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Home My WebLink About14769-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...$~[5.0.fi8 ........ Date November 7 86 ................................. 19... One family dwelling THIS CERTIFIES that the building ................................................ Location of Property ,. ..... 1..5.4.0..?.U,C.K.~..R.~..~./}.N..E ........... SOU?HOLD · r~ou$e No. Street .................... I:l~i~/ei County Tax Map No. 1000 Section 059 .Block 04 .Lot 5.2 Subdivision .G..r.e.e.n.E..i.e.l.d.s., .a.t..S..o.u.t.h.o..1.d., .Filed Map No.63. .1.3 ..... Lot No. 2 conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Ap.r;],l-. ~ ......... 19..~ .6pursuant to which Building Permit No. 14769 g dated .... Apr J-.],. ¢ ~ ............... 19.8..6, 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 ......... ..... One fami~y.~we~fi,~g, ~r.a~e attached, attached deck. The certificate is issued to ... ~.AIgES..Q$[~4h~qHT.Y (owner, ~]~iexo~ :~fl?X of the aforesaid building. Suffolk County Department of Health Approval 85-SO-211 UNDERWRITERS CERTIFICATE NO ?E. Ixl~ ' PLUMBERS CERTIFICATE NOV. 6, 1986 Building Inspector Rev, 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, I~. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N'.' ]4769 Z Permission is hereby granted tp: ~ -- ..~~ ........ ~.~.~..h~ .............. ...... ~.~..~ ....... ~;.~...~...c~...~ .... at premises I~ated at ./..~.~.b ~~. ~ ~~ pursuant to application dated ...~3~_~.......~. ......................... 19..~...~., and approved by the [3uilding Inspector. Building inspector Rev. 6/30/80 COHMENTS ~ 6IELD INSPECTION 1. FOUNDATION {1st) FOUNDATION ROUGH (2nd) FRA~' PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITION~'L COMMENTS/.. FIELD INSPECTION DATE COMMENTS FOUNDATION st) FOUNDATION 2nd) PLUMBING INSULATION PER N. Y. ,, STATE ENERGY ~DE '"' FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Sou,hold, N.Y. 11971 765 - 1802 ~i i'-'~ '" bL:q,'.':!,~-~ 'r.~i ~.I ~ill bL.,,~. OEPT. TOWN OF SOUTHOLO APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must,be filled in typewriter OR ink, and submitted la ~=iaiaaa 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 naturaJ or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-IS-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 iprior 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 end 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: 1. Certificate of oc_cupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date .... /~ 7 ~./. -. ~;~. ............ New C on s t r u c t i o n Old or Pre-ex isting Building Vacant Land Location of Property ........... T~{?_,~)~.-J~,,~'., ..~.,C~, ...... .%~:D C~. ,~...~./d. House No. Street Hamlet Owner or Owners of Property .~. ~ ~,~ County Tax Map No. 1000 Section O .~'.~. Block oo cj Lot. Subdivision ~.~ ~..~../~. ~/..~..A./~'..~.I~...~P~'.h~tt.t~iled Map No..(~.~OJ .~.. Lot No....~Y..~.. ...... Perm,, No.[N.'~.~ .... Date of Permit J,O..-~, ! %~.~:?,Applicant .... ~ ,~ ~'.-~5. ,r.~gNMVY)'t~:::b...~. ,'~.Y?q~ .k~' Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .... ~ ............. Final Certificate ..................... G~ Fee Submitted $ .... ~ .... ~, .~., .C~...,, .~.. d ~ ? Construction on above described building and permit meets all applicable codes and regulations. Applicant...~. ~ ~ Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date NOVEMBER, 1986 Building Permit No. /~7~ Owner '~print) Plumber ROGER MC CARVILL (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~ d~, of ~o-t'- , Notary Public, ~.~'_ County Notary Public Term Expires March 30,19 , , ~7 7GS-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION ~ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [R~MF~R~KM~G ~ [,¢J~F~AL DATE ,NSPEC'I'OR ~_ _/~ 76S-1802 BUILDING DEPT. FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~/'~-~ ~'" DATE //)/~ INSPE~OR ~~ 765-18~2 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION [ ] F~ING [ ] FINAL REMARKS?~ //'~-'7~,~'~ DATE INSPECTOR 76S.XSO:~ BUILDING~ DEPT. INSPECTION r FOUNDATION- XST [ ]' ROUGH PLBG. FOUNDATION 2ND[ 7GS-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST []ROUGH PLBG. []FOUNDATION AND []INSULATION []FRAMING []FINAL REMARKS: ~O ~.-/~ / ~], · , ~-o o'~ - ,INSPECTOR 7GS-'~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL ,DATE INSPECTOR / 765-~802 BUILDING DEPT. INSPECTION FOUNDATION ~ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~ [ ] FINAL REMARKS: J ~ INSPECTOR/~~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .~..~.l ..... 19 .~.~. Permit No..).q. ?. ~.~ .'~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT , , 'rOWN OF $0U'1~01,~ , ~ ~ ~ce±ved ........... ,19,, . 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 r~gulations, and to admit authorized inspectors on premises and in building for neces~s~ns. ............. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... 0..w..o.r.- .................................................................................. Name of owner of premises ....'~-.Or..WA..~.% .... ~--~.~..~.r}.6 .~.~, .~. ........................................... (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ........ ......... ................. ' House Number Street Hamlet County Tax Map No. I000 Section . .O..~ ........... Block .0. O.¢ ........... Lot .~..: .~C' ............ Subdivision .~7. {~-~.~..'P..C/.6T/.~. X../}./..~o.~P.]'/~./.4 .... Filed Map No. 6.5.~.3. ....... Lot. ?.~ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~../~Z}.&~. ........................................................ b. Ihtended use and ocqupancy .............. 3. Nature of work (check which applicable): New Building . .~...". .... Addition,.. ! ....... Alteration ...i. Repai~ .............. Removal . ............. Demolition ............ :.. Other Work ............. <~ . , (Description) 4. Estimated Cost . .b.o..~ .O..g. ~ ........... Fee .................................... (to be phid on filing this application) [ ' 5; If dwelling, number of dwelling units .. ....... ...... Nuinber of dwelling unitslon each floor.. ] ............. If garage, number of cars ... J ......................................... i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structhre~, if any: Front ............... Rear ........ ~ ...... Depth ............... Height ............... Number of Stories ............................. i ........................... Dimensions of gaine structure with alterations or additions: Front ............. i ....Rear .................. Depth ........ .' ............. Height .................... Number of Stories .... ..... .... i -D.)' ' 8. Danenslons of entire new construction: Front .... Rear . .(or .......... Depth .'. X..Is ........ Height .}.~. ............ Number of Stories .... [ ......................... ~ .................... ~ ....... 9. Size of lot: Front . ./,h .O..~ ................ Rear . .I.~. .................. t~Depth .q~.~/fl ................. 10. Date of Purchase .~[~$ ....................... Name of Former Owner ~0.%~...l~t~t¢.{9. ............... 11. Zone pr?se ~istrict in' which premises are situated ............... · ........ ~ ........................... 12. Does proposed c6nstruction violate any zoning law, ordinance or regulation: }~O .C>.i ........................... 13. Will lot be regraded ...~. O. ..................... Will excess fill be removedlfrom premises: ~ Yes 14. Name of Owner of pr~mises . .,~--T4 ,gc~$.~lge/~./~ .~..~. Address'~$.~..~.,P./:~;ctecv...t~..... Phone No. ~..~$.D,I.o.~;] ...... Name of Architect . ¥~?..%q~t~k~g'¢ ........... Address ................ !... Phone No ...... Name of Contractor . .~.~ .*~.,.5 .~.re0~.¢. .~.7(... 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 showl street names and indicate whether interior or corner lot. STATE OF NEW YORK, ~OUNTY OF ....... ?.: ....... . S.S · · .-~..~.~..~.~ .... ~. ~6/~ .~. .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and ia duly authorized to perform or have performed the said work and to make anti file this lpplication; 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. ~woru to before me this // ?. ?' ' · (Signature of app!i~ .(3° ~ ES TWO, i:YEA~' FROM OF APPROVAL':" . . SURVEY FOR ~?,~ . JAMES GERAGHTY ' OUIfl;Y'DEPARTMENT ~ HEALTH SERV[CE~' LOT 2, "GREENFIELDS AT SOUTHOLD" ' ' '"/ AT SOUTHOLD APPROVAL OF CONSTRUCTION OF ,~,'" TOWN OF SOUTHOLD Single Family Residence Only / ,, SUFFOLK COUNTY, NEW YORK NOT IE CON$1DE~[DTO I~E A VALID TRUt COPY ; NGUARANTEE~I IHOICATED HEREON SHALL RUN (~4LY 'FO RTMENT-DATA FOR APPROVAL. TO CO~CTF~UCT T~E PERSON FOR WHOM THE SURVEY IS PREPARED AND C~ HIS BEHALF 'PO THE TITLE COmPlY, GOVERN- DATE: JUNE SCALE: I" = 50' GUARANTEED TO~ TICOR TITLE SOUTHOLD,~V~ NO. 85-57; su~Y FOR JAMES GERAGHTY ~OLK COU~ DEPARTMENT OF H~ ----""*~vi~' LOT 2, 'GREENFIELDS AT SOUTHOLD" ~OR~ APPROVAL OF CONSTRU~ION OF/~:/ AT SOUTHOLD DA~E' dUNE 8,1985 ~N ~ SOUTHOLD SCALE' I"= 50' single Family R~ide~e Only,/ SUFFOLK COUNTY, NEW ~RK NO. 85-573 TICOR HEAL~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~E ~R~ FOR WHOM THE SU~EY ~S PREPARED TOIHSTITUTI~'~I TIO~ ,~RANTEE$ AREoR ~TsuBSEQUENTT~SFERASLE ~~ NOTE: ~ = STAKE ,.0 = PIPE SUBDIVISION MAP ~ILED IN THE OFFICE OF THE CLERK ALOEN W. YOUNG, PROFESSIONAL ENGINEER ~ SUFFOLK COUNTY ON NOV I0~ t975 A8 F~ ~0. 651~ AND LAND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARD W. YOUNGt LANO SURVEYOR ~E ~ FIE~ ~TI~S ~ OR DATA ~~r ~ N,Y, S. LICENSE NO. 45895 BRANDIS & SONS INC* 1046 ) SINGLE FAMILY D~b~} ~ H.D. REP. NO. .~ -~/I. DATE ..... ~,, ~OV J~- THE OEWAGE DISPOSAL AND WATr~ SUPPI..Y FACILITIES FOR THIS LOCATION HAVE BEEN ,N~PEC~ ~ T,,S DEPARTMENT AND ~UND TO BE ~ATI~A~TORY, OhiO~ of'W~otoWatO~ Manaoomont SoC'tion ' ' SU~Y FOR JAMES GERAGHTY LOT ~ i "GREENFIELDS AT SOUTHOLD" NOV. 6~ 1986 AT SOUTHOLD DATE= ~UNE 8~ 1985 ~N ~ SOUTHOLD ~ SCALE~ I"= 50' SUFFO~ COUNTY, NEW ~RK ~0. 85-573 ~UTH~tZEO ~t~O~ O~OOt~O~ m ~S GUARANTEED SURVEY · A VI~ATION ~ ~ECTION 7209 ~ THE R T~E NEW YORK STATE E~CATI~ LAW TICO CO. HE~ DEPARTMENT-DATA F~ APPRO~ TO C~STRUCT ~ ~ ~ wHo~ THE. SU~E~ ms N NE~E~T W~ ~AIN~. ~ N SOURCE ~ WATER, ~I~TE P~IC__ MENTAE AGENCY ANO LENDING INSTITUTION ~IS~D M ~ ~. T~MAP mST SECTION 0~9 ~K ~4 LO~ H~E~, AND TO ~E ASSIGNEES OF THE L~NDING R~E~ A~ ~ ~ELLIN/ WITHIN I00 FEET OF T~S PROPERTY INSTITUTI~. GUARANTEES ARE ~T T~SFERABLE OTHER THAN THOSE SHOWN H[REON. TO A~ITI~AL INSTITUTI~S OR SUBSEQUEHT ~LIC~T~ ~ ~ ~ ~ ~ ~ ~ ,~ P~PE~T~ LINES O~ FO~ THE E~ECTION ~ FENCE~ YOU YOUNG NOTE: ~= ~AKE ~ 0 = PIPE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W. YOUNG, PROFE~IONAL ENGINEER ~ SUFFOLK COUNTY ON NO~ lOt 1975 AS FILE NO. 6313 AND ~ND SURVEYOR N.Y.S. UCENSE NO. 12845 HOWARO W. YOUNG~ LAND SURVEYOR. M~ L~ ~ ~L(W),~IC TANK(ST)aCES~S(~) ~N ~E~ N.Y.C. LICENSE N0.4589~ 9RANDIS & SONS IHC. 1046 · ' ' OCCUPANGYur~"~' ~' · :' ' ' " "'' "'-"!'"U~r.~ UNLAW"UL~ ,, ,= ,,,,WITHOUT C~.Ki'II'IUAI: ' "' "'o CCPANCY F'O U-:"-' <. , WATER 'i. ': :, · , SOLDER USED IN " LEAD :~ ~r T L' r' ~ 'EXCEED 2/10 of 1% · AFPROVED AS NOTED FEE: :~O:~-.,~0 BY, )'/~ ~'/,L, NOTIFY BUILDING DEPARTMENT AT , 765-1802 9 Ar~'l TO 4 PM FOR THE FOLLOWING INSPECTION,e,,: ' '' r ] : ; r '2 ROUGH ,:~A~I~NG&'pL~IMB!NG i ~ L ~ L ' 3 NSULATIOP~ ~ 47%040 Mare Ro~d