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Home My WebLink About13731-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z } 5 '.2.4 De.¢.~.mb~.~ .23. ' 19 8.6 Date ................... , . . THIS CERTIFIES that tim building l~op.1 qte.ck. ~ fe.q¢~ ' nofProp ty/t3ejsbh/oS. 80 J3a~3.d Tv.rr.'q¢.e Southold Locatio er .... ~ .................................... Street Hamle~ County Tax Map No. 1000 Section .... 07.8 .... Block 9 .Lot.. 3 8 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... F.e.b. :..2.2. ........ ,19 .8.5. pursuant to which Building Permit No.. 13. 7 3J.z. dated .... .M.a.r.c..h..................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 ......... pool deck & fence ..... !qg~P.Rq~ ...... : ................ : ................................. · ......... The certificate is issued to ~DWA, R,D J. T.I.LLISTRAND (owner, of the aforesaid building. Suffolk County Department of Health Approval ...... N. [,A ................................. N667559 UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 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) No 13731 Z Permission is hereby granted te~;.. , . ~ ~ ~ , . ~...~.:.~...~ ..................... ! ......... .'. ................... .~..~..~....~.~:.....~..~.~.~.~ ............. r~ ,o .~.~ ,..~.~ ~ '..?....~.......~ ~....~. ~.~.....~ ........... ..~....~~..~_.. ........ ~ .............. :.~-.~ ....................... ~.:,~..~.~ ........... .~.~..~, at prem,ses located at ...~.. ............. ~..~.....~: .............................................. ~..~..~.....;~. ................ County Tax Map No, 1000 Section ..... ..~..."]...~.. ....... Block ........ ..CJ. .......... Lot No....:.~...~.. ............. pursuant to application dated ...~~....~.,'~.,(~' ........... , 19,.,~,.,~.,,~" Building Inspector. ~ee *..~..: ........... and approved by the Rev. 6/30/80 ooo Js3 THE NEW YORK BOARD OF FIRE UNDERWRITERS ,.U.EA,J o,. ,- CTR,C,TY / ~,~ 8S JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment as described below ar~ int~duced by the applicant na~ned on the above application number in the premises of Edward Tillstr~d, ~xCh B:~y~l~ Avenu% Sout~ld, in ehe /ollowing location; ~ Basement ~ 1st Fl. ~ 2nd Fl. ~tside Section Block Lot ammos on ' attd found to be in compliance with the require.tents of this Board, FIXTURE OUTLETS l EECEPTACLES 1 SWITCHES FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANS 4 1 DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCK! MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C NO, OF CC. COND PER ,~ A W.G. NO OF HI-LEG OF CC. COND OTHER APPARATUS: OF HI-LEG NO. OF NEUTRALS 1-G.F.C.I. 1-I~>st Lite., Panelboards: 1--Scir.. lO0amps, (Sw,..~m)~i_q~[~)ol) This certificate covers compliance, at tile d~e of inspection only. '~'~ D~-~([~s'0al enviror~,nts it is advisable to have freqtlent test and/or '.repairs lnv~e by a qt~tli£1~vt person, AWG, OF NEUTRAL Glem IL I~orton Avenue g~tttituck~ N.Y 11952 Lic, 1227 GENERAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by LDING DEPARTMENT. THI IN ANY MANNER. F1 51LD I~fUECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE /? ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., 19~... Permit No..].~.~ .~. !..~. Disapproved a/c : (Building Inspector) APPLICATION FOR Bum LDING PERM IT Application No .................. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 promises 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 issue 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 Occupa~ncy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildin~ Del~ar~tmgn't 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, housin~code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspectionj. /[/ ....... ................. (Sig~at~ffe of, applicant, or name, if a c))rp~orat!o.n) .... (Maili~i ~ddres~ o}'a~ii' 'c~.~ ........ State whether applicant is owner, lessee, age, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. t (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No Lc?~..~.~ Other Trade's License No .... .~...~. .......... ~. · 1. Location of land on which proposed work will be done .................. ~.~ .............................. ...... ..... ......... ....... ........ House Number Street Hamlet "c;i~nty Tax Map No. 1000 Section . . i . .d..~.~. ...... Block ....... ; ........ Lot ~cJ~ Subdivision..~.~..o]~!J.~...-..~..~-,.~ %F~ ......... Filed Map No ............... Lot ............... I (Name~ 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~.~..~ ......................................................... b. Intended use and occupancy .... .-~-. .~ ..... ~^~o**, ............... 3. Natur0.~f k~qrk (check which applicable): New Building .......... Addition .......... Altera~on ...... ~. · · · R epa~.1 '' ' ' ' ' ' ~ . Remo.val ......... Demohtmn .......... Other.Work ~r.~-. 4. Estimated Cost ............................. Fee ...................................... , (to be paid on filing this application) j~'. ..... Number of dwelling units on each floor ' If dwelling number of dwelling U~ts · · ': ............ If garage, number of c~s ..... i~ .................................................................. . 6. If business, commercial or mixed occupancy, spec~y ~ture and extent of each type of use . .- ....... ~. [ · 7. D~ensions of~xisting structures, if any: Fron* .... ~ ....... Rear .. X ~ ........ Depth.. ~. ~ ~ ~ ~ ~'~ · Height .../~ ......... Number of Stories '. .... ~ .............................................. D~ensions of same structure with alterations or additions: Front ................. Rear ................. ' HelOt Number of Stories Dep~ .................... ~ .............................................. 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. ~u~b · .... Height ............... er of Sto~es ......... ~. ~. ~ .................................... 9. Sizeoflot Front ... A~X ~' .......... Rear .... ~ ............. pep[~ ..~ ............ 10. [)ate of Purchase ........... ................ o~ame of Fomer Owner ~<,. E~ r ............... 11. Zone or use district in which premises are situated. :~m3 ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ... ,~Q ..................... 13. Will lot be regraded . · ~ ~ ........ ~ ......... Will ex~ess fill be removed from premises: , Yes 14. Nme of Owner of premises ~.( . .~,'.l]/~.Z~O~.. Address ~q~..~.,~.. Phone No.. ~. ~ ~... Nme of Architect .... , ....... Address ................ Phone No ................ Nme of Contractor : ¢.%~. ~ ~ .......... Address ................. Phone No. ~ .~ {.~.. PLOT DIAG~ bu~d~gs, whe~er existing or proposed, ~d, indicate ~1 set-back d~ensions from to deed, ~d show street nines and indicate whether Locate :clearly and distinctly all property lines. Give street and blockI number or description according interior or corner lot. STATE OF NEW YORK, ~iam~i~ual signi~i col~ntr ~ .... being duly sworn, deposes and says that he is the applicant above named. He is the ..................... : ....... i~;~;r~;drl ~c;;~;[a't; 'o'f~i~;;,'et;.') .................... . ........ 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 manner set forth in the application filed therewith. Sworn to before me thi~ ....... .......... Notary Public, ~-'.~?.~'.%. 9 · .5.O7. · .~. ·: .~:. * ·..~.~.~¢ County DATE: B.P. NOTIFTM BL DEPARTMENT ATj 765_17~''~ h~TO 4 PM FOR THEJ l. FOIJ - TWO REQLJIRED~ FnR" CONCRETE 2. ROUC ' FR MNC a, plUMBING 4. Fl'~''~ CO~ ~",]~' ~N MUST ALL ~"' THE N.-C" THF N.Y. STATF C'~de'': FN'-RGY DER[GN Q! CONSTR )CTION ERRORS, ,