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Home My WebLink About14125-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z14626 Date .. July 10, ... ................. . .............................. 1986 THIS CERTIFIES that the building .O. ne familx dwelling 1015 Sound_.Dniv~ Location of Property .. $ .9.7.5. M. 9Cann Lane Greenport ~..N.ew .Yo.r.k.... House No. ' ................... Street .............. Ham/er County Tax Map No. 1000 Section .. 3. 3 ........ Block ... 3. ........... Lot ... ~0 ............ Subdzwsmn../.c~. ~ja.~; ~T~a..~ bg?.e.~ ......... Filed Map No. ~.0.~3` .... Lot No.. 1.6. ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated · ~lt~Ia.e.. ¢9o ............ 19.8.~ pursuant to which Building Permit No. 1, 43- 2.~ .............. dated ... J.u.].~. 9., ................. 19 B.&, 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 ......... One family dwelling The certificate is issued to Kathleen Cimador (owner, 'I '~'~X~.R~ ......... of the aforesaid building. Suffolk County Department of Health Approval 85- 50-112 N73891..4 UNDERWRITERS CERTIFICATE NO. . ...................................... . Building Inspector Rev. 1/81 FORM NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14125 Z Date ........................................ , 19. Permission is hereby granted to: __ .... ~.z~...~.P..~...~.~ .p..~..g. ............. .... ./~..~......~./~....~.~.~. .................... ...~.7/~..~.~....-...~..:.~ ....... z/.~...7.../. ,o ....~.~..~.~.~.`:~........c~.e....~.`~.zr-.~....../..~.~L.z~. /.z~.~. .....~g:~ ..`~.....~...~. ............ ................................ ...~.z,~. ....... .C/....~. ,~.~ ........................................................... ot premises ,o~ated ot ...~.~..~4.....P.~ .x.. .......... .~..~ .............. ~.z..~..~.....Z~ .................... C~-n~ Ta~ Mop ~o. 1~00 Sec.o...~..~.3... ......... ~ ....0...5. .......... Lot No...0..~....0. .......... pursuon, to application dated ......... jT.,~,~.......~..~. .................. 19..~..~..Tand approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPAN{ Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 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 peoperty 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 or land use $5.00 3. Copy of certificate of occupancy $1.00 v//, Date .... .~. / ?/?.~ ............. New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ................................................. ....A..-~ ~. ~ ......... House No. Street Hem/et Owner or Owners of Property . t,~ ............................ ~ ........................... County Tax Map No. I000 Section ~ ''~ Block Subdivision.. ~/~£~'~/~ ~ j~ o~ .~ .Filed Map No. Permit No.../.~.J.~..~./'. Date of Permit..~/~Z~..~.Applicant..~..~..JJ..~...~.~-7...~..~,?.~.~.~.~.-.~. Health Dept. Approval....~.~.~..6Q.~-~. !l .~...Labor Dept. Approval ........................ Underwriters Approval...~':~..-'~.~.q./.L7{. ....... Planning Board Approval ................. , Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and p.e~l'i~..eets all a, pplic~l~codes and regqlations.~ TOWN OF SOUI'HOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No. /~,/~--- owner (please print) Plumber ~ . (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber' s signature) Sworn to before me this ~ day of ~/~ , Notary Public,~ County N6tary ~ublic~ UNDA J. COOPER Notary Public, State of New York ./ No. 4822563, Suffo/k Count,,{~;' Term Expires December 31, 19_j~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 10~09~5 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Ba~e ~rch 7, l~G ,~ppllc.tion/Vo. on file 3~5/85 T.,S CERT,~.ES 'r.^'r N 738914 only the electrical equipment as described below and introduced by the applicant named on the above application number in tke premises of Cimador~ ~,~n ~ne, qre~apor~, I~.yo in tke ~o,o,~i,~ loc, ti . ~l,"~,r.[o, ~ .... Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES · 9 ~4 39 49 DRYERS FURNACE FLUORESCENT VAFOR FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLE DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V OF CC, COND. 8/0 OTHER APPARATUS: 1-100 amp Tra~a~er [qwitc~, 1-~tS~Ol~v ~t Water H~ater a-~.F.C.I. L-Studio IYetc~tor Tr~_k LiEhting 40, 16 Lites Pv. nelbcards: 1-.~cir. lOdV~v~os, Selected ;k~d P~ne~ NO. OF HI-LEG AW, G, OF HI-LEG NO OF NEUTRAl A, W. G. OF NEUTRAL 3/0 Bi-Cx~unty E~ectric Oorp. 100~ Jert~l~n Avenue GEN$1~AL MANAGE" Per-- ll / This certificate must not be altered in any manner; return to the office of the floard if incorrect. Inspectors may be identified by FIELD. JNSI~EC'I'iON COMMENTS FOBNDATION ( 1st} FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ;ZND [ ] INSULATION 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 765-1802 .... ,19 Approved ...... me it Disapproved a/c ...... :~:~ ...................... ................................ (Building Inspector) APPLI~TIO~ FO~ BHIkDI~G PEB~IT Received ........... ~19... Date .......... .4&..., 19~.C.~:~' 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 admit authorized inspectors on premises and in building for necessary ~s,~ections., / /) , /7 ...~../.~/.. ~ .~. l&,~/~,~. ~. . .~. . .~. . ~. ......... l0 -~' '(Signature o f~aplSlicant, ~ i/(.~/f ~°I nam et~if ~' O' ~ ~-b/'d~/f/~'a corporation) (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 applican.LisqPcoj, poration, s)gn~luly authori, z~ officer. ....,::......:..?. :.: (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ..................... Electrician's License No../Zi~.~'.~./.~.. Other Trade's License No ...................... 1. Location of land on which, proposed work will be done.. .4 ~.. &Zd.~:O .~.,..¢.- ./..~x.~.. v.~.-- ...k[L~D ..... ~. fi.~. .b~ ....................... .%.~qff .q,~[ . ~.*.~ ............. House Nmnber Street Hamlet County Tax Map No. I0~0 Section ...... ~ ......... Block ...~ .............. Lot..~ ~ .............. s~b.ivis~on...[~,g..~z~v.~c~ .............. F~ed ~a~ ~o... 7~&~ ..... ~o~...l.¢ ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy .. ~ ~ t M ...... *~.~> .,.: ~ ; ,,, ~-. · · ·: x / 3.1 Nature of work (check which ~pplicable): New Building .. ~... ,ddition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~[l~[ ~ ~ )~r, /i ..~ ~ ~ ! ~ (Description) 4. Estin~*d~d~ost . ~.Q / .q9 c?..0....- .................. Fee . .~....~.../. ......................... i *" (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~A/..~.'r''. .... Number of d yelling units on each floor ............... If garage, number of cars ... i. ~.~7. ......................... 6. If b~siness, commercial or mi~ed occupancy, specify nature and extent 7. Dimensions of existing structures, if any: Front ............... Rea .............. Depth ............... Height ............... Ndmber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................. i .... Height ...................... umber of Stories ........... , ~ ......... 8. Dimensions of entire new construction: Front ... ~.~. ........ Rea ' ~ ~ Height ............... Num. ber of Stories ................... ...d"~. ......... Depth ....~. .......... 9. Sizeoflot Front tC,~i..b~, ......... Rear .... /.Z.'./...6.q.-~. 10. Date of Purchase .~ -r.. i ................... Name of Former Owner . ~ ......................... 11. Zone or use district in which premises are situated ........................ . ~ ........................... 12. D~es: proposed construction viplate any zoning law, ordinance or regula :ion: ...~..O..,' ....................... 13. Will lot be regraded ...... .~,,.~g ....... ,.;, ......... Will excess fill be removed' from premises: ~_ Yes 14. Name of Owner of premises ./~l~.~'~..l~-~.thC,~,, Address ~o,~'~/,~'a~d~l~v. .PhoneNo. ~"~-'~;~o~ NameNam~ of°f ContractorArchitect ..........~.t.g~4 1 .~?.'~ .i ............ ;'1 -- ?... Address .... //9: ??..'./qt~.j .c~.. Address ./.o. *.-o. ~d ¢o./~. ....... Phone No. ).~.~.-/¢.°.~. .... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos property lines. Give street and bloc number or description according to dee. interior of corner lot. STATE OF NEW ~ORIq, _. o ° (Name of individual signing contract) .......... being duly s' t,~.~, d.f',q~.,rv, Phone No ,~d, and, indicate all set-back dimensions from and show street names and indicate whether 'orn, deposes and says that he is the applicant above named. He is the . ........................................................ (Contraot6r, agent, corporate o~ ricer, etc.) of said owner or owners, and is daly authorized to perform or have perfo~ application; that all statements con~tained in this application are true to the work will be performed in the mannler set forth in the application filed there~ Sworn to before me this · ..} ....... ~. .......... day ~f. Notary~r~'qx~c( c~-Public ~INO~, ~' ............ ~~, ~., 4~.~.., .... ,. County~ Ter~ E~lree March ~, med the said work and to make and file this best of his knowledge and belief; and that the dth. (Signature of applicant)' C.~IQLA Z ~ ~ o ~ ~ ~ u~ ~ 0 Z bzz~ > ~z ' '> , F~ ("' ~-~~ ~ ~ ,~ i ,~ - 9._. ~ ....... ,~,~ ~ ~ ~ u.~ , iz ~. % ~ ....................... : ........... ~; C) ~ ' ~I 'O'OGi , - c - , , 0 ~-~ 8 0<.~ >