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Home My WebLink About17520-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217594 Date DECEMBER 14, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 1675 PINE NECK ROAD House No. Street County Tax Map No. 1000 Section 070 Block OS Subdivision Filed Map No. conforms substantially to the Application for Buiii filed in this office dated OCT. 11, 1988 SOUTHOLD Hamlet _Lot 42 Lot No. ding Permit heretofore _pursuant to which Building Permit No. 175202 dated OCT. 11, 1988 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 2 CAR ACCESSORY GARAGE. The certificate is issued to SOHN P. & DOROTHY A. DIETZEL (owner, xxxxxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE N0. PENDING SLIP 12/5/88 PLUMBERS CERTIFICATION DATED .C' A~.G /~~~J a.L~X ilding Inspector Rev. 1/81 r~oaaa xo. s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHALD, N. Y. BUILDING PERMIT (THiS PERMIT MUST BE KEPT ON THE PREMISES UNTiL FULL COMPLETION OF THE WORK AUTHORIZED) ~ o li 17 5 2 0 Z Date ....~.s.~:'..~~,,......! ~ ............. 19. ~. Permission is hereby granted to: ....~.~:...r....... °..~%~ ...................... ... ~. a :-.~ ~--.... ~.: y.:..... ~. ~.~. -~..~......... r r~ 1 ct prG~ oted at ................ ~. ~ t~ c ~~~~-~-G~#.!~r~~.Q~-~............ County Tox Map No. 1000 Section ......4~?~ 52n........ Block .....C'ar~.......... Lot No...~..~:-:........... pursuant to application dated ........Q..S'.~.~`~*•••••••••~•~•••••••••••, 19.~~.,, and approved by the Building Inspector. Fee $...b~!..~a...... ..t~..:'r°... ~.. ............ Building Inspector Rev. 6/30/80 -~- (~ -~,m~.~,,._<.~,..!:i i', i , .,, FORM NO. 6 " _~.~"mil ii ~~~ ,r@ ~~ ~ ~~ ~; TOWN OF SOUTHOLD J ~ ~ i Building Department Town Hall ~f'FjC: x;~L~,l .~-..m,~ Southold, N.Y. 11971 ~rni ~F st~sartarar r~ 765 - 1802 ' ._ APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~9~~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Fina! 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, 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 pYOperty 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 1. Certificate of occupancy New Dwelling, $25.00, Accessory•~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50-.00 3. Copy of certificate of occupancy $ 5.00 , over 5 ye a r,s $ ] 0.00 4. Vacant Land C.O. $ 20.00 ~. 5.Updated C.O. $ 50.00 Date .%~~:~J.. /~~.......... NewConstruction,,,,,,OldorPre-existing Building ...~..... Vacant Land /~ ~ ~ ~1. ............. Location of Property .1.~ .~.~........D.°~!"1.G. 1.yCiG:/.~ ~d!~....... S-1G?~°F.h...5. 1C1.. . House No. Street Ham/et '"" JJ y J ~j c Owner or Owners of Property ~ .~~. !~.r1.. ~+..1t... ~~?.t'S`?~.: tJ +~'". Sal ~,4°; ~L~1~,1, , , , , , , , , County Tax Map No. 1000 Section ..~®......... Block ...~~../....... Lot.~?~-:......... Subdivision ..... .::" ......................Filed Map No. ..'.......Lot No. .:~ ........ . Permit N.. Date of Permit ~~~~~~.Applicant ~.~ v. ?~.~.. lV.:.. ~ .~'. ~~ .... . Health Dept. Approval ........................Labor Dept. Approtvva/I ....................... . Underwriters Approval .. . . . ..... . .............Planning Board Approval ..................... . Request for Temporary Certificate .....................Final Certificate ..~................ . Fee Submitted $ ~~,. Jc7 .................. . Construction on above described building an p rmit meets~fal/l/ap Iicable codes and regulations. Rev. 10-10-78 ~~63// ~ a~®~~f~ C.a.-L ~~5~y -1£LD II:SPEC:IUIJ ~ ~DA~c. ~ COMMENTS i ~, , 1 A . ~: _ _ H y OUtJDAT20N (1st 1 `} VY~ ~ m ?OUNDATIOIJ (2nd) ~ - ~, .. ~. z ^ 0 6 ROUGH FRAME & !o lB ~ u PLUMBING ti H b 3. ~ m ra IIJSULATIOJJ PER N. Y. y STATE ENERGY O C DE x a ~ I ~nn ._~ U'~.. y 4 . ~ ~ FIJJAL z ADDITIOJ]AL COMMENTS: ,. x~.,.~ t j x ~ v H ~ 9 ' ~ H H ~ O ~ ,; i - `m Z a ~ r ~ H 2 d m b y I _ ~~ V i -~ ~ _ i _ - - ,- -, ,_ J -- -- - ~- - - i- - a ~ .__ ~ ~, ~~ - ~ ~ - - -- ~ -- i _ ~- -- ' ~ ~ ~ fi ' ~ - ~ - - - - - F ,j I ~ ~ ~ ~~ , - -- .~,-I ~ ~ - - . - - - . - I t - _ .... --- - - l~ ~ _ l ~ ~ :~~.~~ ~ ~--~ _ ~ - - - I - ~ _~_ - - --~ -~ r~- -- ~ ~,~_ - - - - _ _ _ - - ~ -- - -~ -~ - -, - ~ }--~- - - ~` - ~ -~ d g- ~ - n - ~;: ~ -~ - ~ - - - - - ~ ~- - -~. o e- , - - - - - -IO -~ - o p m ~ - - --- -- _ - -~ ~._ ~. ----~,- - ~ - -- -I ----- -~ i I - - - - . ~~ - ~.~ ~ ~- ~ - -~ 1 - - - - ski ~ - -i ! - I ~ - -~- ,, - - - ~ - ~ - - - - _ -__ _ - -l -~- - - ~ - _ ! - . _ ~~ I ~.r. ~ ~ ~ ~ ---~ ~ ~ _o. . ~;,~ , r j- ~- ~~h~~ ~r~~r~~~ ~ ~ - -~- - -, ~~- -D ~ ~ ~ ~ -~- - -- ~-- -. ~ -6-~ ~' ~~-- I ~ - _ ... ~ - -a - - -- -- -g .,~ -~- r~ - - - - ~ - ___._ _ ~ 2 - ., ~~ - -a+, - G~ , I ~ ~- ~ - ~ ~_ - ~ - - - ~- - - -- - - a i~o- ~~`, ~~I --`mac- - - `~. ~ - - r_ ' ~ n rt1 Z r. 1 1 ~ i I }} { ~ F ' ~~ s ~ ~- ~ i I C I ; ~ -- ~ ~ ~ ~ j ~ ~ 1 .~. ~--1,4 f ~ ~ ~ ~ - -- - ~, ,i ~ __~ ~1I ~~ - ~ - r;, I ,~ ~ I - ~ ~ ~; f i-~ ~''- - -- _ - - ._~ ~_1 ~ i. ~_. ~-- ~ - _. - . _ - . - - R~ _ ~ - ~ - ~ .~ - } 4- ~ ~ - ,~;' } ~ ~ ~ ~ ~ ~ I~ ~ - ~ ~.__. - ~ - ~ - ~ - - ~~ - , ~ ~ - ;- - ~- - y ~ a ~ ~ ~ ~ _ _ ~ _ _ _ ~ - _ _ _ - _ _ _ ~ . _ _ ~ - - - - -- ---- - - 3- - - - - ~ - ~ - ~- ~ ~ - ~ I~I- - i - ~- ~ ~~ ~- ~- ~ ~ ~ - ~.. 6 . _- - _ - ._ - - - - - - ~ - - -- - - ~ - - I .__. 1._- ~ _ - - - - - - fI - - } - _ f ~- ~ ~ ~ ~ _ ( -~ _ - _ - _ - - - Il_ ~- _ _ - _ ~ ~ _ -~ _ - _ - _ _ ~-- _ - - I- ~_ i- ~ _ i _ - - _. - - _ - _ -_ ~ ~ - _ - - - # - - - _ ~_ ~ ~ , I ~ - -- ~~ ~ ~ _ - - --~ _ ' _ I H a ' i ~ ~ ~ _ _ - - - ; -- 1 ~ - - - - ,_ _ ~ __ - _ _ _.1 -~ -- . _. _ .__ ~ __ _~ _-_ _~ _ ~ .. __ 1f - 1- ~~ 4 W. I I ... - ~ -- - j ~ . _. - - - ---- _._ .I . -- _ ~ .. i I ~ ~ - - - - - - -1 " - --- - -_ _ - - - - i l ~ l i l ~ l . l i u ~ l ~ , . i - ~ C.~. THE NEW YORK BOARD OF FIRE UNDERWRITERS `~~"~` taooiz~ BUREAU OF ELECTRICITY 11 b;('~.TI FiL"t7 7 "1.,?!~tt JOHN STREET, NEW YORK• N~1N ~'9~1~ 1~503H sy (74vd ;?(, Dote Application No. on file x ~ ~l . 1 THIS CERTIFIES THAT only the electrical alqu7gnent v described 6elors and in[roduced 6y the epp/icant nomad on the otiose applteatian numfser in the premises of ~fgNN l,l1'W:1"l,Y,ll, 1.6'75 ~I"NP; NhtiK. 1tU., S(ili't'y(st,U. N.V. (;riH in thefollouinR l1eOtiP;t`.f:le~tBM~S',"~44>i ^ /xt Ff. ^ Ynd tT. serNon Block Lot uMES esamined un and found to be in romplianre uith the requirernentx of this Buord. gXry~ ACLEf SWITCNlf RI(TURlS RANOlS COOIt1110 DECKS OVlFK OISN WASMlRS !%[iAUST FAIK OUTIlTf INCANDESCENT FIUOKFSCENi v MAT. K.W. AMT. N.W. AMt. K.W. AMT. K.W. AMT. M.I. 5 $ d 5 DRYNS WRNACl MOTORS tUitMl.ANIIANq FBIWRS SFEtlAI AN'-T TIMEtxOCKS Yll INIIT MIATMS MUITI-0YTIlT DIMMERS NAT. K. W. Oll M. P. GAS M. P. AMT. NO. A. W. G. NAT. AMI. MAT. AMTS. TEANf. AMT. H. t. ~ ~T AMT. WATTS slRVla DlseoNFKer ra. a s E R v I c ! -... AMi. AAV. iIPE ~ 1 / t'II 1 / Tv' J / t'M J / IW ~' ~~ jCOND. OE CC. COND. ~. OP XIAEG ~'~~ NO.OF NEUTIIAUi p NEUTGKAL ~,4 OT/NR AMAEATUS: ._ ?0.NF:I,HOAROR_1. ;; C1H. 3l1 (>. P. C.l 7-1, ~~ +'Alf i, N. t311HNti >7E+ "'~s)rN HARR(lM hANh; SOi)'"HQhD, NY, 13. Y77 OMIRAt MA~II-NR I1 sJ. iI N;N:', r: NCr. ;;;; ;?P; Pn Thi[ cortificah must not be alNrod in any manner; rNurn h tM office of }hs board ff incorrad..Mspschrs moy ba idaMiiiad by 1Mir eradonliak. ~y_W. „, ~C0'Y FO~t /WLDIM6 DEPARTMENT. TNIS COPY OF CERTIFi~E M4KT MOT b~.AL~.E[EI{D IM ANY Ii~R• , . _ _ __ ^ FORM NO. 1 Examined ..P.~.~R~,-.ll., 19~$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN-HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Q,- Approved ~.~.`~"'!'~..I.I.., 19?~. Permit No~~.~.°~.~. Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL T0: (Building Inspector) APPLICATION FOR BUILDING PERMIT a~ Date .~Q/~~ ........, 1~.. INSTRUCTIONS 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 spections. /L, (Si~ot",a<pplicantme, if a corporation).. . • (Mailing address of appltcant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ...........7:~..t-.r~~L9~'Y.a,4~4.21. ~.wr.~ol-~K .................................................. Name of owner of premises ~l.4 ~.~J.. ~ . ~'.~oro1~~ ~ .•.~-~. ~ ~'~a~-~ ......... ........................ (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. ~.3,O7g,f71'.~..... Plumber's License No . ....................... . Electrician's License No . ..................... . ` Other Trade's License No . .................... . 1. Location of land on which proposed work will be done.. ~° 7s_!~1 ~~7 y. ,~E-G- ,,..~~ // ,,,,...... .IKcY ................. House Number Street Hamlet County Tax Map No. 1000 Section ....?. ~ .......... Block ...~ , , , , , , , , , , , , Lot .. ~.Z........... . Subdivision ..................................... Filed Map No. .............. Lot............... (Name) 2. State existing use and occupancy of premises an/d intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~.°. 5..l. d t.!~ 4-1' ................................................ . b. Intended use and occupancy ..'~P? ~?? e .. ~! ~• • •`'~ • ~/.Ctts ~ ~c~~~y~~...: ..... T . _ ..f . ~i'.' . 1 .- ~ ~ .-'.._'e.~1'Y`S_:~?iL ~~ .-._ .. _.._ 3~'1~~~ ~^«'f ~~",'n.e: .aiv:.s... (lueaiidde 3o am3eu S) ~"_~ ~~, / i `OE ga[agy saiidx~ weal h ~oA M2W io~e[eu "sjl 8~d ANYlON 30A 30'N N333N ~Slunop .. ~~i'1%5,'y~"'~t; ...... `aggnd ~ttclotl ...... ~~~ ......30 Cep......... %/ ............ . sigl aw atolaq of womS ' '431mataA3 paid uoileaTidde a[I3 u1 tllto~ las zauuew au; ur pauuo3tad aq ipm Ktom aql le[{3 Pus °,;ariaq pue aSpalmoux sni,;o lsaq aql of anti aae uol3eai1dde srtil ui pauieluoa sluawalels its 1s43 ~ uo13ua1fdde sTtll alg puc axew of pus ytom pees aql pawto}tad aneq to wto3tad of pazuoglne ~Sinp s[ pue `staumo to zaumo piss 3p ...........................( .I;a'taai3•io aletodtoa `3uaSe `tolastluoO) a ...................................... .ZiO~GC4~ ' aql s! aH •pawsu anoge lusa[ dde a s[ a e srtes ue sasod (laezluoa 3u[u ,s ienpinrpui }o aweiy) ' .I 43 u 3 ul p ~p `moms ~tinp 9uiaq .................... 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