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Home My WebLink About14549-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z.~.~..2.4.5. ......... Date February 25 198..6. THIS CERTIFIES that the building .... .Op.e.. f..a.m.i.l.y...d.w.e..1.1.i.n.g. ..................... 145 Hope Lane & Location of Property ....7150 ...~p.u~ndview .Av.e .............. South. 9.1.d ...... House No. Street Ham/et County Tax Map No. ]000 Section .. ~5.9 ....... Block , . 0. 9 ........... Lot ...0.2.~...6. ......... Subdivision ............................... Fi]ed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .Npy....2.0 .............. 198.5.. pursuant to which Building Permit No. ! .4.5.4.9..Z .............. dated ...F.e.b.:..2.1 .................. 19.8. 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 ......... One family dwelling .r.eb.u..i.lt. d..u.e t.o fire damage. The certificate is issued to ... JENNY JOYCE .................. * fYekj ...................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ......... .P.e.n. cl..~.n~ .... ?lumbers Certificate 2/24/86 Building Inspector Rev. 1/81 FORM NO. II TOWN OF $OUTNOLD BUILDING Dz:PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is herebf granted to: ........ ;~z.....~.~..~ ................... ..... ~.c~.......~.~,~u..,.~...~ .... ...... .~.~.z.~r.o~..,.. ~J.,..~.....zz.~ ~..< .... ,o ........ ~.~. .~....,~......aa,~...~xc~.....~.....,~.~Zl,~.....,D~.~.~...... .~ .~z..:...~.~ ................... ~.~.~.. ..~.~.....,,.(,.. ............................................ at premises located at ..... .7./..~....~.. ........... .~,~./t~/.~./,4//...~./,~.....~..~.,, .................................. ........................................................................................................... ~.oz~oz~....-. ~.....~ ~oan~, To* '*op ,o. '000 Sec,,o, ....0...~ .... ,,oc, ..o....?. .......... Lo, ,o..O..eZ;.,..~.. pursuant to application doted .../~/.~.......~...~.. .......................... , 19~., and approved by the Building Inspector. Fee $.(~ ................. Building Inspector Rev. 6/30/80 FIELD INSFECTION FOUNDATION COM~dENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING 0 INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FIELD INS£~ECTION CO;.~,~NTS FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 ......... Disapproved a/c ......... ~ ...... .~/ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT, TOWN OF SOUTHOLD __ Received ........... ,19... 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, d~ removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bu~d'¢ code, ho~ing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~ns~t~// ...."~ ~- ~-'"~ ~ . ./',~...?'. t. ~/~:~.~/z .................. (Signature of applicant, or name, if a corporation) ....0. ?.e.o...~.o..,,d~.?. ~.~.../' A~.~.. %~.7.~?.L.,/... / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ~..o.r.~.' ~.~...Co..~../~.o.~.7.~:.e .............................................................. Nam~ of owner of premises ... ,~.ePt ~./....~.o. ~/.c..e. ................................................... (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 ...................... 1. Location of land on which proposed work will be done .................................................. .... 7./.~..e ..... ' .... .~...o..~o.~.,.~,<...~d~..? ....................... ~o~o,.z. ca ........ House Number Street Hamlet . County Tax Map No. 1000 Section ..... .~'7.7 ....... .. 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 ........ ~'.~.;f.*..e .... '~T',',',J: .7'/~.~...5~..~.. t~..~...~,~--... ~ ' b. Intended use and occupancy .... /J.c,..wi .~,.../~..~_.. ~/~...~.~..07¢"~../..~ ~"~'~'~?'4' '~' ~ ..... '3. Nature of work (check which applicable): New Building . ' .. }~. Addition...~ ....... Alteration ... ....... Repair ~ .......... ,.. Removal ......... ..... Demolition ............ i.. Other Work ............... fietoe;~ F,.~o e L~.n.,~/~> ' . (Description) 4. Estimated Cost ..... .~.~.~?,.e~..o. ....................... Fee . . ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ... / ........ ' ' ~ · · Number of dwelhng umts on each floor... Z'. ........... If garage, number of cars .................................. ~6~-lf business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ............. ~ ....... ~ Dimensions of existing structures, if any: Front ............... Rear ..... ' .... Depth ............... Height Number of Stories ' Dimensions of same structui'e with alterations or additions: Front ............. i .... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... -- ~ ff ....... Rear . .d~'... : ...... Depth . .',~ .~ .......... Height ...... '.~.~ ..... Number of Stories ..... ~-~tT. .................. i ......................... Size of lot: Front ...................... Rear ...................... Depth..... ........... .. .. Date of Purchase ............................ .~Name of Former Owner . 'i ........................... Zone or use district in which premises are situated ./!.q~.~ .............................................. Does proposed construction wolate any zoning law, or&nance or regulation: . ~.o.I ....................... Will lot be regraded · · . .... ~ ................ Will excess fill be removedi from premises: Yes Name of Owner of premises ....-xl ~o.~ .¥. ¥ ~.~?..-Address ........... , .. Phone No ................ Name of Architect .......... ~ ............... Address ................ ... Phone No ................ 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indiicate all set-back dimensions fi'om property lines. Give street and block number or description according to deed, and showl street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF .................. .......... ~r4 b.e~'..[-....~.Ja.~t.S .e~ ............... being duly sworn, depo~ es and says that he is the applicant (Name of individual signing contract) above named· He is the c , (Contractor, agent, corporate officer, etc.) ' 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 knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith. ! Sworn to before me this ...........bh ?'~' ' '~' '~o~P...' ...... dayof~. ~J--__' .~.~ .., 19 ,~.£-- ~/~)//~ [ / ,, . ItEtEN & 1)£ V0E / (Signature of applicant) NO?A~ PUBLIC, State of New York No, 4707878 Suffolk Co~unti~ '~ T~rm Exp res Mo~oh 30,19--J../ : FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted~?,Hcctc 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, propertv lines, streets, and unusual natural or topographic features. 2. Final approval o? 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, Su bruit 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: I. Accurate survey of peoperW showing all property lines, streets, buildings and unusual natural or topographic featu res. ~ 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. Fees: I. Certificate of occupancy on pre-existing dwelling Certificate of occupancy $5.00 2. 3. Copy of certificate of occupancy $1.00 landuse--Pre~Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date.,. ~ .~'. 2.~..-..~.~. ...... New Building ........... i~~~ ............ Vacant L~d ............. Hou~ ~o. Street Ham[et Owner or Owners of Property ......... -J.~ . . .~P~c.~ .................................. County Tax Map No. 1000 Section . .~. ~. ....... Block .... ~ ~ ....... Lot... ~.~. ~.~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ]./~.~.~.~..;~ate of Permit ?.-.~. I.[~.f..Apl~licant.. ~o.~.¢~.'T~... ~'~ b.5~'~ ........... Health Dept. Approval .'.~[5.~/~.~ ............... Labor Dept. Approval ........................ Underwriters Approval .. P.~.~.~,;'.~. ;~ ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ ................. Fee Submitted $....~.' .'f ..................... j~m applicable codes and ragu lations. Construction on above described building and eets~ll Applicant ........................... / PLUMBER CERTIFICATIO.V ON LEAD CONTENT BEFORE C~'RTIFICATE OF OCCUPANCY If copper iubing is used for water distributing syslem; piping shall be of ~/pes K or Lon[y SOLDER USED IN WATER SUPPLY SYSTEM CANNOT £XCEED 2/10 o.f 1% LEAD. /,, ~p.pRC~'ED ~ NO?ED ~A~.Z ~(.~'_~.P. ',~ 765-1802 9 AM TO 4 PM FOR TH~ FOLLOWING iNSPECTIONS: ~. FOUNDATION - FOR pOURED CONCR~E 2 ROUGH - FRAMING & pLUMBiNG 2. INSULATION 4. FINAL - CON'STRUCTION MUS~ BE ChfApE~E FOR C. O. ALL CON.RUCTION SHALL MEET THE REQUIREMENTS QF THE N, ~ATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN O~ CONSTRUCTION Phone 477-0400 M,ihl R~ad GREENPOR r, N ¥ 11944 DEC~( ,,F-LOCT~, ':FLA, ~f ~Ehone ~77-~400 ~ ~a.i~n ?oad GREENPORT, N.Y. 11~,~44 · >1 2 z.:O ,Ii phon~ 477-0400 . :~~ ~.v.. -lVla~Road