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Home My WebLink About17357-zFORM N0.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 217482 November 2, 1988 No . ................. Date ................................ THIS CERTIFIES that the building Alteration s ................................................ Location of Property ....7.95 Hobart Road Southold House No. ~ ~ ~ ~ ~ ~ ~ ~ ~ Street ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Hamlet County Tax Map No. 1000 Section ... 64.......Block .... ?..........Lot ..... 3.......... . Subdivision ...............................Filed 1•fap No. ........Lot No. ............ . conforms substantially to the Application for Building Permit heretofore filed in this office dated August 1 5, 1 9 8 8 pursuant to which Building Permit No. .... , ,1.7 3 5 7 2 dated August 25 , 1 988 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 ........ . ,Alterations to existing one family dwelling. ......................... The certificate is issued to RICHARD & JOAN BECKMANN ..................... %owner~Alcl'e$St&N~Ie]It~ .................... . of the aforesaid building. Suffolk County Department of Health Approval .............. .N/A .......................... UNDERWRITERS CERTIFICATE NO ..................... .PEND,ING .................... PLUMBERS CERTIFICATION DATED. N/A ~Buildmg Inspector ROY. Z(a~ rosai xo. s 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 017357 Z Date ..~/~::~~... .........., 1 s~8. Permission i~eby granted tL~ .1.. ,~D~1 '9~.P.1''0~~ ~ ~~.?sP.... ..... ~.........~..~......~~~(((/// to ~~~,.~`.~.~:.. ~.~~~~:-... ct premises located at ...~7...J~.._...... .~:7~... r~.,,i .......................... ................u7cT...Y..GT.Tt"~.K..1LiGl~...... r..................u........ ............................. ............................. ............................. ................... County Tax ............................................................... Map No. 1000 Section .........~..~`...... .................................................. . Block .................~ Lot No. ............................ ...........~...... pursuant to application dated .........~~1~~ ....... .......................... 19.f~~, and approved by the Building Inspector. Fee $... J.0..fr~.. G Lr/ B ing Inspector Rev. 6/30/80 FORM NO. 6 TOWN OFSOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~ ^~.e~ to the Building Inspec- torwith 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 Healtfi 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, acertificate 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 survey of property showing all property lines, streets, buildings 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. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$ 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5 .00, over 5 years $ ] 0.00 4. Vacant Land C.O. $ 20.00 ~®~~p~ S.Updated C.O. $ 50.00 XX Date..... P ........... NewConstruction,,ryq,/'-O'ldorPre-existingBu.ildfi~ng ./:......... Vacant Land ............. Location of Property .../. /.J ................. //. ~~d~!~~.!!~/~D e~CL<~/{76L,jj ..................... House No. y~~~ ,Q Streer ~ ,/ Hamlet Owner or Owners of Property ..~~r~~./vy~iC//~ . !!i.~C~~~.~..~.t!//t`~/! ...................... . County Tax Map No. 1000 Section ....~'.'/!......... Block ....~......... Lot .:~ , , , ........ . Subdivision .................................Filed Map No. ..........Lot No. ... ......... . q Permit No. .~1~~3S71Zpate of Permit ~'~~~ /~ ..Applicant .'f!~??;'~1~ p~ ~; J.~,3;~, , p 7 , , ,~~l.~Y. y-Z. Health Dept. Approval ........................Labor Dept. Approval ........................ Underwriters Approval .......................:Planning Board Approval- ...................... Request for Temporary Certif~ic~a~t/e .............. Final Certificate ":..................... . Fee Submitted $ . ~S ~. , !`~7 y~~' .. .............. Construction on/ /abo-v7e described building and p mil me®ets a 1 a plicable codes and regulations. ~•~,~7'7 (~"I Applicant .O~~~Lt~.e~l,p~l~-~',„ `~, ~1~8~ / ......................... Rev, t -70-78 ~~ PlF9s~ ~ra~~ To ,q~c.S~///P.D yTo,~~Y.OFC/CMA/Y/l/ / CEDAR !>AOYe~ LA.t~E THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'"`'~' ' 10ao1a1 BUREAU OF ELECTRICRY 88 JOHN STREET. NEW YORK, NEW YORK 10038 ~~w..a `~~NtyVPtMttf:R la1 -7!k;S£{ ~ 5$539A$k/RR ri 9434gR ~ Application No. on file Dete THIS CERTIFIES THAT only tAs elertrled equipment a described 6ekm end introduced 6y the eppflcarst sensed on the ohooe opplicetion number in the premises of TCHANp H>"Ckl9ANN- IiOBA,[t,l' R(TAD. SOi7m4#'17f,1), N.Y. in thefolloteinq hrcottoa ~renseat ~ Ist Fl. ^ 2nd FI. Section Block I.ot ~ AB F, Ii mas esomined on and found to 6e in cornplimcr kith the reyoiremenfw of thin Board. IIXTURE RXTURES RANGES COOKING DECKS OVENS DISH WASNlRS EXHAUST SANS AOIS SWI7CNE5 q~y~s INUNDESCENT FLUCSESCENi v AMT. K. W. AMT. K. W. AMT. K.W. AMT. N. W. AMT. M. P. 7] ? ~ 15 19 1 7.5 7 1.? 't x' DRYlRS FURNACE MOTORS fLilq! ANLANCE tilD[RS SHOAL RK'-T TIME CIOCKS YU UNIT NEATlRS MlA1I.0UillT DIMMlRS NAT. N.W. Oll M. P. GAS N. P. AMT. NO. A. W. G. AMT. AMI. AMT. AMPS. TRANS. AMT. M. G SYSIWAS No. ar fEer AMT. WATTS 1 30 SERVK3 08iCONNKT NO.Of S E R V 1 C E AML AMP. Tm qUK. p~ T'e ]N' t R ~ t ~ ~ S / lW ~' ~~ dGOND. pF GC COND. ~. OF M4lEG ~'H ''~ NO. OP NEYf11A15 OF 'NIIn~RAI OTHER AMARATUS: togxp f~atn '~~ocrssott-1 c.~>;~.c. --~ ~/ ~.~ k'A(IL R. NItkNF ~~ ~/ 'h'I ~~ 'I't}WN Ni1HHGk Y,'AMF Sf>trrppl,l), NV, 7.1.971 ppi~K,1~[~IM)E 11 1 f'I 1.1:C'F;NS Cl NO. 28?. k: Per ~ r This cerlificaN must not be altered in any manner; rNUrn to flle office of fhe Board if iflcorraN. Inspecron may be idsatHisd by ~tMir crodsntials. COFl- t<OR NJILDING DEPA1tTM~4T. TNIf CO-1f OF GERTIFlGTE MIST NOT iE AI.TD NI Al/lf MA1!(ER: ~ ~3 7J 765-1802 BUILDING DEPT. ,NSPECTOON [ ]FOUNDATION i5T [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ AL REMARKS: DATE Q ~ INSPECTOR ~~ ~~ ~~ 765-1802 BUILDING DEPTa fI:~9~~~iL~I:I [ ]FOUNDATION 1ST ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]FRAMING [ ] INSULATION REMARKS: __~~~ Z- DATE ~ ~~s- INSPECTOR ~~~'/,t r1cLD II:SPEC:iU~i ~ ~DAiE ~ ~OMMENT° ~ J. -~ ~G ~ __ _- ~~ H ~ (1st) rOUNDATION- - :~pl _ . c ~ FOUNDATIOtJ (2nd) _ ~ ~ ~ 2 ~~ - . o ~ P,OUGH FRAME PLU MBING //yy~~ /~ J ~ 3. ~ ra IIJSULATION PER N. Y. •• y STATE ENERGY CODE x a r ~` FIiJAL o ADDITIOPJAL COMMENTS: ' m x ~ ~v H HM O `U z~ A y r _ ~ H Y1 b m b H g . __ r; 's :i n" "~~' 1 • . m,. ~A/'~.°n r. ... :,".'4aaL., ~ :~~. •,Ytci •y"'- - .. ~. of°~ .. ' v _.' =', .J s• ~.I ~"Y. / . . i. ! f O t .K ~ 7 1 i a . ~~ ~ ~ ~ I t t w ~ I ~ ~s ~~ ~ (a: . a . ~' , aQ~z ~ y yyyeg; s 5 I .- ~ ` ` ~ a a ~ ..-, . h f ;S ., .~. .y q.. r 1, .. ,... ~ - - ,. -~ ~~ `M ~}` ~ 'r_ ' ~~~ ~ r~ ~~`iw w ~~ y.~f ~ ~`' ~ Eat s:, ~ : .~~ S ~ ice„ ,. ~` ~ ' - a { ~ _-~.. • 6 ~ ~ A `~° r ~ .~ ;' ~ " d 11} 5}i~s~~ ~ r ~ ~ - ~ Ip ~ _ - .~ ~~ _ ... K + 5 .- ~ +~ J Examined . ~~~ ~ • • • • • •, 19 0. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765.1802 Approved ... /a5~......, 19~.~f. Permit No. ~.7.3 ~/.. Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PL S ............ SURVEY .e~ . ............ CHECK .'~.~~~{:: ~.SQ~.O.Z,t ........ . SEPTIC FORM ................ NOTIFY CALL ..................... MAIL T0: 0"70_~at-„K~~c~, „ ..........~ ........................~.:...Jti~........ ~~~~~~~.ll~ uil~Inspector) ~T~e ~~~ ~ ~ ~M~~fi~~ APPLICATION FOR BUILDING PERMIT ~~~•~~~~~~~ ~~~~ INSTRUCTIONS ~~ 0 Date ......... . ~.~~....., 150. " ~! "'' p y typewriter or in ink and submitted to the Building Inspector, with 3 ~,t ~h;s•;app X Ott ti e com letely filled in b sets bt 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 Depaztment 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, h -sing code, and gulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if of a cor~.. . c~0 ~Oc~NO ?a~9 ~r/~~y (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ~ . C~a-~?~^u: e/~;/ ...... .... ................ Q2rLG . .. ........... ....•. ~P ~ NOTED. . ~ ~ .. . j~ / ~ 'r ~~ ~" N ~ ~ !~ ' ' ~ E% 9~ i R `~"~ ~~ pAT ! !. • • • /.~GlErJ7 . ~.!~. . . . Name of owner of premises .. f . . • • • • • ea (as on the tax roll o r latest~Oi'iFll~0~~P9A i If applicant is a corporation, signature of duly authorized officer. ~ 368-1802 8 AIN 10 ~ Pbl Ft~t THE FOLLpWING MISPEClIONS: .............................................. (Name and title of corporate officer) 1. FOUIVDATIpN - T1M0 REQUIRED FOR PDlM1EDCON~lE1E ~3 9 ~ 3 ~/ ~: ............... Builder's License No 2. RouoH . Fn+wnNC a PltNN81Na . .......... 8 INSUl.ATIC-N Plumber's License No . ........................ b. FMIAL - CDNSTRUCfION MUST BE COMPLETE FORGO. i Electrician's License No . ................. Ali. CONS'fMUCf10N SHALT. ME ttit: REf2tNR~YIENTS ~ T~ ........ Other Trade's License No . ............. SPATE CONSTRUCf10N it ENERQY ~~ N~ RESPONSIBLE FOR 1. Location of land on which proposed work will be done. /~ ~ DESKiNORCONSTRUCTIONERROR5 ¢1 ~ ....~.9.5 .....................~O.~a.-f./lc~,aot............ ,J(s~ 2o ~ ................................... Street House Number Hamlet ~( County Tax Map No. 1000 Section .. ~ .1 ............. Block .... o~. 2 ............ Lot ...J.............. . Subdivision ..................................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existin use and occu anc ....'f~ •v~ `~• • ~~'"~!~ ~~ { °~~ ~' ' / ~ ~ ~ ~ p ~ ."±r'* ~a~ta~'~• rr1~.,,}=$ _~u,*u4 °ass~e,c~t b. Intended use and occupancy ..~'l'~ y~~ ~ ~`~~`"•`~"'~~. , ',,..'°,`.'ib::" i ... 3. NaPure of work check whiRem pliable): New Building .....'..... Add;tion .......... Alteration Re air pval .............. Demolition ..............Other Work .............. . Yf /etee Lr/Sh»~' /lifc(ey~ tui7dew wiiA atiderser~ cosF~yx.~,(y~~ S_ C 2j. 20 ~~/at~ un/-r~ /ak„d,y wiaQ'•rw x+~+li, J~++/~y .l'-d"X 6'g"ZC~ ~ 3r 9` S~a~p , (Description) 4. Estt ate Cost... .....,. ..................... Fee...................................... '~,3 000 ~- ~sd ° (to be paid on filing this application) 5: If dwelling, number of dwelling'units ..... ~......... Number of dwelling units on each floor ............... . If garage, number of cars ... ?r :.... . ................................................... . ......... 6: If business, commercial or mixed oFcupan y, specify nature and extent of each type of use .................... . 7. Dimet~',Siph; of.ex~gtingstructures, •f ront .... . ......... . Rear .............. Depth .. , . , , , , , , , , , , , Heigh~i:1'.:.~......... r rtes ............................ ...... .. ...................... 8. Dtmens~otls of entire ne const !t orations or additions: Front ....... . ......... Rear ..... , , , , , , , , , , , , , p }.. , .> ..Height .............. . .. . ....Number of Stories ........ , ............ . ' traction: Front .... .. ...... Rear ...............Depth . , .... . Height',.;.A :.. ~ .. " ' .Number of Stories .. 2 ... ~ .... ... ......... .. . .. .... ....... . 9. Size of lot: Front . .~ /Z ..,... Rear,...~0.2-.............. Depth ..SQ. ....:....... ..... .. 101. one or usecdistrict in which pry ~ ' • ' ' ' ' • • • Flame of Former Owner >~/~Zk~b4/.d+ .~~'t4u.~19am..... . .......... I miles are situated .................................................... . <- 12. Does proposed construction violate any zoning law, ordinance or regulation: !4'~.Q ........................... . 13. Will lot be re radedp ...':.'. ~Q, , , , , , , , , , , , , ; ~yill excess fill be removed from premises: ---- ; --_plo ame o caner of remises . / g /I gh.s.r~l , ~Gk~~in!'> .Address /~iza--r~'~ . ,~~Zd . Phone No.:`.'-'.......... , Name of Archit ct .. , t/ .. • : ........... . Name of Contractor . , arr.. , • • Address ........... . .......Phone No....... , ....... . g (~• • ~ ~ r ~' fs c h e v • ... • , , ,Address 20 SOC;,vx~ Ro, , ~A/-, , , ,Phone No.:'y77, ;66 Z.b - .... -15.Is this property located within 300 feet of a tidal wetland? *YES....NO...': *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from prgperty lines. Give street and block pumber or description according to deed, and show street names and indicate whether interior or corner lot. i4.~e ~~~ !~ ~ 3r y ~~ ~rtce,,,~, arf v 2 f~ I ""~9 w-~ix 3. o ~~ .. ra't~if'.,€Anie~t7 ~~ vaa'tt;~~n n~ - ~o,Q.au- a-~~s~ ~,6pw wrctj SNT N(y1 M4 ~ ~ MA R ~-•c7+YC i4ns(~,-u,,, 'CSC zo ' AY-t)ft~`+1@NI a~MIW(1_c tote Z-3 ~v¢.rns~,,! ~~n1Ul~q tatNi INfM>~tl111![9~ r iG,t,.,;f-. d n / ~~ , ~s„ ~tl~Mlpt1 ~' ' ~rn'~'~'°'" :/ ' 3® X .3 • /i6 W I7~i ~/Yrr/r e-% ouf•' £1MtAb ! ~ - f~l.Jtf1'1 it x ~o/-°~ acf q q wc~atlaan .e Q, ~9i6 • • •'f•-~' ~Y• • ~ •'~~~' ~ ............ being duly sworn, deppses and says that he is the applicant ~`7 ~a~JltTil contract) abodilpNa '~ .# ef~o+~ ~ loo w~P~rz He istha....G°r?..~;c~s~-n-/ ' ...... .............................. ........................... (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 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 th~is~f~ . .... .......... 7 :....day of .~ ~......, 1~ .. Notary Publi .. . ~~.. , , , . , , County ~ ILAIRE 1» OLEW, ~ ~L~!'~,Q~ iblta, Sea of Npw Yolk ............. .......... . No.48796~ ~ • ~ • tad In Suffolk C'ounW (Signature of applicant) Expires IJecemdFx R, ~ A