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Home My WebLink About14574-zFOR~'I NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17099 Date J~3LY 19, 1988 THIS CERTIFIES that the buildin~ ONE FAMILY DWELLING. Location of Property CORNER STERLING ST. & THE GLOAMING, FISHERS ISLAND House No. Street Hamlet County Tax Map No. 1000 Section 10 Block 9 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 20, 1986 pursuant to which Building Permit No. 14574Z dated FEB. 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HAROLD & ERNA DREYER (owner, ) of the aforesaid building. Suffolk County Department of Health Approval 85-S0-232 JUNE 14, 1988 UNDERWRITERS CERTIFICATE NO. N760977 JULY 29, 1986 PLUMBERS CERTIFICATE NO. HAROLD DREYER 10/1/86 ' Building'InspeCtor ' ~ Rev. 1/81 FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) 14574 Z Permission is hereby gronted to: ............... .................................................................................... County Tax Mop No. 1000 Section ........................ Block ....... ..~. ........... Lot No ...... ~ ............... pursuont to application doted ~.~...."~.....~. ................ , 19.-~....~.., ond approved by the Building Inspector. Build~ng Inspector Rev, 6/30/80 F~ELD~INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ~OU~ F~A~ ~ FLUMBING INSULATION FERN. . STATE ENERGY CODE FINAL Ye ADDITIONAL COMME1 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. /~/A"-? Owner /~/~ · (please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signat~e) Sworn to before me this /~' day of ~C~~j~ , Notary Public, ~(~c~ County THE NEW YORK BOARD OF FIRE UNDERWRITERS ]000[~0 BUREAU OF ELECTRICITY ~ ~5 JOHN STREET, NEW YORK, NEW YORK 10038 ~,.,..~u~y ~, ~ ~.,~.,~,,~.~.,,.~.~ ~o~/~ N 760977 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlb~ be~ and introduced by the appl~ant ~med on the a~ve application nu tuber in the premises of t~ld ~r, The Glo~i~, ~l~s Islam, N.Y. h,~.tlon; ~s ~ ~t Ft. ~ ~na FL ~S exumined o,t ~U~ y ' ~ and found to be i. cotnpliance u'it h the requlre,nents of this Board. FIXTURE OUTleTS SWITCHES FLUORESCENT v;~,ooe DRYERS MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS Electric Rocra Heaters: 1--2.0kw, 4-1.5k~, 1-1.25kw Panelboards: 1-gx:ir. 125anps I-G,F.I. 3-Sm~., Detectors, 5-'ltlerrrostats, 1-4.5kw Mot Water Hea~er AWG, OF NEUTRAL 2/O Edwards Electric Box 51.1, P~r~lnsula Road Ft~ers Island, N.Y. 06390 IAc. 1297E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlals. COPY FOR BUILDING~ DEPARTMENT. THIS COPY QF CERTiF CATE MUS~ NOT BEALTERED IN ANY MANNER. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N.Y. 11971 ~ TEL.: 765-1803 Examined .~..~'X~....°~..~., 19 .~ Approved .~.~~.;~.le., 19~. Permit No. }.~..~fi..~..~.. Disappw~ed a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) .......... i~l'aili~ ~dd~e's~ ~f'ap~ii~;t')' ' ' ~'? ~. State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ....... . .... ¢..Tzo..-'. .................. Narne of owner of premises...~¢~'d~.....~../¢~f¢ .~. ~ .............................................. (as o the tax roll or latest deed) .~a corporation, signaJ, cre 9~ duly authorized officer. a~)d title of corporate officer) Builder's License No .... /..~..~. ................ Plumber's License No. /. ¢..fiT..~..'C. ............ Electrician's License No. /~..~...~..~7-. ............ Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~..¢*~,t~ .~...~.¢<. SPOC.[ir¢¢.. ~ .......... .o d ..%. ' - ' .... a~/~q ................................................................ House Number ! ~ Street Hamlet County Tax Map No. 1000 Section ........ /.~ ...... Block ....... ~ .......... Lot....-/../.; .......... 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 ..... ..; ......... ~y . ~,- b. I~tended use and occupancy ~. ,¢/'Z~'.~ 7wr,-.A'/7.~'.~.</..~..~-e.) .~.//~ - ~ .. . ~ ~ ...... ~.. ........................ applicable)Ah[ew Buildin_g~. .'.:.. Addition 3. Nature ofwor.k. (check which ..... Repair. ...... ': ....... Removal .............. Demolition 4. Estimated Cost . . .~. ?.: If dwelling, number of d If garage, number of car~ 6. If business, commercial 7. Dimensions of existing s~ Height ............. '~ M{eration .......... ...... - ......,. Other Work-. .............. · ~ (Description) O oo ~ Fee ~ ' (to be ~aid on filing this application) ,elling units ............... Numbe~ of dwelling uni!s on each floor ................ . r m~xed occ panty, specify nature and extent of each type of use' u ' ..; .................. ructures, if any: Front ............... Rear ....... ~ ....... Depth ............... · · Number of Stories ............................ ~ ............................ :ture with alterations or additions: Front ... i ......... ..... Rear .................. Dimensions of sam, 'e stru Depth ....................... Height .......... / ............ Number ofiStories .... : ....... ~' ?lc}.. i ii i i · 8. Dimensions ofentirene~, construction Front . .~. o~.. - g) Rear ~.~..~ O Depth ·2.3..: Height ............... Number of Stories ............................ i .................... ........ 9. Size of lot: Front ...................... Rear ...................... iDepth ...................... 10. DateofPurchase ............................. Name of Former Owner .i,,~2g~..,,~gt¢i..~,q~/-/,~ ........ 11. Zone o use dastnct ~n winch premases are s~tuated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ..~.~:~ ......................... 13. Will lot be regraded ....~..~..~.:~...: ~. ~.~ ........... Will e~t fill be removed from premises: Yes ~ 14. Name of Owner of premises/y'~t,'o/~.. ~2F~ .~.. Address .r~. ~.,~..~..//,(.~... Phone No ................ Name of Architect ........................... Address ............... 1.... Phone No. Name of Contractor ,~.~'~7..~ .~.. ~e_~l//.~.5... Address '~./.~.~.~.~...~Phone No. ~i{fi~. 1 5 ~.~i ~.i 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 shoo street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S C .~..NTY OF .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the (Contractor, agent, corporate officer, etc.)i f said owne~: or owners, and is duly authorized to perform or have performed the s~id work and to make and file this pplication; 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. worn to before me this ................. day of ........ 19 " ........ ' ........ / i I P r - %1 l i LrXCEED Z/fO W f~ t.F. AD. 765-1802 9 AM TO 4 ~ ~R THE FOLLOWING INSPEC~ONS: t FOUNDAT;ON ~ REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & ~UMBING 3. INSU~TION 4 FINAL CONSTRUCTION MUST ALL CONST,UCTION SHALl. MEET THE REQU;REME~TS OF THE STATE CON'RUCTION & ENERGY ~DES. NOT RES~NSIBLE ~R ~IGN OR CONSTRUCTION ¸'1 ir L! II , l_k ¢--'/,T ¢. ¢ i o¢ ilo" ~1~. F~'~ OCF~¢g,¢ -,> VII-Nb ~O~I~,OIJ'TAL. 5IPlM~ PJ:a. BDX 17~ BEECH tNEE..,, P~ IF~82;~ .q/ZE 14-a W/~ 9 2.2 ,:>!r' ' ./Z-Z. !! ~4 Ez,~c.'r'~m_. -' ,v; -- V/¢¥LL 5 R- z¢ .i ! 2. STAMP OF FOil A MODEL OR E,£t.C:; " "; ' ;6,- l [=^w~ ,,,, PL& WILLIAM B. EIMICKE aY, ~ o S~JFFOLK COUNTY DE?ARI~ENT OF HEAL1H oE, ~,,, ~ FOR ,~F'?-?O'4~L F~ CONSTRt)CTION OF EXPIRES T~8 YBR$ DATE DF APPROVAL J ~07 3 o I o ~.o .4o