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Home My WebLink About12334-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N Z12886 October 19 984. o .................. Date .............. THIS CERTIFIES that the building .... A.d.d. ~.~.~.qn., .&..~.¥.o..qa..~..a.c.c. ?.s.s. qp. ¥..~.a.~..a.g.e... Location ofPronertv 300 Marion Place East Marion House No. Street ' ' ' County Tax Map No. ]000 Section 31 .Block 08 .Lot p/o 12.5 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Jan 17 12334Z ....... : .............. 19 84 pursuant to which Building Permit No. dated . .H.?.~.c.~...2.7 ................. ] 9 84..., was issued, and conforms to aH of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Add±tion to dwellin & two car accessory garage t^Henry & Dorothy St. George · he certificate is issued ,u ..................... [o~n'e), '~e~[~']~× ~ ~ ................. of the aforesaid building. Suffolk County Department of Health Approval .N/A UNDERWRITERS CERTIFICATE NO .............. # N 662133 Building Inspector Rev. !/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 12334 Z Permission is hereby granted to: ~ ........ ~.~... ,~. ~ ~..~ ~ ....... ~,,.:~.~. ,~ ~ ...... ~.~..~,~.....~ 2~ ,o .~,~.~,~.....~.....~.~fZ~.. ...~ .......... z~.....C~..~...~ ..~~.~ .......... ~ ....... :~~,~'..~~..,.~.~~, at premises I~oted at .~.....~~.....,~~...~.....~...~~ Building Inspector. Fee $....~?......-~.:.... 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-exist!rig" land uses: 1. Accurate survey of peoperty 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: 1. Certificate of occupancy $5.00 / / 2. Certificate of occupancy on pre-existing dwelling ~r land use $ !-~/ $5.00 3. Copy of certificate of occupancy $1.00 ! Date ~ptob~ 10, 1984 New Building.............XX Old or Pre-existing Building(Z) ....... _. ~ /Vacant Land Location of Property . .3,QQ,~,~.~..~9,n.. ~P, ,~a~c.e. ~..EAs. t.. Nation, N. Y... ~ ........ ~_... House No. Street Ham/et Owner or Owners of Property Henry & Dozothzy, St. George County Tax Map No. 1000 Section O3~ Block 08 Lot..p./.o.O.~.~...5. Subdivision ................................. Filed Map No ........... Lot No .............. ~7~ ,IN'ND HONES) INC. Ho St.George PermitNo. ~2334Z.......... DateofPermi ...Applicant ........................ ~ ......... Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. H002~33 i Planning Board Approval Underwriters Approval ......................................... ~ ,., Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... * Fee Submitted $ ,5,.,0, ~0.~ ....................... Construction on above I TOW~' described build~g-aT~~e~s all~e~co,e~, and regulations. ': ; '"i4 ;' ; ......... FIELD ~INSP~CTI~N DATE COMMENTS FOUNDATION (~st) ------------ 2. INSULATION PER N.Y. ~l ' STATE ENERO C,ODE 4. FINAL ADDITIONAL COMMENTS: FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ To ~ ,~d//2 .' .:./L~.'~c~. ,.e~¢.~ .~ .,.,,.~. ¢~. . ....... Date..-~..~...~XX~..~../.d.~.: ............ 19...~.Z: PLE^SE TA~,E NOTICE tha you,: app,catio, daea ..... ff~.X.,:O~,.,':,',-d..../.Z.., 1~ d..'3./-. for permit to construct.../A7/.7. ~ e//.C~X<'.../Cl...../~(~-:////A).~ ...................... at County Tax Map No. 1000 Section ;...~.~'./ ..... Block . . .~.. .............. , · Subdivisiou ...... -.~w. ......... Filed Map No ....... '.- ......... Lot No .... ¥..'--W. .......... is returned herewith and disapproYed, on the followin, g grounds . . (~.~. (~.C~''~. //.'.~.~.4; . .~/~'~ :~.. :5..e~..,~.. ~o.,.:..7,,.,4'.,~'..~ Z../. :~. .... z~.a/ ......... ,... ~¢~..¢::. v.. ' ' . . . . -----r'----' eL:/ /.- -", '~' ~. .~. eZ/./ e:z~. . . :. ae~.¢.aM:. .... :.~:~. . ~,~m.~. ./. ¢. ............ .~. ........... / ......... / ..... av 1/80 loo0~74 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ 00tO~ $~, l~ 8S JOHN STREET, NEW YORK, NEW YORK 100S8 Da~e Application No. on file · .,~ c~.~,~,~ ~.~ ~ N 6 6 213 3 in the following location; ~ Basement ~ 1st ". ~ 2nd Fl. ~ Section31 Block 8 ~t w~ examined on ~p~ll~ 27= 19~ andf°undtobeincompliancewlthtkerequlrelnentsoftkisBoard. fiXlUaa RX;Ua~S aANGaS OUTLETS 7 DRYERS FURNACE MOTORS FUTURE APPLIANCE FFFilERS OVENS DISH EXHAUST FANS TIME CLOCKS UNIT HEATER MULTI-OUTLET SYSTEMS NO. OF FEET DIMMERS SERVICE DISCONNECT OTHER APPARATUS= Panelboard/s: 1-~J~Ar. 125~p. CC, COND~ R V I C NO OF HI-LEG A W.G. OF HI-lEG NO OF NEUTRAl A, W. G. OF NEUTRAL ~ ~rnell ) ]~FL~O Klex,. Corp. ( Cliff C ' 325 ~lllow Pt. ,lid. ~outt~ol~[~ N.'Y'~ .I1~/! This certificate must not be altered in any manner; return to the office of the Board if incort~ect. Inspector,s may be identified by their COPY' S ANY MANNER. FORM NO, 3 TOWN OF gOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ~o ~/~.. ~,,~.. ~..., ....... ¥~ ..,5./~. /./dz~. ~. ~. ~o ..... - ' PLEASE TAKE NOTICE that your application dated . .~~ ~... Z Z .... ,19 .~ for pe~it ~o co,st~ct .~,~.~.~..'~..~ff(~[..¢fic~ ~:~?' .~.. at co..w tax ~. So. ~000 S~t~o... ~a~'. ..... ~o¢~ ...C~ ~ ...... ~ot ~.. O.:~Z Subdivision ........ ~ ........ Filed Map No ................. ~t No ..... ~. ......... is returned herewith and disapproved ~ · ~/ ~ ~ ~ ~o--s7 ~:~ .................................... ~q~-~ . = Building Inspector ~'~s Absent, if any: Member Doyen Applicants: ~//~f requested and I:ocation: (a) addition reducing in frontyard. resolution made by: ,econded by: Marion Place, Charles Grigoni$ ( HENRY & DOROTHY ST,GEORGE rearyard (b) ~accessory garage East Marion. Serge Robert Doyen Douglass Gerard Joseph Goehringer Sawicki ~CTION: Approve as applied Deny as applied Deny without prejudice Deny Subject to County Planning Referral Subject to Planning Board approval Subject to D.E.C. V/ithdrawn SVithout Prejudice as requested Approve with the following Condi~t!ons: ) Special Exception criteria applicable X ] Prior application conditions applicable, if any ~OTES: Hearing was closed 3/2/84 pending reinspection., 'OTE OF THE BOARD: Ayes~ (~) CG Nays: ( ) CG Abstain: ( ) CG Absent: ( ) CG esolution was passed: (~unanimously eso~ulion was not passed: his application was recessed until ( ) SD (k~)) RD ( ~'~)~'~(3 ( ) SD ( ) RD ( ) GG ( )S~ ( ) RD ( ) GG ( /.)r'~D ( ) RD [ ) GG ( ) by majority vote ( ( ) JS ( ) JS ( ) JS 7GS-1802 BUILDING DEPT. INSPECTION' FOUNDATION 1ST [~] ROUGH, P~BG. FOUNDATION 2ND INSULATION [ ] FRAMING [ ] FINAL REMARKS: J,~ DATE ,, ? / / / ,' / /' ~ ? ? / / . / I 7 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~ TEL.: 765-1803 Examined./~./?...d' .~. .... , 1~... ~ -.~ ~7-,~ . / ...... ~ Approved..e . ...... ¢/ ~PPLIC~TIO~ FO~ BHIkDI~G ~E~IT Application No./. ~,~.~ i.~.* ....... Date..4?.n.u.a.r..y ...... .1,7 19.8.4. INSTRUCTIONS a. Tkis 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. Suchpermit 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 inspections. INLAND HOMES, INC. (Signature of applicant, or name, if a corporation) .... ,. y.... l..1.9.s.2. ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises ..... ~t?.n.r. ¥. ?..D..o.r.o.~.h. ¥..~.~....G?.o.r. ?? ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ' Robert E. Hiltz, Pres. . , (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No. 2816 Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. 300 Marion Place, East Marion, N. Y. House Number Street Hamlet County Tax Map No. 1000 Section ..... .3.21. ........... Block ..... .8 ............ Lot...P/.Q..1¢...5. ....... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy I-Family Dwelling b. Intended use and occupancy Same .Z~A<?L~.t~../F/~ /~ ~Z/~¢~'~? 9'c~ ~CC~D~O2'~% ................................ L24_' ..... >-;' ?" .................. .......... Alteration .......... 3. Nature of work (check which applicable): New Buildin~.~./. Addition Repair .............. Removal .............. Demolitign .............. Other Work ............... ~ ck~./L~- ~~ (Description) . $ 2,ooo.oo rr . ..... . .... 4. E~,tnnated Cost ............. , ........................ FeeC~.~.~ .... · ~ · (to be paid on filing this application) 5. If dwelling, number of dwelling gnits . .1 ............. Number of dwelling units on each floor ................ If garage number of cars ' of use 6. If business, commercial or mixed, occupancy, specify n~at~ure and extent of each ..................... 7. Dimensions <~f6existing structure~, if any: Front zu . .R. ear .............. Depth .... 5.3. Height ............... NumBer of Stories . ' ' '¥ ................... Dimensions of same structure with alterations or additions: Front 30 Rear 30 Depth 20 i Height 216 ..... Number of Stories 8. Dimensions ofenrire new construction: Front ............... Rear ............... Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front .... ~ee..~l:.v.ey. ...... Rear ...................... Depth ...................... 10. Date of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which preraises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot beregraded...........................ne ' . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .M.r....~r.~.: .S.c...G..eg.r. gO. ddress .Eg.s.t...lylg. r.~..o.n.,~ ,Y,Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .I..N~,.AN.D...H0IKI~$, IN.C · ..... Address BOX . 117.,.Ma~.t.itllcRb, one No.. 29B.-~969fi. .... PLOT DIAGRAM Robert E. Hiltz .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sign'ing contract) above named. Contract0~: He is the ...................... ................................................................... ~ (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 this [.~..~.' dc,,ay)Of..~..~ ........ , 19 .f~.I ..~/,. ,.~..~ .,~ .... County :, =~I:, 35 20 M/- 293.0 z E-40'i ,.~' I~ON PIPE2 I~, MONUI'4EMT U CEtIIliD LAND GREEI~gT ~W YO~K SUFFOLK CO. HEALTH DEPT. APPROVAL H S NO. IZ'SO'I29 STATEMENT OF INTENT TIlE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO. DEPT. OF HEALTH SERVICES. {si APPLICANT SUFFOLK COUNTY DEPT. OF HEALTH SERVICES -- FOR APPROVAL OF CONSTRUCTION ONLY DATE: H.S. REF. NO.: I~,-~O- APPROVED: SUFFOLK CO. TAX MAP DESIGNATION: DIST. SECT. BLOCK PCL ~¢Z:~) 31 ~ p/o ta.5 IWNERS ADDRESS: ID ,,NF'P[._L~.'? L.A. I~ETI-tPA (.,~.:.~, DEED: L. P. I t"714. S~A/