The URL can be used to link to this page

Home My WebLink About14298-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou(hold, N.Y. Certificate Of Occupancy No ...... z t4.43.?. ..... Date ....... Ylay. ~.~1 ................. ,19 ~.6. THIS CERTIFIES that the building ....... ~. r~ g~-.Q u n ¢..1~ 0 O J- .......................... Location of Property .... l?2B .......... ~r. ahom.oana ql~.e../[¥~ .......... ~ 91&~.t19 ~-.d ...... House No. S~eet ' ' Hamlet County Tax Map No. 1000 Section ..... 66 ..... Block ...... ~ ........ Lot ..... qz) .......... Subdivision. Bi~±ctoz: .EsI~t;e,...Se c I;...7..Filed Map No...1.6.7.¢..Lot No ..... .6. ....... conforms substantially to the Application for Building ?ermit heretofore Fried in this office dated .... S~t~.~emb~.r.. ~ .... ,1985. pursuant to which Building Permit No .... ~ .6.2S.8. Z. ........... dated .... S et~.t~eraber.. 23 .......... 1955., 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 ......... ·.. In~.ouncl..p oo.h .............................................................. The certificate is issued to ............ H/~RR.LET. F2.E ~ DM.R.I~ . (owner, ~tffieXoj~ ~ ..... of the aforesaid building. Suffolk County Department of Health Approval ................. hl/./t ...................... .UNDERWRITERS CERTIFICATE NO ..................... ~.7.2~ 53 ~ ..................... Building Inspector FOB, B~ 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) N~_ 14298 Z Permission is hereby granted to: ..... .............. ... ?~.~ o~:~- -- .....~.~.~....~......A ............................................ ....'~~....~.:~..,...!.~..~.~..~ ............. at ...~.~.......~......~...~ ........... .~... ~. ..................................... County Tax Map No. 1000 Section ..... .C~..~...~.. ...... Block ...... ..C~.......~.,. ..... Lot No.....L~...~. .............. pursuant to application dated ...~.~~,,,,,~.,'~,,, ........... , 19.~..~.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD BuildingTown Department Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application 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 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 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 $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 '// 5.Updated C.O. $15.00 Date ... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property 17~ AR~t~,~',~,~u~ House No, ,I Street Hamlet Owner or Owners of Property J~,9, P,e,~ ~-T County Tax Map No. 1000 Section . .Q.~. ~. ........ Block d) 7., Lot..~..~.. Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ~[ 2.z.~, .5.3.~. - /z/3t(~E .Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ . .~..'~....~.~..~ .(~./. ........... Construction on above described building and,~rmit meets,all applicab~c'odes and regulations. .~~L~, ~(~ ]App .cant . . .?..~....c~... ?...~...~.~ ........ Rev. 10-10-7e FOI~i~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION (owner or authorized agent of owner) ,.,~..o..x..,..~.~. ~.,....9.p..~..e. mn .~ x'..~,,... ~.,. ~.,..,.1..~. ~.z~.~ ....... (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance ...C..H.... ~1..0...0. ............................ Other Applicable Laws, Ordinances'or Regulations ............................................ at premises hereinafter described in that ....s.~..~..m..x?.~..n.g...p..~...~.$...~.z....b..h....~..a.~.e...p....$.r.L.$`.~.~ ................ (state character of violation) ,,o,,q... ~ ~.~ .~ .~,,, .e?.~q .~.~ ,o, ~,u ~,e ...................................................................................................................... in violation of ..A.~..~.:.....Z..Z...~.~....,J..0...0. z.3,..O.....C....{.~.}...{.fl.} .......................................................................... (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the .... J..~.~.h.. ........................................................ day of .....P..e...b.... .......................................... The premises to which this ORDER TO REMEDY VIOLATION refers are situated at ..!..7....2. f~...Sp..~.I~.~.~.O~r~.~N.e...~ ............................. County of Suffolk, New York. Southold, N.~. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. County tax # 066-02-44 Building Inspector Curtis W, Horton F~E~IDENCE RE$IDENC'L '?~'~ ,~RESIDENcE r~.~) tRESIDENCE o o N60o20,40,,E -%k"sys t em fTESIDENCE ',i F.F. 17.5 ,d deck i exlsf,Enq ,~ouse I t TOWN HAIRBOR 'TE PLAN Scole 1' = 50'0" THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000708 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 o.te Dec×~ber 81~ 1~85 37~3/8,5 Applicat,oaNo. onfile N 728539 THIS; CERTIFIES THAT only the electrical eq~iprrtent as described below and introduced by the applicant named on the above appllcat~on nu m~)er in the premises of Fri(xi~a.n~ P~,ivate Roa~ of. }kV., Asha~l~om.~.~qge 1,~ad, Sot~thold~ N.Y. in tl,e/ollowing location~ [] Basement [] /st Fl. [] 2nd FI. C~',[tsid~ was examlned on iL~c~ef~vo~;~? 19 ~ ]~3~,~ Section Block Lot and found to be in compliance with the requirements of this Board. OUTLETSFIXTURE SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS 1 1 1 DRYERS VAPOR FUTURE APPLIANCE FEEDERS TIME CJOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SRRVICE DISCONNECT APPARATUS: 1-G.F.C,I Panolbo~rds; l-:~cir. 60amps. S E R V I C E NO, OF HI-LEO A W. G, OF HI-LEO NO. OF NEUTRAL A W. G, OF NEUTRAL (~i]~?_.G.~.~P~?7~; ~his certificate cowers ~apliance at the ~te of ins~tion only. B~us~ o~ ~u~l ~v~o~ts it is ~i~le to ~ fr~tt~t test ~d/or ~1 P~'~to A%ec'tricit~ Oree~port, N.Y 1194~ Lic, GENEI~At ~ANAGEE i~L ' ~ certificate must not J?e altered in any manner; return to the office of the Board if incorrect. Inspector's may be identified by their · lis COPY OF I ED IN ANY MANNER. t_ELD IN~PI'EC~ION 'OUNDATION (1st) COMMENTS OUNDATION (2nd) ~UGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 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 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 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 buiidings (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 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, C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dweiHng $15.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date ....... New Building .. ~'..~.o.o .(.,. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .J.~..~...~.. HoUse No. ~) Street Hanf~t Owner or O, ners of Pro,erty . :. . F.'T . ........... County Tax Map No. 1000 Section . .0..~.~ ....... Block ...(~.~)=- ......... Lot.../~.~ ........... Subdivision .~~. ~'~ ~ .'~. ...... Filed Map No. $..~.., ~ .Lot No...~-~ .......... Permit j~- No.J.~.~.~ .~..~. Date of Permit .~'J/l~ ..... Applicant .)~-~ .~..~. · .-~.~ ......... Health Dept. Approval ~.75.O. 7>77....//.~.~.~.~..~.Labor Dept. Approval ........................ Underwriters Approval J'~]..~7.~.~.°.~.-.~.~ ......... Planning Board Approval ...................... Request f~)r Temporary Certificate ..................... Final Certificate ...V. ................. Fee Submitted $...~.,.(~...O .................... Construction on above described building and permit meets all applicable codes and regulations, Applicant .......................... Rev. 10-10-78 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Permit No! Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT I~i~;:'~ 5 1985 LDO. DEPT. ~OWN OF SOUTHOLO Received ........... ,19... Date.. 7./ ............. , 19~. INSTRUCTIONS ! a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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 ~ 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, 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 mit authorized inspectors on premises m~d in building for necessary inspections. eX (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. lame of owner of premises ...... /_..~. :, J.'..Z/'.~.~ d?./..*'/fT....~.~..~x..?.¢.-~.~. · ./.'?.Q,~/ ..................... (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 .... /..~. ................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No .................... / '7 :l.,,: , .d. : .............. Location of land on which proposed work will be done ........ · House Number Street Hamlet County Tax Map No. !000 Section .... .~)..~.{' ........ Block ..... .,. ~ Lot .... .~. ? ........... Subdivision.../3./.(.~.~./..~..D .~. :../_'.~J~.F. '.~./.-~.?:5~:... Filed Map No. ~..~ ....... Lot...~. .......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ./ f,//z~-~ //~)/ b. Intended use and occupancy .......... .~.t!t~-: ½!...-~ .~':/'.~! ....................... 3. [~ture of work (check Wh~l~applicable): New Building ..... ' ..... Addition .......... Alteration .......... L~p air ~ ' ' ..... ,. ~ .,;, ~ .... Re,ntoval .............. Demohtton .............. Other Work. ,-S~./4/.a. Be. .o.t._., 4. ~kQmated Cost ........... ~.i .... ((,0.9.'?.,. o. q:~ ......... Fee ...................................... ~ ~; ' ' '~ · ~ i ~' (to be paid on filing this application) nun~'b~r 5. of dwellin~ units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mix~d occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front ............... Rear .... ' .......... Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... i' · · Height ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front .......... 1 ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... : ................... Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 1~. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ I ............. Will excess fill be removed from premises.' ~ Yes No 14. Name of Owner of premmes . .!:h'../~.~4~'.ela. t~,.r~ ~/..~ Address ... So. ~4~(:& .o~. ~.3.... Phone No..7.6. ..37.Zig.. Narae ........... of Architect ......... i .................. Address ........ Phone No ................ pLOT DIAGRAM Locate clearly and distinctly dl buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. AP~ ~O¥~D AS NOTED DATE:~_~_~_~']_B.P. ~ FEE:.~[.~ ~ .... BY: NOTIFY B~JH..nlNG ~EPARTMENT AT 765-1802 9 A3A TO 4 PM FOR THE FOLLOWING 1. FOUN%A'I-ION - TWO REQUIRED FOR PO[I~ED CONCRETE 2, ROUG~I -- FRAMING & PLUMBING 3. INqUI 4. FIN/" C~5":~'F~tJ"flQN MUST BE C"'~P~ - rr Fo2 C.O. THE REOLJ~P.~ff'AFN''FS GF T[JE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT EESPONSIBLE FOE DESIGN OE CONSTRUCTION ERRORS. STATE OF NEW YORK, COUNTY OF ................. !S.S . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ' j j (Contractor, agent, corporate officer, etc.) of said owner or owners, and is doly authorized to perform or have performed the said work and to make and file this application;that all statements,con:rained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this ................ ..... .......... Notary Public ........ ~. !.~.: ~.t<..ff..t~., .... County ...... No. 4707878,$uffol~Coun~,? t g~aTur~ o app Term Expires l~erc~ 30