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Home My WebLink About14817-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certi[icate O[ Occupancy No.Z15423 Date March 25, 1987 THIS CERTIFIES that the building A d d i t i o n Location of Property .. ! .0 .8.5.. ~ .a .r .b.q r...L.a.n.e. ............ .C .u.~. c. h..o .g.u e House No. Street Hamlet County Tax Map No. 1000 Section 097 .Block 06 . .Lot. t Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated - April 4, 1985 pursuant to which Building Permit No. 14817Z dated .m.a. ¥..3.:..................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 ......... ....~.d.a..~ .r.~.o.~., .~?..~..~.Ls.~. ~. ?.g..o.~. ?..f.~?..~.~.y., d..~.~.l.~..~ ??.. ............................ The certificate is issued to PETER C. ANB GEORGIENNE J. STERLING (owner, of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. . . N788237 & N797599 Garage PLUHBERS CERTIFICATION DATED: N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv{IT (THtS PEPd~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ..~..~-.../. ~.-....~,,.~..~..../~. ........... ...~~.,,~_....~.:~,....!.:..~.~..~.~. ........ . ,o ....~.~.....~.....~...;~...~.t....~..~.~ ............ ...... -~ o ~I?~-'~"'Ti ......................................................................... o, prem,~es ,ocoted at ..~ .................... .~.....~.~.i~.....~--~.~~ ....... ~2.~ ~~ ............................. County Tax Map No. 1000 Section .... ..~....~....--I. ......... Block ....... .~....~. ........ Lot No..)..~. .................. pursuant to application dated ..... ~......~ ......................... , 19.~.~0., and approved by the E~uildlng Inspector. Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted i I 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 topographic featu res, 2. Final approval of Health Dept. of water supply and 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" lend 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: 1. Certificate of occupancy New Dwelling $~5.Q0~ '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 $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...~..--./..~.;..~.~. .......... NewCons truction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ./..O.F..~'. ..... .~.,~<~'.~,~../~... ~.,~..~..~..,,....~.~?-..~../-~. ~..~..~. ¥. .... /./.~...,~.~'... House No. Street /'/am/et County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.¥Z./Z... Date of Permit Health Dept. Approval ........................ Labor Dept, Approval ....................... . Underwriters Approval .... App ...... : ............ ¢lannin oard royal ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ...... r'7-. ................... 3/ /77 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000505 BUREAU OF ELECTRICITY YORK t0038 [~T~, 85 JOHN STREET, NEW yORK, NEW 45100378? ~JaLuaary i4, 19~7 THIS CERTIFIES THAT Peter ~rling, i~arbor Lame, Cutcho~ue~ ~Y ~s exotnined ot~ Oal~uary 0~ ~'/ and found to be in compllance with the requlrements ~f this Board. ---~' FURNACE MOTORS FUTURE APPLIANCE ~EDERS ;PECIALREC'PT TIMECLOCKS~ ~J ~ELL ]UNITHEATERS ~ULTI.OUTLET - DIMME~ / / SERVI~ DI~ONNECT NO. OF j S E R I C ~ John k. haaeman~t 3790 Alvaha Lan=, ~o~ 190 Cu~chogu~, NY 11933 Lic#2000g GENERAL MANAGER This ~ate must notbe altered in a~y manner; return to the o{{ice of the Board if incorrect, inspectors may be identified by their cred~nt~']s. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALYERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ]000/~0~ BUREAU OF ELECTRICITY ~h~ [vk~rch I~L, 195~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT P~er ~cerl~. Harbor Lane~ Cu~cho~ue, ~Y in the following location; ~ Basement ~ Ist FI. ~ 2nd Fl. Garage Section Bilk Lot was exutnined on ~l~{~[t 0~ ~ andfoundtobelncompliatcewththe~eqtirementsqfthisBoard. FIXTURES RANGES OVENS DISH WASHERS FANS FIXTURE SWITCHES OUTLETS DRYERS FLUORESCEHT SYSTEMS NO. OF FEET OTHER APPARATUS: Panttlboar~ ~o Cora; 1-200aa~ T:aaafer Switch E R C NO OF HI-LEG AWG OF HI-LEG NO. OF NEUTRALS OF NEUTRAL 3/o doh~t ~. Lademann 3790 Alvah~ Lane, Box 190 Guccho~;ue, NY 11935 L;Lct~ 2000Ii /---,~GEN.~EAt ie, ANAGER 1t This certificate must not,be uttered in any monner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT FICATE i'4UST NOT BE ALTERED tN ANY IviANNER. FIELD INSPECTION 1. FOUNDATION 2. (2nd~ ROUGH FRAME & PLUMBING STATE ENERGY CODE Ye FINAL COMMENTS ADDITIONAL COMMENTS: 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING i/~.~ [ ] FINAL /,~-~, DATE 7Gs-zsoZ BUILDING DEl)T, INSPECTION [/]//~UNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE × / 765-18~2 BUILDING DEFT, INSPECTION [~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ] FINAL [ ] FRAMING C~,~.~..~/. ~/~-/-~ REMARKS: (~ ~ ~' ~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING £ ] FINAL REMARKS: .. ~ //~--~ Lr DATE//~-/<::~/ INSPECTOR ,,/~~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ..~..~.'...~..., 19~..~.Permit No. ).~.~.!.~..~.. Disapproved a/c ..................................... .... ..... APPLICATION FOR BUILDING PERMIT APR - T 1986 BLDG. DEPT. , TOWN OF SOUTHOLD Received ........... ,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 shhll 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. ,/,~ (Signatur~ of applicant, br name, ~ corporation~) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, ge~neral contractor, electrician, plumber~ b(~ider. ~ Nameofownerofpremises .~.~... ~ tax roll orlatest deed) ' ' If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. ~.O~. · · .......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ........ ~k~{~'~'c~' ' '~~ 1. Location of land on which proposed work will be done..~ .-.. .~h_{7.~ ...................... House Number Street Hamlet (J County Tax Map No. I000 Section .... 7..l .......... Block ...... ¢ ........... Lot .... f"7' ........... 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 .................................................................... b. Intended use and occupancy .~<~-...~. ~. · · .~ .~.. ~v~.. ~.~o.2v. ................... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition..i ...... Alteration .......... Repair Removal Demolition ' Other Work (Description) 4. Estimated Cost .............................. Fee .................................. ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling uni!s 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. Dimensions of existing structures, ifany Front...~.~.. ......... Rear 3. O! Depth ?.~. i ........ Height Number of Stories Dimensions of same structure with alterations or additions: Front : Rear Depth ...................... Height ......... r ....... Number of~ Stories 8. Dimensions of entire new construction Front ...~]~ .~ ....... Rear .... ~.i~./~ ..... Depth ..... ight He '~,O Number of Stories .... , ............................ ' ii .a.'¢: i 'ih ...................... 9. Size of lo ............... Rear .................. epth ...~. [.O. ...... 2 ........ 10. Date of Purchase ............................. N~me of Former Owner .! ............................ 11. Zone or use district in which premises are situated ..... /~.'e.~. ............... ~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... i ............................ 13. Will lot be regraded ............................ Will excess fill be removed from premises ~ No 14. Name of Owner of premis, es ~>x:'[~.,r. ~.~.-~ [i. ~.~ · · · Address ......... ~ . Phone No. Name of Architect ............................ Address ............... ! ....Phone No ...... 2 ......... Name of Contractor . · L~--'?.~ .~r. v": ............. Address ............... i ....Phone $..., .r¥~.q: .~'..Z~.L~... 15. Is this property located withinl.00 feet of a tidal wetland? * lYes .\./... Z'o · If yes, $outhold Town Trustees Permit may be required. 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 shoxv street names and indicate whe, ther interior or corner lot. / STATE OF NE~YQgK,~ o o C(~]~TY~,,~O~...'" a.o ~ ,,,~,,,~~'~'~1 signing contract) being duly sworn, deposes and says that he is the applicant above named. Heis the ......................... ~~ ................................................ (Contractor, agent, corporate officer, etc. of said owner or owners, and is duly 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 hi~ knowledge and belief; and that the work will be performed in the manner set forth in the applicatio~ filed therewith· Sworn to before me this ....................... 19 ~ ,o*^~v ~umc, s,,,, o~ ,,~, .... ature of applicant) water distributing- I LUMBER cERTIFICATION P T BEFORE oN ~_ . CERTIFICAIc u R uSED IN wATER EXCEED 21ru ~. '~ OCCUPANCY OR' USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY APPROVED A~ N NO~ BUll. DING DEPARTMENT AT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1 FOUNDATION 3~O R~QUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMBING 3. INSULARON