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Home My WebLink About14633-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. zi6278 Date Oct. 9, 1987 THIS CERTIFIES that the building .... b.d.d. ~..t j-.o.q .................................. Location of Property .... 3. 9. ~..U.I~ I~. LAM ~ .............. .O.R.I..~.~.T. ....................... House No. Street Hamlet County Tax Map No. 1000 Section .... 0. 1. 5. ..... Block 05 .Lot 24. 10 Subdivisi ............................... Filed Map No. 6 160 .Lot No. 158 onOrient by the Sea .................... conforms substantially to the Application for Building Permit heretofore filed in this office dated tTeb. 26, 1986 pursuant to which Building Permit No. 14633Z dated . ~.a.r.c..h..8. ,...I .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 ......... ...... .A.d.d.i..t,i.o.n...t.o..existing one family dwelling, as applied for. The certificate is issued to HERMAN & IRENE LINDEMAN (ownor, l~oYm~ Ye~/~f~X X X X X of the aforesaid building, Suffolk County Department of Health Approval ...... N/A UNDERWRITERS CERTIFICATE NO. N 8294 18 PLUMBI~RS CIgRTIFICATION DATED: N/A Rm. 1/81 t~o]~a NO. ~1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14633 Z Permission is hereby granted to: -. /'~ .~5~..~ ........ !.!..~.~ .............................................. L~.~.~...~~...~.:~.:...!..!.2.!...~ ~~ ~......~~-~ .... ' ~ ..... ~...~ o, pre~,$es,ocatedat...~..~.~.. ....... ~..k..~ ...... ~ .......... CZ3~ ........................... County Tax Map No. 1000 Section .... ..0..)....~.....~. ...... Block ..... .~....?... .....Lot No...~...~...~J, /d pursuant to application dated ..~.~....~....~.~ ............. , 19.~...~.,-- and approved by the Building Inspector. Building Inspector Rev. 6/30/80 .,'/ TOWN OF SOUTHOLD 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 mm ~ 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 topograpffic 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, Industria~ 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 6f completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pm-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, 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: Additions $25.00 1. Certificate of occupancy New Dwelling, $25.0.0, Acc~ssory,,~$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 $1(Y.00 4.Vacant Land C.O. $ 20.00 ' -.--///~ 5.Updated C.O. $ 50.00 Date .././...,~.,/.d-.',/ .............. / New Cons truc %ion ...... Old or Pre-existing Building ............ Vacant Land .............. Loca~onofPro err ~ '.~.... '/~t/2 z~r ~,~Jl- ~- p y .................... ~.,.,...... r..:,~.~. ................ House No. // ~ ( Street Pro ert ' ~./?/~ ~' '..-~..../~....~.'~ .X/...,~'.~,.~...,~.. ........ Owner or Owners of p y /~..~ ........................ /,.¢- / ..w. - ~..~.,i./.~ County Tax Map No. 1000 Section ............... Block .............. Lot ....... Subd,v,s,o~.,~ ~.~.'Z..-. ~"7'" '~'~-'' . .~. +.~-. .F,,ed ~ap No.~/~O. . .~ot No.. r ~?. . . . . Permit No. 4 .~..~.'?~..~', Date of Permit .~-..~.~Z'¢...~. .Applicant ~.~. '/~' ~/~...,~..f.x~.' .~..~-..z~*~.4~.' .... Hea[th Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $..'.~.~-..~. '. .................... Construction on above described building.arrd~ermit meet I as-~JL~p~Jj~ble codes and regulations. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1135021 I~UREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK, NEW YORK THIS CERn'rIFlES THAT only the electrical equipmen~ az described below and introduced by the applicant named on the above applic~ ation number in the premises of Herman Lindeman, 395 Uhl Lane, Orient, itt t/~efoilotclng Ioc.tlom: ~ Basement ~ Ist FI, ~ 2tzd FI. Section B(ock Lot was examined ot~ AuRnzt ]7, 1987 attdfoundtobeincontpliancewlththereq.iretnentsofthisBoard. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT 2 6 3 2 DRYERS FURNACE MOTORS APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: ND. OF CC. COND NO OF HI-lEG OF HI-LEG ~0 OF NEUTRALS Three '~C'? Electric I[%e. 3k'~2#3' BoX'45~ ~eu{~d A~enue Riverheed, N.Y. 11901 Lic. 3327E'. GENERAL MAN~AGE~R This certificate must not be altered in any manner; return to the off;ce of the Board ;f incorrect. Inspectors may be identified by their credentials. COPY FOR ~BUILDIHG DEPARTME~IT. THIS COPY OF CERTIFI~.~ATE MU~T NOT ~E ALTERED IN ANY MANHER.. FIELD INS~ECTION FOUNDATION (1st) FOUNDATION 2. (2nd) COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] F~IDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [//]/INSULATION [ ] FRAMING FINAL REMARKS: - // 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION zST [ ] ROUGH PLBG. [ ] FOUNDATION AND [ ] INSULATION [ ]FRAMING ~FINAL REMARKS: ,, DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 \ TEL.: 765-1803 E×amined 1 .9. Approved Pc=it No. ?..4¢ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ...~.e.b.r.u.a.r.y...1.9.~..., 19 .8.6. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspecto~,~ sets of plans, accurate plot plan to scale. Fee according to schedhle. b. ~ 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 necessa~pzect~~)~q2:::~.~A~,~t~ · ' tio'n') .... · 9.o.~ .l!8A,' ~,?.t..~?.,.~.t.~.o.o.d.: .~.?..~.o.=.k..!!Zl.Z .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, generM contractor, electrician, plumber or builder. I am the Owner Name of owner of premises . .H.e¢!a.n. ?.,. A~n.d.e.m.a.q,..J.r....a?.d..I.r.e.n.e..I,.1.n.d.e.m.a.n. ................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer· (Name and title of corporate officer.) Builder's License No. Plumber's License No ......................... Electrician's License No. . ~. .... ~ ..... Other Trade's Licens~ No ...................... ' 1. Locatiorl_of land on which proposed work will be done .................................... ' ............. UHL LANE ORIENT, N.Y. House Number Street Hamlet County Tax Map No. 1000 Section ...1.5. ............. Block .... ~..'.. 'i ........ Lot ~ C~.L/.~. [.~... Subdivision..qr.~.qn.e.-.b.×~e.h.q-.s.e.a. .................. Filed Map No. .6.1.6.0. ......... Lot .1.5.8. ........... (Name) 2. State existing use and occupancy of prel~l,se.s and intended use and occupancy of proposed construction: a. Existing use and occupancy ...1..: .F.a.r~J:.1.y.. ,l?~..e.l.l.~.n.~ ............................................... b. Intended use and occupancy .. 1..,:..C..~.eft..~n.. P.q~.e.h. ................................................ property lines. Give street and block number or description .according to.deed, and. sho~ interior or corner lot. 3. Nature of work (check which applicable): I~w Building · Addition XX Alteration ......... Repair .............. Removal', ............. Demolition ............ .. Other Work ............... ~ · , (Description) 4. Estimated Cost $5,000 ................... ~ .' ............... Fee ................................... (to be ~aid on filing this application) 5. If dweiling, number, of dwe~ilin[ ~units ............... Number of dwelling units on each floor ................ If garage, number of cars . 6. If business commercial or mixed occupancy, specify nature and extent of each typ~ of use ......... , ............ 7. Dimensions of existing stmctures, ifany:'Front 63' 4" Rear' 63' 4"I ~ '33' 2" Depth ............... Height 7' 5. ti" Number of Stories 1 Dimensions of same structure with alterations or additions: Front . .6.3 ~..4'.' ...... : .... 'Refir: .6.3.*..41' ........... Depth .37~ .4'.' ............... Height ..7~ ..5-~ ................ Number of Stories 1 8. Dimensions of entire new construction: Front 20' I~- 20' : ' ~e'p't~' ' ~" ........... Height .. 7. '.. 5..~'.' ....... Number of Stories 1 .i. 9. Size oflot: Front 219..52 ............... R~ar 201.52 1~+~- 190.0 10. Date of Purchase ~'~ .. Name of Former Owner ~aleer Uhl 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: No 13. Will lot be regraded ... y9.~ .......... . ............ Will excess fill be removed! from premises: ~ N 14. O r r m' Hez~nan Lindemau Box 1184 W.Bren~woo . , . .... o. Nme of wne ofp e lses .................... Address ........ ~ ....... ;... ~hone No..2.3.1..8.~. 7' Name of Architect ........ Herman. Linde4agB .... Address Ppg. %~.4,~,.B.r.e.n.g.Wpplthone No..2.3.1.-.8.6.4.7 ....... Name of Contractor ....... }t~gI~. Lig.d.e.m.ap .... Address .Bp.x..1.1.8.4~.W:.B.r.ep.t.w.opl~hone No..2.3.L'.sp.47 ....... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ind!icate all set-back dimensions from street names and indicate whether ...qD ' STATE OF NEW 70!~[, , o COUNTY OF~... S.S .......... ~p~ ~... ~.ip~.~a~,..4~'. ............... being duly sworn, deposes and says that he is the ?pplicant (Name of individual signing contract) above named. He is the .... qq~c~9.~ ................................................ ~ ........................... (Contractor, agent, corporate officer, etc.) ~ of said owner or ownem, ~d is duly authored to perfom or have perfo~ed the said work and to m~e ~d file application; that all statements centred ~ this application are true to the best of his knowledge and belief; and that the ~ork will be perfo~ed in the m~ner set forth ~ the application filed therewith. Sworn to before me this ......... ............ .... Nota~ Public, ...... ~ .............. County .................. ' AIDA ~OR~Eg N~a~ Publlo, State oi New Yoffi ,--=------- -- -pplic~t) Commission Expkes Maroh ~, 19---J , LICENSED LAND SURVEYORS GREENPORT NEVI YO~K SUFFOLK CO. HEALTH DEPT. APPROVAL h.S. NO, STATE~ENT OF iNTENT THE WATER SUP~L~ AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM t/~O THE STANDARDS OF THE SUFFOLK COUNTY DEPT. O~ HEALTH CONSTRUCTION ONLY DATE; H[ S. REF NO. : i APPROVED: S~FFOLK CO. TAX ~A'P DIST. SECT. B~EK PCL OWNERS ADDRESS: _ _ =%]-': --I -