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Home My WebLink About14802-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPAKTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date . .M..a.r.c.h...2.3 .... ! .9.8.7 ............... THIS CERTIFIES that the building .. lt.e.q 9¥.a.t.q..ap.cl.. a..d.d.~t..i 9.n ..................... Location of Property ... 2. .5 .2.3.5.. ~.aj.r}..R.o.a.d... ' O r i e n t' House No. Street Hamlet County Tax Map No. 1000 Section .1.8 .......... Block 3 .Lot 12.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .A. l? .r.L.I. . 8. ., . .1.9. 8. .6 ...... . pnrsuant to which Building Permit No. . I. 480,2.~ ............. dated ...4 p r.i.1. ~ fi ....! ~ .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 ......... Renovate attached garage into living quarters; with attached dog The certificate is issued to ...... .Pg.I.L..I.P..A.~ .1?..O.R...E.L.A.Y.O .A. ?.I.~ .K.L.E... ................... (owner, of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... -- -- ~ N795444 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: Aug. 7, 1986 Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. Permission is herebf granted to: ,...o...~ .......... /..L,,~..~.~ ........................... ,o ~.....~..-..~.~,....~.~.~....~...~....~~..; ...... at premises located at .~.....~..,'~,,.~..~-~.......~.~.....,.J~...~, ........... ..(~.~ ................................. County Tax Map No. 1000 Section ........ )...~,, .......... Block ....... .,~ ........... Lot No....I...,~m..:....'~.,. ..... ~r~o~t to opp,co,on ~ot~ ........... ~....q ...... ...a....! .................. · l~..~.., ond oppro¥~d ~ t,o Building Inspector. Building Inspector Rev. 6/30/80 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR To~vn Hall Receipt ]~'O, 31521 Southold, NewYork 11971 .................. ................................ .~../,d,~....~.. ......... /.~...d..~. .................. ~.x., .............................................. /100 Dollars cc- or ..... ............ ........... ................................ Fee for Fee for Fee for Fee for r__t.g~ificate cCheh / Ila- ..................... '~'"~ ........................ Building 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: 1. Certificate of occupancy $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 A " 5.Updated C.O. $15.00 Date .... ..,r.:~.'..;:l.. NewCons%~uc%ion . ~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property . ~ ~ ...................... .............. House No, Street Ham/et Owner or Owners of Property , ~JS. t.L'. [ ?. .... /~...~..~..~ .... ~..L~;..~/.Q ~ ..... ~../..~...J~..~./,_-- County Tax Map No. 1000 Section ..... i .~. ....... Block .... ~ ........ Lot ....... : ...... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ).~..~/)."~. ~ Date of Permit .~. J$.~.[~'G.Applicant..~..Lr~) ~.~ .A.,,, .~. ,/.¢?..~..L. ~ ..... Health Dept. Approval ........................ Labor Dept. Approval ........................ Undep/vrJters Approval, .D.~,j~.~).t.hJ ~ ......... Planning Board Approval ...................... Requast for Temporary Certifi~a~te ...... , .............. Final Certificate ....................... Construction on above described building and permit meets all applicable.co.des 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 Building Permit No. /~ff~" ~2.~ '~ ow.er (piease ~pr~nt) ~ t (please print) I certify that the solder used in the water supply system contains less %hah 2/10 of 1% lead. Sworn to before me this day of Notary Public, County (plumbe~ signatur~ ) Notary Public THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000773 BUREAU OF ELECTRICITY ~£ Febz~.r.y 24, 3.9885,./ JOHN STREET. NEW YORK. NEW426744/g6YORK 10038 Oat. AFp,ica,io. No. o. fl,. N 7 9 5 4 4 4 THIS CERTIFIES THAT only the electrical equipment as d~scrlbed below and introduced by the applicant named on the above application nuraber in the premises of Philip Finkle~ H~$n Road, Platt & Brown Hills Rd., Orient, Section Block Lot was examined on and.found to be n compl ance trith the require.tents ~f this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FtUORESCI~NT 3 7 SYSTEMS NO. OF FEET OTHER APPARATUS: S E R V I C NO'O E COND' Of CC, COND AW.G. OF HI-LEG NO OF NEUTRALS OF NEUTRAL Arthur Ruroede Orient, N.¥11957 Lt¢#2334~. GENERAl. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incqrrect, Inspectors may be identified by their credentials. F~ R BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE~MUST NOT BE ALTERED N ANY COPY F~ .............. ~_ ......... ~ ...... ~, ~ . i, · MANNER. FIELD ~INSI%£CTION COM~ENTS FOUNDAT~~. FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE Ye ADDITIONAL COMMENTS: BUILDING DEPT.~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [] FOUNDATION 2ND [/~JLATION []FRAMING [/~FINAL REMARKS: DATE INSPECTOR / 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~ INSULATION / FRAMING [ ] FINAL 7GS-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~UOUGH PLBG. I~ ] ~OUNDATION ZND [ ] INSULATION / [~/FRAMING [ ] FINAL REMARKS: DATE~t ~/~-'~ INSPECTOR ,~~ 765-1802 BUILDING DEPT. INSPECTION ~FOUNDATION IST [ ] ROUGH PLBG. ~FOUNDATION :~ND [ ] INSULATION [ ] FRAMING [ ] FINAL DATE INSPECTOR Examined . ..~..~..(q..., 19 ~.b. Approved .~..'~'..~ .... 19~.~. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 11986 BLDG. DEPT, TOWN OF $OUTNOLD Application No .................. 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,.~.?.../-..~.inspe~i°ns'~ ~ ~ ' ,~ .~ .... .......... (Signature of~ applicant, or name, if a corporation) (Mailing address of applicant) [ l r~0~ ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~.'~'~. ~/Jp...'b~.. J~/c~.~/~} et ..... ~'. '.'~,;i~.~.l~ ....................... (as on 4he 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 ....... ~. ~a~.~' ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. zd' .:;k-b:::5 /'.¢. J ............................... ¢,,,,. ......... ' ......................... House Number Street Hamlet County Tax Map No. 1000 Section ..... ~ .~. .......... Block .... 3 ............ Lot... ! .'~..o..~. ........ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... t.~','~(~/(:..' ',~' '" i~' ' 'A'~"/,~ ..~.c.~¢//.,~,~, ............................... b. Intended use and occupancy .. c,9.~.,o~/. C.. ?.-a.~., ~ ./y.. ¢~.~.~ ~¢e']o/~':q" .., ;~:'"'7")': ,.~:~,.~ ...................... 3' Nature of work (chec ich applicable): New Building .......... Addition ....... Alteration .......... Repair ........... ~ .{ ;t Rembval .............. Demolition .............. Other Work ............... "~;%: [ .~ .:q;~ X~ : (Description) 4. Estimated Cost .... ~.~) .¢?¢4~. ., ().O .................. Fee .............................. ~' ~ i (to be paid on filing this application) 5.I 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 ..................... 7. Dnnenslons of existing structures, ff any: Front .... .~. ?..2 ...... Rear ....~. ~..J ...... Depth.. ,;7,.,~ ./. ...... Height .' .... ,/'.7../ .....Nurgber of Stories ...... f. ................................................ r)imensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. i . Height ............... Number of Stories ...................... 8. r)~mensmns of entlr~ new construction: Front ..... ./.~. ...... Rear .... Z .~.. ........ Depth . ~,. f .......... Height ..... j~.'. ..... ,. Nun)her of Stories ................. . .......................... 2 ............ 9. Size of lot: Front .... .Z. ~.,~,.. 'i ...........Rear ..... ./.4,.5-./. .......... Depth .. ,2.,,7,~ ............. 10. ~)ate of Purchase ........... i .................. Name of F,ormer Ov~ner ............................. 11. Zone or use district in which premises are situated .... ~. ~.~ ~. a/., ~ .~.',.¢:~ .~. ................................. 12. Does proposed construction vie!ate any zoning law, ordinance or regulation: . ./~.o. .......................... 13. Will lot be regraded ...tO.q...! ................... Will excess fill be removed from premises: Yes _~) 14. Name of Owner of premises .~.[~v~h%/~ . Address PhoneNo ~.~ gh~3 Name of Architect .......... :. · · Address ................... Phone No. PLOT DIAGRAM Locate deafly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether inteflor or corner lot. STATE OF .NEW YORK, COUNTY OF ................. · t being duly sworn, deposes and says that he is the applicant (Name of individual sign!ng contract) above named. He is the ................... ~... I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ 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 ........... ~ ..., ..... dayof ...... ~ ....... ,19 Notary Public,...~.. ~. ~.9. U, ,6~x,. .... County , , (Signature of applicant) $¢oi6.. ! $,&$' OO'/O're.'. 7 ,'[