The URL can be used to link to this page

Home My WebLink About13847-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z3~22t~ Date February 13 .................................................. 19 8~ THIS CERTIFIES that the buildin~ .. A. ~ .d.~. ~ $ 9.n ..................................... Location of Property ..... 5.9.25. Rt. 25 Main Road Greenport House NO. ' ................... 'S't/e~i ....................... h~r~l'el County Tax Map No. 1000 Section .... 0.2.5. ..... Block .. 9.2 ........... Lot 1 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · A i~ r &P-..~ ........... ,19 8..5. pursuant to wtdch Building Permit No. 1.3.8.zt 7. .Z ............... dated .... A. p¥~.l.. 9 ................ 198..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 ......... Ad.d.~.oj~.to accessory building. The certificate is issued to FLOYD KING (ISLAND END GOLF & C.C.) (owner, ~YOX Y~F~ZolDX X of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ............... ~.7.0. 1 5 1 5 Building Inspector Rev. 1/81 l~OB~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 13847 Z Permission is hereby granted to: ..~~...~.~...a.~.~.....~..~...~. ~..~.a.¢.......~.~....~. ................................. __ ....~..~....~:...~ ...... u..t.~._..~......... ~, . ,o ...~.~...~.....~.....~...~ ........................ ~....~ ..... at premi~ I~tod ot ............................................................................................................................ ~- ...... ).....:~... ......... County Tax Map No. 1000 Section ..... .(~....~......~'.. ..... Block ..... .~. ............ Lot No. pursuant to application dated ..................................... , 19,~,,~,~.,, and approved by the Building 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 U%j ...... BLDG. DEPT. TOWN OF $OUTHO ,LI) Instructions This application must be filled in typewriter OR ink, and submitted ia JaaJJJmJa 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;Coperty 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelJing 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date..~ ~., J?~..~. ........ New Building ............. Old or Pre-existing Building . . ...... Vacant Land ............. Location of Property... ~.~..~. ~.'~. ~.~..4J. 4..~.~?. House No, Street Owner or Owners of Property r/~. ~/:~.~...(~.~,~ ~,/~.~ & ....... County Tax Map No. 1000 Section Subdivision ................................. Filed Map No ........... Lot No .............. 13 ~'~'7 '~'~ate ' P ....... Q' ........... Permit No ........... u ot ermit ...Applicant..~Q.~'~. ,~..t~.~,. j.~.l.~,~,' Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Tempora,.~ Certificate ..................... Final Certificate .... ~ .............. Fee Submitted $~'- ............................. Construction on above described buildi g and per~~/~~ ,¢~~(~ Lo~'~ ~ d FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qODE Ye COMMENTS FINAL ADDITIONAL COMMENTS: lO00121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ll~ 86 JOHN STREET, NEW YORK, NEW YORK 1OO38 THI~ CERTIFIES THAT Isl~d~ ~d ~lf Co~ Club, Route 25, Green~, N.Y. was examined on July 18, 1985 and found to be in compliance with the requirements of ~his Board. 2 lq 3 1 OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS .~TURE AP~*I. tANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTPOUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R 'V I C NO OF CC. COHD A W, G. NO OF HgLEG A W O NO, OF NEUTRALS A, W O OTHER APPARATUS: 1.-H.P.S 75 Watts Paul Burns 275 Town Harbor lane Southold, N.Y. 11~71 Dic. 282E GENERAL MA~G. ER This certificate must not be altered in any manner; return to the office of the Board if !nco~rect Inspecto!s may be identified by their credentials. ' FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:3 Examined .~..C~ ..... , 19~?.. Approved .~...~. ...... 19~.~. Permit No./..~..~..~.7. ·~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 a 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 herein 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~inspectiqns. . ', · cd..C". ...... ' ..... (Signature of applicant, or name, if, a corl~oration) State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder· Name of owner of premises ,-Z'. 5'.~.~. .a/)~ .6.~.4 .~?..~....~....~. ffq~...z~.%, .............................. (as on the tax roll or latest deed) If applicant is a corporatiog, sig~u~e of duly authorized officer. .... (Name and title of corporate officer) Builder's License No. ~ o t Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...... ~. ~-- a ~ ..~ ............. ...... House Number Street Hamlet County Tax Map No. 1000 Section ~ y' Block ~ Lot '~ . Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~aCT )~d ................................. - b. intended use and occupancy ..................... - ,. ., ~, .~,, ,v. · ',,~ .... ' ...... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ........ Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4~,~ '! (Description) 4. Estimated cos[ .t .... ~ ...... r ......................... Fee ...................................... , (to be paid on filing this application) 5. If dwelling, numberofdwelling~units. ~' . ....... Number of dweiling units on each floor ................ If garage number of c~s ~', . 6. If business, commercial or mixe~d occupancy, specify nature and extent of each type of use .. ;'~.. .......... 7. D~ensions of existing structures, if any: Front... ¢. ~ ......... Rear . .~.~ ......... Depth ~ ~ ~ ........ Height . d~.'. Number of Stofies ... / ................... D~ensions of same structure With alterations or additions: Front .... ~ .~ .......... Rear . .~. ............ Depth ..... /~ ( ........ ; .. HeiSt ..... ~..( ............ Number of Stories ... / ........... ¢ ...... 8. Dimensions of entire new construction: Front ..... ?[~ ....... Rear .... ~ .~ ....... Depth ...( XQ.'. ...... Height ~ &( Number of Sto~es . .. ~ '. ....... 10. Date 0fPurchase ~ ~ Name of Fomer Owner ~ ........... 11. 12. 13. 14. Locate clearly and distinctly al property lines. Give street and block interior or corner lot. r Zone or use district in which premises are situated., ff.~.~ ?.~ .~.?. ......... /;/, ............................ Does proposed constructi, o/~, vie!ate any zoning law, ordinance or regulation: . ~'.tf.~. ........................... Will lot be regraded ...,4/..°. ..~i ...... , ............... Will excess fill be reram~ed from premises: Yes No Name of Owner of premises ~/~.n~.~ ~.~'~ Address r~.2-.6~ .C--~./- Pho o Name of Architect ........ ,~ ............... Address ............ Phone No ............... ....... Name of Contractor . .¢.~... ~ o. t . Address . Phone No 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 STATE OF. NEW YORK, COUNTY OF ...... t-.. (Name of individual s/going contract) above named. S.S being duly sworn, deposes and says that he is4,~he applicant He is 'the i .... '. · .' i (Contractor~ corporate officer, etc.) of said owner or owners, and is duly authoriz.ed to perform or have performed the said work and to make and file this application~ that al! ,statements cont:ained 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 me this .... ..~i ........ da ~ UgDA0. ~ . .~,.~, ~ ~. 7.-7.."7'T&~.....'~-~,~ ...... I NOTAl~VPUIII,J~St~eofN~vyo~ (Signature of applicant) leO. 48~t883. Suffol~ Court. Term Exp re* Maroh 30, Z N rlOd .,to bE. =op --I_ f Wr Il= il, oil _D AS NOTED NOTIFY BLIILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS 1. FOUNr~ATION - TWO REQUIRED FOR P~URED CONCRETE 2. ROUGH - FRAMING & P~MBIN6'%_ !BE ~64PLETE FOR C O. ' I, ALI:, CONSTRUCTION SHALL T , [ THE REOI[JfREMENTS O¢ TH[ STATE ,CONSTRUCTION & [' "C%D~S: NOT DE~I,GN OR ~ONsT~OCTION E - ¢-L, IDV F~TIO d .t J _ :/q.ll ~: :l,oll P'F<O?O~ 2KnI.J 1,1: ' l