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Home My WebLink About14445-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building .E.n. 9.i.qs. e...d?.c..k ................................. L~atinn nf Pron~rtv 225 Islandviow Lane Greenport County Tax Map No. 1000 Section ...0.5.7. ...... Block ..... 0.2. ........ Lot ..... 0.3. .0 ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 4 1985 pnrsuant to which Building Permit No. ~ 4445Z dated .... De c....5 ................. 19~ 5., 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 ......... The certificate is issued to PAUL & JEANETTE HEFFERNAN of the aforesaid building. Suffolk County Department of Health Approval ....... ~I/.A. ............................... UNDERWRITERS CERTIFICATE NO ............... ~17.3.1. ~ ~ 5~. .......................... Rev, 1/~1 Building Inspector FOB, I~ NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N~ 14445 Z Permission is hereby granted to: .... .~.~.~..~..~..&......~.:.......W~.-~.~..~... ........ ..... ~.....O...:.......~.~......~.L ...................... ........ ~.~..~..~Z~..o...~.,..~.....z..~/.; ...... L.~.-71 ' ,o ...... .~...~...c~,.o..~.~......~,.~.~.~.T..~:~..~.~......:..~....~.~.~........o.,~...:Y~,.~.~.L. ~ ............ ..~..cz~.....~,~..~.....~.-..l.~..~..--F.~--/~r~z~. .................................................. ot premises located at .....~....~....~'~... ....... Z~...~..../.~.~.....~....Z?.....~...(..~.i~....L~.......~....~t....../~.-..~..~.. ........................ ............................................................................................................... y. County Tax Map No. 1000 Section ....~...~.'...7 ..... Block ....~....~. ......Lot No....(~...~...~. ...... pursuant to application dated ...~..C~.l~............~.. ........................ , 19..~.....~,,"~nd approved by the Building Inspector. Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~-- O:L 8.5 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed belo~ and introduced by t~ appllcan~ ~med on the able appl~catlon Rumber in the premises of in ~ae follo~i.g location; ~ Basemen~ )~ ls~ FI. ~ ~nd FL Sec~o. BIoc~ Lo~ w~ exa~n~ned on and found to be in compliance with the requirements o~ this Board. ~t3~ 1986 FIXTURE OUTLETS 1ECEPTACLES SWITCHES 6 3 FIXTURES RANGES OVENS EXHAUST FAN 1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: S E No, A. WG OF CC. COND NO. OF HI-LEG A, W.G. NO OF NEUTRAl OF HI-LEG OF NEUTRAL 1268 GEN~I~AL MANAGEE COPY FOR I~UILDING DEPARTMENT. THIS COPY OF CERTIFICATE M U~T NOT BE ALTERED IN ANY MANNER FOUNDA,TION (2nd ROUGH FRAME & PLUMBING STATE ENERG 4. ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUP Instructions A. This application must be filled in typewriter OR ink, and submitted ~ 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 Hnes, 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 Amhitect 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 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date,,/,, ',", ,,~, ,~., ,~, .c~, ~ ....... New Building.~./.~.q.._Flp.q.. Old or Pre-existing Building ............ Vacant Land Location of Property .~..-~.5 ............ .~-.d../~ ./7.4...)?!.~.-.t,~. , J~-~.~7¢ ......... ~.../~.~.~..r/.~. p.~.?... House No. Street -- Hamlet Owner or Owners of Property ........ .'7.~. ...... .~..~ ~ ................... County Tax Map N o. 1000 Section , . .¢,~..~. 7 ....... B lock .. (-Q.. ~ ......... Lot.. iQ. ~ .~. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./. ."/.~?..~ . Date of Permit ,Applicant .~.~'..~ ~,~:. ........... Health Dept. Approval ........... ~ ............ Labor Dept. Approval ........................ . it-;/,, , Underwriters P, pproval ........................ Planning Board ApprovaJ ...................... Request for Temporary Certificate ~ Final Certificate Fee Submitted $ ......................... Construction on above described building andp~r~[t meets~all a~_plicabla codes and regulations. Applicant . .~".~. ,, .......................... Rev. 10-10-78 fd 7~5 %802 BUILDING DEI~. INSPECTI? Ni %. [ ] FOUNDATION %ST [ ] ROUGH *PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~j/FRAMING [ ] FINAL DATE,, [ ] FRAMING [ ] FINAL REMARKS,~': ~ FIELD INSFEOTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ~FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved .~...~..~;...~.'~...., 19 .~..~"~rmit No. J..~. · .~-~.~.~ ~r~ Disapproved a/c f~': ~L ~'.'~ (Building Inspector) ~PPLIC~TION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19., , a. Tiffs application must be completely filled iff 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 coYered by tiffs 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 ~t 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, ~ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' p~ ctions. (Signature of apptica (Mailing address of applicanl0 State whether applicant is owner, lessee, agent, architect, engineer, 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... t.,. .................... Plumber's License No.~..O~O..~..o)./~.~..~.~.' ....... Electrician's License No.]-/.&/./~'1~¢.~/..~.C. ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~./2/./..~k~. *~..~.~.rt~. '..,~. ~.: ..................... 46-' ..... .... t~;~;e' ~q~ ~ir ............. Street ..... Hafi~let ............ County Tax Map No. 1000 Section ..... .~..~ ........ Block ..... ~ ........... Lot..3~. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: i a. Existing use and occupancy . .~ ................................................... b. Intended use and occupancy t~e.,$.lolf, e..o.~el.~.[..../x~./~ ................................. 3. Nature of work (check which applicable): New Building ..... ~ ..... Addition .... Alteration .......... Repair .............. Removql .............. Demolition .............. Other Work ............... ~ ' ~- (Description) ' 5'o.o 4. Estimated Cost . .ff.~?c)O · ~..~1 Fee (to be paid on fi!ing this application) 5. If dwelling, number of dwelling units .... /. ........ Number of dwelling units on each floor. If garage, number of cars ...... ~.' ................................................................ 6. If business, commercial or mixed Occupancy, specify nature and extent of each type of use .... ~ ....~ ........... 7. D~mensmns of exlstmg structures, if any: Front.. ~.q .......... Rear . ~ .q. ......... Depth . .~. O. ......... Height ,,2t~. Number of Stories ~L ............... , ....... Dnnensmns of sa.me structure with alterations or additions: Front .~.~/ .... , ......... Rea. r . ~,.g//. ............ Depth . ~ ....... ~ Height ..2,O .............. Number of Stones. ]. ................ -S. Dimensions of entire new construction. Front . .$.q. ......... Rear ...q. .......... Depth .~.~. .......... Height :.,,9.,0.6 ......... Number of Stories .... ~ ................................................. .9. Size oflot: Front o%/o~/,t ............... Rear'~.../..t/.O..!.°..O. ......... Depth . .7~ .......... 10 Date of Purchase ~.. ~ Name of Former Owner 11. Zone or use district in which premises are situaied. ~. '~. .............................................. 12. Does proposed construction violat'e any zoning law, ordinance or regulation: .,~/~O. ....................... 13. Will lot be regraded . .(,~.~3,~ .,~.. ;.,... ~... .......... Will excess,fillbe removed from premises: Yes 14. Name of Owner of premises . ~,~ t~j'.~.~t,r.O~}> .... Address ...: ......... q~91'~/.. Phone No. (/.. 72.~..07-,~..'~'-'~. Name of Architect .......................... Address ................... Phone No ................ Name of Contractor ........................ Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all b~uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocl~,-n[irabei~ or deSCription aeco~ding'~t~o deed, and show street names and indicate whether interior or corner lot. STATE OF,JyEW YORK, ~ g COUNTY/~/~'I[~F/~ ................ ,~,,n ~ ~'~ .... *t,'g/'/~__~../.~..,~,~,.~/~. ................ being duly sworn, deposes and says that he is the applicant (Narffe of individual signiffe~ contract) above named. He is the. ~7 .~/r. ~ ~. ~. O.~. ..................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyl authorized to perform or have performed the said work and to make and file tiffs 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 mannerlset forth in the application filed therewith. Sworn to before me this ~ ........................ day of 4 .,19 ~~&,,,, , , Nota, Publi ......... Count ..... ' .... ............ - "- a :: ~ , ~-(~ignature of applicant)