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Home My WebLink About14543-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16558 Date January 5, 1988 Construct One Family Dwelling with attached THIS CERTIFIES that the building . 'g'a'r'a'g'e' '&' 'a't't'a'c'h'e'd' 'vJo't~d' 'd'e'c'k' '&' '~t't'~c'h'e'd' '2'r~d' '{l'(~or balcony Location of Property 395 Dogwood Lane Southold, New York County Tax Map No. 1000 Section 54 .Block .... .5 .......... Lot 28. 1 , Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · ...D.e.c..e.m.b.e.r...I.6.,,..1785 pnrsuant to which Building Permit No. 14543 z dated. .....F e b .... r u a...........r y 13, 19 .... 86 ... . 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 WITH ATTACHED GARAGE & ATTACHED WOOD DECK "~' '~×'c'I4~b' '2'~1' ~'fddk' 'IG£ ~b'ii~ ............................................ The certificate is issued to . DANIEL & MARY REGAN .................... ?oYn'o'r,~&'~&~'vkid~ ..................... of the aforesaid building. Suffolk County Department ofltealth Approval . I4-S0-169 - June 26, I987 UNDERWRITERS CERTIFICATE NO. . . N844999 - Nov. 30, I987 November 13, 1987 - Walter L. Dohm, Jr. PLUMBERS CERTIFICATION DATED: Bmld~ng Inspector Rev. 1/81 1~0~ NO. ~ TOWN OF $OU¥8OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereb/granted to: .~.~ ...... .~.-.......~.~.~......~ .... · ..~.~~- ~z~...~.....~.~..~...7..~.. ,o ......... ~.a~.~.~c.~..~.~......~.~.~....~.~..Q.~.~ ......................... No. 025:?. / pursuant to app cot on doted ........................................... , I~..~ and approv~ by the Building Inspector. Fe.e $~ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southoid, N.Y. 11B71 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUP~ icy'rOWN OF SOOT~oLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~, ~ to the Building Inspec- tor with the fo/lowing; 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p:Coperty 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: kddi[ions $25.00 POOLS $25.00 1. Certificate ofpccupancy New Dwelling $25.00, Accessory ,$ ]0.00 Business $50,00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 . o.oo 5.Updated C.O. $ 50.00 Date .............. NewCo:~:;truct~ on ...... Old or Pre-existing Building ............ Vacant Land ............. . e >, -z ..... .q .o. / . : : ....... Location of PropertyHouse3 f $:.No. 'p ?' Ham/et OwnerorOwnersofProperty ~. . ~ ./k'. l, t~ f,- .~. . ./.~ 2,~. .~ ~. . /'~ ~ ~ z'4,,,~ . County Tax Map No. 1000 Section ~ Block .... lot ' Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo../.~.~,.~.~' Date of Permit +/.o~,~, .Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant .................................................... C0 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~13,~04~, BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT only the elec tricgJ ~uipment ~ ~seribed bolow a~ intr~uced by t~ appl~ant ~md on the a~ve application nu tuber in the prorates of Daniel Regan, Do~wood Road, Kenny Ro~d~ Soundview Roado Southold, N.Y, in the followlng location; [] Basement ~ Ist FI. ~sexaminedon Norther 12, 1987 FIXTURE OUTLETS 15 RECEPTACLES SWITCHES FURNACE MOTORS FIXTURES FLUORESCENT [] 2nd FI. Section Block Lot and found to be in compliance u'hh the require.tents qf this Board. RANGES OVENS DISH WASHERS EXHAUST FANS 15 FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET OTHER APPARATUS: MO~o r~: 1-1bp 4-G.F.C.I. 2-Smoke Detector S E R V I C E NO, OF CC. COND OF CC. COND I NO OF Hi-LEG j A'W'G' NO, OF~EUTRAI OF HI-LEG AWG OF NEUJ'RAL Francis McCaffary 4010 Bridge Lane , l/ox 245 Cutcho~ue, N.Y, 11935 This certificate must not ~be altered in any manner; return to the office BUILDING DEP THIS COPY OF Lic, 11451~ GENERAL MANAGER Per_ by their =Is. {D IN ANY TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. Owner ~,~/ ~ ~ (please prln~) Plumber ~ ~ ~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this 19~~} Notary Public,.~~~County / NS t a~QPubl ic GAlL KOZERSKI NOTARY PUBLIC, State of New Ym~ ~e~ ~llfled in Suffolk Coonty mi~siml F, xp~es February 28, 1990 F1ELb INSEECTION COMMENTS__ FOUNDATION ( ~ st) FOUNDATION ( 2nd ) 2. ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS: ,, ~/~ /~/~/~UIL7DI651~I/~0DZEPT.' ~/ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~FINAL /~ 765-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL ',// DATE 765-1802 BUILDIN(~ DEPT. INSPECTION DATE ~//~/~ INSPECTOR BUILDING ~DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 'INSULATION FRAMING [ ] FINAL 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ................ --.~. ...... ~,~ .......... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS G DEPT TOWN OF SOUTHOLD Received ........... ,19... Date... {..~//. ? ......... 19&'~ a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, wi~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 wkgle 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, ',~. uffolk 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) · .t. ....... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..... ~../?..,~. (.~..(-...47.....~7....~/~?...el.....~..~..d../~..z~. ............................ (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 License No ...................... Location of land on which proposed work will be done. ' ................................................. .......... O. 6. e-,. q ?. O .... .Z,.. . ./ ............................ , ......................... House Num her Street Hamlet County Tax Map No. 1000 Section dL~ Block ~ Lot.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............ .o-5...,g' .~..~2..,~. ~.~. .Z../7. ~ ~. ....................... It J ........... ./....~.~../4-...~../..~.7.../?..t~.. !~: .c..L./...,(-~..~' .................. b. n ended use and occupancy 3. Nature of work (check which applicable)~, n~.....'..~. Repair .............. Removal '... 1,_,,,~.....-Z--...' ~"'-'-~- ~Demolition 2[. Estimated Cost . .. ¢..o·o. ....................... Fee Addition .. 'i ....... Alteration ...[ ...... .......... I. · Other Work ............... ,-'; (Description) .......................... ' (to be plaid on filing this application) 5. If dwelling, number of dwelling units ....... ~.. i ....· Number of dwelling uniti 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 structures, if any: Front ............... Rear ........ : ...... Depth ............... Height Number of Stories Dimensions of same structure with alterations or additions: Front ......... ~ .... Rear .................. Depth ...................... Height .......... ~ ............ Number of Stories ........ 8. Dimensions of entire new construction: Front ...... ~ .'~. Rear .... ,J.. 2 .~ ...... Depth ~ f, t; ...... Height ............... Number of Stories ............................. :' ........................... 9. Sizeoflot: Front .......... /.g.f.~ ....... Rear .... ./.~.J~! ........... Depth ; .~.'7..~ ....... ·. N me o rmer Owner ...~ ............. fF., ....~. .... 1 1. Zone or use district in which prem~sestare situated...~.~.~ .f./.P.~.'~..~'/.~: ~/~. .......j ........................... 12. Do~s proposed construction violate any zoning law, ordinance or regulation: .,.-T'..?. ..................... ./,..,'~-%. 13. Will lot be regraded ........ f.f, .,e.~.~?.~.~.~.~.~ .... Will excess fill be ~movedl from premises: Yes 14. Name of Owner of premises ~.~.¥/~./- .~.r~¢~.,ff Address ../P.g.q..~':.~.~.~.~..~?..PhoneNo. 2.~..~:.2:.~./.~.'.~.~. Name of Architect .............. * ............. Address ................ !... Phone No ........ ; ....... PLOT DIAGRAM , Locate clearly and distinctly all buildings, whether existing or proposed, and, ind!icate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho~ street names and indicate whether interior or corner lot. 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.) of said owner or owners, and is duly authorized to perform or have performed the shid work and to make and file this application; that all statements contained in this application are true to the best of hislknowledge and belief; work will be performed in the manner set forth in the application filed therewith· Sworn to before me this ¥ . ................ ~ ....... day of ..... ............ 19 Notary Public, . ............ .& ..... County '7 ute o~ applicant) and that the /L TEST HOLE TOPSOIL 0,0 JI'-OATA FO~ APPRC)~M.. TO CONSTRUCT $[CT~O. ¢~"f ~ ~ ~OT~ WITHIN :00 FeET Of T~S PnOPE~TY SURVEY FOR DAN/EL REGAN ~ MARY AT SOUTHOLD TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK REGAN DATE: SCALE: NO. GUARANTEED TO ~ DANIEL ~ dAN. 7, /9~ AUG. /4, I$. i .: ~0' 84- 754 k SU~Y FOR DANIEL ~EGAN ~ MA.~Y ~EGAN dAN, %~ 19~6 ~WN ~ ~OUTHO~D SCA~E, / "= ~0' RIVER~AD~ NEW YORK ALDEN W. YOUNG, PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S* UCENSE NO. 12845 HOWARD W*YOUNG~ LAND SURVEYOR N.~S. LICENSE N0.45893 BRANDIS & SONS ]NC. 1046 k FOF? ~ sU~Y F~ uuN~ ~z, 8UFFO~ Co ,N~ DEPARTMENT OF H~LTH SERVICE~ 'D~I~L ~EGRN ~ MRPY PEG~N ~ J4N. 7, 1986 ~R APPROVAL OF CONSTRUCTION ONLY AT SO~HO&D DATE: ~U~ 14, 1984 ' ~tzEO A~TE~TI~ oR ~0emo, m m~s GUARANTEED 'TO ~PPROVED ~ ~ ~U~Y ~.A ~l~iTl~ ~ I~¢?ION 7~OJ ~ THE OSLIF~ HE~ o~A~Tk ENd-'DATA F~ ApP~ ~ ~sT~Uc T , n ~ ~ N ~ WHpM TflE:SU~[.Y iS PR~PAR~O Il ,YOUNG $ YOUNG W.Y~e, PROFE~O~L ENGINEER' · '~ : ENO ~ND SURVEYOR N.Y.S, UCENSE NO, 12845 If copper lubing is used for water distributing sysern; piping shall be of types K or L~n~ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY SOLDE~ r/~ ,~;D IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 o.f 1% LEAD. 765-1802 9 AM TO 4 PM FOR THE FOLLOWING !~qSPECTION~: 1. FOUNDATION - TWO ~QUiRED FOR pOUReD CONCRETE 2. ROUGH - FRAMING & PLUMBIN~ 3. INSULATION 4. FINAL - CON'STRUC7ION MUST BE COMPL~E FOR C. O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ~RRORS. C~.3£ Ct i; t L PC