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Home My WebLink About14698-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z-23098 ~ERTIFICATE OF OCCUPANCY Date JULY 14, 1994 THIS CERTIFIES that the buildin~ DWELLING Location of Propert~ 1685 LANDS END ROAD House No. Street County Tax Map No. 1000 Section 15 Block 9 Subdivision Filed Map No. ORIENT, N.Y. Hamlet Lot 1.21 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MA~CH 20, 1986 pursuant to which Building Permit No. 14698-E dated MARCU 26, 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 OWE FAMILY DWELLING WITH ATTAC~ED ~ABA~E & DECK The certificate is issued to DANIEL & IVANKA PUHALOVIC (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 85-80-235-JUNE 29, 1994 UNDERWRITERS CERTIFICATE NO. N-824316 - MAY 6, 1987 PLUMBERS CERTIFICATION DATED J~LY it 1994 - LINDEN PLUMB. & HEATING Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? 1~J698 Z Permission is hereb/granted to' .... ~.....~..~x.~....% .............. .... ~../,..~. ...... ~....~ ...................... ~~...,.~'"~"' '"-:'"'"~'i~ ................ :". ~. ' ,o.................. ....... ......... at premises located at ~, County Tax Map No. 1000 Section ...... .~.)...~.. ......Block ....... ..~....°t. ....... Lot No ..... .J..:,.~T,...( ........ pursuant to application dated ......... ...C~....r~.........,~....O. ................... , 19..~...(/?.., and approved by the Building Inspector. Fee $ .......J..J ............. Building Inspector Rev. 6/30/80 Form No. 6 BLDG, DEPT. tD TOW~-~f~OLITHOLD TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate lo~ation of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5, Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing baildings (prior to April 9, 1957) non-conforming uses, or buildings and '¥re-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additione to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary ~ertificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~.~.~.?...~ g../.?.~..?. ................. New Construction ........... Old Or Pre-existin~_g Building ........ Location of Property.../~, & ~.... ~, f~. *.c~.~.,,.-%~,~.. ,~,., ~./~..~ i ~,'~h ,~...~?.~..~,. ....... House No. Street Hamlet Onwer or Owners of Property ................. County Tax Map No 1000, Section ......... Block .............. Lo ................ Subdivision. X~. ~. ~.~.....~...~..~. ........... Fil ed Map ....... ..... L ot .............. .... +...~ Permit Nof.~.~. .'~. &.~..Date ....................................... Of Permit Applicant ...... Health Dept. Approval ........................ . . Underwriters Approval ................... · .. . .. Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... INSPECTOR: Tho~ms Fish, G~rv Fish Robert Fis~e~ Telephone (516) 76'. OFFICE OF BUILDING iNSPECtOR TOVCN OF SOUTIiOLD SCOTT L. HARRIS, $upmvi~or $outho~ Tow~ ~[I P,O. ~x 1179, 53~5 Ma~ R~d ~u~old, N~ York 11971 Fax {5i6) 765-1823 Telephone (516) 765-I~ DA~: .~uzldzn~ Permit ~:outaiu~ le~ than 2/10 Of I~ l~d. c Nocary Pnbilc '" 1000966 'THE NEW yORK BOARD OF :UNDE ~--4--~7 '' BUREAU OF ELECTRICITY ~-~1 . ~'~ ' 85 JOHN STREET, NEW YORK, NEW YORK iOO3B?/ O,,t~ May 6, 1987'/ lppllcationNo, onJil* THIS CERTIFIES THAT o~ly the el~trical ~uipme~t ~ ~sFrlb~ below a~d introduced by t~ applicant ~med o~ McKasty, 1685 LandsEnd Road, Orient, N.Y. ~sexaminedon APril~ 30, '1987 and f°und to be in c°m FIXTURE FIXTURES RANGES C~KING DECKS OUTLETS $WITCHE~ 29 '~ ':'39 , DRYERS , ~ ~RNACE MOTORS FUTURE ApplIANCE FEEDERS 'IME~L0~KS~ SERVICE DISCONNECT Motors: 1-1HP: 1-3/4HP 3-G.F.C.I., 1-Smoke Detector Track Lighting: 10'-0" 3 lites S 1/0 CJS' Electric Inc. 246 Marktree Rd. Centereach, N.Y. 11720 ~ Lic: 2457E ce~ificote must not b~ altered in any manner; return to the office of the Board if 7GS-'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION [ ] FRAMING [~ FINAL ~"~E/~ ~/~ REMARKS: ~ ~~~. 1~~ - ~~.~ 7'65-1802 BUILDING DEPT. ~~~oINSPECTION UNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION ['~ FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ~ FINAL RrMARKS: ~ ,,~ ~ 765-180:) BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ::'ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION XST [~ROUGH PLBG. COMMENTS FIELd. INaCTION~ 1. FOUNDATION (1st) FOUNDATION FRAME & PLUMBING ~--"~TATE ENERGY CODE FINAL ADDITIONAL COMMENTS: T('IW~',' 0~- 'c:(;LJ~'l !;3 D ?, 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~NAL REMARKS: DATE INSPECTOR · FlUE NO. /0/ 19 ~ BY WILLIAM R. SIMMONS _~/'~ . PAGE 2~ m~o~- (~ Examined .~}t~. O~.cOI..~..6.. Approved 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., ., 19~..~. Permit No. 1 qc°l 8 ~ " Disapproved a/c ..................................... ................................ ...... (Building Inspector) ' . APPLICATION FOR BUILDING PERMIT TOW.N OF Received ........... ,19.. · Date 'f 19 ~ INSTRUCTIONS a. T?ds 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 c~r 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 througliout 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. TI~ applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit ~uthorized insReetors op p~remises~and~(n building for nece~ssarsM~spections. _ . , ?j_~ (Sigriature of applicant, or na4ne, if a corporation) .... ........ ....... ................. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. h 'f.4 ....... .0~.e.C:. o.i. ~.c. ................................................................... Name of owner of premises ... ~........ ]_._~.3h~q ~9 e~ .................................. (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... ?..q4..g).~..(7 .............. Plumber's License No...O.C?...~..~.-.C ........... Electrician's License No .... ?.../~..~. Other Trade's License No. q ooation of on which proposed wor wili he done ..... ..... Hamlet /, ~ / House Number ~0, ~qe~t ~ q Lot..~~. County Tax Map Ng. 1000 Section . .~. '.'~.. :6../.3..~.. Block ...................... 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 ..... ~/,/~*(' F~)-A) 'P ...... 'i. ] ....... ~ ................................... b. Intended use and occupancy ...... } .......................................... / ' 3. Nature ~fwork (check which applicable): New Buildingtlr Addition Alteration · i Repair Removal Demolition ' Other Work j ~ i (Description) ' 4. Estimated Cost .... .~ .................. Fee . .~ ........................... (to be paid on filing this application) 5. If dwelling, number o f dwelling.~nits .............. Number of dwelling unitsion each floor. '~. ~/c2..,~. ~/z,O[O. If garage, number of cars .... ~ ............................................................. _ .. 6. If business, commercial or mixed occupancy, specify nature and extent of each typ6 of use ..................... 7 Dimensions of existing structures if any: Front Rear Depth Height Number of Stories . Dimensions of same structure with alterations or additions: Front ............. .... Rear .................. Depth ...................... Height ...................... Number of ~tories ..................... 8. Dimensions of entirenew construction: Front..' ............. Rear ......... ..... Depth ............. . Height ............... Number of Stories e~ ........ ' . 9. Size of lot: Front.../.q0.' ............... Rear... lh~.'. ............ ...... "'i "BepA .......................... ~-./.oR. .............. 10. DateofPurchase ............................. Name .of FormerOwner .i i.-'.e-fit~.¢fQ ....... g.~.~..o. ¥~.d. ....... 11. Zone or use district in which premises are situated... '.5. ................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ../?.0.' ............... . .......... 13. Will lot be regraded ....... :_._ . l,{~.~.~,x..: v>:: ~,.... Will exc~es%fill he removed~ f.rom premises. Yes No 14. NameofOwnerofprem~.ises v.~/vte.c.f.?/.c~/.~..WT. Address ,'~te~. ~tvC~,arO~.~ PhoneNo .SgSt/~ Name of Architect .... ' ....................... Address. i i i. i i i i i i i i i..ji i i Phone N~. f.~ 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 sho~ street names and indicat~ whether interior or corner lot. STATE OF NEW YORK, / S S COUNTY~' /")'"-"U:LP;'//--~-OF~ ~ U'f?c~3t~tc'''~ ' . ..... :-'~.~~ ............ being duly sworn, d~po ;es ~d says t~h~ is the applicant (Name of individual sign~g co~ract) above namea. ~. ' ~e is the (Contractor, agent, corporate officer, etc.)~ of said owner or owne~, ~d is duly authorized to perfom or have perfomed the siid work and to m~e ~d file application; that ~ statements contorted N this application are true to the best of~ ~owledge and belief; and that the work will be perfomed ~ the m~ner set for~ ~ the application filed therewith. Sworn to before m~ ~s ' h ........ day of .............. ~ ...... .,... ~ %" ~ ' "~'~' ~ ' ;2i~ ~ ..... '"; .... [ ~ ~ t,~o~v :"'* "~;' ,,,,,,a,~'~ ,,~ '~''~,~'~?y~'~ ' ""' ~ttlh,,.'~.~.,.---,i~, ,-. ~(~!~a~E~e of, applicant) OCCUPANCY OR USE IS UNLAWFUL WITHOUI' CER11FICA~ OF OCClJPRICY APPROVED ASNOTED O 6,TE: ~k~= I~'/ B.P NOTIFY BUILDING DEPAR~ENT 76~1802 9 AM TO 4 PM ~R THE, FOLLOW;NG INSPECTIONS: 1 FOUNDA*rlo(~ ~0 REQUIRED FOR PO[)RED CON~ETE 2 ROiJG~ PRA~ING & PLUMBING L 1.5' ~"' l~) r~4~. ,I .5/..,4,6 !