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Home My WebLink About13687-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZJ.3.1. 7.8 ........ Date ..... J.a..n.u.a.r.y...2.8. ................ 198.5. THIS CERTIFIES that the building ...I.n.. g?.o.u.n..d..p.o. 9.1 ............................. Location of Property 1200 Beebe Drive Cutcho~u.e.. fil/~s'e ~o~ ' ' Street Ham/et County Tax Map No. 1000 Section .1.q3. ........ Block ...3. ........... Lot ....... 1 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·...J.a.n... 2. .2 ............ 19.8.5. pursuant to which Building Permit No....1 .35.8. 7. .Z ............ dated ....J .a.n. .. . 2. .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 ......... ground The certificate is issued to ., .N.o.r..t.h..F, 9.r,k' ,P..r pr.e?..ry..D.e..v...I..n.c ....................... of the aforesaid building, Suffolk County Department of Health Approval N / A UNDERWRITBRS CBRTIFICATE NO ............. ?.N. 6..5,4.1. ~. 7. ................ Building Inspector Rev. 1/81 IMI~M NO. 0 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_ 13687 Permission is hereby granted to: ..m~....~...~...~~~. ~.~..~.~ .................. .~ ......................................... .......................... ~...~,.~.....~./. ~ ............................................. :..~.~: ......... ~ ....... ~.:,:...~.......~. ................................................ at ~r~,,l$~ ~o~at~ ~..../.....g.. ...... : ......... ~..~ ........... ~ ......................................... ............ ~..~.~...~~...~...~.: ~...//.~-~ ........ ¢oun,¥ To× Map No. ~000 Section ..... ./..~.3. ...... ~o~ .... ~... ............ Lot No ...... /. ................ ~rsuont ,o o~p,¢ot,an dated~....~l .......................... . ,~.Y...07;nd op~ro¥O b~ t~ Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCC[ Instructions A. This application must be filled in typewriter OR ink, and submitted ! tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, [ natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispoI 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 survev 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, occupancv 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. 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 New Building............./ Old or Pre-existing Building $15.00 ............ Vacant Land ............. Location of Property (~,dd ~ ~/L~ ~ ........... House No, Street Hamlet Owner or Owners of Property ~q ~'~'" County Tax Map No. 1000 Section .... /~. ~ ...... Block ...... 3 Lot / · · · Subdivision ................................. Filed Map No ........... Lot No .............. , Permit No../.~. ~.~', ~/.Z,.. Date of Permit ./. ..... '~..Applicant. · .~~--~. · · .............. ~ Approval Health Dept. Approval ........................ Labor Dept ......................... Underwriters Approval ............ Planning Boar reval ...................... / Request for Temporary Certificate ..................... Final Certificate ....v~... .............. Fee Submitted $....O:.0.0. ....... .~../.~ ........... / ,/ Construction on above described building an~p~mi~.~ ee .ts~j)p/p.~-ab~codes a nd regulation s. Applicant ~~~ ............... Z/3 o25o23 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10035 THIS CERTIFIES THAT o~{y the e[eetrlca[ eqalp~nent as described be~o~ and introduced by the ~pp~icant named on the able appl~catlon number i~ the premises of No~,h ~brk ~rty DeveloI~n(~t, ~be Dr. ~ off ~es ~. ~ ~tc~e, N.Y. in the following location; ~ Basement ~ lst FI. ~ 2nd r~utside S¢~io. Bto¢~ rot was examined on ~ y ~ ~ ~ and found to be in compliance ~ith the requirements of this B~rd. FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT t 1 1 1 DRYERS FURNACE MOTORS TIME CLOCKS UNI¥ HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT $ E R OTHER APPARATUS: C ~ RCC~ ] W, G, NO. OF HI-LEO A. W G, NO. OF NEUTRALS A W, O NO O E COND' OF ~C COND, __ OF HI-LEG OF NEUTRAl. 1-G. ~. l · -~--6~ ~ ~v~o~3nts it i~ ~vis~e ~ ~ve ~ue~t test ~ / or rep~ r~e ~ a q~lifi~ l~3r~n, ].:~1 Sh~p Pasiure t~t, Setauket, N.Y, 11733 Lic. 2675 E 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their crede~]t~/.~ls. ~ COPY;FOR BUILDING DEPARTMENT THIS COP¥OFC~?IF~ C~TE ~U~T~OT BE~LTERED lin ANY MANNER. . .~ FIELD INSPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) 3. INSULATION FERN. STATE ENERGY qODE FINAL COMMENTS ADDITIONAL COMMENTS: NI~YOI~$~DEPAR~OFENVXItOt~ALCOHSERVA~XON Brook, NY 1X794 (516) 751-7900 Pe~t No. Your r~ requmm~ to ~d~fy the able pe~ ~m been Oho pro~.~ ~tf~cac~o~ ~X1 nec oubsCant~aX~ change There£ore, the papa:ct :to anendod to. aUthor:tim= o~h, .~X be ~sC~ aC the Job 8~te. AX1 other term8 m~t tend:tO:tons rm~tn aa wr:tcten :tn the or:tgt~ petit, FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approve~ 19~:~ermit No./.~. ~..~. ~. ~ Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT jW~I.I:)G. DEPT, OF SOUTHOLD Date ........ ,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 throu~out 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 inspections. ·..~. q.< .~.: .~..,./.~...~f..'r..,~.....'~q:..:T?..~ f..' ..... (Signature of applicant, or name, if a corporation) ~.0: ~7.ox,....v./.~....,/~.~...~.~. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... ~..,..e...(:~... ......................................................................... Name of owner of premises .~f..ZT~.. ,~/~ .~./.o.~..~z'.~. /~.b(.-. ....................................... .............. ('a~o'n' ~l~e' ~ax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ....~..~~....</.~...x-C...<<<,.: .;:.: ........ (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 .................................................. .... z~ .~.~. ...... ~.~..~¢....7'D.<¢~,,......~.~. ~.&x .-,.~.....//../.....4/? :...~...'T..' .......... House Number Street Hamlet County Tax Map No. I000 Section /O ...B Block 3 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 .... ..~..~ .............. ~'/'~'X · '~' '~' '~/" '/~-3 ............................... - ':.x.4& b. Intended use and occupancy d~/~/e /~-~q-~->~ ~-~ · 3. Nat~ bf work (check which~ ~ilcab e) New Building ....... Addition . .... ..... Alteratio~ ........... Repm,r ..... ~j[~[.~ .~ .~Re~ ~1 .............. Demolition ............ Other Work .~/./~..~:'~ .Z~..~.,f , i '~-/1 II~i,-~ ~:~ (Description) 4. Estim'ated Cost....,~,~l~,~ ]~kl~..~ .............. Fee r~ {O'iiii:'~ ~! aWl~[o ! (to be paid on filing this application) 5. If dwelling, number of dweilin units ............... Number of dwelling units on each floor ............... : If garage, number of cars .... I ................................................................... 6. If business, commercial or mixgd occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structuies, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Diraefisions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... ~... Height ...................... Number of Stories ..................... 8. Dimensions of entire new consiruction: Front .......... , ..... Rear ............... Depth .............. Height ............... Number of Stones ................ ~. .................... ~,~. ~ ............. 9. Size of lot: Front ..... .,~. f. ........... Rear ...... /...~..: .......... Depth ..J..~'.q ....... 10. Date of Purchase .......... i ................... Name of Former Owner ./(2. O.~. ~ .................... 1 I. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ...,~)..o. .......................... 13. ' 1 Will ot be regraded ........ : .................... Will excess fill be removed from premises: _ Yes (~ 14. Name of Owner f r ' · o p emlses ,~. ............. ?.'. Address/ o No. ??.~?. :.-C.~ ?. '.... Name of Architect ......... .: ..... Address ...... ........ Phone No ................ Name of Contractor ........ PLOT DIAGRAM ' I~ocate clearly and distinctly ali buildings, whether existing or proposed, and. indicate a~l set-back dinlensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or ~orner lot. -- I STATE OF NEW YORK, COUNTY OF ~.q,~...,~..c. ~..d~. .... !S.S .... ,. ~..'~...~....~.'~.. ~..~r....i: ........... being duly sworn, deposes and says that he is the applicant (Name of individual sigffing contract) above named. ~ He is the . .: .................. : ................................................................... I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application ;: that all statements conthined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~r set forth in the application filed therewith. Sworn to before me this Notary Public ....... ~. · .i ........ NO'fARY PUBliC' State of New York o 470]878, Sa[~o~k dotmtv , Ierm Exl)~ras Ma~ch 3iL · County~.~_ pplicant)