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Home My WebLink About14546-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z. 14.~.10. Date September .2,5 198..6 THIS CERTIFlES that the building One family dwelling with~deck Location of Proper 760 Rambler Road , Southold, N.Y. ty/:/~/~, ~/o. .................................................... ' .... Street Hamlet 088 05 020 County Tax Map No. I000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ....... Lot No ............. conforms substantially to the Application for Building Permit heretofore fried in this office dated · p.e.q ~..m.~.o.r...1.2., ...... ,19~.5.. pursuant to which Building Permit No. '~ ~' 546 Z dated Feb. ru.ar.y 19 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 fam. ily dwell~ing with deck. George & Pat Holloway The certificate is issued to ........................................................... of the aforesaid building. Suffolk County Department of Health Approval 85 - S O- 226 Pending UNDERWRITERS CERTIFICATE NO .................................................. Plumbers Certification dated ~l_~_y ,17~ 1986 Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOU?HOlD TOWN HALL SOUTHOLD, H. Y. BUILDING PERt~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 14~46 Z Permission is hereby granted to: ...... ~~:.~.....~.~ ............... .......... ~.o...~...~.~..o..o......~..~..o.... ........ ,X2.~.~.~.~-~...~...~.....~.....z/..~Z/ ,o ....... E~.z~.~f~.~....~.~..c-t......~.~.c~....~~.~ ...................... .............. ........ .............................. o, premises located at ..7~.~. .......... ~../3.~.~....:d~'~/~ .~../..~/T ............................................. ................................................................................................ :~.c,~.,e~.~.a.-...~.~ ............. ..... ~.~,z~.~..&~2 ......... ~;....~ ........................ ~.'z~.......~ ...................... Coun~ Ta× Mop No. ~ Se~tio.....~..~ ...... B~ ..0..~... ........ ~ot No..~...z.,O.. ....... pursuant ,0 application doted .... ...'~'f~.(~.......~....~.. ......................... , 1,.~.....~and approved by the Building Inspector. Fee .............. Building Inspector Rev. 6/30/80 TOWN OF $OUTHOLD Buiiding Depar~men~ Town Hall Southo~d, ~. t. I i t¢i'. ....... E , '/1IIi TOWN OF 80UTHOU) . APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building inspec- tor ,,v[~h [ne following; for new bui!dings or new use: 1. Final su~¢ey of property with accurate location of all buildings, property lines, streets, and unusua, o, too,~,aoh~ features. 2. Final approval of Health Dept. of water suppy and sewerage dispose --(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buiIdlngs, Industrial buildings, Multiple Residences and s~milar building~ and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approvai of completed site plan requirements where applicable. B. For existing buildin§s (prior to April 1957), Non-conforming uses, or buildinas a~d "pre-existing" land uses: 1. Accurate sur,~ey of peoperty showing all prooerty lines, streets, buildings and unusual natural or topographic features. ' 2.Sworn s~atement of owner or previous owner as to use, occupancy and condition of buiIdings. 3. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a ce~ificate../ C. Fees: 1. Certificate of occupancy S5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Bui!d~ng ............ Old or Pre-existing Building(X) ...... ~ /Vacant Land ........... Location of Pro~ert ,"~G ~.~ ~-- _'C~ et4._ Srreer Hamiet Permit No ,, Date of Permit .Applicant . ¢,,. ; Health,Dept. Approval ,., . .Y~..y -, .... ~ ' ' ' Under,/r tersA rova ~ .............. Labor Dep~. Approval ..i : ...... . .......... PP ............. , .......... Planning Board A royal PP .................. Request for Temporary Certificate ~ ' .... , ................ Final Certificate ........... Fee Submitted S ............................. Construction on above described building an~rn~it meets all apO~es and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. I~q~ ~ Owner~, %~/l~bk%~nt)(please Plumber~k~ ~-~k~l ~-/C)'~_~ - - (please -~rin{)~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this /~ day of ~ , 19~ Notary Public, ~~ County _J- ~pl~umber' s~ signature) UNOA J. COOPER / Notery Publlo, SMM of New YO~,~ r / No. 4e22s~2. s.~..c~,~ ~ ~ Term Expires ~m~r 31,19~c THE NEW YORK BOARD OF'FI,R'E UNDERWRITERS 1175003 ~ BUREAU OF ELECTRIC'),T~ /-- -40 FULTON STREET, NEW YO~IK; N~:,t0038 Date :JANIJAR~ 06,2000 Application No. onfile ~:)~1577~3/O~ ', · ;~ N 512075 THIS CERTIFIES THAT only the electrical equipment as described below and introdt~ced by the appticant na~e~ o~ th~ abov~ application number is in the premises of R~TA BADAMI, 760 RAMBLER RD., SOUTHOID, NY ,,' '~ , ' in the foltowing location,: [] Basement [] 1st FI. [] 2,d Fl. "' Section Block Lot DECEI-{BER 30,1999 was examined on / and found to be in compliatlce with the National El*ctrical Code FIXTURE FIXTURES, RANGES COQKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES NCANDESCEN FLUORESCENT OTHER AMT. K,W, AM~. K.W. AMT. K,W. AMT. K.W. AMT. H,P, 2 ~ 1 1 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SFEClA[ SEC'PT. TIME,~LOCK$ RE£~. UNII~HEATERSMULTI-OUTLET DIMMERS AMT. ~.W, OIL H,P. GAS H.P. AMT. NO. ~,W. G. AMT. ! AMP. iAMT., ~r~l~.: fRANS. ~MT. H.P. SYSTEMS NO, OF FEET AMT. WATTS 2 20 ' SERVICE DISCONNECt NO. OI $ E R ,,' I ~" C E OTHER APPARATUS: Q oC. ELECTRIC INC. , P.O.BOX 518 LAUREL~ NY, 11948-0518 / ''i' ~, NERAL MANAGER ANY MANNER,, FIELD INSI~ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ?LUMBING INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS~ 7GS-3L802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION ZND ~([ INSULATION [ ] FINAL [ ] FRAMING REMARKS: DATE INSP l ~ ' - [ ~l[ ~I 'i II FIELD INSI~ECTION FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE COMMENTS FINAL ADDITIONAL COMMENTS'. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ............... ,1 Disapproved a/c ..................................... (Building nspec or) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter 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 Pernrit. 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 through%out 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 pumuant 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, bAlilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~cti~.~,,~ons. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. {,t.,..a Name of owner of premises. ....~. ¢..o.~.c~.e..~. ' 'Ca" '~4'' '~'! ~ '~'(x°' 79'~ i~ ;~t'~t;ddl ......................... (ado t eta roll t ) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. J. ~. ~.. .................. Plumber's License No ~3 , Electrician's License No. ~.':.' .~. ).~..C.~J.c>...'c> .~. .... Other Trade's License N~)]' . .................... r} ~ 0 I. Location of land on which proposed work will be done .... j.~..~..y~.. )0.. !e..~......~...q .~ .~. 9...~.9.~.~..g 9. }~.) .... · .}.'4..bt: ................................................... .................. House Number Street Ha let County Tax MapNo. 1000 Section Block ~. Lot ~'.'.~..~. Subdivision .~.~5..~...~/~...~.~..~. ~-5 ............... Filed Map No. ~..~ .O.. [ ~. Lot.',~. -~ ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~. ~..(Z~l..iD.~... ~.o.~. ............................................... - b. Ihtended use ~Bd occppancy'..~i~-..eM...}-.~.?..'~..~..~....~..?. 5.. ).47.... !'.h.. ii. :...'. 'i': ..... ' .......... 3. Nature of work (check which applicable): New Building.. /'/i I ... Alteration ...'.' ..... ......... Addition.. i ...... Repair .............. Removal. ............. Demolition ........... :... Other Work ............... 'w~'~' ~.Z~,(.D ripti ) .O % 4. Estimated Cost ..... '.-/.~ . . : ....................... ~ ......................... ' ' (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . ./. .......... Ntimber of dwelling unitls on each floor . . ./. ........... If garage number of cars ' - ~ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...' .................. 7 Di sio of existi g truct if any: Front Rear Depth men ns n s utes, . .--7-7- ........ ---- .~ ................ Height ...... ~ ....... Number of Stories .... ~ ~,~.. .................. ~ ............................ Dimensions of same structure with alterations or additions: Front ....-r:~. ..... , ..... Rear ....-~, .............. Depth ...................... Height ...... --7...~ ............. Number of IStories ..... ---:. ............. --8. Dimensions of entire new construction: Front..?,./. .......... Rear . .-%...8..~. ! .......Depth . ~ ~. ...... Height .../. ~1./... Number of Stories ....2~... . 9.. Size oflot: Front ../~/,7.~/. .......... Rear ~.~./. ' iiiiii '~);;il}' 10. Date of Purchase ..... ~ ...... '-Name of Former Owner v'k~rt~O ~.~. ~..~}.or~4~..~erm~/t.~.~*~ 1 1 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 /,~/~ ...... . ................. Will excess, fill be remoYed from premises: Yes 14. Name of Owner of premises~'e~.,.~/'~./-/~//'O4O~-?.. Address/g~.-./-/e/r/f..,~ ~t.e/~ ~.~t, Phone No.'~.~..-2] ~.O~.. Name of Architect ...... .-': ................... Address ..... '-Z. ....... "' i' '~'' Phone No ..... ~ ...... ; NameofContractor~.o~.,t~,.~./-rT~ ...... Address~..t~./~.~c. q./. ! .PhoneNo¢~-,~.q~.'L. so, y/,o /d, ............ 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 interior or corner lot. i STATE OF NEW YORK, COUNTY OF ................. S.S .................................................. being duly sworn, depo!es and says that he is the applicant (Name of individual signing contract) . above named. (Contractor, agent, corporate officer, etc.)i of said owner or owners, and is duly authorized to perform or have performed the s~id work and to make and file this application; that-all statements contained in this application are true to the best of his!knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith, j Sworn to before me this Notary Public ........ ~T.~ .~.. ..... County te~ [~l~m ~ ~o, ~-.v..! (Signature of applicant) LOT 4~ LOT 45 / / PEC ¢5~6) 765 P. O. BOX 909 MAIN' ROAD i SOUTHOLD , N.Y. N.Y. ]RVE YOR S 50 20 MAIN BAYVIEW ROAD 55° Og'40"E. LOT 32 H.D. I~E~F. SUFFOLK COl 183.40' NT ~,MiLY DWELLiNG"O~y~. DATE THE SEWAGE DISPOSAL LOCATION HAVE BEEN E ~GINEER! Section SURVEY OF LOT 33 "MAP OF TERRY WATERS" FILED DEC. 29, 1958 FILE NO. 290/ AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY, N. lO00 8B - 05 SCALE I" = 30' MAY 21, ~986 CERTIFIED TO GEORGE HOLLOWAY PAT HOLLOWAY TRIO ABSTRACT CORP. AD.ST BANK ~andards fo: fi:I~ surve-f~ as estab[L;hcd by the L. LA. L S. and approved and adopted for such use by The New York State Land Title Association. SEPTIC SYSTEM ~ WELL 9- i5-86 CERTIFICATIONS ADDED 7' 7-86 86 - 295 / / --I P '-.% '"-1 / / / ,/ ~copper tubing is used for Water distributing system; piping shall be of types K or L only ?':'PLUMBER OERTrJFICATI05~ ON LEAD CONTEiVT L2~FOI?,E · CERTiFICAT,~ O~r}C: L~L, ~ ~ SOLD~i~ U~Z~) :27 n ~jg'J2 SUPPLY SYSTEM CANNOT ~XCEED MlO of 1% LEAD, · ,PP,~OYED AS NOTED NOTIFY BUILDING 'DEPAR~MT AT 765-~802 9 AM TO 4 PM FO~ THE FOLLOWING INSPECTIONS~ FOUNDATION - TWO REQUIRED FOR POURFD CONCR~E F~MING & PLUMBING 4. - CONSTRUCTION MUST BE ~Pr. FTE FOR C.O. ALL SHALL MEET THE REQUIREME~S OF THE N. ~ATE CONSTRU~roN & ENERGY CODES. N~T RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS, ,/ ~LL SLID)Ng ~LA~S ~S G ~IL ~8~tl~to COVER c ~v E~ nl ou"zl" Th2 L) ~- hi P/IV D