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Home My WebLink About13738-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z. 1.~9~.6. Date October 16 .......................................... 1985 THIS CERTIFIES that the building . .O.n.e...f.a.m.i..1 y..d.w..e .1.1.i.n. g ........................ LocationofProperty2.5.0 Marion Place East Marion House No. Street Ham/et County Tax Map No. 1000 Section . .0..3 J ....... Block ..... .~ ......... Lot...,,,,,.,,27 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Cried in this office dated ·.. Yl~ .r ¢~n.. l .......... 198.5.. pursuant to which Building Permit No. 1 3 73 8 Z dated .. ~.a.~.c..h..7 .................. 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 ......... The certificate is issued to . ANDREW J. & ALBINA E. KIRSCH' (owner, lej~ ~ft'~,[o'~OftX X X X of the aforesaid building. Suffolk County Department o f Health Approval ....... 1. 4..-- ~,q-: ¢ .49 .... 9 .c.~......4. ,.. J .9 .8.5. ..... UNDERWRITERS CERTIFICATE NO ............... N.. 7.O.qQ ?.4 ......J.uAy.. J 5.,.. ! .9.8.5. ..... PLUMBERS CERTIFICATION Sept. 16, 1985 Rev. 1/81 Building Inspector FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 13738 Z Permission is hereby granted [o:. / ..... ~.!.~L~...~..~.,. .............. '~.~..:.u..~ .................................... :; ......... ....~.~...~........u.'..~, ~,~ ~ _ ......... ........... .......... ............ : ....................... ":'"~'"'"~'~ ............ ~""~),"/z ................ :~'";:'"~,'""; ........... " ................... at prem,ses located at ................. L~/~ ........................... ,~.....o~.. ....... ~./..~ ................. Coun~ Tax Mop No, 1000 Section ,.,,.,O,,,,'~,,,I. .......... Block ........ 3 ........... Lot No ....... .~.....'~. .......... pursuant to application dated .. .~...../. ......................... , 19....~., and approved by the Building Inspector. Fee $...~... ..v. .... 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 in duplicate 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-e~(isting" land uses: I. Accurate survey of peoperty showing all property lines, streets, buildings and unusua~ 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 informe- tion required to prepare a certificate. C. Fees: I. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 land use $/s-[ $5.00 Date .S. ept~n.~b, er 13, 1985 New Building ............. Old or Pre-existing Building(X) ........... ~/Vacant Land Location of Property . .2.?.O~.H~.a.r.J.o..n.. ?.l.a~.e.,' .E.a..s.t..H.a..r.i.o.n. ,...N....Y. :. z.1939 House No. Street Ham/et Andrew Jo & Albina E. Kirsch Owner or Owners of Property --- County Tax Map No. 1000 Section O3~1 Block 8 Lot pc:[.- 27 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.1.3.7.3.8..~ .... Date of Permit .3./.7/.8..5...Applicant .,~.n.l.a..ri.d..H.o.??.s.,...I.n.c.: ........... Health Dept Approval 10-4-85 Labor Dept Approval Underwriters Approval .i'~ .7.O.O.O. 7..~ ............... Planning Board Approval .................. ~ .. ~ Request for Temporary Certificate ..................... Final Certificat~ ....... .- ......... * Fee Submitted $ .5.. Q.0. ........................ Construction on above described, building and pe._~j:~ meets all app~cable~code~. ~ y, egu~ations. Rev. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~--1000174 BUREAU OF ELECTRICITY k]- 8s JOHN STREET, NEW YORK, NEW YORK 10038 DateJl~ly lS,19eS Applica"o,,No.o. Sile 32sega/85 N700074 THIS CERTIFIES THAT only the electrical equiptnent as described below and introduced by the applicant named on the above application number in the premlses of Andrew Kirsch, 359 Marion Lane, East Marion, New York i,r the followlng location; ~ Basement ~ 1st FI, [] 2nd FI. Section Block Lot was exantlned on Jllly 8 ~1985 and found to be in co~npllance with the r~qaire.tents of thls Board. FIXTURE FIXTURES OUTLETS SWITCHES INCANDESCENT FLUORESCENT VA~O~ 32 52 34 32 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS RANGES OVENS EXHAUST FANS TIME CLOCK~ MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS: G.F.C.Io- 1 Smoke Deteotor- 1 S E NO OF CC COND R V I C E NO OF HI LEG OFA W.G HI-LEG NO OF NEUTRALS OF NEUTRAL Eeco Elec. Corp.(Cliff Cornell) 325 Willow Pt. Rd. Southold, N.Y., 11971 This certificate must not be altered in any manner; return to the office of the Board if incm'~ect. Inspe~cto? Il'tlS COPY li¢. ~28162E GENERAL Per 11 may be identified by I ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date September 16, 1985 Building Permit No. 13738Z Owner Andrew & Albina Kirsch (please print) Plumber Frank Pazienza (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to befo~ me this /~ day o~ Notary Public, County Notary Public 'VERONICA F. C/DONE NOTARY.PUBLIC, ,STATE OF NEW YORK' ;va $2"4E$140E OUAIIFIED IN SUFFOLK COUNTY ,, COMM/$SIOIV ,EXPIRES MARCH 30, 19 7 F i E L.D IN~?ECTION 1. FOUNDATION ( 1 st) FOUNDATION {~nd) 2. ROUGH FRAME & FLUMBING COMMENTS INSULATION PER N. Y. STATE ENERGY 2ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 " TOWN OF SOUTHOLD ". ~ BUILDING DEPARTMENT { TOWI~J HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802: ~pproved . .~.'~0A&.7 .... 19~(, Permit No. 1 ~.~..~.~. %. 3isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG DEPT. TOWN Ct SOLJTHOI.D Application No .................. March 1 85 Date ................... 19... INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- alien. c. The work covered by this application may not be com~nenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit mil 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 Ceffdficate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depm~ment for the issuance of a Building Permit pursuant to the uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~, and regulations, and to dmit attthorized inspectors on premises and in building ~or necessary inspections. INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) ... Bo.x...1.1.7., . Mg%$,i%.q~k~. 1~, .I.e..11952 ..... (Mailing address of applicant) ltate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Con~rac~or 4ameofownerofpre]nises Andrew J. & Albina g. Kirsch (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. ......' ........ (Name and title of corporate officer) Builder's License No .......................... 517-P Plmnber's License No ......................... Electrician's License No .... 2..8.1.6. ........ ....... Other Trade's License No ...................... Location of land on which proposed work will be done..ma.r.'.ig.n. ?.lace ~ g~t~.~, gar~i.o.q~ .N.~. House Number Street Hamlet County Tax Map No. 1000 Section .... .0.3.% .......... Block ... t3 .............. Lot .... t?¢1.,..27 ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) · State existing use and occupancy of premises and intended use and occupancy of proposed construction: Vacant a. Existing use and occupancy ..................................................................... b. Intended use and occupancy i Family dwelling 3. Nature oIwork [check which applicable): New Building XX Addition . L Alteration pal Re r .... . .......... . Removal ............. Demolition .......... i · · · Other Work ............... 4. Est~atedCos ......................... Fee .~¢ ~ ........................... ~ (to be~ paid on filing this application) 5. If dwelling, number of dwelhng umts .............. Number of dwelli~ units on each floor if garage, number of cars . ~. ........................................ ~ ................... ...... 6. If business, commercial or mixed occupancy, specify ga)ute and extent of each type of use .................. 7. )imensions of existing structures, if any: Front. ~ :~...~ ...... Rear ...... ~ ....... Depth ............ {eight Number of Stories ' )buensions of same structure with alterations or additions: Front ~ Rear )epth ...................... HeiSt ...................... Number of Stories ................... 8 )i~nensions of entire new construction: Front .... 1' .......... Rear .............. Depth .............. [eight ............... Number of Sto~es ........................... t .................... ............... ~ Depth .... ......... )ate of Purchase ................ /.. ........... Name of Fomer Owner } .................. ;one or use district in which premises are situated ........................ ~ ............................ }ocs proposed construction violate any zoning law, ordinance or regulation: ... ~ ............................ /ill lot be regraded ....... z". ..... u. · ... 1 .... .... win mmq ss bq rmo d rrpm premises: Yes No [me of Architect ........................... Address .............. 2 .... Phone No.. Robert E. tiiltz " · ' ............................................... being duly sworn, dope (Name of individual signing contract) )eve named. ~es and says that tlc is the applicant Contractor is the ........................................................................................ (Contractor, agent, corporate officer, otc )i said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that all statements contained in this application are true to the best ofh~ knowledge and behef; and that the ork will be performed in the manner set forth in the application filed therewith. vorn to before me this /f)~f a.~, ¢,'r' March .~85 ' ~tary I ubhc, . .... · · .~ ......County ........ ~, , /, 199. 2O BA.$,T ABSTP/~;CT h~C. AS 5U.i~VEYE D RODERICK VAN TUYL, P.C. LICENSED LAND SURVEYORS GREENPORT NEW YORK SUFFOLK CO. HEALTH DEPT. APPROVAL H, S. NO ..... STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEAL,TH SERVICES. ts) ¢~2'~ ~) .~ ¢¢¢4.-~ ~ -APPLICANTu - _ SUFFOLK COUNTY DEPT. OF HEALTH SERVICES - FOR APPROVAL OF CONSTRUCTION ONLY DATE: i~-D I~q H. s. R,~F. NO.. lq- s o - ~W_.~ ~ ^P~OVED: ' ' (~ ~ SINGLE FAMILY DWELLING ON~ suFFoLK 60~ TAX MAP DESIGNATION: DIST. SE6T. 8L~K PCL DEED: L.~9_.'y ' ~'EST 'HOLE .~ANP SEAL EXCAVATION IHSPECTION RI]lUllED r/ ~DE-RICvK VAN TU~Y]-, P.C. LICENSED LAND SURVEYORS Gr EENPORT NEW YOrk SUFFOLK CO. HEALTH DEPT. APPROVAL h.S. NO. STATEMENT OF iNTENT THE WATEr SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS rESIDENCE WILL CONFORM tO THE STANDARDS OF The SUFFOLK C~O DEPT. OF HEALth SERVICES. APPLICAN'T SUFFOLK COUNTY DEPT OF HEALTH SErViCES -- For APPROVAL OF CONSTRUCTION ONLY SUFFOLK CO. TAX MAP DEStGNATIO~'I: DIST. SECT. BLOCK PEL. OWNERS aDDRESS: DEED: -rq~ TEST HOLE P. ,.~ ! ~. ~-c: / STAMP SEAL SUFFOLK CO. HEALTH DEPT. APPROVAL ~-~'~49 NO. ~d fO~6 ~, j STATEMENT OF INTENT , ~ I THE WATER SUPPLY AND SEWAGE DIS~SAL ~. ~ [.~ '~N~ SYSTEMS FOR THIS RESIDENCE WILL ~*aemZi~ ~,,,,~ CONFORM TO THE STANDARDS OF THE ~wt~e~ ~ '",,. ~ ~ SUFFOLK CO. DEPT. OF HEALTH SERVICES. (s) ~ ~ " APPLICANT ..... ~, ~ ~ SUFFOLK COUNTY DEPT. OF HEALTH g u j~ ~u sz~v,c~s - Fo~ ~.ROW~ OF ~ ~O~L ~L ~ ~ ~ ' CONSTRUCTION ONLY '~ . ~ ~EL~ ~ ~ ~ DATE: PoOL " ~ ~ ~ H. S~ REF. NO...~0" ~,~ :.~ ~7 c5 ~.E .... ~- / DIST. ~CT. BL~K PCL, ~ ~ ~' ~x~ 89t ~0~~ V~E%~/' . - ' ~99.20 ~,~'~ ~ , ~', TEST HOLE ~ STAMP SEAL RODERICK VAN T~YL P.C. LIC~N~D LAND SURVEYORS GRE~N~RT NEW YORK I