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Home My WebLink About11655-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19869 Date APRIL 26~ 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Property 169 ISLAND VIEW LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 57 Block 2 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1982 pursuant to which Building Permit No. 11655-Z dated MAY 12~ 1982 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 2ND STORY ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ROBERT & DOROTHY KEMELHOR N-182390-APRIL 9, 1991 // BUilding Inspector TOWN OF $OU*H~D!} BUILDING, D~PAR*M~N TOWN~ HALL BUILDING PE~IT (THIS PERMIT MUST BE KEPT ~ON THE PRE, ISiS UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) Ho. l~ss z ~ote ...~..~: ...... ~/..~.....~ .............. ~'..~ Permission is hereby granted to: , · ........ __ ......... 7~ ...... ~~*~.... to ,.. ....... ~ ................................... .,... ....... ~ , ~ ~.~Zzm~ ............................................ ,...,..,,,,...,;..., ...... ,...:. ........................................ at prom~so~ Io~t~d ...... ~ ~.~.. ',{ ..................................... ~. .... ~ ........ ............................................................ ~ ~ ~ '~ . ~. *:~t ... Couhw ,~x ~op ~o. ~oo0 so~t~o~ ...~..~ ..... :. e~ock; ...... ~...~ ~o. .... ~ > 19,. and ~pprov~ by tha pursuant to opp!icotion dat*d ......... ~.. ; ...... I~lngu Ihspector. : ~ Bu '* "':: ~ Form No. 6 TOWN OF SOUTHOLD TOWN HALL FOR CERTIFICATE OF OCCUPANCY This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept.-of water supply and sewerage-disposal(S-9 form). 3. Approval Of ~lectrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, indus, trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1953) non-conforming uses, or buildings and "pre-existing" land uses: 1.Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent-to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certi~ic~te of Occupancy on Pre-existing ~uilding - $i00.00 3.Copy sf Certificate of Occupancy - $5.00 over 5 years - $10.00 Updated C%r~ificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.~0, Commercial $15.00 ...... ' " ate .,~w Conscructio~/~ ....... Old Or Pre-existing Building., .~t~ ~ ~ ............... "' ous~ ~o. S~reet ~amlet 1 ' *~ ........ ......... .............. S.~di~lsion ....... ~..V.;: .... ' ...... ' ..... :-.' .... File~ .ap...~; ....... ~ot.:.~'.; ........ [lealth Dept Approval ' · ' ......................... Underwriters Approval ,, P1 i App 1 ' "" ann ng Board rove ....................... Request for: .Temporary Certificate ........... Final Certtcate ........... ". ..... :.... : ..... . d~.~., ~/.~? . ~F~ ....... .... "' ' '~ ~ ~i~' i~ · · ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS ]0 ~{ I 1.3 BUREAU OF ELECTRICITY ~-- 85 JOHN STREET. NEW YORK, NEW YORK 10038 O.t,, APRIl, 09,i991 ~pplication~o. onfile 'I1851590/90 ~ 18~90 THIS CE~IFIES THAT o~y t~ e~tr~ ~uipment ~ ~ ~w .~ int~ by t~ a~t ~ on t~ .~ ~t~ numar in t~ p~s of ~OBERT KEMEI~HOR, 269 IShANDS VIEW LAN~,, GREENPORT, N.Y+ in the foltowing hwatio.; ~ ~e~nt ~ tnt Ft. ~ 2~ FL ,~tlon Bt~k ~s examined on APR]b 04 , ] 99 ~ end found to be in compliance with the requirements of this ~ard. Lot FIXTURE ECEPTACI,ES SWITd~HES RXTURES RANGES i. 30 )THER APPARATUS: COOKINO DECKS OVENS MSH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLETeve~we V I C E EXHAUST FANS DIMMERS OF CC. COND NO. OF HI-LEG PAUl, R. BURNS 275 TOWN }{ARBOR LANE SOUTHOLD, NY, 31972, hT..#282-g This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIJST NOT BE ALTERED IN ANY MANNER. FIEL~ INgPECTION FOUNDATION (~st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY qODB FINAL ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OI"FICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTIIOLD, N.Y. 11971 TEL. 7654 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the fol~owinq reasons. An application for Certificate of Occupancy is not on file. /~/ No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) /5/ No Health Dept. Approval on file. No final ins~pection has been made. Please contact our office on Thank you for your cooperation. Building Permit tt / / ~ ~'~-- Z Building Dept. ***/5/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,19B4 ) this matter. Structural Sp~qi£ics JFloor Joists: 2 x 8 at 16" ooco Roo£ Rafters: 2 x 8 at 16" with collar beams Walls: 2" × 4" 16 o. co Lintels: 2 2 x 6 Spans up to 52" 2 2 x 8 Spans over 52" 2 2 x l0 Spans for 9'5" Smoke alarm shown on plan Size of Room and Storage Space: 2nd Floor: Egress Window: Ail Windows: Bedroom 26'8" × 13'1" Storage 8'8" x 17'8" Enderson 2836 Anderson as shown on plan FORM NO. 1 TCWH CF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-11302 ....... ...... ...... ,... ................... ........... (Building Inspector) A~LICATtON FOR BUILDING PERMIT INSTRUCTIONS Application No..Y./.~...~[-S. ....... a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accnrate 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 stre or areas, and giving a detailed description of layout of property must be drawn on the dia~am whici~ is part oP~his ap~ cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicanL Such per, shall be kept on tim 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 Cextificate of Oceupar shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance of a Building Permit pursuant to Building Zone Ordinance of the Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordina~ces Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descfib The applicant agrees to comply with all applicable laws, ordinances, building code, housing code; and regulations. ;and aum:t autb° izc(~ i'~sl~UCt°~s °n Pre'"ise~' and in t SQl'dings f°r i/ece'§a~'in~ ~~ (Signatnre of applicant, or name, if a corporation) · a..<a. }527.{. (Mailing address of applicant) State whether applicant is o~w~er, lessee, agent, architect, engineer, general coutractor, electrician, plumber m' build ....... Ow. net N,'une of owner of premises Robert Kemelhor (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 .... .~.'~. ................. ,.~ .. 537P Plmnber's Licens~. N~ ....................... Elactrician's License No.' a82E Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................ 710 Bays, here Road Greenport House Number Street Hamlet County Tax Map No. 1000 Section .... 57 Block ~ Lot 3/+ Subdivision ......... Home N ............................ Filed Map o ............... Lot ............. (Name) State existing use and occupancy of premises and intended usq, and occupancy of proposed construction: a. Existing use and occupancy Summe~ home Summer home~ '~/~"~rx~dr ~ ~~ . . . ,~ ./;. ,: .... ;./. ', :.. b. Intended use and occtlpall¢¥ ................. ~"~ """ ~ ' ' ' ~ .... t ......................... x.. Nature of work (cheek which applicable): New Building Addition Repair Re,moral D2molition ..... Alteration X OiLier Work ............. 4 Estimated Cost ................ t , Fee ' (to be paid On filing this application) $. If dwelling, number of dwellifig units . 21_ Number of dwelling unit~ on each floor. Ifgarage. numberofcars ...[ ........................ ............... , ........................... fi. If business, commercial or mixed occupancy, specify &ature and extent of each t3, pe of use .. ........ Rca .... l 3. .... i ii .? ....... 7. Dimensions of existingstruct res, if any: Front ..... q-3 ........ Depth ........ Hmght . a.?.t 2. n.c.].u0:~r~g~tS~q~ of-Stones ....1. ....................................... Dimensionsofsamestmcturi(,w.t'f~alterationsorad.ditions:F. ront ... ~.? .......... Rear Dept~ .... 2.7 ............ i ....Hefght .2.2.'.-9~'.x.n..c.l.u.d.~.n..~..P.°?.~xmberofStories .... i...?..iiii~' ' . ~3. Dimensions of.satire new construction: Front ..... 4~. ' Rear /]-.;5 Depth .27 .2.2.'.9Y. ?,'ti ~b erst des ................................ Height ........ n er * o ......... ............................. i03 ............... 9. S z~ of et Front ~0 ,:b, ~'.' ' '1t,~.~,, la6 ...... ,:, ....... ..... ,. ...... · ............. ,,; ........ De ...... , 10. Date df Purchase ... 4/.25/~.7 .................. Name of Fom~er Ogner ... J. IOIall'Xef,, I1. Zone oru~edistrictinwhidlp¥cnisesarestuated Residential. . .. ... . . · . .... i iilJi'ii~.':' o 'J'.Ji..~,,,~o,. 12. Does, proposed construction {'i[olate an~f zoning law ordi lance or regulation: .Ixlo 13. Will lot be regraded ,~.q ' ....... r)' ~, · ' .W v · ' · '~,' .....Wall excess fill be removed from premises: Yes - N i4. Name of Owner of premises .~ ...... : ............ Addr,,ss 12,,,,,.,,II2~i~kz2d, ~'..,. PhonaNn 621-004.6 Name of ,-\rchi[ect ......................... '.. ^aaress ........... + .,b,Zr.q., Phone No ............... Nan e of Contractor ...... Sa. me ....~ ............ Address . .................. Phone No ................ : : · i : PLOT DIAGRAM Locate clearly and distinctly ail m 'Idiags, whether existing or proposed, and, indicate all set-back dimensions rrm property Lines. Give street and block mm:be/' or description according to deed, and show street names and indicate '.vheta{ ',nterior or corner lot. ~rATI-; OF NI~W(~RK, ...... i,"' %hie of indMdu~ being duly sw°rn, deposes and says that he is the applicon[ above named. ~ J th : ontractor, agent, corporate officer, etc.) o.f said bwner or own'e~, and is duly authorized to perform or have performed the said work and to m~e and file ~i: application; t]mt all statements cent:lined in ~his application are true to the best of his knowledge and belief; and that th, Work will be performed in tLie manner set forth ~ the application filed therewith. ~orn to before me this ......... · of ...... ,, '.,, . .: . ,., , · ~, INSUlT]ON ~E COMP~ ~T~ FOR C.O. ~LL ~ONSTRU~iON ~ATE CONSTRU~ION & ~IGN OR CON~RU~ION ~ROR~ r --mM i I 'I'HE c~O~ ~ L