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Home My WebLink About14108-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z14085 December 12 1985 No .................. Date ................................ , ... THIS CERTIFIES that the building .... p?.c.k. ....................................... Location of Property 1410 Leslie Road Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section .. 99.8. ...... Block ...... 0. ~. ....... Lot ...... 0. 0..3 ........ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... q~ .L.Y..3. .......... , 198.5.. pursuant to which Building Permit No. , .~.~.1.0..8.Z ............. dated ...d.U.L. ~., .5 ................... 19.8. ?, 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 ......... .... i~ Cp.n~ t,~..u, qt;,...d.e.q kc..t.q..e.x.i.s.t..i.n~ .9.rip..f.a..m.i.~y., .d.w.e. 1. $ .ip.~.. ................ The certificate is issued to CHRISTINA J. HOGAN (owner ,X~/~ O(rXffoliit)~X X of the aforesaid building. Suffolk County Department of Health Approval . N/A UNDERWRITERS CERTIFICATE NO ................ ~ ./.g ............................... Rev. 1/81 Building Inspector FORM NO. 0 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) N9 14108 Z Permission is hereby granted t~:~ · , --/. , ...t.~.~..~....~.....~..~..: ......................... ...e..~..~.~.....a...:~.:...j..L~..~.~;. ...... ,o ..~.~~..~..'~ .~.... .....~... ...u~ ~ ..... ~.~. ~ .~ ...................... '---~.~.~.~....~......~.~,.,g...~ ................................................................................ at premises located at ...!..?,..~ ........ ~.... ,.~,,.~ ........... · ~;-..~..',.~.,~,~- .................. County Tax Map No. ]000 Se~tlon ...,~...~..,~, ........ Block ..... ..(~..i .......... Lot No....~?~, ................ pursuant to application dated .......... ....~..~.~ ...................... , 19,~,,~.'~,,, and approved by the Building Inspector. Fee $..~'~..*..:.~ ........ ,,,i~""~'~i~ i ~'~';'; ......................... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This applicatior~ must be filled in typewriter OR ink, and submitted ~m~ 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. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date. ~ .C....../?.~/. ~',~., , . , New Building ............. Old or Pre-existing Building ...... .~. .... Vacant Land ............. Location of Property House No. Street Ham/et County Tax Map No. 1000 Section ....47.~. ~. ..... Block ....... .~.?. .... Lot ...... ~..~?..~ .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.//.~'.(.~. ?.~... Date of Permit . .~/.O.y~.Applicant .~./.'?..~-¢{..'~/~......'('~-. ~ .~.~...-~ Health Dept. Approval ........ ~ ."..¢~..' ......... Labor Dept. Approval .~ .~'~..' ~' ' Underwriters Approval ....... .~'..:..~..; ........ Planning Board Approval ... ~ .'. ~.; ......... Request for Temporary Certificate c~¢,. ~, ~ Final Certificate Fee Submitted $ . .~.~. ....................... Con stru ction on above described bu lid ing a~~e~,7~,a_p~licabled~e~tions. ' Applican .... .-~.~"~ Rev. 10-10-78 -F1EL~ INS[~ECTION FOUNDATION (1st) COMMENTS FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION FER N. STATE ENERGY CODE FINAL ~DDITIONAL COMMENTS: 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION '"ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [ ] FRAMING [~-,,] FINAL REMARKS: DATE 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:2 Examined "-1 ~ .... , 19'~.~. Approved ~.~i~ .., 19~.~.. Permit No.}.~.!.~..~..'~... Disapproved a/c ..................................... (Buil&ng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... 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, or for removal or dem~ion, as herein described. The applicant agrees to comply with all apphcable laws, ordinances, building code, housing/6od/0, a.ndz~ulations, and to admit authorized inspectors on premises and in building for necessaw~i~ ~nature of gppl~ (Mailing address of applicant) 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.. f~.~ .................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done...~...~.~..~L. ......................................... .. /tv x5 g> c-,4 v House Num bet Street Hamlet County Tax Map No. 1000 Section .... ~..~..% ....... Block .... (~.~. .......... Lot...~.(~..% .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existii~g use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . .. .~.q..~1~....~.¢ ........ CZ. .................. b. Intended use and occupancy . .C~..C..~..~.~.~:"~. :'~}"]t~:i:~'...~.. ~ ...~:~-'~6~-~... o Nature of w/ark (check which ~pplicable) New Buildin~ ............ Removai-- ..... , ........ --"'-"-- ' Demolition.· Repair arco ost. ',' .o . Fe ,, ,I~~~r.o~lilh units ............... Numberofd If garage, number of cars .................................. If business, ommercml or m~ed occupancy, specify nature and extent D~ensions of existing structures, if any: Front .............. Re~ Height ............... N~mber of Stories .............. ~ .... Locate clearly and distinctly all property lines. Give street and bloc interior or corner lot. S ' TArE OF NEW YORK, COUNTY OF. ,.~ ..... 1 a'a being duly (Name of individual si~ning contract) above named. He is the (Contractor, agent, corporate of~aid-ow~er-or-owners, ~d is drily authohzed to perform or have perf application; that all statements contained ~ this application are true to th~ work will be perfomed in the m~er set forth in the application filed there Sworn to before me this ........ Nota~ Public, 9. 10. ~11. 12. 13. 14. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .. .. i... Height ................... ~lumber of Stories .................... Dimensions of entire new construction: Front....~.]..'. iii ' I ' ' · . Reat .... ~,. t ........ Depth ..../.~ ......... Height ............... $~ ¢O.'FO~.. ~.~1....-4'~., I~-~,~.~.. ~'~ Size of lot: Front ......... i ............ Rear ...................... --"~---)nepth .................. Dare'of Purch Name of Fonm r Owner which Pr raises a e situated. '~. ~' . . .- "' ' Zone or use district in e r ....... Does~proposed construction violate any zoning law, ordinance or regula Iion: .~,~O .......................... Will lot be regraded ...... i .................... Will excess fill be r~mo~e/~_3.~n~ premises: Yes No Name of Owner of premises .~.,q~..~,..~. r~..~3~o. Address g(e'(~. '.2.~: T~tt4~ ,t~4~z~.*,-----~-~,* ~Phone No..~.'.~...4~.: ..... Name of Architect . .~. Addr ....... . ............. . ........ e~,)~r~. . ~, ............ Phone No ................ Name of Contractor/'~--~,~. ~ .~.~t~.... Address .... ~.' ;.~. ~.~O':g~. Phone No.~.,~.,.~. T.~.6"..~..~.. PLOT DIAGRAM buildings, whether existing or propo,~ ed, and. indicate all set-back dimensions from r number or description according to dee . and show street names and indicate whether / ?om, deposes and says that he is the applicant uned the said work and to make and file this best of his knowledge and belief; and that the vith. Term Expires Mar~h 30, '-1~ · Other Work .............. (Description) (to be paid on filing this application) ~telling units on each floor ................ of each type of use ..................... r .......... Depth ............... ,+