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Home My WebLink About13849-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z-16225 Date September 29, 1987 THIS CERTIFIES that the building ADD I T I ON Location of Property .... 1.4.0..5..B.a.y...Ay.e.n. ?.e ......... E..a.s.t..I~..a.r.i.o.n..,..N.e.w...Y.o.r.k. ........ House No. Street Hamlet County Ta× Map No. ! 000 Section . .. ,0.3. I. ..... Block . ...0 ? .......... Lot .... .6 ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 5, 1985 pursuant to which Building Permit No. 13869 z dated.... .... Apr.....il 10, 1..985 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 ......... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to THERESA & EDWIN BRAUN ..................... ?oV, n'o'r, Sgf 'ggr: g:;f ): X X ................... of the aforesaid building. Suffolk County Department of Health Approval ........... ?./.A. ........................... UNDERWRITERS CERTIFICATE NO. N 776098 N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 IrOB~ 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) N~ 13849 Z Permission is hereby grants,ed to:c~ ................................ ...~.~..~.... I1~ ~ pr, m~,e, ~t,d ot .,.i.~..9.~ ........ ~~.,....~.~...~.~ ....... Coun~ Tax Map No, 1000 Section ....~.~.~ ......... Bilk ........~..~ ..... Lot No ......... ~ ............. 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 OCCL SEP 23198T BLDG, DE-PT. Instructions A. This application must be fiBed in Wpewriter 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 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 $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Piti or Pre-existing Building ............ Vacant Land ............. Location of Property Z ~..~,t~/....,~../~.~. ~...' .,~..~'~ ........ /~.~/)~¢.~...~,/~.2.~../. ~/~-./ .......... House No, Street Ham/et Owner or Owners of Property .'..~.4~.-/.~'.-.~ .~.....~-../~.~¥~.~/-./~1/~../.~/.'Z~ ~. ................ County Tax Map No. 1000 Section ~..~ ........ Block.....~. ......... Lot ..... . ',~'. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No/.~.~.~. ~.. Date of Permit .......... Applicant ./'--~/~7,~../~..~-.~<'~q;. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval /~ ~..~¢~ ~'' ' ....... ~' ........ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . Fee Submitted $. ~. ,5 .~ .............. Construction on above described building and p~r%nit meets all applicable codes and regulations. Applican .t.~. ........ ~ ......................... Rev. 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern~ We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_~/An application for Certificate of Occupancy is not on file. /--/ No Underwriters Certificate on /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation, Building Permit t~ / 3 ~ ~.~, Z Building Dept. ***/5/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~ F~LD INSPECTION FOUNDATION I 1st) FOUNDATION 2nd 2. ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~FINAL DATE ' NSPECTOR~_~-~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~J~NSULATiON FRAMING FINAL INSPECTOR 7L5.'1802 BUILDING DEPT. INSPECTION FOUNDATION 'ST I1 "OUGH PLBG. FOUNDATION 2ND [] INSULATION DATE 76S-1802 BUILDING DEPT. INSPECTION' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION L~-] FRAMING [ ] FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS [ BUREAU OF ELECTRICITy 85 JOHN STREET. NEW YORK, NEW4Y~I~I~61~(~-.--- ,v~ Oetuber 27 1986 ..,~ ' ~,,,,~..,..~o.o.~,,~ ~ N 776098 THIS GE~IFIES THAT X in the following lo~be~e~ ~ Ist FI. ~ 2Ad FI. Sectio~ BI~A Lot u~s examined on and found to be in co.~pliance with the req.iretnent,s of this Board, FIXTURES RANGES OVENS D~SH WASHERS FANS FIXTURE SWITCHES OUTLETS FLUORESCENT OTHER ARPARATUS: E R C N°` O~E~.COND OF A W O, A. W G NO OF NEUTRALS A, W O. CC, CONO. OF HI,LEG OF NEUTRAL 54 ~{1,~m Lane Selden, N.Y 117B4 GE~RAL MANAGER Pe~ This certificate must not be altered in any manner return to the office of the Board f ncorrect nspectors may be dent f ed by their credentals COPY FOR BU LDING DEPARTMENT. THIS COPY OF CEETI~ICA;TE M~ST~NOT BE ALTERED NANY ~NNER ~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL qeOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ~i J.9..., 193 .k: Approved . .~.~.., 19 ~?. Permit No. } .~.~..~ .~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. D£PT. TOWN OF SOUTHOLD Received ........... ,19... 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 insp,~ctions. ,4' (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. Name of owner of premises J'Ft;.~, ,~:..~/~:/)~,~.//~"-/t d ............................ (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 License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. f '-: " .& ' / ............................ House Number Street Hamlet County Tax Map No. i000 Section .~ j 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 . ..,).. ~, ./'/./:-/./.; ,4 .... ,t..~...'~/.~/,/~-./~,.c ....................................... b. Intended use and occupancy ..-~}/J./:z ~?./~-./¢-'../'~-3~ z :.x/~." '~-.~.' .~.~' .~- ................................... 3. Nature of work (check which applicable): New Building . ' ... Addition ............ Alteration Repair ..... s ......... Rer~oval .............. Demolition ..... ~.. ...... Other Work ....... : ....... ~'!" '" j O & ' (Description) 4. Estimated Cost ................................ Fee ...................................... i ~' (to' be paid on filing this application) 5. If dwelling, number of dwelling units ....... ! ........ Number of dwelling units on each floor ..... /. .......... If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of exi ting strnctures, if any' Front / Rear . / De-th ~/7~ ~ Height .... J~'~ ........ Number of Stories ... /.~?.~:. .................. D~mensmns of sa~e structure w~th alteratmns o,r ad&tions: Front .... ¢./ ........... Rear .. ~/ .............. Depth ...... (P.O. .......... :... Height ...Z~/ ................ Number of Stories ..... /././,2r. ............. 8. Dimensions of entire new cons ruction: Front ~. ~'(' ....... Rear ...~. ........... Depth . ./.~. ~ Height ..../ ........... Number of Stories ..... / ...... ~ .......................................... 9. Size oflot: Front . ;.. ~'~..,..' ............ Rear .... ~.2~.) .............. De_~th . .~.~ ~7. '.~. ~./~. ...... 10. Date of Purchase /~./2'g/.2 .~. .................. Name of Former Owner .. [~ O.~../~'. ................. 1 1..Zone~or use district ~n which p~ernises are situated ..................................................... 12. Does proposed construction viblate 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 of premises'~.~.~¥~.. L?~A,.~ ~ .... Address q Y.4/*',o.Z. ~..~?k'/.d~;~.zg?jPhone No,57&: 7~.' A~/&~ Name of Architect . .: .... Address . Phone No. Name of Contractor ........ i .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all 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 corner lot. STATE OF NEW Y~R~,c ,,,,, S.S COUNTY OF .... ./~. ¢ F.~.~.\.'x.... ......................... i ..................... being duly sworn, deposes and says that he is the applicant , (Name of individual si~ning contract) above named. He is the ..................... : .................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly 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 maurer set forth in the application filed therewith. Sworn to before me this ........ ..... ;,.day df. ,~.! ............. , 19.. Notary eublic~..~.._..~... ................ County ~_00 .~..~. ~ ~ pO~L~C, State of ~ W ~ ................... ~' No. 47~65~4 ~. ~ ~- ' ~l fed tn Su~fot~ c~"'~0 ~. ~ (Signature of applicant) :::::-:::-:-':. . ...... ' ~ -~o,,:v ~, u, h,N~ ~x~T , . 765 )8~2 9 AM 'FO 4 PM FOR THE '" ' 'N~SPECTIONs: 1', FC)Uhu~A ~ ION - TWO REQUIRED FOE P"~I, JR,: D ~m~m---.-, 3. INSU~ /V THEALL CON' /::',,'C~ION SNALI. MEET STATERFOUffR:E/"/t'2xt}S, , . OF THE N.Y. CODEs. CONSTRUCTION & ENf RGY NOT RESPONSIBLE FOR D~SlG~ O~ CONSTR'CTioN~ ERRoRs. ' ! i , 0 28I ? COiF~ NqT RugPOh~ P~ ~%~GN ~9 CONSTRUCTION