.O. ALL CON,RUCTION SH~L ME~ T~E REQUIREMENTS Off THE N.Y ~ATE CONSTRUCTION & ENERGY ~O~. NOT RE~NS~E ~R ~IGN OR C~NSTRUCTIO~ ~RORS: Unaufhorized al~e~fion or bOX ~80, e$2 roalloke ave, DATE Unauthorized alteration ar addition to this document is a violation of section 7209 of the New York State Education law. Copies of this document not bearing the engineer's inked seal or embossed seal shall not be considered valid copies. Unauthorized alteration or addition to this document i~ a violation of section 7209 of the New York Stare Education Copies of this dacument not bearing the engineer', inked seal ar embossed seal shaJl not be considered valid copies. L addition to this document is a violation of section 7209 of the New York State Education Copies of this document 'nat beering the enginee/s inked seal or embossed seal shall not