The URL can be used to link to this page

Home My WebLink About13890-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z 14.42.2 ........ Date ...... IS~y..R3 .................... 19~6. THIS CERTIFIES that the building ...... p~ v ~' sm ~. ~, y..0,N o ~L J..J,r~ g, .................. Location of Property ... 82~C1 ................. ~g~.~. I,~.clJ, ~g~ .......... ~.qq~la.o.~c~.. House No. Street Hamlet County Tax Map No. 1000 Section .... 7.0. .....Block ....... 1.C~ ......Lot ......... ~ ~ ...... Subdivision ............ ~ ................. Filed Map No .... $ ....Lot No ........ J(. .... conforms substantially to the Application for Building Permit heretofore Fried in this office dated ·.../L p c J.J... l 9 ........ ,19 .~ 5 pursuant to which Building Permit No ....... 1 ~ ~9.0. ~ ........ dated .... ~pc ±2...24 .............. 19 ~.~, 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 ......... .... 0n e,-£.&m J. Z~..d~e.LJ. 3. ug ....................................................... The certificate is issued to ................ AJ.,LEN. ~..8,~I~,T,I~ ¥~q. ~5.(~ L .................. (ow~r,~ ~0~ of the aforesaid building. Suffolk County Department of Health Approval ............... 1 4.-.S.~ = ~ .1.5. ................ .UNDERWRITERS CERTIFICATE NO ........................ N.~.8 6 ~ 2 .................. Building Inspector Rev. 1/81 1~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~4PLETION OF THE WORK AUTHORIZED) 13890 Z Co,~n~, Ta, Map ~o. J0oo Sect,onn_...~.~O ....... .,~B'ock .../..0. ........... o.L~ ~o..0...~5 .......... pursuant to application dated ...~...~.~ ...... ..E....'~.... ................... , 19~:~..~,, and approved by the Building Inspector. Building Inspector Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town 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~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 naturat 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 sifnilar 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 p~opert¥ 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 $§.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1,00 4.Vacant Land C.O. $5.00 5.Updated C.O~/ $15.00 New Building ....'./'~....... Old or Pre-existing Building $15.00 ........... Vacant Land ............. House No, Street Ham/et Owner or Owners of Property ...... ~---~Z,, .~..'~~/,/,, .... ~~'~'' County Tax Map No. 1000 Section ... ~.2~,.) ..... Block ..... ~'. 4~.. ............ Subdivision ....... ~ ........................ FiJed Map No ........... Lot No .............. Permit No. ~ ~ ~Date of Permit Applicant. ~ .... Health Dept, Approval.../.~.~//~. ...... Labor Dept. Approval ........................ U nde~riters Approval..~ ~.~. ~ ........ Planniag Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~.' ................. ...... Construction on above described building and permit meets all applicable codes and regulations. ~'~ [~q~ Applicant .~. ~.~~ ~. ........ Rev. 10-10-78 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. TEMPORARY Certificate Of Occupancy No. Z14271 Date March 7, ... .................................................. 19 86 THIS CERTIFIES that the building New Dwelling Location of Property 830 Gac~en ' s Landing Southold House NO. Street Hem/et County Tax Map No. 1000 Section . . . .0 7P ...... Block ..... .1.0 ........Lot .... 93.3. ......... Subdivision .......... .X .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. ~p.r. 5~l. ........1.9. ....19.8.5. pursuant to which Building Permit No .... .1.3. 8..99.g ........... dated ....... ~.p.r.~.~..2 .4 ............ 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 ,-.-. ?.e.v. ?.r.~. V.a.t.e., 9.n.c..T.a¢..~.~.¥. py.e..~.l.~.n.9 ...... The certificate is issued to ............... $.O.B.E, Ie, t, M~RILYN & ALLEN (owner, of the aforesaid building. Suffolk County Department of Health Approval .. 1 4-SO- 115 UNDERWRITERS CERTIFICATE NO ................ P.e..n.d.i.n.g. .......................... Plumbers Cert. Building Inspector Rev. 1/81 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 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 featu res. - 2. Sworn statement of owner or previous owner as to use, occupancy and cohdition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertident informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 0 0 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 . .~;~]. 0 ' "~ ~ House No. Street Owner or Owners of Property ,,~/~,~]-/~.~Z~....~.~/,~..-~'-~--.-. ~.~... ~.~..~. -~-ff..~. ...... County Tax Map No. 1000 Section ...~../?~. ...... Block .... /.~. ....... Lot...~. ~.¢~. ...... ..... ~ ............... Filed Map No ........... Lot No .......... ; .... Subdivision Permit No./.~ ~. f0~ate'' of Permit .~./~.//~A~'~plicant ~~. ~.~..~...~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ............... ._ ........ Planning Board Approval ...................... Request for Temporary Certificate ...... i. ,~.. .......... Final Certificate ................... Fee Submitted $ Construction on above described building and permit meets all a~ and regulations. ~0 ~ t ~ '~.q ~ ~.~. C,_~ \q '~ Applicant ........................................... TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765~1802 CERTIFICATION Date AUGUST 27r 198~ Building Permit No. 13890 Z Owner MARILYN & ALLEN SOBEL (please print) Plumber HENRY J. SMITH & SON~ INC. (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (p~Ser' s s'~gnature) Sworn to before me this 19 ~-' · Notary Public ,~County Term E~i~ Mlr~ ~, j~ ~ Notary Publi~ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU al= ELECTRICITY T~.07] STREET, NEW YORK, NEW YORK 10038 85 JOHN ~o.t~ ~.~ 7~ ~ ~...~..o,.,~o.o.~.~ ~m~/~ N 738962 THIS CERTIFIE~ THA~ only the ~lectrical equipment ~ described below and introduced by the ~ppBea~tt ~umed o~ the above appBcatlon nu tuber in the premises of in the following location; ~ Basement ~ 1st Ft. wasexaminedon },~rc~h 3, FIXTURE FIXTURES OUTLETS I SWITCHES FLUORESCENT 31 ~ 31~ !39 31 [] 2nd Fl. Section Block Lot and found to be in compliance with the requirements of this Board. RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS JNIT HEATERS DINg.ERS SYSTEMS NO, OF FEET SERVICE DISCONNECT OTHER APPARATUS; 1-,G.F~C~I. 2~.Fj~lc~e~ Detectors S E R V I C OF CC. COND, 1/0 NO, OF HLLEG OF HI-LEG E Ar W. G. OF NEUTRAL 1/o Sut~old, N,Y Lio. #5?EE GENEI~AL MANAGER 11 must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentlc 'IELD INdirECtION COMMENTS ~ ...._~______ ~ 0 U__N D_A3 I.O_N ..... (._j FOUNDATION (2nd) ROUGH FI/AME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITI( 765-180Z BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND[ ] INSULATION [ ] FRAMING [~FINAL REMARKS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 ixamined. ~-.. J.~.~- ~ ..... 19Z5/- kpproved . . ~ .... 19~. ".. Permit No./f..~.~. Z.W~.~ ...... .Z )isapproved a/c ...... ~ ............. .~5~7 ..... APPLiCATiON FOR BUiLDiNG PERMIT APR I 91985 Received ........... ,19.. · INSTRUCTIONS 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- Ition. ~ r 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 lull 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 mil 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 uitding 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 inspectors on premises and in ]¢~il~ing,for necess~w irlspe~tions~._. U // _ (Signature of applicant, or name, if a corp t'o ) (Mailing address of applicant) rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .... .......................................................... -'. ....... ~a,ne of owner of premises ~..g:..~..~ .~.. ~. ~).ff..~. '..~:....~..r~,4~,~ J .,~.../~.~....%(~.g.~..~-'7.. .............. (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 .............. : ............ Electrician's License No ............... Other Trade's License No....&//~../~.ff.d./~.~..... Location o£ land on which proposed work will be done .................................................. · ~..J~ .............. ~33~2/d/.J...~g ~ / ~ ............... ~ ~.U.~ff?. }~ .................... 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 occupancy of proposed construction: a. Existing use and occupancy ..... ~ ~ ..... · · .. ....... . b Intend d se ~d occupancy 3. Nature of work (check which applicable): New Building ........ Addition..: ........ Alteration .; ........ Repair ' Removal Demolition i Other Work 4 Estimated Cost ; Fee ~" (to be[paid on filing this application) 5. If dwelling, number of dwelling units., i ............ Number of dwelling units on each floor ................ If garage number of ears ] . '... 6. If business, commercial or mixed 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 ...................... Height ...................... Number o~ Stories ...................... 8. Dimensions of entire new construction' Front .... ~.:0. ~ .... ~ 5,0 ' D~t 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ! ~.~ .............. ~ ....... 13. Will lot be regraded .... ..~(,~ ........ ,0,,~/..~, ..... Will excess fill be removed from premis_~.si(~ ('Ye~qx , _No N f Arcintect ........................... Address .............. + ....tithe ne°l~6:. ............... f C Add Ph No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, i~dicate all set-back dimensions from property l~nes. Give street ~ description according to deed, and sho:w street names and indicate whether interior or comer lot. 'D(~TI~'~ 6T I oo0 LOT STATE OF NEW YQRK, q S COUNTY OF . . .-..~~ ~' -"' (Name tel individual s'-' -igning contract) above named. being duly sworn, deposes and says that he is the applicant lie is the ...... ~. ~J,'f/. ~"g.,.~. · ...................................................................... (Contractor, agent, corporate officer, etc.) of said owner 01' owners, and is duly authorized to perform or have performed the gaid work and to make and file this application; that all statements contained in this application are true to the best of h!s knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this · ?.? ·; ........ day of ........... ,19 ' · ' No ~8~57 u / . .. . , t~gnature ofapphoant) ~' Dua~rfled In Nassau County / :' ' Term Expires March 30, 19f~(~ '-ii,',":, v,r~. cuu~lf U~.YAk[MENT OF HEALTH SERVICES ~o the standards of the SuffoJk FOR APPROVAL OF CONSTRUCTION ONLY 'Dept. of Health Servi?s, ~ area, ~ possibili~ exists< ~c ~t~ may c~tain am~nts ~trates ~ ~ r~ ~. O/~E '/~ "E E/~ r~uir~. ~ I ~ /~, ~oo ~ [ ~ .' I donaCk associates ..... " ~ ~O~OL~ land surveyors and ~ ~ ~~ consulting engineers ~e~K ~, ~. ~ 515 west main street riverhead,new york 11901 ~,. (516) 569-1717 (212) 7~6-5020 4R~4 =/~,~/~, Mar. 12,1985 Job N~ 8~- 218 '~/~ 4~R~ 1000- 70-10-2~ Scale :1":~0' ,( $,C, DEPT. OF HEALTH SERVICES /V/F ' 7'EA~P 41.1' /£0 59' s~r s~. 8.02 N.~ ~omw~ o~ rEs~.o~E GAGENS I.~NDINE ROAD £ 4~o~ , 1")l~~ j souryoz, o SAVINGS eANK MA P OF ~~ A~N SOO~r a NAm~YN UX; oesoomeo ,oo,eorr donack associates Ar SOUTHOLD land surveyors and TOWN OF SOUTHOI D SUFFOI. K CO. , N. Y. consulting engineers 313west main street riverhead,new (516) :569-1717 Mar. 12,1985 I000- 7'0-10-23 york 11901 (212) 746-3020 Job N-° 83-218 Scale :1" =$0' 'T ,i OCCU HCY OR ~ v~iT[~J" CEAI'ffICATE 8F,OCCUPANCY Copper tubing ,is' used for water distributing sys em~ piping shall be of types K or L onJ~y SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED £/:lo of 1% LEAD, PL T BE-FOt~' cERTIFIUA~ AP,PP, OW.D AS NOTED 765-1802 9 AM TO 4 PM FOR TH~ FOLLOWING INSPECTIONS: 1. FOUNDATION - ~O REQUIRE~ FOR POURED CONCR~E ~. ROUGH - FRAMING & PLUMBING 3, INSU~TION ~. FINAL - CON'STRUCT~OM. ALL CONST~UC~f~ SH~EE ~A~ CON~RU~ION & ENE~G~ CODE~ NOT ~ONSIGL~ ~O~ Cz'. ~_.OXo'_L_' %¸,