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Home My WebLink About14489-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. gl6550 Date December 29, 1987 THIS CERTIFIES that the building .... .A.d.d..i.t.i.qn...a.n.d...a.l.t.e.r..a.t.i.o.n. ................ fPr t 215 Northfield Lane Southold Location o_ _ oper_¥ ................. - House No. '~'t/eet ....................... County Tax Map No. I000 Section 071 . .Block 1 .Lot 24 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .N.oy.... 39.,'.......I985 pursuant to which Building Permit No. . ...... 1448.9Z,... dated...D.e. 9.-..2..7 ~..1.9. 8..5 ........... was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Addition and alterations to existing one family dwelling. ...... ~'~i~'£H~' h'e'd ~ '. ........................................................ The certificate is issued to MICHAEL & DIANA MORRI S ..................... ?oYn'o;, ~,~'x'~;~)X'× ~ x ................. of the aforesaid building. Suffolk County Department of Health Approval N [ A UNDERWRITERS CERTIFICATE NO. N825397 8/6/87 PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14489 Z Permission is hereby granted to: .~,~.~....~t~.-...~.~.~,,;~ .~..¢...~.~....~.~..~.......~.~.~ ..... ~~~....~. ...... ~..:~.,...u..~.~...~ , at premises I~ated at .~.~ ....... ;.~.~.~.~~..~ .......................................... ......... ............................................................................................... ~un~ Tax Map No. 1000 Section ...... ~.~.~ ......Bilk ....... ~..I ........ Lot No ...... ~..~. ......... pursuant to application dat~ .~.~.~..../..~ ........... , 19.~.~ and approv~ by the Building Inspector. Building Inspector Rev. 6/30/80 I / FORM .o. 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~a to the Building inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate ~ocation 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner asto 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: ^dditions $25.00 ?OOLS $25.00 1. Certificate of occupancy New Dwelling $25,00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 yea~s $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O." , $ 50.00 Date .............. NewtOns t~'uc t ~ o or Pre-existing Building ............ Vacant Land ............. Location of Property ~.~ .... .,,~..~..-~-~..~., House No, Street Ham/et Owner or Owners of Property .,~./~.~.~/~.. ~. ~././~¢t"J~....~. ?.."f~../'~../..5" .................... County Tax Map No. 1000 Section ....~. :7/ ...... Block .../ .......... Lot.~..~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. ; / Health Dept Approval ' Labor Dept Approval Underwriters Approval ........................ Planning Board Approval ..................... Request for Temp'orary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. Construction on above describod building and permit meets all applicable codes and regulations. Applicant . . ............................ Rev. 10-10-78 ~ 3 '~ O~'S~/ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~O0'l~),.~) BUREAU OF ELECTRICITY ~ '~h 85 JOHN STREET, NEW YORK, NEW YORK,Ia038 THIS CERTIFIES THAT ~icha', e. 1 ~or~:t.s~ ~].5 ~orthfiel, G ROad~ ;4outhol~ d, N~Y, 26 DIMMERS OTHER APPARATUS: R NO, MOTORS: l-3/4hp. PANELBOARDS: 1--8~ir. ~, ].25 amps o 1~30 amp. Tra~lsfer Switch 2-G.F.CoI. TRACK LIGI{TING~. 56'~0~ 12 kites I NO OF HI'LEO i f ~ayne J. Kubacki A-64 Overboard Dr. Riverhe~d, No¥o 11901 This certificate must not be altered in any manner; ~eturn to the office of the Boa~d if incorrect. Inspectors may be :their credentials. COPY FOR ~U~LD~NG, DEPARTM;:NT. TH}S CO?Y OP CI~RTI}:ICAT£ MUST~ NOT BI[ ALTfiRED IN AHY MANNER. FOU___NDA__TI_O_N .-- ( 1 s t ) FOUNDATION ROUGH (2nd) FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~TION FRAMING [~]' FINAL 7GS-~.802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DAT ,~~_~ INSPECTO~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ R~~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL 765J.802 BUILDING DEPT. INSPECTION FOUNDATION IST ROUGH PLBG. /[~FOUNDATION 2ND [ ] INSULATION ~ [ ]~ FRAMING [ ] Fi~~-') DATE . .... INSPECTOR ~' ~-,' Memorandum from .... BUILDING INSPECTOR'S OFFICE ~TOWN OF SOUTHOLD TOWN H^LL, SOUTHOLD, N. Y. 11971 765-1802 Mr. Michael Morris 215 Northfield Lane Southold, New York Dear Mr. Morris: 11971 Kindly call this office in regard to your building permit #14489Z. ~ank ~ GIar~Fisb Building Inspector SOUTHOLD TOWN BUILDING DEPT. ~ 3 11987 TOWN OF SOU ,{ TOWN OF ? ..--3 Examined .~.~'~e~v~ .~.'.~., 19 ~.~. Approved~ .'.~."[., 19~.. Permit No..~.~.~..~..~..~.. Disapproved a/c ..................................... 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... Date ! t ~ .................. , 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 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 in building for necessary inspections ....... admit authorized inspectors on premises and · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ ~, i~ g-o,-~<.Qo,~ ~. c,~ ,n.~,~ ~ 5. *O e.q ~ ~,a, ~ s . (8,~ci , ~ ~. c,~<, h .... 8~.~' ~ V~ e, .,~ ..x o?v.. ............ Name of owner of premises ~Lk,.~.~.--k ~ .&7.',-,-..~N].~.co..~;~ ~:L.~. ~ .-.q-.L.~ ~[O tL..x..~.~.c.~...O..[,(ax .~.' .o. ~2.-x?.~.<?..ct g...X,..,.~. (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 LicenseNo .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ...... .~.]. ........ 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 . ~.L~. ~ .I.~L'!. ~'z-~ Y?.t~.: .' .~-..~. <Yx..~. t~r'.v3~.~,x.~: .~.. ....................... b. Intended use and occupancy ...... . ..<-.-fi. ~..,~... ?~. ..... .L~..,..~.A(..../~.. ('~.~.-~..~..t~.-....~.. ~ ...' '3. Nature {if work (check which applicable): New Building ..... ' ..... Addition ..fid./.. .... Alteration .......... pal ' ' Re r .............. Removal .............. Demqlition ........... i.. Other Work ................ .. (Description) 4 Estimated Cost ~ ~ O.o.O . ............................... Fee .......... i ........................... · '~ (to be paid on filing this app) ication) 5. If dwelling, number of dwelling units ........ /. ..... Number of d~velling unit~i on each floor .... ~.. ......... / If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ....'..'~. · 7.'-) .......... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ...... Depth ............... Height ../.~ .......... Number of Stories ..../ ....................... i .......... :4 ............... Dimensions.of sgme structure with alterations or additions: Front ............ i .... Rear D .~. A,4.~ ~ .... Depth.../..~/.. ~..'.2~. ........ .Height .... /. ~..~..' ........... Number of Stories ................. ~//8. Dimensions of entire new construction: Front ............... Rear .... ~epth .. Height Number of Stories ' 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ...... /. ~ '~'..~. ...... Name of Former Owner J 1 1. Zone or use district in which premises are situated ........................ i ..................... 1.2. Does proposed constructi?n yiolate any zoning law, ordinance or regulation: .... IZ'.~/O ......................... 13. Will lot be regraded .. ~.~/z~. ................. . ....Will ex.ce~sfill beremoveA from premises' Yes No 14. Name of Owner of premises ........ Address . ~ . ""'-°¢J'~-4'9- Phone }a,, ,Y..~:xgq)~ff.~). . ~ . ~ ' ".. ~/~'"~v~r'~,~O Name of Architect ~qt~.q~. 4¢.~-~:~_, ~.~.g~.~,~,*'i4,,h. ddress/.~o.&,: (~o~-~e~!~hone No. Name of Contractor ~ . "~ ,..~.~o~,,~, Address "' I ' PhoneNo PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, ini property lines. Give street and block number or description according to deed, and shoa interior or corner lot. icate all set-back dimensions from street names and indicate whether STATE OF NEW/~OR~:, . ,~ S S couNtY · (Name of individual signing contract) : move namea. ~ Fleisthe ~~'~ ~ .~.~.~ : . (Contractor, agent, co~orate officer, etc.) ] ~f said owner or ownem, ~d is duly authored to perfom or have peffo~ed the said work and to m~e ~d file t~s ~ppHcation; that ~1 statements cont~ned ~ this application are tree to the best of his ~owledge and belief; ~d that the gork will be perfomed in the m~ner set'forth in the application filed therewith. ]wom to befo~ me this .......... ............... ........ qot~ Public, ~.'~ .~..~ .......... County ~i, ': ~"~ , z ...... : .;-:.~, ~ ,: ~ SYLVIA K, 80Ub~~~' [, ~~T~ ' ,L I ,} ' AP?ROVED AS NOTED FEE: lr~0,~*~ BY: 7~]g02 9 A,xA TO 4 P~ FOR. THE DESIGN OP, CONSTRUCTION ERRORS. ,t