HomeMy WebLinkAbout13693-ZNo Z-18851
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date FEBRUARY 28~ 1990
THIS CERTIFIES that the building
Location of Property THE GLOAMING
House No.
County Tax Map No. 1000 Section 10
Subdivision
ADDITION & ALTERATION
FISHERS ISLAND~ NEW YORK
Street
Block 9 Lot
Filed Map No. Lot No.
Hamlet
8
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 19, 1984 pursuant to which
Building Permit No. 13693 Z dated FEBRUARY 1~ 1985
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued isALTERATION & DORMER ADDITION TO EXISTING DW~3.LING AS APPLIED FOR
The certificate is issued to RICHARD H. & LINDA K. HALE
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-823433-7/29/87 & PENDING 2/21/1990
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
Rev. 1/81
FORM NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLL~I'tON OF THE WORK AUTHORIZED)
NO 13693 Z
Permission is hereby granted to:
......... /:,
........ ~~ ~
........ ,.~...~.~,.....~ ............
. _ _-/--~ ~.~ fJ J. . .Z~,_--x*;~-
at .~...1~... '..S~. $. ,..~.,ate~ at ................. T~...~~ ..........................................
Coun'b/ Tax Map No. 1000 Section .......... ~....~.. ....... Block ...... ~ ........... Lot No ......~.. .............
pursuant to application dated ...........~..~ ........ /....~...., 19.~...~, and approved by
Building Inspector.
Foe S..~J~.,.~.~..
R~v. 6/30/80
TOWN OF SOUTDOLD
BUILDING DEPAKTHENT
TOUN HALL
SOUTROLD, REV YORK
765 -- 1802
11971 "
APPLICATION FOR CEHTIFICATE OF OCCUPANCY
CONSTRUCTION ....... OLD OR PRE-EXTSTINC IIUILDING-o-~-~---VACANT LAND
Subdiv£sion ....................... Flied Hap ........ Loc
l /
Board Approval ..............
APPLICANT
rev' 10/14188
u.£Au or - CTmC T¥
N 82..3433
THIS CE~IFIES THAT
OUTLETS EXHAUST FANS
[] FIXTURE 1ECEPTACLE SWITCHES F XTURES RANGES COOK NO DECKS OVENS DISH WASHERS
I S ,NCAND[SCENT FLUORESCENT ~VE~:Y ST. K W. A/~T. K. W ~V~T. K.W MT K.W. AMT. H P
[j~ DRYERS I IqJRNACE MOTORS [ FUTURE APPLIANCE I~ED~I~ ;I~CIA£RE¢'PT TIMECLOCKS J fllr. I ]UNITHEATERS MULTI-OUTkET ~j
I SERVICI~ OI.~'ONNC'CT NO. OF S E R I C ~ I~
AMT. AMp TYpE ~lJll~ 1,~2W ''3W 3~'3W 3,~4W NO'O~ERCC,~COND' OF~CW~(~O NO OF HIL['O O~i.'LE~ t40 OfNEUTRALSoFA~AL ~oFA~%T~AL
] 200 CB 1 ' × I 2/0 ' ' 1
Robert E. Wall
Alpine Avenu~
Fishera Island, N.Y. 06390
Lic. 2455E
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FIELD INSPECTION
FOUNDATION
(1st)
FOUNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N. Y.
STATE ENERGY
~ODE
COMMENTS
FINAL
ADD P~IONAL COMMEN
'FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
~OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined 19
l .. .?ermit
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
BLDG. DEPT,
TOWN OF SOUTHOLD
Received ........... ,19. · ·
Date .,~.~.//.&-../~....a~.-../..~., 19ff.~.
INSTRUCTIONS
a. This application must be completely filled in by Wpewriter 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 lierein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit auth°rized inspect°rs °n premises and in building f°r necesi~?.iy~~.X~7~'x... ~ .............
(Signature of applicant, or name, if a corporation)
....... .~A~ ..~.~ 2. ?./~.,7. ~.~...-z."Z..~..,'/..,~....
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.... ...........................................................................
Name of owner of premises ...~. f.('../?.~..'~..~.....~.'../'f..~..~..-~.....bf....~./..~/.~...~...~..,../'f.~..~.~ .................
(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'~... ~ ..............
Plumber's License No .........................
~Electrician's License No....~..~..~. ?..~-~. ..........
Other Trade's License No ......................
Location of land on which proposed work will be done ...................... r ............................
.......................... :. .a4. .cT. . . .~. .a. .o. .~. . .Kn. /.,V: 4:. ........ .~./.~. z-/~',_7. .~.'-7.~. ~ .n. .,c,:3 ....
House Number Street Hamlet
County Tax Map No. 1000 Section ./. .... ./~.,..2. 7.'-. ~... Block .//. ............... Lot ./'. .................
Subdivision ..................................... Filed Map No ............... Lot ...............
(Name)
State existing use and occupancy of premises and intended use and oc.cu, pancy: of proposed construction:
a. Existing use and occupancy .... ./~/. O. ~ ~ ...... ' .... ' ~
b. Intended use and occupancy P-/t~/T)~
~ c d_k~..l:) Au_P_ _bJN _D ~ L4__~
'l ; I
iO00
II
E~ST E-~ v,CT~oN
000