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Home My WebLink About14011-zFORM NO. 4 TOWN OF 50UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, Z14832 Date August 22 86 .................................................. 19... THIS CERTIFIES that the building Addition . Lncation nC prn~,rt~ 450' Clearview Road Southold House No. Street Hamle~ County Tax Map No. 1000 Section 90 ..... Block 4 .... Lot 0 .9 ~ Subdivision...C.e.d.a.r., .~.e.a.c.h., ?.a.r.k. .......... Filed Map No. 9 0. . .Lot No.N. .1./.3. .o.f 5. 0. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~I0.~...~7., ........ ,19.8..Spursuant to wMch Building Permit No. 14O/.lg .............. dated June 6 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 ......... Addition to. one family dwelling,. -,, The certificate is issued to ROBERT/GURLY MAUS (owner, Ye~K of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N747113 UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 FO'i'-M NO. 0 TOr~V~ OF SOUTJ'IOLD 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~ 14011 Z Permission is hereby granted to: ~/ , .......... at premises located at ....?....~. ....... .~g~,~.,~......~., ....... 2~....~. ...................... County Tax Map No. 1000 Section ....~..~...0.. ......... Block ....... .~....~. ...... Lot No ........~...~ .......... pursuant to application dated ~ ...~...~.. ............... , 19....~.,, and approved by the Building Inspector. Fee $..~..-~....'.~ ..... Rev. 6/30/80 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Receipt NO. 3 0 1 0 5 Town Flail Southold, New York 1 lg71 ....... ............... ,ece,,ed ; ........ ....... ..................................................................................................---- .................................. .............................. ,,go For ...... .~, .~ n~ · .~. · · [.~.~. ,~ ........ ~{. .......... ~ ./..~..... M~ ................ Fee for [] ¥.~d S, le [] [] Z:,...~.~. Fee for Fee for icate [] H.[,C. []Building Permit ~[~]~f Occupancy []Misc. 1. Accurate survey of property showing all property lines, streets, boildings 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 $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 5. Updated C.O. $15.00 $15.00 Date ...... °~.L~7. ~.//.~.~,. . ........ . . NewtOns trhc~;ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~-.~.'~. ..... .~.~..~..~-.~! .%~? ....... Hou~ No, ~treot NataNt Owner or Owners of Property .... /~.~:../~ff~.q~.. ~.. County Tax Map No. 1000 Section .... ~ ....... Block ....~ ......... Lot .... ~ .......... Subdivision ,~/)W, .~(~.. ~.~ ...... Filed ~ap ~o...~.~ .... P~t,o. LY~.LL .... Date of Permit ~..Applicant..~¢.~../~/~.~ ........... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applleent ..... ~ ............................ Rev. 10.10.78 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ,~,J.~[~:L]L ,~e J~6 8B JOHN BTREET, NEW YORK, NEW YORK 10038 Date Application ~Vo. o. flt~ 366250/85 in the following location; [] Base.tent ~ 1st Fl. wasexa,ninedon ~r~.~ '~4~ ~L~J6 ~ 2nd FI. Section Block and found to be in compliance with the requirements of this Board. Lot 5O FIXTURE FIXTURES RANGES : OVENS OUTLETS SWITCHES EXHAUST FANS 7 ~7 9 7 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: ~£ect. rtc, room S E R V I C NO OF NEUTRALS A.W G OF NEUTRAL FIELD INS[~ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE ADDITIONAL COMMENTS: 7GS-1802 BUILDING DEPT, INSPECTiO'N [ ] FOUNDATION 1ST [ ] ROUGH ,PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ['~'/FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN/SI~.ATION FRAMING [ ~/FINAL DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined · .~, . .~M-:'~-......~...., 19 ~.~,7 Approved ...~./,~t&..~. .... 19~.~.. Permit No.}. .q.O..}.}. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS O'~OH.LflOS ~40 N^^O£ Received ........... , 1 9 · · · Date ...... 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 inspections. (Signat~ure 9f applicant, or name, if a corporation) e ............ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................... ................................. Name of owner of premises ...... ~ .O.~..~.~..~'.....~..~. ~...,~. ?..I..,~..~ ..................................... (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 .... ~: .E'..b-..~. ........... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. 1/~.3-.o.....C.~.E../~.~..tt! ?.~....~.Q~. .... .5'.07..T'/../~.l~..~..~.: .y., .qff?t House Number Street Hamlet County Tax Map No. 1000 Section .... ?. ?..O ......... Block ...... .~...t.(. ...... '. Lot ...... .O.. ~. ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ....... 4. Estimated Cost ..... .r~., .O, .... o O .Oq ................. Fee .................................... ii '~' (to be paid on filing this application) 5.If dwelling, number of dwelling units .............. Number of dweiling units on each floor', .............. If garage number of cars i O/V ~' 6. If business, commercial or mix'ed occupancy, specify natur0 and extent of each type of use . ..'~... 7. Dimensions of existing structures, if any: Front ..... g.~. ....... Rear ..... ~. ....... Depth .. ~.~.t ....... Height ..... .3..~..~ ...... Nu'mber of Stories ........ ~ .......................................... Dimensions of same structure with alterations or additions: Front ...... 3..g. ~ .........Rear ..... $4' .......... Depth . ~J'. ~ ............ Height ~' ~' .... Number of Stories '.... ~ ...... ~ ...... 8. D~mens~ons of entire new construction: Front ...... I.~. ....... Rear ...... ( .~: ...... Depth ...3. .~ ......... g ............... Number of Stones ................................ 9. Size of lot: Front ..... Rear epth 10. DateofPurchase .. I .................. NameofFormerOwner~/l.q//t..~...K.~}..~.K.~.~¢..~' ........ 11. Zone or use district in which premises are situated ~ . .......................... 12. Does proposed constructxon wolate any zoning law, ordinance or regulation: ............................. 13. Will lot be regraded ...... ~? ................... Will excess fill be removed from premises: Name of Contra tor .O,w..~.~ Add llJO Phone No c .................. ress ............................... .. j 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 YORK .... ~ ,~f'~ S.S COUNTY OF .... Ar.. .......... . .................. .~. .~. . .t~. . .~?. . . .~. .~. . o. .~. . ....... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the ................... ~.~ ..... (Contractor~ ~;~(, ~;;~;~t; ;~i~;;,'dt~.~ ............................ of said owner or owners, ~d is drily authorized to perfom or have perfomed the said work and to m~e and file this application;that all statements con}ained h this application are true to the best of his ~owledge and belief; and that ~e work will be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this ............ ~ ~ ..... day qf ~ .~.~.., 19W~ Nota~ Public~~~.. County i 0UkU~P }~ ~agsau 00UNTY ~ . (Signature of applic~t) OF OCCUPANCy F : ~YL ..... ~,~'~RTMENT AT 7654802 9 AM ~0 4 ~m FOLLOWING INSPECTIONS: ]. FouNDATION - TWO FOR POURED cONCRETE 2. ROUGH - FRAMING & pLUMBING 3, INSULATION 4. FINAL - Co~STRLJCTiON ~UST ~ ~o1¢ n FOR C.O. BE C.~h ..... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. CONSTRUCTION 8. STATE ~o~ ci~' ~ CODES. NOT Rco, ~N D~IGN OR coNSTRUCTiON t i I