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Home My WebLink About14613-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17281 Date SEPT. 12{ 1988 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 1770 STARS ROAD E;LgT MARION House No. Street Hamlet County Tax Map No. 1000 Section 022 Block 04 Lot 17 Subdivision SOUND CREST WOODS Filed Map No. 5315 Lot No. 12 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 20, 1986 pursuant to which Building Permit No. 14613Z dated MARCH 5~ 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 GARAGE & BREEZEWAY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLIAM AND AMELIA HUKILL (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N803324 APRIL 13, 1987 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 I~OB~ NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14613 Z Permission is hereby granted to: .I..~].~......~Z..~..; ................................ ,o ..~....~.....~..~.~.~..~...~~...~..~.....~ ...~,.6~......u.~.,....~.....~~...~.....;. .......................... County Tax Map No. 1000 Section ..... 0..~.~.., Block ........ ~,..~, ..... Lot No .....~] ............... pursuant Building Inspector. Building Inspector Rev. 6/30/80 ·~ .'IELD INS~ECTION COMMENTS ,'OUNDATION (2nd) ~OUGH FRAME & PLUMBING iNSULATION PER N. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS'. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~JLATION FRAMING £/.~]/FI NAL REMARKS: ).oo).~7~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ]~ BUREAU OF ELECTRICITY Z'g41~E-,-iI ]~---, [9[~ JOHN STREET, NEW YORK, NEW YORK 10038 ,... ~.~,,...o.~0. o.~,~ 4~0~*s/e6 N 803324 garage i ',,. Aprxl 2~1987 andfourtdtobeinco,npliancewlttttherequirementsofthisBoard. FIXTURE OUTLETS 3 :[ECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FLUORESCENT 3 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI.OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: Smo]~ e Detector-1 S E R I C A, W G NO. OF HI-lEG NO. OF NEUTRALS A W G, COPY FOR BqlLDING DEPARTMENT. THIS COPY OF CERTIFI~/~E h~US~ NQ:'l'. BE ALTERED INANY MANNER. 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION FRAMING ZND [ ] INS~JLATION [/..]-FINAL ! ? ,/ (,) DATE. ~ ' K,,' 7654802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG,, [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING FINAL REMAqK~.~ ~. DATE , INSPECTOR //~ ¢~'~ O 7GS.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [~] FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS:,,~'~/~'~"b~'-i~/~ -.. DATE INSPECTOR 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Approved .~...°d~....~. ., 19g.~. Permit No. ).% Disapproved a/c ..................................... BLD~ DEPT. TOWN OF SOUTHOLD Received .... .~ ...... (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~inspecti~lns. , \ , ~ (Signature of applicant, or nam~e,-tf a corporation) ."x .,'a ?_..&. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of prmnises .k-~.~k .~-~'h .~..q~ .~((.aS~e.t.a.~x.r~r le~a~t~d.~''~.k3.~-~* .~ ............ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~ .............. Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~...~.~& .............................. · ""-t 'o ....................... Itouse Number Street Hamlet County Tax Map No. 1000 Section .... ~ .~ ........ Block ....~ ............. Lot .... ~..~ ............ Subdi¥ision .-~3...k-.3...w'.~..~...~. · .~..~.'~. ..... Filed Map No...~.1~,. ¥.~ ..... Lot.. ~ ~[, ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occnpancy . .~..'~. P ............................... b. Intended use and occupancy ......... ~ ............ 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 dwellinJ~ un, its ............... Number of dwelling unifs on each floor. If garage, number of cars ....~.[/(.~. ............ . i . ................ ............... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... i .......· Depth ............... Height ............... Number of Stories ............................ i ............................ Dimensions of same structure with alterations or additions: Front ............ :.:... Rear .................. Depth ...................... Height ...................... Number of iStories ...................... 8. Dimensions of entire new construction: Front .............. ~ Rear ........ ' ....... Depth ............... Height ............... Nmnber o£ Stories ............................ . ............................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . ~ ........................... 11. Zone or use district in which premises are situated ......................... ! ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~ ........................... 13. Will lot be regraded ...... : ~ ',a},', · ..... , .....~... Will excess fill be ~emoved flrom premises: Yes 14. Name of Owner of premises,~,~,.~ ~ddress ,~,.D~.~..~..~. Phone No..~..~..~.~...C~..~. h Name of Architect ' ' ,-~'7~ ....... /~r · · · ~ '~', ....Address ; . Phone No...~.. ~,.; ;; Name of Contractor . .[. ~. ~o,,,~-~.~.... Address ................... Phone No.~J~xJ... l ~.4.. 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 show street names and indicate whether STATE OF NEW YORK, COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .............................................................. i ........................... (Contractor, agent, corporate officer, etc.) i 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 his iknowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to beforb me this ~~ i (S~gnature of applicant¢ 7~6.1802 ~ ~ TO 4 Pi~ t:OR TH~ FOLLOwiNG I~I~;PECTIONg: 't FOUNDATIC'~ ~'WO R~QUIRED ~ F~NA~. CO:~STRUCT~O~~ ~UST ~ CO~FI_~TE ~OR C,O~ AL~ CO~]STRUCT~ON SNALL MEET THE R~:~UI~E~¢EN'TS OF THE N,Y STAT~ OONSTRUCT~O~ & ~NERGY CODES NOT R~SPONSIBLE FOR r~ESiGN OR CONSTRUCTIO~ ~RORS, OCCUPANCY OR USE IS UNLAWFUL 'WITHOUT CERTIFICATE OF OCCUPANCY