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Home My WebLink About14265-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14216 Date February 7 8.6. THIS CERTIFIES that the building .... Q ne. ~'.a m :[ ~y.. ct w~.], ], ~, r~&,. .................... L°cati°n°fPr°perty~]'29'5'~o Longview & 65 Pleasant Pi Southold · ' .................... 's'd&i ....................... h~/,,i,i County Tax Map No. 1000 Section . .0. ~ ~ ....... Block ..... 9.5 ........ Lot ..... .1.3 .......... Subdivision TERRY WATERS ' N 2901 40 ............................... Filed Map o ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. 3.rig,..1~5. ......... ,19 .8.5. pursuant to which Building Permit No. 14265 Z dated ... $.e.l~ g,..1.1 ................ 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 ......... ....O. ne. family..clweLl,~,qg ....................................................... The certificate is issued to ROBERT & PAT COLEMAN (owner~l~et{ lOXtt{~Y~t) of the aforesaid building. Suffolk County Department of Heaith Approval .... .s.~.-.s. 9 r.Lsfi.' .~ ./.1.s. (.s.~ .................. UNDERWRITERS CERTIFICATE NO.. N733239 1/2~/86 Plumbers Certificate 2/6/86 Rev. 1/81 FORM 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) 14265 Z 19.~.~f Date Permission is hereby granted to: ..~....~....~..~ ....... ~ ............. ' I .~.w........~m.~...~.:..~.:......I...~..~..~ ............. .... /...~.~.~.. ~..~. V.~ J~/,~, ~,,.,g-,,~ ?£. . at premises located at . . . .~ ........................ J: .................................... .~.~. .................... County Tax Map No. 1000 Secti~-.~(..~..~.....~. ........ Block ..... ..~....'~.'~. ....... Lot No ........ ~...~., ........... application dated ......... ~..~/......../....~... ........... , 19.?.~..'~., and approved by the pursuant to ~ Build~ng Inspector. Building Inspector August 22, 1997 Southold Town Building Department ATT: Building Inspector Main Road Southold, New York 11971 Re: 109~-088-05-13 Dear ~ullding I~spector: I represent the purchaser of the above reference. I have enclosed a copy of the survey dated 12/4/85 and a copy of the Certificate of Occupancy for new construction dated 2/7/86. As you will note the Certificate of Occupancy which reads "one family dwelling" should have read "two story one family dwelling with second story deck". I would appreciate your issuing an amended Certificate of Occupancy as set forth herein and forwarding the same to me -_ Closing is scheduled for the morning of Priday 8/29/97. I wou~d appreciate your expediting this Certificate of Occupancy so I can have same by the said date. enc. Sinqerely, PHILIP J. C~RDI~I~E 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION []FRAMING ~/~FINAL ' ~/~//~/~~'-~- DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS .[0~0L~]. BUREAU OF ELECTRICITY ~. 85 JOHN STREET, NEW YORK, NEW YORK 10038 .ate ,'~nua~, ;;.g,~Lg~ 'ppllcatlo,,~'o. on~,e z~/~ N 733239 THIS CERTIFIES THAT only the electrical equipment as ~scrlbed be~ and int~duced by t~ applicant ~med on the above application number in the premises of John Col~an~ 1295 Long'vlew in the/allowing location; ~ Basement ~ 1st FI. ~ 2nd Fl. Section Block Lot was examined O.Janttaz~ 2 ~ ~ ~ 9 8 ~ and found to be in compliance with the requirements of this Board. OUTLETSFIXTURE SWITCHES FIXTURES RANGES OVENS EXHAUST 18 3~ 26 18 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLE DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: Special Re~'pt~-, l--30amp,~ G.F.C.I.- 3 Smoke Detectors-, 2 S E R V I C E AW, G OF HI-LEG NO. OF NEUTRAl A, WG OF NEUTRAL i.-50amp. Pat~l Burns lie. #282E 275 Town ~arbor Lan~ certificate must not be a tered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their ~/re~ntiaJs, ~ m ANY ~A~E.~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG, DEPT. TOWN OF SOUTHOLD 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 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~ lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approva~ 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 $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ............. ~ ............ New Building .......... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ..../?~, .~..~. · ............... .~, .~/.~..V///.E. ~...~.A. ............. .~-~..~.T~.~( ~.L:/.~. House No. Street Hamlet ........... ...................... Owner or Owners of Property ... ~.~,. l .... P/~-J'~. ~I).~.~. Iv/ . . County Tax Map No. 1000 Section ~ Block .~.,. Subdivision..., .~.~./~.~. ~....(~J~ .1-.~.~-~ ........... Filed Map No, ~. ¢~.0..~ .... Lot No .... ~ ....... Permit No./.~, .~,~..~.~,~.. Date of Permit ./~..G./.~. ~'~.Applicant. Health Dept. Approval . :J.~ .~. ~ .5./. ~.0. ........... Labor Dept. Approval ........................ Underwriters Approval~'fr/J ~-~ ~6 M733 ~ ........................ Planning Board Approval ....~/x~ .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all app,~icable codes and regulations. Applicant ............ ~ ................ Rev. 10-10-78 TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. l~ 0wner~ ~I'~% ?~]:%'-~ q~L~ (please print) (~lease print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ber's signature) Sworn to before me this Notary Public, ~, /~//~TJ. County Nota~ Publ~ UNDA J, COOPER NOTARY PUBUC, State of New ~t? NO, 4822563, Suffolk Coun/t~/~ Term Expires March 30, t9.(~L~ t±ELD IN S!~ECT ION 'OUNDATION (1st) COMMENTS 'OUNDATION (2nd) )UGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 ~ 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 heroin 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 insp.~ctil~tas. (Si n~ure of applicant, or name, if a orporat'on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .. ....................... Name of owner of premises .... ~'~ .~..~....~q./~..~':.. , ~>)~ .EFx-'-C....~.I~.~Y./Y~ ~ .... ....................... (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 ...... $ .q.0. ................ Plumber's License No...~.o.l-~J... W..~..~R.$ ....... Electrician's License No..P.~. ¢ L... '~ It e.rk$ ....... Other Trade's License No. ~.=. )b/./~ .~%(C~.~..~.qq - Loqq L~ Location of land on which proposed work will be done....C(. 0~..~[q..~. F...~. 9~.~ .X/.l.[..~...~.. ?..t-~...S.,0r~T..~J~, ....................... ......................... House Number Street Hamlet County Tax Map No. 1000 Section .............. Block ................................... Subdivision... ~.~!~/....~.}~.~'~I~. ............. Filed Map No... ~. ~.0. ! ...... Lot ..... ~.~) ....... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructio~n: a. Existing use and occupancy ..................................... · ...................... ........................... b. Intended use and occupancy .......... ~ff'/~/~SJ.. -- :,*~ ~ :~. ;, iH' I Il~ature of work (eh~ }/,hich applicable): New Building ... M'. ..... Addition .......... Alteration ......... ~ '~Re air ~ .' q~, P ..... .~ ....... 'i, · Remmral .............. Demolition ..... Other Work ~t} ~,~1 ,~, I ~ J~/~ ~i ~ (Desc:iption) ~l~..Estimated Cost ~/JJl 00., 0~.O, Fee .~/O, 70 . '"~[ff ~'~!'. "~'~tOl,, 2 ' (to be paid on filing this application) 5.If dwelli~'; numbe} of dwelling units .... 0So~.. ...... Number of dwelling units on each floor ................ If garage number of cars ' 9/4 ~'- .... 6. If business, commercial or mixed ~oceupancy, specify nature and extent of each type of use ' ' ' 7 Dimensions of existing structuresl if any: Front Rear Depth ~.·' Height' NumBer of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ....................... Number of Stones ............... ' 8. Dimensions of entire new construction: Front... .-.~ ..... Rear ...... .o ................. Hei-ht Z-¢~ NumBer of St"~e~ --m,~,~ ' r ' 9. Size of lot: Front )~.~. ....... .......... Rear .... ,/,57.0 .............. Depth ...{.0.? ............... 10. Date of Purchase ............ , ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ........................................ .... 12. Does proposed construction violate any zoning law, ordinance or regulation: .... ~. 0 ...................... 13. Will lot be regraded ...... ¥.~ .................. Will excess .fill be removed from premises: Yes (~No) 14. Name of Owner o f premises '..~ 0I~.~J~T...c,a~-,/r/SN. Address ~:r.' ~m.0~). ,~.O. ~7,. rhone No. ,~/ Name of Architect .. ~ ..... ,,. · .3... .......... Address ................. .~. Phone No ....... 2 ........ Name of Contractor..-4 .e.t~. '5"/~d ......... Address . .~-.~.g.'r:.. Oltr~t0ia.. ~.,}/. Phone No..~?Z..t.O g~.... PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~ umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YrU/RK, I .../ io o COUNTY OF . . f/ (Name of in ivi ua signing contract) above named·, being duly sworn, deposes and says that he is the applicant (Signature of applicant) He is the ...................... i ~agent , , corporate officer, etc.) of ~aid owner or owners, and is duly 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. Sworn to before rne this ; , .......... /~------------------~. ..... day of. :; ...... , 19.~. 'S~FOLK CO. HEALTH DEPT. APPROVAL ..... , / ......... ~ ~ CONFORM TO T~ STANDARDS OF T~ · ~. ~ ., '/ I ~ m t' : ' . ' SUFFOLK 'COUNTY DEPT. DE HEALTH · .J SEAL ~ LI~NSED LAND suR~YORS GR~ORT NEW YORK \i~he sewage d~sp~sal and water ~acfltt~e~ fo~ this ic~a~ic~ have been l~~is depeetme~t ~ fO~ , Se~ices RODERICK VAN TUYL, P.C. LICENSED LAND SUR~YORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H.S. NO. '-8S-~ STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISF'OSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT. OF HEALTH SERVICES. {SI APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE. h. S. REV. NO.: APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL. OWNERS ADDRESS: DEED: TEST HOLE .P. STAMP SEAL L,~OTIFY I~UILIOIN ~' =~ARTMENT AT 76§-1~1D2 ~ /,,~, ' !, PM ,=OR THE FOLLOW~N~ FOR PODE; :"- ' '"f~ ;2 ROUG'¢~ FRAMIN~ ~ ~q.U~ilNG 3, INSULATIO¢] ~, FINAL ~E COMPLETE FOi~ C,O, ALL CONSTRU~ION ~HALL MEET ~HE REQUI~ENT~ OF THE N.Y STATE CONSTRUCTION & ENERGY CODES. NOT ~SPON21BLE ~ESIGN OR CON.RUCTION piping -,hall be OCCUPANCY OR USE IS UNLAVVR.JL WITHOUT CERTIRCATE OF OCCUPANCY PLUMBER CERTIFICATION ON IF. AD CONTENT BEFORE CERTIFICATE Ot= OCCUPANCY _L ~Ec-rtoN R : , .... ., /