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Home My WebLink About14051-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z'q 3856 Date Sept e.m.b, er 46 19.~? addition. THIS CEETIF[ES that the buildLug ................................................ Location of Property qq?5 Sigsbee Rd. ~at~ituck House No. Street Hamlet County Tax Map No. 1000 Section ~ . .Block 2 .Lot 5 X X X Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Juno ? ,19~..5. pursuant to which Building Permit No. ~05~Z dated .... ~..u:n.. ?..!7. ................ 19.../35, 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 ......... .... .s.e~e.~.~..e.~.z~.~.. p.q~..e.~..~.~..~.~.%~.? .~..~.q..~.~..~.~. $.~?.~.~..~. ??. 7.~5~..~.7..~y. ?.~.~.~.n..~:.. The certificate is issued to FIR. & FIRS. FELIX FFtJL~E ..................... ?o¥,,'o;,~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ................. .~../.~ ..................... ~/x UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 1~0~ NO. ~ 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) 14051 Z Permission is hereby gront~tc~/ , ..... ..Y.....~.~..~.~.: ................ . ..,K.~..v.....~.... ~...~ ,.....~ ~ ~.~... , ,o ..... ~,.~.~. ~..~.~,. o , ~,"" ......... ~ ......................................... ¥~~ '. ..... at premises located at ...I.I..~...,,~ ........ ;~.,.~..~ .............................................................................. ...................... County Tax Map No. 1000 Section ....... /..,~L,.,~. ....... Block ..... ,,<~,..,,,'~',. ....... Lot No. ~.~..'~, ............. pursuant to application dated .... ...~..~kg~d~n.....~ ......................... , 19.~..~:~.., and approved by the Building Inspector, tj Fee $... ,~.... ............... Building Inspector Rev. 6/30~80 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY SEP I 1985 BLDG. DEPI. ToWn-be SOU~HOL~) Instructions 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 lines, streets, and unusual natural or topographic featu res. 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. 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 $ ~, 5,00 3. Copy of certificate of occupancy $1.00 Date .................. \. New Building .]~x~en~.o~. · Old or Pre-existing Building ............ Vacant Land ............. Location of Property . A.~. ?.~..B~.ggb~.o ..~g:o.e. ........... ~ ................... House No. Street Hamlet Owner or Owners of Property ...Mz',. & .~;c,~, .~e~x .~.~e ................................ County Tax Map No. 1000 Section ..... 144 ....... Block ..... 2 ......... Lot .... 5 ........... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 14@~12 Date of Permit ~./! .7/.8.? Applicant'..~'@.LL~L Health Dept. Approval ....... ~0~, ............ Labor Dept. Approval . .. ~T0~T]~ ................ 303]~ ~0~N-~ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ... ~ ............... Fee Submitted $ [~,00 k/~O2 / Construction on above described building an~err~it, megts,all applicable codes and regulations. pplicant FieLD ~NSFECTION F 0 U__N D A_~T I O__N ~ (1st) FOUNDATION 2. -~ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: 8,~9 SUNBISE HIGHWAV B^BVLON, N.V. 11704 MOhawk I - 3630 June 5~ 1985 ~own of Southold I~.0. Box 728 Sou%hold, N.Y. 11971 RE: Felix Mule 1175 Sigsbee Road Application is herewith made for a Building Permit for the above. Enclosed please find the following items: Application 2 sets of plans 2 surveys indicating location off proposed deck. Check 'FO~M NO. 1 TOWN OF SOU'{'HOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ..,~'?[ .D..., 19 ~?f Approved ..~5~ ./M4q~..)..~.., 19g.k Permit No. )..~.O..'5.Q) ..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. / Date .................. ,19...x ' INSTRUCTIONS a. Tins 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, ofi.,for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bt~lld, tng code, )ousing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~d~',.. (Signature o~appfican[, or na e, ' p ' ) .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .e P.T.¢. .................. ................................... Nan]e of owner of premises . .~.~.~.[.~...[I\.U ~.~.- ......................................................... (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.. ~../)...~..{<.L). !t~ bl ~.~ ...... Electrician's License No. ~0 ~[-/~&'I'D t ~ Other Trade's License No. ~ ~ D ~ 1. Location of land on which proposed work will be done [' ~ ~,~[ ~-~ · ././.7.5 ............. lb.... House Number Street Hamlet County Tax Map No. 1000 Section ..... l. ~ ...... Block ...... C~. .........Lot ..... ~.T .......... 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 ...[~'..~7.~..~....~. ~. ~.~e..{ ~J.~. b. Intended use and occupancy ........ .F?p. ......... : $.5./~'. ...... '/.ed'. ............ 3. Nature of work (check which ar plicable): New Building ..... ' ..... 'Addition....f,,~'..... Alteration .......... Repair .... Rem~ ~val .............. Demohtmn .............. Other Work ........ ~,., ~ ~ .'.' ~ (Description) · l~sQmated Cost .................................... Fee ...................................... ~ x (to be p~d on filing this application) 5.If dwelhng number of dwelling~units .... / ......... Number of dwelling units on each floor. (. Z .) ......... If garage number of cars ' ( ] ~ 6. If business, commercial or mixe~ occupancy, specify nqtu~g and ,extent of each type of use ............. t., ...... 7. D~ensionsofexistingstmctur~s, ifany Front ... ~ ~ 4 ~ . Rear . ~dx ~' Height d. ~ Number of Stofies . ~. ~ . . · · ' ....... ~ ~ ' ............... (' ' P ................. F ........... D~ensmns of same structure With alterations or addaions' Front ~ ~' ~ Re~- Dept.. ........ Number of ~toO~s ].. Dimensions of entire n;w const~ction Front (~i ~' Rear ~ [ ~ 2~2Y~ ~'' ~,['{25~'5 ........... Height ..... [~ ~. ..... Nucber of Stones .... ~ .................... ~ ................. . . Sizeoflot Front ~ ~ Rear ...... Ip.q ....... Depth Date of Purchase .......... ' ................... Name of Foyer Owner ............................. 11. Zone or use disthct in which pr~bmises are situated ................. ~ ........................... 12. Does proposed construction violate any zoning law, ordinance or re~lation' ~ D. ' ....... ' 13. Will lot be regraded ........ ~.' ................... Will excess fill be r;~;vi~ fr;~ pre~};es: ..... 14. Nme of Owner of premises .~¢.[~ .~ 0~ Address 1[~ff~54~ ~h Nme ~o f ~chitect .[ ~ ~ ¢..~3A ~ ~J~ J J2 ~ ~ j ~ Address ~':~ q~ ~ ~ ~. :~]' ~ ~ Nme of Contractor .l~g.~ ¢.. ~ ~/~; ........... Address ................... Phone No .......... ~ ..... PLOT DIAG~M Locate cle~ly ~d dist~ctlg ~ buHd~gs, whether existing or proposed, ~d. indicate ~1 set-bask d~ensions from prope~y fines. Give street ~d bloc~ number or deschption acco~g to deed, ~d show street nines and indicate whether inteHor or corner lot. 9. 10. STATE OF NEW YORK, iS.S COUNTY OF ................. · .. i .... ~..~-.-'.~...~.~.l~.~. .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dt~ly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work w~l be performed in tile manner set forth in tile application filed therewith. Sworn to before me this .................. /~tay f ............. 19 : r~,~¢,~ u~ *~,~ {:~,m~ ,,, (Signature of applicant) ROAD .~ON. IOo. oo ~ lOO, oo S Z~"$8'OO'E 'OF i~ROPERTY Surve~ $1658££ ROAD $ ~0 ~58'00'E lO0. O0 0;$~£ LOT ,h/oS. S/-/OHIA/ /.I~'R£O/~' t.~EFE,~' TO API£/,/D£D MAP OF /~ A T T I T U C /~ ,~ A R /~ ~° ,~ O '° E *P T I £ S ,*NC., FILED 3AIdUAi~)" /Pt 19PG AS NO. 801 AlqO ALSO S/./OW/V' UA/ /vIAP or MATT/TMC/~ P,4RK ,~PODE,~TIE$ INC./ rlz£o 2uzY P, /9PF AS /vO. ~ UR VEY OF' PROPER'T'Y Situ~tM of 7'014,'/,/ 0/' SOU 7'/-/OL SUFFOLK COUNTY NEW YORK $CALE; I"-- Surve~J~d by SMITH ~ tlUlqG Pro £eSS ion(~l L~b[d ~_Pveyor IPO MEOFO~O AVE. PATOHOOUE~N.~ Phont 47~-319~ SurVey Cc~t iflCd Ct-//CAGO 7/rZ£ I/,/$U,~ANC£ O0/,'/PAHY' B/~'LE NO. 8400-3~088 /HTE~COUN7~ AB~T~AC~ O0~P. SOUr~OZO SAwNGS 8AN~ ~TE~ ~U~V~EO: xu~ Ih /98¢ kfU4£ r ( b