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Home My WebLink About13846-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z14356 Date April 23 .................................................. 19 86 THIS CERTIFIES that the building....O~.e...~ ~m~. ~ ¥. p?. e..~.~.~.~. ~ ...................... Location of Property .... 2. .6 9..QA..K..S.T.?..E.E.T. ............ C.U..T.C.H. 0. .G.U.E .................... House No. Street Hamlet County Tax Map No. 1000 Section .1.3.6 ......... Block ...Off ........... Lot ...5.0. ............ Subdivision .~./.,0..~.u.~.a.n.e.. ~..e,~.$h..~.s ......... Filed Map No... ,g. 5,6...Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .A p?.~. 1.. J .......... 19 .8 .5. pursuant to wtdch Building Permit No .... ~. 3 .8.4.6. Z, ........... dated . .&p.r. $~..8. .................. 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 ......... .... On.e.. Fara.J& y. Pxe. $ ~-~.a~,. (.~o..e .s..n.q .~..:[.n.c..z.u.d.e...d.e.qk. ........................ The certificate is issued to . .~tI~HOLAS J. MICCICHE AND HELEN P. MICCICHE ................. ..................... of the aforesaid building, Suffolk County Department of Health Approval ...... ~ 3 - S 0 ~ 8 9 UNDERWRITERS CERTIFICATE NO ......... . . , . . . ~I.7..1 ~ .~ .0.3. ... ....................... PLUMBERS CERTIFICATE Sept. 16, 1985 Rev. 1/81 Building Inspector FORle[ NO. O 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) No 13846 Z Date ' ~ .... .... ~ ............................... , ~.~.~'" ~.).~..;:..~..:~..,..!..L.?...~.~... at premises located of ......~...~,.~......~....~ ...... ~,,....~,/l~-t~t:~, ................ Coun~ Tax Map No. '000 Section~/-~;.,~ .... Bilk ......~..I ......... ~t No. ~ ............... pumuant to application doted .... ~ ....... J ........................ , 1~.~ cn~ approv~ ~y the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 peoperty 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. Fees: 1. Certificate of occupancy on pre-existing dwelling ~/r Certificate of occupancy $5,00 2. 3. Copy of certificate of occupancy $1.00 / / land use $/57 $5.00 Date Narch 31, 1986 New Building ...X.X. ........ Old or Pre-existing Building(X) ........ ~/Vacant Land ............ 260 Oak St tch 9 11935 Location of Property ... ....... feet, Cu o ua, N. Y. House No. Street Hamlet Nicholas J. MiccJche and H~len P. HJccJche. Owner or Owners of Property .................. - ..................................... County Tax Map No. 1000 Section . 136-01-50 12 & 13 .............. Block ............... Lot ................ Subdivisio, q... H./.O. F,P. GF, I~I~..H.. 1..G.H.T.S. ....Filed Map No. 850 .Lot No. Permit No. 13846Z.......... Date, of Permit 4/8/8.5 .Applicant INLAND HOHI~S, INCo Health Dept Approval ....... Labor Dept Approval . ................. · . .3./28/86 ...................... Underwriters Approval ,, ,~T.'7,],_~1...O,3 ............. Planning Board Approval .................. ~ ,. ~ Request for Temporary Certificate Final Certificat~ y,es, Fee Submitted $5.: .O.O. ........................ Construction on above described building(?n2]~e"m~r ncc,ets ¢1, apl~cabme~.o~e/~'~d regulations. ; ~'o'~' 't' 'E,[" II3. I ~-I~'~-'- .INL2~ND_' I~MES'~ · '~NC; ........ FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2nd) ROUGH FRAME & PLUMBING COMMENTS INSULATION FERN. Y. STATE ENERGY ~ODE, FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date September 16, 1985 Building Permit No. 13846Z Owner Nicholas & Helen MScchiche Plumber (please print) Frank Pazienza (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before ~e this / Notary Public, ~' ( plUmbe~ ,/~/s lgD~ture) Frank Fazienza ~/ / Notary Public ~t~LC~County VERONICA f. C/DONE ~IOTARY PUBLIC, .STATE OF NEW YORK NO. 52-466140~ C' ',~I. IFIED IN SUFFOL~ COUN~ CO~,,,.,SSION EXPIRES ~RCH 30, ~90[ 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING £ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS 017~ BUREAU OF ELECTRIblTy , 85 JOHN STREET, NEW YORK, NEW YORKlO038 ~ate O~.'~:,~r rT, ~9~,s ~l.p.ca.o.~'o.o./.~3~s~o~/~ N 713103 THIS OERTIFIES THAT ' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premlses of Nicholas ~:L'::o. Jeh:% O'~k Strce¢;:, Pie~;,~¢ Drive & }~rbor Lane, Cutmog~e~ i. th..follo,~i.~ locatlo.¢ ~ Base,.e,. ~ l.t ri. [] ~.d ri, Se*tic. ~loU~ rot was examined on (X3~ob~37 ]0 ~ ~ ~8~) and found to be in compliance with the requirements of this Board. FIXTURR SWITCHES FIXTURES RANGES OVENS OUTLETS DRYERS FLUORESCENT VAPOE FURNACE MOTORS FUTURE APPLIANCE FEEDERS EXHAUST FANS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: 1-4.5k~ Hot War:ox, II¢-a-t:o~~ S E OF CC, COND. NO. OF HI-LEG AW.G OF HI-LEG ,~,EECO Electric Corp. (Clif~ C/3rneil) L&~. 281~E GENEI~AL~ M N"~Gi R This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by th6ir credentials. ANY M~NNER. NE~ YOllK STATII DEPARTHIII~IT OF I/NVIROh'HI~AI~ CONSI~VATION Building 40~ SURY--I~om 219 Stony B~oo2, I, IY 11794 (516) 751-7900 /0 A~BND~t~f TO PBIGII~ EXTENSIOE O~ EXPIRATIOIq DATE Permit No. Your recent request to extend the above pe~it has been reviewed pursuant to 6NYeRR~ Part 621. It has been that there has not been a ~ate~lal chants in environ~entel condiii0ns, ~elevant technology or agplicable !aw or ations since the issuance o£ the existing pe~c~L~ th~efore~ the ex~$ration date is extended This letter is an amendment to the origina, l pe~lt and as such. ~hall be attached ~hereto~ an~ a eop~ posted Job Ai~ other term~ and conditions re~ain a~ ~itten in ~he eri§lna~ permi~o Daniel J, Larkin Regional STREET valid ~. Gtlaral~l~ al'elt~ Indicated hereon shall mn ~ A ~ /3;~ ~ t~ ~ ~ ~ su~ I~ prepared, and o~ h~ ~" ~aE~~, ~memal agency and len, ding I~fl I~ ~fl, 8~ to the assignees of tim ~///~ ~ ~an~era~ ~ ~al In~ns or su~uent owner~ / ~/ ) ~ICHOL~S ~ ~ELg~ MICCICHg SUFFOLK COUNTY, N. ~ C,/~ 4~o r,r~u~~/ SCALE,: l"z30' a~c*ocas a HEL~~~ MAY 14,1983 ~~~ RJVEIHEAD~ N.Y. ?.~0. 72' 0 A K "?? ELEVATIONS ARE REFERENCED TO AIr ASSUMED DA TUM SUFFOLK COUNTY TAX MAP NO 1000-136-01- 50 SURVEY FOR NICHOLAS 8~ HELEN AT. CUTCHOGUE TOWN OF $OUTHOLO SUFFOLK COUNTY~ N.Y. SCALE: M.dY 14,1985 OCT 8, 1985 REFERENCE ~ M/O EUSENE HEIGHTS FI£EO OCT. 29, 1928, A$ MAP NO. BS6 ~UARANTEED TO I CHICAGO TITLE INSURANCE COMPANY NICHOLAS ~ HELEN MICCICH£ LAND IUNY[¥OI! RIYENHEADI N.Y. O~J< 3FR~.~T' Cu~CH O~-UZ PLUMBER CERTIF!CA TfOI~ ON LEAD CONTENT BEFORE, CERTIFICATE OF OCCUPANCY SUPPLY SYSTEM CANNOT E~_,_~,EffD 2/t o oj 1% LEAD. copper tubing is used {or water distributing sys em; piping shal~ be NOTIFv ~,,~ . , ~,_,,LD,NG ~EPART,M~NT AT~ 765-]802 9 AM TO 4 PM FOR TH[ 1. FO~. A .0., - TWO FOR POUR~O CONCRETE 2. ROUG~ - FRAMING & PLUhAS~NG[ INSULA, .... ...... ~.N MUST -[~,,oesKori-°nlY A E ,~ ,:,.. - ~ -,.:R C.O. ,~--z, ~ /~L-~ ALL CONS~.~/..'CTIOhl SHALL MEET ~/i! % % THE REOU,kE,MENTS CF TH~ N.Y. _-/ / " ~. ~STATE CONSTRUCTION & ENERGY ~~ 2 ~ NOT ~ESPON2,BLE ~OR / '/ ~i !~ ~G~'O~ CONSTRUCTION ERRORS Z U ~-IL 7 x lO~/ F~ID ~ VENT