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Home My WebLink About14559-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CER~YFYCA~YO~ DA~D: No. Z16425 Date November 19, 1987 THIS CERTIFIES that the building ..... G. r..e .e.n.h. o..u .s .e ................................ Location of Property 35170 CTY. RT. #48 SOUTHOLD t~$~ HO: ........................................ Street Hamlet County Tax Map No. ]000 Section . .0.6.9. ....... Block . , .0.4. .......... Lot ..... !: ,2 ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .J.a.q:..9.,.. ! .9 .8.6 .... pursuant to which Building Permit No. 14 5 5 9 z dated F e b. 2 4, 1 9 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 ......... .... .C.qr/~ ~.r.u.q ~. P.n~. g.r.e.~ .n.h.o.u.s..e..a.s...ap.p.]. ~..e.d..f.o..r.. ............................ The certificate is issued to .. .KEVIN KNOBLOCH ................. of the aforesaid building. Suffolk County Department of Health Approval .... ~ ./.~ ................................... UNDERWRITERS CERTIFICATE NO ............ ~ ./.A ................................... N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJv~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 14559 Z 19..?...(? Date County Tax Map No, 1000 Section .... ,,0,,..~.~ ....... Block ...... ..O.....L[. ....... Lot No ....... J.:..~ .... pursuont to application dated--....~..~~..~.. ...................... , 19.~..(R...,--- and approved by the Building Inspector, Fee $~1~, / Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 76,5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted m~ 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 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 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, occupancv 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 $15.00 3. Copy of certificate of occupancy $1.00 5. Updated C.O. $15.00 Date ~ ~' C OhS ..... Old or Pre-existing Building ............Vacant Land Location of Property ....... .,,--, .; ................................................... House No, Street Ham/et, Owner or Owners of Property ...~,'~L~, .-~ · · .~c~..~O .~,¥ ................................... County Tax Map No. 1000 Section ........... Block ..... .~ ...... Lot... , ....... Subdivision.....~.~,~. ~' ~ ..... Filed Map NO. ' .Lot No. Permit Nofl,L(.~,~-'.~.. , . Date of Permit ~.] .~.. '...Applicant.. ~-,...~-...~. ~, .~.{.~..~'~,. ............... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described buildi~a~l-p-~C-n~ r~,eet~,l app.Uc,able codes and regulations, Rev. 10-10-78 FIELD IHSFECTION COMMENTS FOU__N D~T ~ O_N __ FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~, ,',~- ~* 'FO CA[RL'CIL. L ~FORM NO, '1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL °oOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... ................................. TOWN OF SOUTHOLE (Building I~s~?gt0v) · APPLICATION FOR B0fL~I'~JG PERM'I'~ INSTRUCTIONS T~s application must be completely filled in by Wpewfiter or in ink and submitted to the Bulldog 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 o~ applicant, or name, if a corporation) ..... / .... ec .4;.c ......... (Mailing address of appliqant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ Applicant.is.owner.of.land .............................................................. Name of owner of premises .... Kevin. J.. Knobloeh ..................................................... (as on the tax roll or latest deed If applicant is a corporation, signature of duly authorized officer. Kevin Knobloch (Name and title of corporate officer) Builder's License No ..... -Xi~. ./ ............. Plumber's License No ....... ~. .............. 3..ci70 Location of land on which proposed work will be done ..... ~ .~ .~e~bq~4~ .~ .!~Z! ..................... House Number Street Hamlet County Tax Map N6. 1000 Section ......... 0.6.9. ...... Block . . .0.4. ............. Lot..1~t~ ......... 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-.. ~..qg~:igultural'.uso ............ ~ ..... ' .............................. Nature of work (check which applicable): New Building ..... ' ..... Addition ,,.. · · .,.. ,I Alteration Repair .............. RemovaJ ...' ........... Demolition .............. Other Work..gx.e~ l~o.u,s.~.. "' - F--~_/ ~--~ '-~, ~'ee · .~. · .~. ,q ~ (Description) Estimated Cost .... ...0,0 .................... : ............. · ' (to be paid 6n filing this application) If dwelling, number of dwelling units ............. ,. Number o f dwelling units on each floor ................ If garage number Of cars : If business, commercial or mixed occupancy, specify nature and extent of each type of rise ...................... Dimensions of existing structures, if any: Front... 60.feet ...... Rear . .1.50. +- .....[... Depth ............... Height ............... Number of Stories ................................. ........................ Dimensions with alterations or additions: Front .......... I'. Rear .................. Depth ............ Height ., of Stories ...................... Dimensions of en Front ' Depth Height. of Stories ...;' Size of lot: Front ............ Rear ................... Depth ...................... Date of Purchase '. of Former Owner ~ Zone or use district in which ........ 7. ............. : ......................... · Does proposed construction violate any~ng ....... ,~ ......................... · Will lot be regraded .......... / ........... excess fill be removed fr6m premises: Yes No ~. Name of Owner of premis~ln. KnobJ, oeh... ~ ............... . Phone No .... 7fi5~25,75 ..... Name of Architect , .~ .... .~ ................. Address .. ,D ~,: ............ ';. Phone No ................ Nameam~.,., i..i,, ,...icl Contract .......................... .... PLOT DIAGRAM Address ............. ...~., J. Phone No ................ Loctite clearly and &'stinctly all buildings, whether existing or proposed, set-back dimensions from ~operty lines. Give street and block number or description according to deed, and show s ~terior or corner lot. APPROVED AS NOTED F , NOTIFY t~UILOING DEPARTMENT AT 766-~2 9 A~ TO · ~ ~R ~E FOLLOWING INSPECTIONS: 1 FOuNdatION ~O REQUIRED FOR ~OUREt~ CONCRETE 2 ROUG~ FRAMING & PLUMBING ~. FINAl gJ~)IST}I[ICTION MUST r~ ~- ,~EQUlrl~EN'rS OF THE N.Y STATE CONSTRUCTION & ENERGY CODES. NOT ~SPONSIBLE FOR r~g~lG~ OR CONSTRUCTION ERRORS, STATE OF NEW YORK, ~" ................. * ...... ~ ~~ ................... ~ s~,~o~}~that he is the applicant above named. He is the ......... ~.~ ............................ · . .......................... (Contractor, agent, of said owner or owners, ~d is duly author~ed to perfom or have per,ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of~ is knowledge and belief; and tliat the work ,~1 be perfomed in the m~ner set for~ ~ the application filed tlierewith. Swot ~efore me tliis : ~>~'. · g'. ~/~,~ ...... County~~ -:, ..... "" ' ~_' ' ~ }t ~--~~fappl~cant)