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Home My WebLink About14257-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z15052 October 29, 86 No ........... · -... .. Date .. .......................... ... · ,]9... Addition THIS C£RTIFIES thst the buildin§ ................................................ LocatinnofPToperty 1450 Longview La~e Southold, N.'Y . House No. ' ..... Street Hamlet County Tax Map No. 1000 Section ...Q~ ...... Block 04 .Lot .49 Subdivision ............................... Filed Map No ......... Lot No ............. . conforms substantially to the Application for Building Permit heretofore flied in this office dated A. u. g.u.s.~. ~., ...........,19 .8.5. pursuant to which Building Permit No. 1 4 2 5'/ g dated . Se p tembe r 1 '1 , 19 8b 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 ......... .~.d.d.i.t..ip.n..t..o. existing one famil dwelling. Mary Ann Farley The certificate is issued to ...................................................... ... .. (owner, tmaa~ )at~a~a~l~ x of the aforesaid building. Suf~lk County Department of Health Approval .......... ~ / A NT~29~B UNDERWRITERS CERTIFICATE NO ................................................ Plumbers Certification dated 1/81 August 14~ 1986 ~O~,,lJJ NO. JJ TOWN OF SOUTHOLD BU~LDIHG DEgARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED), N~ 14257 Z Date ......~ · . · 19.~..~.~ Permission Is hereby gran~e~ to: ~ . , ,~ ~.~.;? ...... [~j[ .......... ~ ................ ....... ,~.:_~.~ .... ~ ............................. ,o ...~.....~.~..~.~......~~...~..~.~~~ ~....~.~..~.. ....... .=, ......... :....: ....... ~ ............. ~........~...~...~ ..................... L~f ~ .~ .....~a~... OJ .... ~ ~ at premises located at ................... ~........~ .... ~.-.~.- .. ~ .......................... ......... ........................................................................................ County Tax Map No.-1000 Section~,,-~.~.....~...~. ......... 8lock .......~....~ ......... ,,,~t No.....~....~. ............. pursuant ,o application dated ...... ~.~....~......~. ................... , 19.~.~.[.., and approved by the Bultdtng 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 OCCUPANCY 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 al~ 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 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 unusum natura~ or topographic featu res. 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. Fe. ~c~y~--. 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4oVacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date Aqg~A.~,..1.~§ ......... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...... 1.4. ~ O ..... .~p~cj¥ ;~ .eS~.. ¥ .a p.e. .... ~ ........ S..o p.t.h.o..1 .d .............. House No. Street Ha'm/et Owner or Owners of Property Mary Ann Farley County Tax Map No. 1000 Section 088 Block 04 Lot 43 Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 14,2,57 z Date of Permit .9/.1.1./..8.5..Applicant ,R.o.n...M.o.r.i.z..z.o..B.u..i.l.d.e.r.,..Inc. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...X .................... Fee Submitted $...~.,. ....................... Construction on above described building ar)d~rmit,~, m~/.~,ll applicable codes and regulations. Applican ...... Rev. 10-10-78 $o¢ 17 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK '10038 ..,e O~to~e~ 6, ~gee .pp,ic. tlonNo, o.S.e ~15o3~/e~ N 772913 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ~4ary Ann Farley, 1450 ~ongwiew, Lane, Sou~hold, N.Y in the following Ioc~.~i ~ B~ ,meg&o~,~ .... /st FI. [] 2nd FI. Section Block Lot tc~s examined on and found to be in compliance with the requirements qf this Board. FIXTURE OUTLETS ~ECEP~ACt ES SWITCHES FIXTURES ? 6 FURNACE MOTORS FUTURE APPLIANCE FEEDERS DRYERS SERVICE DISCONNECt OTHER APPARATUS: Track Lighting 16'~0", 4 lites Pa~l Burn~ 275 Tow~ Harbor Rane RANGES ;PECIAL EEC'PT S NO O1~ CC. COND [ TIMECLOCKS [ BELL UNIT HEATERS MULTI-OUTLET TRANS. , ' NO. OF FEET R V I C E EXHAUST FANS DIMMERS GENERAL MANAGER I I 11 · . Per : ~,., ~J Th;s cerhf;cate must nobbe altered in any manner; return to the office of the Board if inco~'recf. Inspectors may be identified b their credent, ~LOINO DEPARTMENT. THIS qOPY OF CERTIFICATE MUS~ NO,T BE ALTERED IN ANY MANNER. HENRY J. SMITH & SON, PLUMBING, HEATING & FUEL OIL MAIN ROAD SOUTHOLD, N.Y. 11971 (516) 765-3690 Inc, CERTIFICATION B a t e Building Permit Owner Marz. Ann Farle.z Plumber Henr[_~m_~_~_~£Az_~A[~ I certify that the solder used in the water supply system contains less than 2/10 of 1%o lead. Sworn to before me this 1986 Notary Public, Suffolk County BERNADEIlE L. TAPLI~ NOTARY PUBLIC, State of New York IRes~6mg in Suffolk County ~')FI Commission £~pires March 30, 19TM 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [] FOUNDATION 2ND[/~U~,TION [ ] FRAMING [~]~INAL REMARKS: //~ / DATE <~/7//~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ~L~NSULATION [ ] FRAMING [ ] FINAL 'OUNDATION {1st} COMMENTS OUNDATION (~nd) FRAME & PLUMBING NsuLATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ,! STURTEVANT MILLWORK CORP. ~Come home to quality ~ome home to A~de~ 75 N. INDUSTRY COURT DEER PARK, N.Y. 11729 PHONE 516-667-6700 DATE w,,a~.~ ~ Come home to q .uali~. Come home toA~iders~ STURTEVANT MILLWORK CORP. 75 N. INDUSTRY COURT DEER PARK, N.Y. 11729 PHONE 516-667-6700 DATE JOB 'FORM NO. 1 TOWN OF SOUTHOLD ~ BUILDING DEPARTMENT ~ TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765'1802 Approve~..~!., 19~.~. Permit No.I. .q..~. ~?...~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF 51OLtP'~O! z'~ Received ........... ,19... Date ................. ,19... IN STRUCTION S a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 g Certificate of Occupancy hall 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 ullding 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. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessa~ry inspections .... . .~.q~ .m..e.c,.a..z.q....~m...t..c~.. ~..-ZT..,?..c... ....... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i. .o,. . ............................................................. Iqame if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... ........ Plumber's License No. 7q/ P Electrician's License No ....................... Other Trade's License No ...................... t. 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) State existing use and occupancy of premises and intended use and ~cupancy of proposed construction: ~' 7~iji:~gdu2e an d .° ecu P an2y ' ' '/~1 ............ e se aha occupa cy .......... '~,,;; ~:..,,, 3. Nature of w_o~(C~eck.~v/ldch ~pplicable): New Building ..... ' .....'Addition . ~ .... Alteration .. Repair ~ 1' .'.~.. Removal ............. Demolition ............. Other Work ......... Cost .~. / .c~j O .O.~), (D~scription) 4 Estimated Fee I ~' (to be paid on filing this application) 5. If dwelling, number of dwalhng umts ............... Number of dwelling units on each floor:~ .... ~. If garage number of cars I 6. ~ If business, commercial or mixled occupancy, specffy,,gatur~e a~d extent of each, ,type of use ~ ~. '...'~ .~ .............. 7. Dimensions of existing structures, if any Front ' ~ '. ' Rear . Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth .................. i · · · Height ........... · ........... Number of Stories ...................... /.?. Dimensions of entire new construction; Front ......... ~.(. Rear ........... Depth ........... 9 Size of lot: Front : Rear Depth i Name of Former Owner 10. Date .of Purchase ......................................................... 11. Zone or use district in which plremises are situated ..................................................... 12. Does proposed construction w01ate any zomng law, ordinance or regulation: ................................ 13. Will 10t be regraded ....... i ..................... Will excess fill be rem, eyed from premises: Yes No 14. Name of Owner of premises ~ .ff~..~.,~g..~.~...~/-Address . ,,~.~. ~Phone No.. Name of Architect . .,,~ ............... ,, .....,.. Address .................. Phone No ................ Name of Contractor ./(..~/.)../~...~.~/~.~0. / .~.....~. Address .~...~..~.~.~.~/.C./~. ~hone No...?F4a~.. 7.o~. ?. 20:-. Locate clearly and distinctly all property lines. Give street and bloc interior or comer lot. PLOT DIAGRAM buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether ! Sworn to before me this Notary Public .... ~.. ~,.. STATE OF NEW YORK, COUNTy OF ........... ....... S,S ............................ , ..................... being duly sworn, deposes and says that he is the applicant ' (Name of individual sig~ing contract) above named, i He is the ..................... i .................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is drily 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 will be performed in the manner set forth in the application filed therewith.