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Home My WebLink About13667-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No .... Zd3625 Date July 40 ., 198..5 alteration. THIS CERTIFIES that the building ................................................ Location of Prope~ty 27z~5 Tuckers ~ane & 42300 C.R. t~8 Sou~hold House No. Street Ham/et County Tax Map No. 1000 Section ~9 , .Block qO .Lot ~ SubdMsion .............. ~ ................ Filed Map No. ~ .Lot No. ~ conforms substantially to the Application for Building Permit heretofore filed in this office dated January 9 198.5.. pursuant to which Building Permit No. ~ 3667Z dated .... J.a..n.u.a.r..y.. ? .0. ............ 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 ......... Renovate and repair existing dwelling. The certificate is issued to ......... DAVID L. FIUDD (owner~) of the aforesaid building. Suffolk County Department of Health Approval N6980q 8 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 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-° 13667 Z Dote~...,../..~... ............ , ~.....~.~ Permission is hereby granted to://~ . ~ //~ ....... ~...~_;~,~. .............. ....... .~..~.~.....,....~..~.~ ....... .............................................................. .-,,...~ ....... ~_......2.~,,..~..;..; ....... ,_... ........ ot p..i.es ,o~oted at ..~.?.../.=./~.~~..~... ~'~.....fl..~. ....................................................................................................... ..... 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 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. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $ [ 5.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date New Building ............. Old or Pre-existing Building ... ~ .... Vacant Land ............. Location of ..v~... .................. CT.a' '.','~ ....... JouseNo. ~3~6 ~ ~ ~ ~ S~eet Hamlet Owner or Owners of Property ~/~ P"I ~) k .~ County Tax Map No. 1000 Section ...¢. ~. c~ ........ Block ..... /..0 ....... Lot .... .O.~.~. Subdivision ................................ ~.Filed Map No.. Permit.o..J;~.~.~..~'.Z~ Date of Permit Jl?.J.o.-.~?.Applican' ..J~..i Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Bequest for Temporary Certificate ..................... Final Certificate ....~.. ................. Fee Submitted $... ,/.~. ...... ~..~.'. t .LT~..~...~. ..... Construc,tion on above described buiJding and per~t meets al~applicable codes ~regulations. ~ ' ~'~'3 Applicant ...... l~ .... ~ ' ' ¢ I ~~ ................... Rev. 10-10-7B THE NEW YORK BOARD OF FIRE UNDERWRITERS 10o0378 BUREAU OF ELECTRICITy VJTI~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 B. te ~une 2~ z985 ,~pplic.tio. No, o,,/ile 2655'~8/84 N 698018 THIS CERTIFIES THAT ordy the electrical equipotent as described below arid introdttced by tke applicant rtarned on tke abo~e application nn.~ber in tke pretnises of Mudd Vinyards, Tuckers ~ne~Route 48 & Main Road, Son,hold, N.Y. in ~he following location; [] Basement [] 1st FI. [] 2nd Fl. Section Block Lot and found to be in compliance with the requlrernents of this Board, OTHER APPARATUS: Panelboards: 1-6cir~ 125amps 1-G.F.CI. 1-Smoke Detector. FIXTURE FIXTURES RANGES OUTLETS RECEPTACLES SWITCHEE FLUORESCENT DRYERS FURNACE MOTORS J FUTURE APPUANCE A W G A~AT AMp FEEDERS SPECIAL REC'PT 3 FI 1 2 12 INNECT NO. OF S E R METER O~ 2 X i i 3/ OVENS DISH WASHERS EXHAUST FANS SYSTEMS NO. OF FEET NO, OF HI-LEG A, w. G. OF HI-t EG NO OFNEUTRAI 1 OF NEUTRAL 3/O 760 Long Creek Drive ~ Sou~hold, N.Y. 11971 Lie. 657 GENEEA[ M~R ~ , ~te mu~n°t be a'tered in any manner; return ,o the offlce of the Board f ,nco~rect Y?e I FO~ BgILOI~ DEPA~TM~, ~lS CO~Y OF C~~'~'~e~~~~e~TI~iCA~E U~[T NOT ~ ~: ~D J A~rR creaent~~a~ EIELD I ~S P EC;I'I ON ])ATE COMMENTS FOUNDATION ( ~ st) FOUNDATION [ (2nd) STATE ENERGY ADDITIONAL COMMENTS ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-180:3 Examined .~...'..~?. ...... , 19 .~. DisapproVed a/c .... ~ ............... .-~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF $OUTH~OLD Received ........... ~19... Date ........... , 1 .. 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 sliall 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 Towu 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 cqde, housing code~a~d regulations, and to admit authorized inspectors on premises and in building for necessary inspe~ti°ns~l (Sign~ureJ~[ applij;ant, or name, ~f a corgoraJipn) . q0 (Mailing address of applicant) V State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .~..~..t('.t .~.~......~...~.. ~ / .~. t.~. ................................................ (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....~. '...~.~.~..~..o..~..g..~/.... Plumber's License No. ........ ~r/[ ~t..'..~..~...~..S. ~..r~. Electrician's License No....PI .~..~. ~..../.{ .~,..~.d... Other Trade's License No ...................... 1. Location of land on which proposed work will be done....~..U..~.[.4.~.S......~. ~./.q0 ..... .~.O..v..'77..0. ~.~. ....... . ................................... House Number ~ Street Hamlet County Tax Map No. I000 Section /~-~~ock l ~) 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. 1. ~ ......... ~/. .......... .- ......... ~. / ....... ... :, .................. b. Intended use and occupancy ............................... ~"/· · '~-~ ~-a~' ~ ~'' 'vk-C-~x~ ............ 3~. l ~.atul'~-~,~.o~,l~ (chec ih a eablo): Now Bunding .......... Addition .......... ~t~ration .......... ~ ~ Roper ...,~ ........ ',. removal .............. Domolition .............. Othor Work ............. ~ - '~ . ~ , (Desc~ption) 4, Est~ated Cost ~00;.., Fee .................. ...... ' . ~:~'~, ~' (to be paid on filing this application) 5. If dwelling, namber ofdwefl~ng mrs ............... Number of dwelling units on each floor ................ If g~age, number of cars .... ~ ................................................................ 6. If busi,ness, commercial or mixe[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 ... ~ ................................................... D~ensions of same structure Oith alterations or additions: Front ................. Rear .................. Depth ................... '... HeiSt ...................... Number of Stories ...................... ' ~8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stodes ........................................................ 9 Size of lot: Front , Rear .................. Depth ................. 10. ~ate of Purchase .......... : ................... Name of Fore.Owner ............................. 11. Zone or use district in which pr~mises are situated...~ ~ ~d .g.Q. g 1. ~ ~.~ .7.. ~ / ~ ~ ~(~.% ........ 12. Does proposed construction ~iolate any zoning law, ordinance or regulation: .~ ~ ................ ~ ...... 13. Will lot be regraded ....~ (~ .................... Will excess fill be removed from premises: ~ No 14. N~e of Owner of premises ~'~ .g,..~ .~.~..~ .... Address ~ ~ . ~¢ ~Y~¢~hone No ~.~.~/g$] N~e of Architect ......... , .................. Address ................... Phone No ................ N~e of Contractor .......................... 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 bloc~ number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, , S.S COUNTY OF ................. ............................ i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) abow; named, i He is the ..................... i .................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dqly authorized to perform or have performed the said work and to make and file this application; that all statements con[alned 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 :~. ~d.:~.~.f. .~..~.'~ ...... 19'ff-"S'-.~~ Z~ '/ -- ~""'" H~LEN K. DE VOE i . . ........ N¢]^RY PUBLIC, State 0 N]ew York (Signature of applicant) No. 47Q1878, Suffolll Cou~t~ Te~t~ Ext)lres ~arch 30, 1~¢'- 65-18C2 9 ~M TO 4 PM FOR THt~ ~,,~-,'~-"'×: - TWO REQUIRED ~:,'-:~ ....... CONCRETE 2. Rou:T: - F~AMIN'S & PLUMBING: -4. ~ h'": ?,?-,'?~:_CTiON MUST I~E ~ FOR C. O. ,-,,.~--~7~,r'*r '3N SHALL MEET ALL C,~.- ~cr,~'2?.~,;N~'.S OF THE N.Y. THE .,-=~_ -~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. k