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Home My WebLink About14485-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZI5782A Date May 22, 1987 THIS CERTIFIES that the building Informational building 4605 Main Road Laurel Location of Property .................................................... County Tax Map No. ! 000 Section I 25 .Block 0 1 .Lot I 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated D e c. 10, 1985 pursuant to which Building Permit No. 14485 Z Dec. 27, 1985 dated ............................ 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 ......... .... C..h.a.m.b.e..r.p.f...C 9.m.m.e..r.c.e' .I..n.f.o.r.m..a.t.i.o.n..a.1. Building The certificate is issued to TOWN OF SOUTHOLD VISITORS INFO CENTER ................ ..... ..................... of the aforesaid building. Suffolk County Department of Health Approval WAIVED N756482 UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Drinking water must be bottled, water at the building not for Building Inspector Rev. 1/81 FOlt,~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14485 Z Permission is hereby granted to: ..... ~:.~,..~.~......~ ...................... ....~.~.~. ........... ~...~.......~.~, ....... .~ .¢.. ......... et premises located at ........ ............. ~,~ .......................... County 'ro,~ Uap Uo. ~000 Section .... !.g.~ ........ mock ...... ..~..~ ........ Lot No ....... !....&:... .......... pursuant to application dated .~.....1....~.. ......... , 19..~...~.'~, and approved by the Building Inspector. Rev. 6/30/80 SITE PLAN PREPARED FOR TOWN OF SOLJTHOLD AT LAUREL ,~ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK cOUNTY :,3.r C3nsi'ruchon Only H.D. R¢~, No. opt;tova~ is granted for the construction of t d,s~osaJ and woter supply facihfies pursuant ~0~~'~J~'~ ....... -.+ -~ ~,~-~ essed nor ~m~i~ed oppro'vo~ to ~.-- ..... CUDS/ tHIs gdl,31n~,~) ..... S ~. ms, SCALE: I''= I00' DATE : JULY 26,1985 SEPT. 12, 1985 ' 400 O$'T~R,6~D~.EI~o A.V.E.:~e,.~R IV~H ~D, NEW YORK ALDEN W.~Y~ ~.~-~ ~ LIC. NO. 12845' HOWARD W. D S~~ C. HO. 4589~ '. ;.." 85-459 ]oo1413 THE NEW YORK BOARD OF FIRE UNDERWRITERS June 27, 1996 N75B482 , ..,,. .~.ru,,.ao. ~o. o./.~ 408394186 Y FIXTU, EE OUTLETS 8 RECEPTACLES~]~SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 6 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI*OUTLET DIMMERS SYSTEMS NO, OF EEE1 SERVICE DISCONNECT S E R V I C 0 ER PP 7,US: - Electric ~aCer ileate~Ts: l ~lite cell 1-1.5 kw NO OF HI-LEG AWG, OF HI-LEG NO OF N~UYRAL$ A W G. OF NEUTRAL 2 Town of Southold Main Road Souehold,N.Y.11971 This certificote must not be altered in any manner; return to the office of the Boardfif incorrect. Inspectors may be identified by their credentials, COPY FOR BU LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT BE ALTERED IN ANY MANNER. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~'~uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions *in dupl~cate~o A. "Chis application must be filled in tvpewriter OR ink, and submitted ' ~he 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 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 propertv 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 preoare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date..,,~ .,~,,...,~,,O,.../, New Building ....~ ........ Old or Pre-existing Building ...... ,~... Vacant Land ............. Location of Property ................ .~.~. ........ House No. Street Hamlet Owner or Owners of Property . .~..~ .~ .~. · · .?Y'-'-'¢'~. · · ................................... County Tax Map No. 1000 Section ..... /. ~ .~.'" ..... Block ...... ~ ......... Lot... J.?~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ............ ; ..................... Health Dept Approval ~Z~. ,O/,/~"j~ Labor Dapt Approval Underwriters Approval.. z~).. 7, ,~, ~ .~ .~. ..... Planning Board Approval .... ~': ~ ...... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. /-)~- ~J~..c~.. Construction on above described building ~d permit meets al[,~pplic..a~le co~s and regulations. Applicant ~!~'~...~..G~~ ............... Rev, 10-10-78 FIELD,XNgFECTION FOUNDATION {1st) COMMENTS FOUNDATION (2nd) ~ ---~-----F L U MB I N G INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL ?~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Received.. ~ ~ ~ . . ,~'~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR, BUILDING PERMIT Date INSTRUCTIONS a. This application must be completely filled in b' 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, relationshf or areas, and giving a detailed description of layout of property must be drawn cation. c. The work covered by this application may not be commenced before issuance of 1 d. Upon approval of this application, the Building Inspector will issued a 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 of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department fo~: 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 i~s. ~. · .3..c...s..~.et.k...s..t....a.c.~.~. ~. e..~.*.., g.r ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder· · .-.:.C-.,.~,:,J .... .C..o.~tc.~.~o.?. .............................................................. Name of owner of premises ...~.. ~'}. k~. iX...'~. ~ ................................................. (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..L.~.~..r'~l... L e,~e,, .... .~ .~. ~'..~.~j.o.~.q,[ ~..~... ..g.! .g~ .................................................................................. House Number Street Hamlet County Tax Map No. 1000 Section [0~0. 7[.~%q70.[.'.[0~.. 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 ...~. q~ ........................ b. Intended use and occupancy ....-fl..o. ~.r: .~'~...i.~(.~.~c ~.~. Jp~... ~..o.q'~..~ ............................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ....... Alteration . Repair Removal Demolition ~ Other Work ~ i (D tipti ) 4. Estimated Cost ............................... Fee ..... ". ......................... '~ (to be ~aid on filing this application) : 5. If dwelling, number of dwelling units · ......... '--' ..... Number of dwelling unit~ 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 Dim i f isti tract if ny: Font ~" Rea ~ Depth · ens ODS O ex ng S ures, a r ............... r ....... i ..................... Height Number of Stories ' Dimensions of same structure with alterations or additions: Front ~ ........... i .... Rear .................. Depth ...................... Height ............. Number of Stories ..................... 8 Dimensions of e~ntire new construction: Front ..~0.: Rear ,~0 '~.' .. ' Depth ~ ~ ~ ' II Number of Stories " I ...... ii i'i ' 'i ii ............. Height ............................................................. 9. Size of lot: Front ...................... Rear ...................... )epth ...................... 10. Date of Purchase .............. , .............. Name of Former Owner ............................ 11 Zone or use district in which premises are situated 12. Does proposed constraction violate any zoning law, ordinance or regulation: .... !3. Will lot be regraded ......... ~ .................. Will excess fill be remove~ from premises: Yes No 14. Name of Owner of premises fi.~. :~]~[~..~'~.*x ..... Address ................ - ... Phone No ........... Name of Architect ........................... Address ................ '... Phone No ................. Nm fC :T ~. ]~o~.¢ ~'.~ ~t'ddr ' Pho e No ne o ontractor. : ..... ~'~v~. ess ................ :... n ................ 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 comer lot. I STATE OF NEW YORK, S S COU Y, OF. 57. I K . .(~c.. ~-...~_~ ......................... being duly sworn, deposes ~d says that he is the applic~t (Nme of in~vidual signing contrac~ , I~, ~ ~ ~buve named. - ~ ~ ............... ~e is the ....... h.. ~.~ .................................. ~ .......................... (Contractor, agent, co,orate officer, etc.) )f said owner or owne~, ~d is duly authored to perfom or have perfomed the sa!d work and to m~e ~d file t~s ~pplicafion; th~ ~s~nt~ ~ this appl~r~tr~ to the best of his ~owledge and belief; and that ~e ~ork will be?~6med ~ the ~ner ~et'forth ~ the flp~I&~o~d ~erewith. ........... ~ ........... day of ................... , ... .... .... qot~ Public, . ....... ~ ............ . .... .., ....... ~' UBtlC, State 6f New York(~atum~?ic~t) TY'~'I~AL W~:LL I~ETAIL NOTES I=MONUMENT ~=STAKE O:PIP[ I AREA=II,447tACRES LAUREL LAKE SITE PLAN PREPARED FOR TOWN OF SOUTHOLD AT LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCALE: I"= I00: DATE : JULY 26,1985 SEPT 12, 1985 85-459 ~ . OF.F IC:F.. ? APPROVED AS NOTED FEE: BY', NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR 'THE FOLLOWING INSPECTIONS: 1 FOUNDATION, 'f'WO REQUIRED FOR POURED CONCRETE 2 ROUGH FRAMING & PLUMBING 3. INSULATION 4~ FINAL CO~STRUCTION MUST B~ COM;~ ~TE ~OR C O. ALL CONSTt, UCTtON SHAJ. L MEET THE REQUIP~EMENTS OF THE N.Y STATE CONSrRUC~IOI~ & ENERGY CODES. NOT RESFON~IBLE FOR DESIGN OR CONSTRIJCTION ERRORS. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY CCA I, FLO0~ :PLA f (5 o" '? ? I I I I APPROVED AS NOTED DATE: B.P · FEE: BY. NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO ¢ ~M FOR THE FOLLOWING IN,~PECTIONS: 1 FOUNDATION TWO REQUIRED 2 ROUGH FRAMINE: & PLUMBING 4 FINAl CI)~'STRUCTION MUST OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PLUMBER C~ItTIFICA ~ ON LEAD ~~FORE CERTIFICATE OF OCCUPANCY Y SOLDER U~ED IN WATER SUl~'Y SY67Ellt CANNOT EXCEED 2/10 el I~ ~ *4·