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Home My WebLink About14958-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16734 Date ..... ~T~.~ .... [~9 ........... THIS CERTIFIES that the buildMg ALTERATION & ADDITION Location of Property 225 Hortons Lane Southold, N.Y. House IVo. Street Ham/et County Tax Map No. 1000 Section 06 3 ..... Block 0 5 .Lot 0 I 6 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated March I I, 1986 pursuant to which Building Permit No. 14958 Z dated J un e 9, 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 ......... ALTERATION & ADDITION TO SECOND FLOOR APARTMENT -NON-CONFORMING USE. The certificate is issued to MARGARET F. DOW ..................... ................. of the aforesaid building. Suffolk County Department of Health Approval ......... N./. A. .............................. UNDERWRITERS CERTIFICATE NO y 22 l 988 N850944 - Sanuar ~ ........ Jan. 26, 1988 Henry J. Smith & Son, PLUMBERS CERTIFICATION DATED: Rev. 1/81 TOWN OF SOUTHOhD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK ^UTHORIZED) 14958 Z Permission is hereby gronted to: ...... ............ .... ~,0.. ........ .,.~..~ ........... ~/..¢ .................... ....... ~.o~. .k/c~..cx.~.. .-. . . . . ~.-. . .~... . . . . . ~. .L ~. . .l. l ~ ....... ~.o. m. . . c~x~. .~r./~ z~.~. . . . . ~. .~. . .~ ................ .~. ................ ~ ..................................... County Tax Map No. 1000 Section .....~....~..~. ....... Block .... .(~...~.'~... ....... Lot No..~.(..~ .............. pursuant to applicotion doted ....... ~...,~..~.~..~.........~..~. ................. , 19...~.., and approved by the Building Inspector. Building Irkspector Rev. 6/30/80 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG. DEPT. TOWN OF SOUl'OM) APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m Jmmmmm 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 topo,qraphic features. 2.Final approval of Health Dept. of water supply end 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. 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: Additions $25.00 POOLS $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 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 4.Vacant Land C.O. $ 20.00 5.(3pda~ed C,O. $ 50.00 Date ...,...q.~..~ ..... ......... NewCOn.~} truct~ on ...... Old or Pre-existing Building . ?.~'.~ .~.~. acant Land ............. Location of Property . .~..~.O-/ ....H.O...~..~.'.~i...L~/).e ............. House No, Street Ham/et Owner or Owners of Property ~ .C~.(~..e~. g County Tax Map No. 1000 Section ....~...~.~. ..... Block .... '(~' .-~. ...... Lot...f~../..~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No././7~?....~'.oe. ?x. Date of Permit ./~P/~./~.*.Applicant.. [~Y'.(,.~.t-¢....~.. ~....'"~..~.u~.. ...... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .~-Y6~. ~.~,~ ~.*.~¢.l~,.Planning Board Approval ..................... ReqL est for Temporary Certificate :.... ..... . .......... .. Final Certificate . ..................... Fee Submitted $ ............................. Construction on above describedApp 'cant' .building and. 3~.~-permit meets a %p.... (~1~,..icable codes .......... and regulations. Rev. 10.10.78 TOWN OF SOUTHOLD OFFICE OF BUILDING INS'PECTOR P.O. BOX 728 TOWN IIALL SOUTHOLD, N.Y. 11971 December 29, 1987 TEL. 765-1802 Margaret F. Dow P.O. Box 374 Southold, New York 11971 To Whom This May Cohcern, We are unable o complete your Certificate of Occupancy because ~of the following reasons. /~/ An application for Certificate is not on file. ENCLOSED /~/ No Underwriters Certificate on file. /~/ The check is(~/not on file.) No Health Dept. Approval on file. /_/ No final inspection has been made. of Occupancy $25.00 Iq. ease contact our office on this matter. Thank you for your cooperation. Building Permit # .J_ ~_ _~_ ~ ~_ Z Buildinq Dept. ~'**/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1~1984 ) HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 Inc, CERTIFICATION Building Permit No.__l_~9_~_8Z ....... Own e r Mar~are_t__D_ow_~_H_orto_n~_~me~_So~thold P 1 u m b e r __H e _n_r y__J_. __S_m i_t h__&_ S_o nz__I _n_c _. I certify that the solder used in the water supply system contains less than 2/10 of 1Z lead. Sworn to before me this ~_day of _~=uaZ'~ .... , 19_&~_. Notary Public, Suffolk County [ooo].?.:~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-Iltg 65 JOHN STREET, NEW YORK. NEW YORK 10038 ,~ Margaret Dow, 195 Horton FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 8 24 14 8 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ?IMECLOCKS UNIT HEATERS MULn-OUT£ET DIMMERS SYSTEMS NO,OF~FEET SERVICE DISCONNECT OTHER APPARATUS: panelboards: 1,~9cir. 125mups 2-G. F,C.I. l~Sm~)ke De~ec~or S E R V I C E NO~ OF CC COND A W. G, NO, OF HI-LEG A W~ G / NO' OF NEUTRALS A W G, :~ ~/o I ~'' :~/o Paul Burns 275 Town Harbor LaGe sour;hold, N.Y, 3.1971 Lie, 282~E GENERAL MANAGER 11 ~ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by th(ei'r credentials. COpY FOR pUILDING DEPARTMENT. THIS COPY OF CERTIFI~ATE,MU~T NO~E ~LTEREO N ANY MANHER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [/~NSULATION [ ] FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~ROuGH PLBG. [ ] F/OUNDATION 2ND [ ] INSULATION / [c;J~FRAMING [ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] i~SULATION FRAMING [~]/FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E×amined. .... Disapproved a/c . . ~ ........... ../ ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... , 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 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. ........ .... (Signat~lre ofapplic,ant, 0r name, if a c p t' ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner o f premises .......... ~ ............ ('a~ ;~' t'~e' ia'x' ;o'li ;; ilt~t' [t;dd) ........................ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~..I} [..GU .~.~..~. ...... Plumber's License No..~. ,~.'~..: · .-'~.~-.([ ~...~. ..... Electrician's License No.'~.~, .~q~'~-..~.. · · Other Trade s License No ...................... I. Locatio, n of land on which proposed work will be done .................................................. ~l~ 'o~;e ~qh;~ ~r ........................ ~ir;;i ....................... h]~l;; ........................ County Tax Map No. 1000 Section .... ~..~.~.*.O.CD. .... Block ...O..'~.'5.0..O. ....... Lot...~. ~.~.,..O..O..~fi. .... 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. ~ ~..~.~?.~,...~.'y.~t,'~t~_ .(~.~¢[ ~[9.o.~'.~)B..~..~.~./ ..................... ..... ! r: ....,"' . f b. Intended use and occupancy....~... ~ .~..~y..~.. ~7...O~.. e~.. ~'l~.[.. ~r.~.~-.~. .~ .q~. ...................... 3. Nature of work (check which applicable): New Building · Addition..: ........ Alteration .... .~...... Repair .............. Removal ............. Demolition ........... !.. Other Work ............... .~.~C? ~. ' (Description) 4. Estimated Cost ..... i.~ ....... ............... Fee. .~...~.?~. ....................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling unit~ on each floor ................ If garage, number of cars ........... ,.. ................................ i ............................ 6. If business commercial or mixed occupancy specify nature, and extent of each tYPe of use ..... , &xg~ . ~ ......... ~.. ......... 7. Dnnensmns of existing structures, ~f any: Front ............ Rear .....~.. ~.~ ....... Depth Height ;...t~./~. ........ Number of Stories..(..o~../..'.'~&O.O....~ .~. ~./.~.$..: ............................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ............... Rear ........ : ....... Depth ............... Height .. .. N~umber of Stories ............ i - t~ 9. Size of lot: Front_.~t.. ~t~,~ .( ............ Rear ..... ~..'¢.. i i ii ii i i ..... l~gi~' ' ' '/'(~'~c' ' i .... i ...... , 10. Date of Purchase~]~¢~tq'..q.~.q* ..... ~o.+/. ,tqm. g.. Name of Former Ow~;~)r: .~.. (~.,]F.'~.~.' ~ ~.'/~ ~ ~.~.',] .~r I I. Zone or use district in which premises are s/tuated ..... ; ~'~ ['a,'~ a~-4 12. Does proposed construct,on violate any zonin~ law ordinance or regulation ! 13. Willlot be regraded ............................ Will exce~lltlc rer~ov, ed fl;om~premises: ~ Yes 14. Name of Owner of premises .D~ .~.~'~A~.v¢.~ .~:7.~.~.. Address I.~ j~..vC.o:~.x.~...~..~../w./~one No..~.?.~J~.~. ~ .~..~.'~ .~'. Name of Architect ........... .kl .............. Address ............... ; ... Phone No. "'".. Name of Contractor .......................... Address ............... i... 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 shox ~ street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ............ ..... S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual 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 s~id work and to make and file this application; that all statements contained in this application are true to the best of his &nowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this (Signature of applicant)