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Home My WebLink About14210-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...~.1.~.~. 9Y ......... Date ......... 5.a.y.. ] .9 ................. 198.6. . THIS CERTIFIES that the building ..... ~. n. g?.qu, n..ct..~.~ .J_ .m.mfi. n. ~. p.q o..1 ................. Location of Property .... 9.0.0. ........... N.q ....S.e.~., .DF.. .................. O.r..J_.e.n.t. ....... House No. Street Hamlet County Tax Map No. I000 Section ..... .1 ~ ..... Block ...... .3 ........ Lot .... 3..9 ........... Subdivision .0r.~.~.o.L. .B.~. ?.h.e..~..e.~. fi. e..c.~.... ! .Filed Map No...2.7..7.7..Lot No .....7.6. ....... conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...3.u.~.~..2.6 .......... , 19 .8.5. pursuant to which Building Permit No... ! .4.2.1.0. Z. ............ dated .... .~.u. gu..s.~..1.9 ............. 19 .8.5., 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 ......... ..... ~r~g~p.u. rtd.. ~.E~.r~.m.J-.n.g. p p.ql., ................................................ The certificate is issued to ........... pp?.~..L.D, ff.....&..B.~..13.13.~.~...B.~.~.~ .~.~ ................. (ownerX~,~eyl ~ ~)9~ X of the aforesaid building. Suffolk County Department of Health Approval ................. .i)l./fi. ..................... UNDERWRITERS CERTIFICATE NO ..................... ~.7. 3. .2 .~.7.5. .................... Building Inspector Rev. 1/81 ]FORM NO. O TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SGUTHOLD, N. Y. BUILDING PERMIT (THIS PERAAIT MUST BE KEPT ON THE PP. EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 14210 Z Dote ................ ~... ........ , Permission is hereby granted t~-~/. ~ . . /~1 ,- /'~ ..... ...... ~..~ ~.~.....~.~ ........................ ...... ~..,~.~..,..~ :~ ........ ~.. . ,o ........... ~~...' ~'~..,~'- .................................................. ......... ~.~... ~t ~r~*~ ~ot~a ot ........ ~ ...... [~....~ ~: .......................................................... ...................................................................................................... ~/....~..~ ................ co~ r~ ~ ~o. ~o0o s~,o~ .... ~: ...... ~,~k ...0.~. ......... ~o, uo..~ .~ ......... Building Inspector. Building Inspector Rev, 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANC~ BLDG, DfiPT, 'fOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted I ~ to the Buil¢ing 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. For existing buildin~js (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 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 SB.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 5. Updated C.O. $15.00 Date ...... Ua Cch .%?.th.,. ] 966 ..... New Building S..w.i.rn.m.i.n.g..P.o.o.I Old or Pre-existing Building ............ Vacant Land ............. Location of Property N/S (~0~ North Sea Drive Or[ent-by-the-Sea Houge No. Street Hamlet Owner or Owners of Property DONALD T. and BARBARA BRUDIE County Tax Map No. 1000 Section ,. 15 Block 3 Lot 39 Subdivision Orient-by-the-Sea Be,c. ~. ...Filed Map No. 3444 .Lot No. ?6 Permit No, 1,4210Z " ......... Date of Permit J.u. ly., .8.5...Applicant ,P..a!e,~.m..o.P. ,o,o{s. .................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .5....qq ........................ ~C°nstructi°ntLl~ on above describedApplicantbUiiding ...... a~t.~, .'.~.'.~meets all applicable,codes and regulations. .......... tqq 7 ...... er. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 8-5 JOHN STREET, NEW YORK, NEW YORK 1OO:38 v~t~ J~z~U~7 ~2~ 19~'~ Application No. o,,fle 8526~4/85 im the followimg location; ~ Basement ~ 1st FL ~ 2nd FL Section Block Lot and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES OUTLETS FLUORESCENT EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS: S E R V I C E OF CC COND, NO OF HI-[~G OF HI-LEG NO.OF NE~TRAI A' W G. OF NEUTRAL iff8 Town I~ar~or Pe~ .... ~"~ ....... certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be ~denhfied by the r credentials. COPY FOR lENT. THll 0F, f COMMENTS FIELD iNSFEC~I~N FOUNDATION FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL COMMENTS: -fO DU~ WI=~T -- ~O I~T I-I SEA 150.0 01~.1GNT~ ~¥-'I'14,~.- SEA, ,SECT. I. ~ 5Ut=F. CO. FILE N~ 277? SCALE: 40"= I kA O~U B,,4 E NT PlPE ,: MAP 3444 ' .'SECTION 2 "; ' ':"~" LOT 76 :. - ".:.'i' '" ORIENT BY THE o 0 DRIVE MAP OP" LOT T6 "0 RI E NT- B¥-T Pi E-SEA" SECT ION TWO SUFFOLK CO. I~'ILE .%'lAP ~JUI~VEYED [DONALD T. BRUDIE and BARIBARA~ GUA~./kNTEEID TO THE CHICAGO TITLE INS THE SOUTHOLD THE NEW YORK BOARD OF FIRE UNDERWRITERS ~L000'J~:[ BUREAU OF ELECTRICITY r~' 85 JOHN STREET, NEW YORK, NEW YORK 10038 ;.~, 352645/35 THIS CERTIFIES THAT only the el~trical equipment as described bel~ ~d i~troduced by the applicator named on the above application number in the pr~mises of ~ld B~die, North S~ ~ivo~ r~ient~ N.Y. w~ examined on J~l~ ~ ~ ~ l~ ond found to be ln compliance wlth the requirements of this Bo¢rd, FIXTURES RANGES COOK NG DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS SWITCHES FtUORESCENT 1 I 1 DRYERS MOTORS EUTURE APPLIANCE FEEDERS ITIMECLOCKS UNIT HEATERS MULFI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: 1-O.~'.C, ~. NO OF NEUTRAL~ (~_~[.)~. This Coitiflc~te ¢'x~ers co~d~lis~ace at the &~te of ~u~ of ~uu~ml ~vi~nts it is ~vis~le ~ ~ fr~t test mdc by a ~lifi~ ~r~n. Lic. 28~E GRNEI~A[.,~ANAG~R certificate must not ~e altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by GOPY FOR ~UII.D NG DEPARTMENT THI,S COPY OF CERTIFI~A~E M,~S?~NQ~BE ALTERED IN ANY MANNER.' 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL,: 765-1803 Examined. ' . ~.~'. ....,190~.' ~pproved .~../~. ..... , 19~. Permit No/..~..2:../.O.J Disapproved a/c ............................ ./~ ...... (Bm ding Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF $OUTHOLD Received ........... ~19... Date... 7/Z'..~. ......... 19~...~. INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 gets of plans, accurate plot plan to scale. Fee according to schedule. I b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets iar areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. I c. The work covered by this application may not be commenced before issuance of Building Permit. Id. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on the premises available for inspectio~ 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 ;hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE t6 the Building Department for the issuance of a Building Permit pursuant to the tuilding Zone Ordinance of the Town of Southold, Suffolk County,,l~w York, and,~ applicable Laws, Ordinances or :e~ulations for the construction of buildings, additions or alteration% Xqr for/~ov~l orJdemolition, as herein described. 'h~ applicant agrees to comply with all applicable laws, ordinanceskbuflding/co~e, hb~ng code, and regulations, and to dmit authorized inspectors on premises and in building for necessa ectio . ' (Signature of applicant, or name, if a corporation) P~O~. Box. 244~- Si:. James ~ · I~L X, · 11780 ............ (Mailing address of applicant) ;tats whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Agent for owner ..... ~Iame of owner of premises .. DonaLd. B~udLa ........................................................... (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No... 3.439. }II ................ Plumber's License No ......................... Electrician's License No ................. ' ...... Other Trade's License No ...................... ~t96> I. Location of land on which proposed work will be done., l~loitl:h. Sea. D~Lve,. Or~ent; ......................... House Number Street North Sea Driv{~ Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot ................... Subdivision. O~:£en~:. bl/. I:h~. Sea. Scsi:. 1 ............ Filed Map No. .2777. ........ Lot.. 25 ........... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... 1. family, residence ................. : ............................ b. Intended use and occupancy same "'' Depth .................... ,... Height ......... .. ........... 8.' Dimensions of antire new con,ruction: Front ..... .{t~0 ......... Rear Height ............... }1y~nber of Stones...~...~. ~..a~.~, ~.., ..... 9. Size of lot: Front ....... ~ ............ Rear. ,~.' ......... 10, Date 0fP~chase .......... ~ ......... ~ tName of Fo~e~ 11. Zone or use district in which piemises are situated.. ,/ .............. 12. Does proposed construgtion violate any zoffing law, q~dinance or regulat 13. Will lot be regraded ........ I~ ............. 'J./.. Will excess fill 14. Nme of Owner ofpr~m~ses . .,P~. ~.. ~ ...... ~ JAddress ~F~. ' Nme of Architect ~:' ~P~. ~. ~??~fF~ddress ' : ~ PgOT DIAGRm Locate cle~ly ~d disfincflg ~'1 hurtings, whether existing or propos~ prope~y H.nes. Give street and bloc~ number or description accord~g to dee~ interior or comer lot. Nature of work (check whiclyapplicable): New Building . . ppp.L .... AOdition .......... ,adteration ....... Repair ,, ' R~mbval . Demolition I .. Other Work ' ...' .... ,~ut~',5' ' ' !~',' .... , , ' ............................ Estimated ~C0st ....... ¢. ~0..0.0 ....................... Fee... ~.~. ....... , i , // ~ (to be paid on filing this application) If dwelling, number,o~dwelling units .............. '. Number of d~ elling units on each floor ................ If garage, number ~ cars .... i'. ....................................... ;.; ........ ";/..., ,.:...;.: ........... If bus]ness commercial or mixed occupancy, specify ~tqre and e ~xtent ~ f eac~,ty~pe of us.e "c~ *." ~' ~, ........... Dimensions of existing structures, if any: Front .... ~.o; .~/~./. !.: Reax ' ~ Depth~'{~-,:!~, ~ .......... ' 1 Height Number of Stories . Dimensions of same structure With alterations or addi~,i0ns: Front ,.. ~..,.... Rear umber of Stories. ..................... Depth .29 STATE OF COUNTY OF. ?.o.~?.E .~. ....... SEE ATTACBED 'S.S FRA~ I~E~$INA ................................................. being duly (Name of individual sigping contract) above named. He is the ~ of said owner or owners, and is drily authorized to perform or, have perfo~ application; that all statements contained in this application are true to the work will be performed ~n the manaer set forth in the application filed therex Sworn to before me this ' ........ i ........ day~f .... .... '.,19 ....... Depth ................... Owner ;.. ........................... on: ...N9 ............................. ,~ r~moved from premises: Yes 1~ ,a m:~ ........... Phone No. . . :1, and, indicate ail set-back dimensions from and show street names and indicate whether ~orn, deposes and says that he is the applicant ricer, etc.) med the said work and to make and file this best of his knowledge and belief; and that the dth. (Signature of applicant) 4 p/_ r4/y ~ECT"I ON ~ PZ ,q T-.g' ~ ,/Vo DlVl.,U6 i3onP..O Pe~zm~Tra) 1. ,~LL WALL(~ 14. C,.4. OALV.&,~IZ~=.B 14. (IOPl~ld-~T~N~$1-1 -Nok~ SKID 9AINF ....