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Home My WebLink About14568-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ................. Date ..... JIa, ly.. la.,. .................. 19. J~.6 THIS CERTIFIES that the building .... D~e. fz~mil¥..dwel.Ling ..................... Location of Property . &~0. Gr~e~fie id. Lane ~ ................ So~xtho 1~l,. ~, .Y... ..... House tVo. Street Ham/et County Tax Map No. 1000 Section . 5.9 ......... Block .,..4. .......... Lot ... 5, ,7 .......... Subdivisiont~/o..Gree~,f±eL~s ............. Filed Map No. 631q...Lot No .... 7 ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · .~eb r~ary, 3. ~ ...... ,1986. pursuant to which Building Permit No...1.&..5.6.8.Z, ............ dated . ~.ebru.ary. 2.5.~ ............ 19.86, was issued, and cbnforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... .f a. mi .1z d..w.e.1 !i..n~ Steven Sucic The cortificate is issued to ........................................................... (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... 8 ~.-.50 .-15. ...................... ;.. ................................... t' DE WRITERS CERTIFICATE Plumbers Certificate June 30, 1986 Building Inspector Rev. 1/81 I~ORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TO~VI4 HALL. $OUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 14~68 Z ........ _ . .......................~ , -,~ ~ ~~.....~~~......:, ...... ~,.....~ -~ .~.~ .................................................. Count, To× Map ~o. lO00 S~c,,o. C..~ ............ ~,o~ ..... ~ ........... ~.ot No ...... ~...~ .... pursuant to application dated...~....,~,, ....... ~ ................... , ]9..~..~", and approved by the Bui~g Inspector. Building Inspector Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BU.E^U oF B'~C~RIC.TV SS JO.. S~R~. N~W ~O.K, .~w ~o.~ ~oo~ ~h00174 ,:,,.se J~.r~7 14. l~,~,~. ~,pp,i,.,,.,.nNo. o..~i,e ~7~6 N 758373 THIS CERTIFIES THAT only the electrical equipment ~ ~scrib~ be~w and intmduc~ by the apphcant ~med on the o~e apphcat~on n~mber m ~he prem~e~ of bteven ~ucic, ~/b Greenfield Lane(~nland Homes)Southold~ NY inthefotlowln~loc, tlo.; ~ Basement ~ IstFI. ~ 2,td FI. g/O ~cker Lane ,%rtlon Ol~k Lo, und found to be in compl~unce n~ith the req tire nents ~ this Board. ~seraminedon J~[y 0~ FXTURE ~ m F XTURES RANGES ~C~KING DECKS U~ ~OISH WASHERS EXHAUST FANS ' M OUTLET DRYERS ' ~ FURNACE MOTORS FUTURE A~LANCE ~RVI~ DI~ONNECT ~ NO, OF ~ S E R V I C OT~R APPAR~UE: ~l~ctrlc a~er heater~l-4oSkW,, ~eco ~lecCric Corp,, (Cliff Cormell)~ This certificate must not be altered in any manner; return to the off~ce of the Boara it incorrect. Inspectors may b~~~ credentials. ~J~ COPy ,OR B~ LDING DEPARTMENT. THIS COPY OF CERT'F CSrE Ug~*~NqT:g~ ALTERED IN ANY ~NNE". FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ 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 er land use -l; 3. Copy of certificate of occupancy $1.00 July 11, 1986 Date ....... New Building . .X.X.X. ........ Old or Pre-existing Building(X) ......... Location of Property 3.60 Green£ield Lane, .S.o.~..t.~.o.l.d. N. ¥. 11971 House No, Street Ham/et Steven S~cic Owner or Owners of Property County Tax Map No. 1000 Section ..57 ............ Block 4 . Lot. ,5.,..7~ ,, Subdivision.. :'Map .of..Greex~fiel~ls': ....... Filed Map No...6.3,1,.3 .... Lot No.7 ............. Permit No..1~,5.6.~2~.. Date,of Permit ~/.;~,5/.8.6..Applicant .S.%~.v~.q ,$.u.c.i.q .~ .I?.~.a.~..cl..~.o.m?..s.,..Inc. Health Dept. Approval . .7./.1../.8.6. ............... Labor Dept. Approval ......................... Underwriters Approval ..................... i..Planning Board Approval .................. ~ .. ~ Request for Temporary Certificate..B,o .................Final Certificat~ . y.~s. ............ , Fee Submitted $ .5...O..O .............. Construction on above described bu ilding and~,o~,_m~t~ mee~s all app~cabte~code~ anti'ragu lations. Applicant ....,, :;;-.~'~.~.,_;~,_~ ,:q ~'. ,(~,¢{.~ .-~ .~._ ............ Robert E'. Hiltz, INLAND HO~NC. Rev. 10~10-78 INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE~~ ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS APPLICATIONNO,._~ P,e.~ q77 FORM IBD (ILIBV. 1/86) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date 3une 30, 1986 Building Permit No. 14568Z Owner S~even Sucic (please print) Plumber Frank Pazienza d/b/a Bay Plumbing & Heating' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Frank Pazienza Sworn to before me this % day o f ~J~'v~ , Notary gublic~ 6~ County HAROLD COHEN NOTARY PUBLIC, State of New No. 5738350, Nassau County Term Expires December 31, FIELD INSFECTION FOUNDATION FOUNDATION (2nd) ROUGH FRAME & FLUMBING COMMENTS INSULATION FERN. Y. STATE ENERGY ~ODE ADDITIONAL COMMENTS: APPL[CANT',g COPY The New York Board of Fire Underwriters BUREAU OF ELECTRICITY ~is Certifies, that the electrical se~ice equipment inst~led has been duly reported to this Bureau ~d the u~ of ~e is hereby permitte~ for no more th~ 90 days from ~ove date or until recalled, h~u~d to ~ ''~'" ....... INFORMATION Size and type of ~ervice~ l~ SERVICE EQUIPMENT WILL BE READY FOR ELECTRIC COMPANY iNSPECTION_ A. J. REED "" "'2 ~i,, Vice President', Per ..... ' , r,,,,,, .'I~", ..,' FOR ELECTRIC COMPANY " SERVICE CONNECTION REQUIRED BY. (Date) MADE IN · · · 765-t802 BUILDING DEPT. INSPECTION [7~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FRAMING FOUNDATION 2ND [ ] INSULATION [ ] FINAL REMARKS: INSPECTOR ~0S-1802 BUILDING DEPT. INSPECTION FOUNDATION 2ND [/~ULATION FRAMING [~ FINAL REMARKS: DATE 76S-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ,~]/~SULATION FRAMING [/~ FINAL 765-1802 BUILDING DEPT, INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR .~~. ~//_~. ]65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [,"~] ROUGH PLBG. [ ] FOUNDATION ZND ~ INSULATIO~ ['~ FRAMING [ ] FINAL REMARKS: BUILDING DEPT; INSPECTION / [ ] FOUNDATION IST ~-~] ROUGH PLBG. ~ FOUNDATION ZND ~ INSULATION// FRAMING [ ] FINAL REMARKS: DATE FORM NO. 1 TOWlq OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1802 Disapproved a/c ..................................... (Bmldmg Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. Date February 3 lg.6. INSTRUCTIONS a, This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 no~'bd coinmenced before issuance of Building Permit. - d. Upon approval of this application, the Building Irlspector will issue 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 wkatever until a Certificate of Occupahcy 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 buildings for necessary inspections. - INLAND HOMES~ INC. (Signature of applicant, or name, if a corporation) Pg.x. ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor .................... Name of owner of premises . · · .S.t.e. ¥.e.n. Suct. q .............................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Robert E. Hiltz, Presidetnt (Name and title of corporate officer) Builder's License No .......................... 517-? Plumber's License No ......................... 2816 Electrician's License No ....................... Other T~ade's License No ...................... Location of land on which proposed work will be done.. · 360 Greenfields Lane, a~c Southold, Iq. Y. House Number Street Hamlet C~hntyTaxMap'No. 1000 Section 59 . Block 4 . Lot pcl:5.7 Subdivision....gD~.....e~: ...~...~ .... Filed Map No. 0313 Lot 7 State existing use and occupancy of premises and intended use and occupancy of proposed construction: vacant ..... a. Existing use and occupancy ................................................................ 1 family dwelling ' ': b. Intended use and occupancy .................................................... ~ ............... 3. Nature of 41~i}gk._(chqli~hich'applicable): New Building .......... Addition .......... Alteration .......... Repair . .~ .(: · · .~'~ · Removal .............. Demolition .......... Other Work ............... ~.:.~,~ ~ ': ":~ . (Desc~ption) ...................... ,: .................... .............. ........... e ........: (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ..... ~ ......... Number of dwelling units on each floor · · .l ............. If gamge, number of cas ...... ~ ............................................................... 6. If business, commercial or mixed ~occupancy, specify nature and ektent of each tYPe of use ................... 7. Dimensions of existing structures; if any: Fron~ ............... Rear .............. Depth ............. Height ............... Number of Stories '. ................................................... D~ensions of same structure wi{h alterations or additions: Front ................. Rear .............. Dep~ i HeiSt 62 62 ~5 ~" ........................................... Number of Stories ............ 8 Dimensions of entire new construction: Front ............... Rear ............... Depth ..... Height ............... Number of Stories .................................................... 9. Size of lot: Front . .~}P ...... [ .......... Rear ....... ~.~? .OP.~?Y... Depth .. ~.T ............ 10. DateofPurchase ...~99.'..~99~ ............... Name of Fomer Owner .......................... 11. Zone or use district in which premises are situated ................................................... 12. Does proposed construction violMe any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... ~ ................... Will excess fill be removed from premises:~tt Yes No of Owne of p emi ¢ .,cic ..... Phone No. 9~,975.Q ..... Nmeof~chitect .......... '. ....... . . ,. . ....Address ...... ~.~ ........... PhoneNo ................ Nme of Contractor .Ia~AqQ.i. ~q¢~g.,.lPg.. .... Address ~.Blg¢~ .klgeg~ ~ lB~hone No. 29.~909.6. ..... 315 ~eS.tphalia Rd.~ Mattituck~ N. Y.11952 PLOT DIAG~ Locate clearly ~d distinctly ~1] bufld~gs, whe~er existing or proposed, and, indicate ~1 set-back d~ensions from prope~ Hnes. Give street ~d block humber or description according ~tefior or corner lot. to deed, and show street names and indicate whether :~ '7 ? ...... County -~---~ t l~obert ~. Hiltz ~nature of applicant) No. 4707878, Suffalk ~unty~ 7 Term Expires Mar~h 30,19_...~L STATE OF NEW YORK, COUNTY OF . .8~,l:E.f.ql,15- .... · · S.S Robert E. H].......................ltz being duly sworn, deposes and says that he is the applicant (Name of individual si ning contract) above named. Contractor He is the .... ~ (Contractor, agent, corporate officer, etc.) of said owne. r or owners, and is duly authorized to perform or have,'perfot~ned the said work and to make and fda 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 in the manher set forth in the application filed therewith. Sworn to before me this LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO, STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SERVICES -- FOE APPROVAL OF DATE: APPROVED: SUFFOLK CO. TAX MAP DESIgNAtION: DIST. SECT. BLOCK PEk OWNERS ADDRESS: IDEED: LI. ~'I[~ Pm TEST HOLE STAMP SEAL ' SUFFO~.K COUNTY HEALTH DE-F SINGLE F.a~I~:Y DWEt;L'ING H.D. REF. NO. . ~&-.xo.J~5- DATE JUL- 1 -- -~ ~,RTMENT ,',- e 7 )NLY THE SEWAGE DISPOSAL AN0 WA~EP>SUPPLY FACILITIES FOR THIS LOCATION HAVE BEEN IN~a*~;C~EI~BY THIS I~EPARTMENT AND FOUND TO BE SATISF~I'J~,~ ~? ~) ~ Ohief of Wastewater Mana¢~'~d~ection E ~ ROOERICK VAN TUYL. P.C, L~E~ED LAND SURVEYORS ~EENPORT NEW yORK SUFFOLK CO. HEALTH DEPT. APPROVAL STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. (Si , ,, APPLICANT SUFFOLK cOUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTtON ONLY DATE: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCI. '(JO0 ~"~ '4' ,,~, '7 IWNERS ADDRESS: Al. //10.3 QEEQ:, L ~/~ P. TEST HOLE STAMp . ?- -~PPROVED AS NOTED OTI~ ~UILDING DEPARTME 766-1802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS: THE I FOUNDATION ~0 REQUIRED ~R ~URED CONCRETE J 2 ROUGH FRAMING & PLUMBING ' 3. INSULATION ~. FINAL COnSTRUCT;ON MU~T 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL THE REQUIREMENTS OF TH~ STATE CONSTRUCTION & ENERGy CODES NOT RES~NSIBLE FOR ~c~lgl~ O~ CONSTRUCTION OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY EXCEED PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE ;ERTIFICATE OF OCCUPANCY, If copper tubing la used for water distributing system; piping shall be of types ~ 1 iI t I I 'P:~?MT, L.. ~ V A T I 0