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Home My WebLink About14403-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26823 Date: 12/10/99 THIS CERTIFIES that the building ALTERATION SOUTHOLD Location of Property: 655 TOWN HARBOR LANE (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 63 Block 4 Lot 8 Subdivision Filed Map No. ~ Lot No. ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 26, 1985 pursuant to which Building Permit No. 14403-Z dated OCTOBER 30, 1985 was issued, and conforms to all of the requirements of the applicable provisions cf the law. The occupancy for which this certificate is issued is INSTALL BATHROOM FACILITIES IN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to JOHN A. BRESTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ~ . N/A ~lding Ins~p~eot~ IPOn. M NO. lB TOWN OF $OUTHOLD BUILDING DI~PARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 14403 Z Permission is hereby gronted to: ..... ~.~.-......m..~...~...~..~....~....o,,,~_ ........ to . .. ' -...r.. ....... '.LL'~,.~....,~.---- .,~ ' ' ..... ~ premises I~oted at ...~.~ ....... ~......~~..~.~ ....... ~ County Tax Mop No. 1000 Section ...... ,Q~...~....~. ..... Block ....... .C~..~ ....... Lot No ........~L.L~ ......... pursuant to opp{icotion doted .... .~,~.~....~..Le ....... , 19.~..~.~., and opproved by the Building Inspector. Fee $..~;a.,. ........... Building In,~ector 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: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approvat 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 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: Addition, s $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, '~Accessory ,$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 $10.00 4.Vacant Land C.O. $ 20,00 5.Updated C.O. $ 50.00 Date .......................... New C OhS truct ion Old or Pre-existing Building Vacant Land Location of Property .~..'$.~..~.~..77~i.C~. ~ .............................................1,~,,~O¢- L~o~-,¢~ ~ House ~ Street i~ Nam/et Owner or Owners of Property .~--'~-~.°. ~ £: .v, .cfi, ............................................. o oq County Tax Map No. 1000 Section . 0 ~J Block O ~ Lot ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ~' Date of Permit ..cant ................. 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. Rev. I0-10-78 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and sub~iitted in duplicate 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 o[ 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate ~Jrvey of peoperty showing all property lines, streets, buildings and unusua~ 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ....... New Buildin9 . .~/L~cct.~"..... Old or Pre-existing Building(X) ,, ....... ~/Vacant Land ............ Location of Property .~....~.~7...~..¢¢?~.../Lct~, .~/~../7,...~..~..'~.. 74'., .........SOL,, .... ~,¢..7..' ~ .., Hou~ No. Street Hamlet Owner or Owners of Property ~ .~ ...~ .~..' .... ~.¢.'?. ................... County Tax Map No. ~000 Section ............ Block ............ Lot .............. Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept, Approval ........................ Labor Dep'lZApproval ...................... ,.. Underwriters Approval ........................ Planning Board Approval . Request for Temporary Certificate ..................... Final Certificate ................. Fee Submitted $, .k~. .................... Construction on above described building and permit'meets all~p~cable_.codes and regulations. Rev, 10-10-78 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate 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 disposat-(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. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual naturat 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ....... Old or Pre-existing Building(}[) ........ ~'~acant Land ............. Location of Property ~.~.~'~"...'~.2;~..~D~...& .~. :'}0...r~;.~. .... ;...~. ~.~.~.r~'~... House No. Street Ham/er Owner or Owners of Property 'Yl. ~ .('~*f."-... ~l~... .~..~ ......... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. /0~2"~'~ /..//.~. ~pp licant Permit No./~l~ · · · Date of Permit . '-- ~ . Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval ........................ Planning Board Approval .................. ~:. ~ Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... - Fee Submitted $ .... - ......................... Construction on above described building and permit~ mee~s all appl~cable~code~ and regulations. Applica . . .. ..... Rev, 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 8077969 BUREAU OF ELECTRICITY ~ 40 FULTON STREET, NEW YORK, NY 10038 Date DECEF[BER 03, i999 Appticaaon No. on/lie 19455799/99 H 066458 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of ~RESTER, 655 TOWN HARBOR IJ~NE, SOUT~'JOLD, NY in the following location; [] Basement [] 1st FL [] 2nd Fl. G~ Section Block Lot was examined on NO~'[~¥~'R 29,199'~ and found to be in compliance with the NatiOnal Electrical Code.. OUTLETsFIXTURE RECEPTACLE~ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS NCANDE$CENT FLUORESCENT OTHER AMT, K,W. AMT. K.W, AMT. K,W. AMT, K.W, AMT. H,P, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS -- SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT, NO. A.W.G. AMT. ! AMP. AMT. AMps. TRANE, AMT. H.P. NO, OF FEET AMt. WATTS SERVICE DISCONNECT NO. OI S E R V I C E METER 1 OTHER APPARATUS: ~NO VZSUKL D~FEC~'S: "An eleotrical survey has been made of the exposed electrical equipment in the prelaises indicated.' .... No obvious unsatisfactory condition was found. 54075 I~IN ROAD $OUTHO1D, ~Pf, 11971 GENERAL MANAGER This certificate must not be oltered in ony monner; return to the office of the Boord ii incorrect. Inspectors m=y be identified by their credenfiols. FIEL~ INg]~ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to ~dvise you that the job under Building Permit No. ~,~.~- issued to ~~ on l,J~o{~0 ~'~$"~-~ ~l ~aC~. ~ is compieted and a f£nal inspection has~-~ has not/-~ been'done. In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form(s), return same to the above office w-i~ ~ ~ ..... ~r ~.~ ~ paya~of Sout~d. Please indicate to whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date. Thank you for your prompt attention. Very truly yours, Victor Lessard Administrator VL:ec Enclosures 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [] INSULATION· [ ]FRAMING ['~FINAL [ ] FIREPLACE &CHIMNEY_ .,~ ~.-~:~ DATE INSPECTOR~~'~-' 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION ] FRAMING [ ]FINAL ·~::L ,REMARKS: , .~ DATE INSPE~'rOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND[ ] INSULATION [ ] FRAMING ~ ~ ~'R,~LA~, "'"~""S, ~ VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 APRIL 6, 1989 JOBH A. BRESTER 655 Town Harbor Lane Southold, N.Y. 11971 Dear Hr. grester: have one check that will be used £or plumbing C.O. ia garage. Your permit (10975Z) for garage still doesn*t work is complete by 6/28/89. TJF:hdv Thomas J. Fisher Building Inspector LANE ,JOHN A. BRESTER /0~ ~ 9 7 9 CECILIA T. BRESTER 655 TOWN HARBOR LANE ~- ~*'Ol~''- 1-1/2811 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .o. ~ .~.O..., 198.¥/. ............. , 19~.. Permit No ............ Approved 0 ~ ,~ o '~ I q ~/0 R ~ TOWN OF SOUTHOLD Received ........... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely tilled 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 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 inspe.~ctions. ...... ............ (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. Name of owner of premises ~ .... .~.~2.~ .... ~.C'~ ~. ~'c~. ~2o .......................... (as on the tax roi1 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 ..... ~,~C,..~. ............ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. . ,.< ...........,: . .... House Number __ Street Hamlet County Tax Map No. 1000 Section .~~ .... Block ....... .O.. ¢. ...... Lot .... Subdivision ..................................... Filed Map No ..... ' .......... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy . .C~2.~L?.,~.~I tc~.. 4/.~'. ,~./.]3/ .... ~.~5.~,..~,¢~ ~ !.C...¢'... ~(.~.~ b. Intended use and occupancy .~(-~ ?.-..~.. /O/-~' ~f ~.,.~ /.~..~ Other Work ....... !~{~- ~,7~!.: Removal ........ Demolition ............ '! i (Description) 4. Estimated Cost ..... i .................. Fee .................................... .... :' :'. ~ , ~' (to be paid on filing this application) numb'~r of dwellin~ nits Number of dwelling units on each floort~/~, o~. 5 If dwelling ' If garage, number of cars .... ~ ................................................................ If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 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 ...................... Dimensions of entire new consiruction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ................................... ~ ..... i .............. 9. Size of lot: Front .......... i ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... , ................... Name of Former Owner ............................. · 1 1. Zone'or use district in which premises are situated ................. i ................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: .... ~ ........................ 13. Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes Name of Architect ....... ''Oh' [~.~ .e~,,,f. ........Address '~' 'z ',,~,~'~' '~''''' Phone No. Name of Contractor ........ . .................. Address ... Phone No ................ 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. SSA'rE OF NEW I~O~K., S S COUNTY OF ~ .... ' ~, ......... ~.f-'~, · · .~~. .... being duly sworu, deposes and says that he is the applicant (N'fime of individual sigping contract) above named. (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 fil~'-this- application; that all statements coniained in this application are true to the best of his knowledge and belief; and that the work will be performed in the maniaer set forth in the application filed therewith. Sworn to before me this