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Home My WebLink About14337-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTM£NT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-16053 Date August 14, 1987 THIS CERTIFIES that the building . .A. PP.!~..~9.N..~.9..~.X.Z..S T.!~.q' 9.~y...F.A.M.!n. ¥' p.W.~..n.n.!NG Location of Property 600 Koke Dr . Pvt. Rd. # 14, Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section 08 7 ...Block 0 5 .Lot 5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 17, 1985 pursuant to which Building Permit No. 14337 z dated.......,.......Oct°bet 8, 1985 ..... , ....... wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to P. E. & M.D. DIEFFENBACH ..................... ?oYn'o;, ~rd~ tio3;g4~t x .................... of the aforesaid building. Suffolk County Department of Health Approval .., N / A N810866 UNDERWRITERS CERTIFICATE NO .................................................. August 4, 1987 PLUMBERS CERTIFICATION DATED: Rev. 1/81 I~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, lq. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THI: WORK AUTHORIZED) 14337 Permission is hereby granted to: ~..~.:...~..~~.~.~ ................ ...~....o..~......~.L ~ ................................................. - ,,o: ........... ; ......... ........... : .............. o, p,em,se, ,ocot,O ot ....~. .............. ~..~ ..... .~ ............ County Tox Map No. 1000 Section ..... ..C:~...,~.,,-( ....... Block ...... .?....~.. ....... Lot No......~...'~ ................ pursuont to opplicotion doted ..... ~ .................................. 19.~..~.., ond opproved by the Building Inspector. Fee $ .................. Rev. 6/30/80 FORM NO. 6 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 m~ 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 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~operty 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. C. Fees: 1. Certificate of occupancv $25.00 -- BUSINESS $50.00 ACCESSORY $I0.00 2. Certificate of occupancy on pre-existing dweUing $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant L.nd C.O..~ $ 20.00 5.Updated C.O. $ 50.00 Date .. .~.0. .................. NewC°ns truct'ion ....~.. Old or Pre-existing Building ............ Vacant Land ............. Locat,on of Property ......... .......... House No. Street Ham/et Owner or Owners of Property 7~.~- ~ /c,/~ County Tax Map No. 1000 Section ....47..~.7 ...... Block ...e:~...~.. ....... Lot.....J~-. .......... Subdivision .......................... ' .....j .Filed Map No ........... Lot No .............. Permit No.~.~.~.~.7. ?.. Date of Permit . ./?~.?.~.~74. . .Applicant ... ~.~...,..~..~ Heelth Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..... ~ .............. Construction on above described building and~'~mme ~s all a~plicable codes and regulations. Applicant/~ .~..~c~:~ ~ ... THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001381 ~ BUREAU OF ELECTRICITY g 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Ed Dtff~dback~ 600 KOk~ Drive~ Sou~old~ ~f in the followlng location; [] Basement ~ Ist FL ~ 2nd FI. Section Bloch Lot FIXTURE OUTLETS -- ECEPTACLES 32 73 May 14, 1987 and found to be in cot~pliance with the requiretnents qf this Board. EWITCHES FIXTURES RANGES OVENS 40 32 DRYERS FURNACE h IcUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUT/ET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT S E R V I C E NO OF CC. COI~D AWG N ~ PER ,~ NO, OF HI-LEG ~ O, F NEUTRALS 4,/0 OTHER APPARATUS: ~Fu~ura appliance feeder~:l~2#1£,l-3#lO,1-3#8 Mo~ors; l'-3/4hp 1-4ton A/C Unit 2~S~oke Jody Pmnillo Pat Lane MatCttuck~ ~ 11952 GEN.~I ~ANAOER · Lic#2300E ~/~ This certificate must not be altered in any manner; return to the office of th- ~^~--~ :~ :-. . Pe~ ,-- · ~ ~~~~~~ their credentials. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 119?l TEL.?65-1802 CERTIFICATION Date Building Permit No. owner ~ A~. ~/~-/'/~ ~,~_~,o~// (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this Notary Public,~County UNDAJ. Notary Public, State of New York No. 4822563, Suffolk County// Term Expires December 31, 19. ~' ,'iELD INS~ECTION 1. ~OUNDATION fOUNDATION 2. (~nd) FRAME & ?LUMBING £NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. /~ An application for Certificate of Occupancy is not on file. /--~" No Underwriters Certificate on file. The check is(outdated/not on file.)$'~.oO /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # ~ ~ ~ ~_~ 7 Z Building Dept. ***/~No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) O~cupa'ncy 6r use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as.possible so that legal action does not have to be ~aken. Thank you for your prompt attention. cE~T~?[CA. TION BEFORE OF OCC ApPI~OV~D AS NOTED · NOTIFY BUILDING DEPARTMENT AT 765-180.2- 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGFI - FRAMING & PLUMBING 3, INSULATION 4, FIN~L -'COF,'STRUCTION MUST BE C~m roTE FOR C. O. ALL COND~pUCT ON SHALL MEET ~c RE~' t,-r~Ek~S OF ~HE N.Y. ;;~T[ '~dN~TRLICTION & ENERGY Examined .~.~ .~. · · · Approved ~..~. · · · -'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 , 19~..~. Permit No ! .~. ~.~'~.~..~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter orin 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 ~ 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, buildirkg code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insp~e~ ~ · . ...... /:_X5 . .. ...... (S~nature of applica~a _e, if a corpor~atio_n) (Mailing address of ap~icant) ' ~l State whether applicaht essee, agent, architect, ~ngineer, general contractor, electrician, plumber or builder. Name of owner of premises ..................................... ' .......... (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. O..~/.,?.~..~ ............. Plumber's License No....~'~-D.... -~..k'.~./.&.l ¢7/..~' .... Electrician's License No../-)'p.D.,~ .~ ~'].L-'~ . .. Other Trade's License No ..... '~ ................ 1. Location of land on which proposed work will be done .... ~ .~.~.. ~ .-r.F/) .c/v..~..o ........ .~...(...~..,~ .P. ........ ........ 0.0. .... ...... .............. ................. House Number Street Hamlet County Tax Map No. 1000 Section ....... .~./~ Block ..................... ....., ..... ;-. ......... Subdivision..../~../). 4° .... /~ .!:F. 29. C.//.~'2.-Z~ .......... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of pr~mises and intended use and occupancy of proposed construction: / a. Existing use and occupancy .... . ~.~'-.5 ./~.f~'/?. C.~-~-~ ........ ~.~ ....................... '. ~.' ........ use and occupancy ........ // ...... :..:':' ~ .C..~j.k~~~/..[~.:,...,,.~C~'''nm---~' ................ b. Intended i[t ..... -- / / 3. N4[~l}e o,fwor, k ~Itee~ich.'~lai~hcable): New Building ..... '....~tio~. ....... Alteration ~. ........ Ripmr~.. ,,{~ ~.[.~ Re/~qval .............. Demolition .............. Other Work .............. '"- f['~.~ (Description) 4. Est~ated C~t ...... ~ .. ,,.. ~ .................. Fee . . . ..... ~ ~ (to be paid on fil~g this application) ' ~ Number of dwelling nits o each floor 5. If dwelling, number of dwelling u~ .......... u n ................ If garage, number of cars .... i..~ ............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. D~ensions ofexlsting stmctures, if any Front....~ ......... Rear ...~ ........ Depth , ~, ~. Height ... ~ ~. ¢ ....... Number of Sto~es ..... / ................................... ,.,: ............. D~ensions of same structure ~ith alterations or additions: Front ...~q ............ Rear . ~ .............. Depth.. ~. (~;./4. ~.a.~!~¢~ HeiSt .... ' ' . .............. Number of Stories..,,/ ................. - 8. Dimensions of entire new construction: Front ... ~:~ ....... Rear ...~ ~. ....... Depth , ~Y, Height_ ......... Nu~har of Sto~o~ , ~ 9. Size of lot: Front .... //~ ............ Rear .... ~} ................ Depth . .~: ~ .............. 10. DateofPurohase ..~/)Z~i ................. .~ameofFo~erOwner .~ff~Q~..~ff~ ...... 11. Zone or use district in which p~emises are situated../.a ................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ,.. rfP..} .................... Will excess fill be removed from premises: Yes 14. N~e of Owner of premises '~ ~,~.t~E~O.&Ca Addres~g .~'l~.'gf~ffO.0.~¢-..Phone No.~.~... 6.~.W~ N~o of Architect .......... ..... :, ........... Address~.~ t&~, e~O ~Phone No ................ N~e of Contractor ........ ~ .....~ ............ Address ....... /./ ....... ~.. Phone No .............. PLOT DIAG~M I,o~ate ol~ly ~d dist~otly ~1 bu~d~s, wh~th~r existing or proposed, ~d. indioat~ ~I set-back d~nsions from prope~y ~nes. Giv~ street ~d b]oc~ ~umb~r or deso~ption acoord~ to d~ed, ~d show street n~es and.indioate wh~ther interior 9r oorner lot. STATE OF NEW YORK, COUNTY OF ................. ~ '~..,. ~/~/~.P'~.~./5 39 .~.~ being duly sworn, deposes and says that he is the applicant ~,, (Name offindividual signing contract) ,, above named. He is the ................... i .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements cotltained 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 .......... ........ day f ..... ......... Notary Public, . .~. ! . Tm'm Expires March ~0, --I .I