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Home My WebLink About12686-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18582 Date NOVEMBER 21~ 1989 THIS CERTIFIES that the building. ADDITION Location of Property 9060 GREAT PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 126 Block 5 Subdivision Filed Map No. MATTITUCK~ N.Y. , Hamlet Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1983 ~ursuant to which Building Permit No. 12686-Z dated OCTOBER 12~ 1983 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 ADD AND REBUILT TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LOUISE CARDINALE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-018736 - JULY 20~ 1989 Rev. 1/81 Building' Inspector ~OB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF: THE WORK AUTHORIZED) N~ 12686 Z Permission is hereby granted to: . , ~ ~ ~~ ............................. ~ .......................... .,.. //~ ~o .~..¥~......~....~...~¥...~........~...~....~../....~....~ .............. ; /;~ BI . ,or o County Tax Map No. 1000 Section ........................ ock ............ ~ .. N .... .~ ............... pursuant to application dated ............................ ~ ...... .~, 19.~ and approv~ by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF $OUTHOLD Buitding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERT)FICATE OF OCCUPANCY Instructions A. Tbls application must be filled in typewriter OR ink, and submitted m ....=,..a 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 unu~al 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. Commercml braidings Industrial buddings, Multiple Residences and s~m~lar bufldmge,a'nd msta le- t one, a cart ficate of Coda comphance from the Arch'tect or Engineer responmble for'the bu Id rig. 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 pnoperty 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 promises, or other pertinent informa- tion required to prepare a certificate. C. Fees: New D~eilin~.$2$.00, Acce,~sory ,.$10.00 Business $50.00 1. Certificate of occupancy 2. Certificate of occupancy on pre-existing dwelling $ ,50.00 3, Copy of certificate of occupancy $ 5.'00, over .5 yea]rs $10.00/ 4.Vacant Land C.O. $ 20.00 ~/~ /.~?.. 5.Updated C.O. $ 50.00 Date .................... 6. hlteration $25.00 NewCons t~'uction ~ .... Old or Pre-existing Buildtng ...~?...0 Vacant Land ............. Location of Propertyflou.~e .................... No. ' ' ' ' '~'#~; ....C..~ ~"'" " '","~1 '~ ~J Owner or Owners of Property .... ~..-~...'~r. L.o~3:~...~,~ -E,,~, ~ County Tax Map No. 1000 Section .............. Block ............... Lot ............... Subdivision ................................. Filed Map No ........... Lot No. Permit No ...... Date of Permit, .~..Applicant Health Dept. Approval ........................ Labor Dept. Approval ............. Underwriters Approval ........................ Planning Board Approval ........... Request for Temporary Certificate ..................... Final Certificate ........ Fee Submitted $ ....... ~.. ~.~.' .(~..~). ............ Construction on above described building andl~oer.m~ meets all ap~icabl~ codes and regulations. /~pp icant ........................ ; .......................... ;lev. la.10.TS :L000708 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY, ' December 29, f~8~OHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the e~ctrJcal equipmen~ ~ descrlbed be~w and i~tmduced by the applicant named on the ab~e application nurnber in the premlsvs of Bill G~emler, S/S Peconic B~y Blvd~ M~i~uck, ~.Y. in the fotlow~ng tocatlon; ~ Basement ~ 1st FI. ~ 2nd FL S~t~o,~ B~ck ~t was examined on Oecember 15, ~9~ and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 2 DRYERS FUTURE APPLIANCE FEEDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: pER ,E DP CC. COND OF HI-LEG OF NEUTRAL 1 2/0 I Sal Prato, Elect. Wiggins, La. Greenport, N.Y.,-l1944 LICo#1049 GENERAL 11'~ This certificate must not be altered in any manner; return to the office of the Board if i.correct. InsPector~ may be identified by their ¢~edentials. cqp¥ FoB gu LDI~G DEPARTMENT. TH S COP~· ~IER. ~p. ,z~so INSPECTION,,' FOUNDATION 1ST [ ] ROUGH' PLBG. FOUNDATION 2ND [ ] INSULATioN [ ] FRAMING [ ] FINAL REMARKS: ~(.~ O~ ...~//~ ~./' DATE, ~ ,NSPE~O. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND ~ INSULATION [ ] FRAMING FINAL INSPECTOR ~'~-' BUILDING D~PT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING INSULATION FINAL // FIELD INSPECTION COMMENTS 1. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Itall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 DATE: ADDRESS: qO~o G~[fil ~¢oO,c ~n¥ RE: BUILDING PERMIT ~ ~G$6~ SEC. ~G BLOCK. LOT ~ This Building Permit has expired. You are now violation of the Town of Southold Zoning Code. Please contact our office, this matter must be Yours truly, Victor G. Lessard Principal Inspector FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-'1803 Examined ......... t~.o, ,.' .... , .- ~ Approved ...... './.' lg...ee mitNo · ~....~.-~ .... Disapproved ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Received..,(,[.?,~.. ,19... 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 throu~aout 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~inspe~tio,ns. ~ , ...... . ............. ; ........ : ......... : ...... (S~gnature oi f~lic'a~: ~); hame, ~f a corporation) · .%¢.x ? ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nameofownerofpremises t~_~e4~, r~ ~r~_r~e~- Z~-. (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 ...... ~ .0~.~. '. ............ Plumber's License No .... ~]r ~:{.~..'? ~?.~. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of imm on wnica~roposea work win De Gone ........................ t ....................... House Number Street ~- H~mlet ~ County Tax Map No. 1000 Section .............. Block . . ~.~ ........... Lot...~ ........... Subdivision .......................... Filed Map No ............... Lot ............... (kah{~) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ~. ~... P.~ ............... b Intended use and occupancy ~ ............................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... ~.~. .... Repair .............. Remox;al .............. Demolition .............. O th..o' Work ............. 4. Estimated Cost ............. /~.,-:..~.~, ................... Fee ...................................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ..... .~. ........ Number of dwelling units on each floor ................ If garage, number of cars ...... . . .O .............................................................. 6. Ifbusin~ss, commercialormixedioccupancy, sp~eifynatureandextentofeachtypeofuse ..2...---. .... '.77.. 7. Dimensions of existtng structuresi if any: Front... ?..Z- ......... Rear ....~.., .7-, ....... Depth .. ~.~ ......... Height Num~er~ of Stories ..... ~ .......... ~}. ........................... ~.. >~ ..... Dimensions of same structure wiih alterations or additions: Front ................ Rear . .I~...~..~ .<q ...... D. p . ................... . ;,. Height. ..................... .~r, , o Number of.. ~p~es ..................... / 8. D~mensmns of entire new const%ctmn: Front'· ....... /.2.. ?... Rear .... ~.g.. P ...... Depth ... ??...~ ...... Height .... .~:~.o./. ....... Nun)her of Stories .... ?--..'.. i .... / ......................................... 10. Date of Purchase ..... '.~/l.~./.{ .~ ................ Name of Former Owner ... ~5.o.W..t5/~5 ................. 11. Zone or use district in which premises are situated ..................................................... 12. Do'es proposed construction viol0,t~ an.z tolling law, ordinance or regulation: ..... ~ .O ...................... 13. Will lot be regraded .. Y/..2~..(,dq<J4{..~D .......... Will exce~ fill be removed from premises: Yes. Name of Contractor .... .Lq..v-¢.~. j .~..?. ...........Address ..... ; ~. ~ ~..e. ..... Phone· No.. ~...6/.r~..~.. ~.. PLOT DIAGRAM J~- q" Locate ~learly and distinctly all Ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicat~ whether interior or corner lot. STATE OF NE~O~K~./..~ . e ~ cous Y o ./z7.:. :':.7,' / ......... '~/~'/~?.. ! ...... being duly sworn, deposes and says that h~ is the applicant .~a~)(N me zinctiviaua igq'ng oat a~t) above nan~ed. , He is the . (Contractor, agent, 'corporate officer, etc.) of said owner or owners, and is du!y 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~s i ~ ......... , , °F'/~"~........ :.. day o.f.. Notary Publm, State of New Yor~ . ............. v, ...... lie. 52-0344963 Suffol~ Count¥.~r-' · (Signature of applicant~ ! ~ormnJsslon Expires Marc? $0, 19~,0 t o FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL RV 1/80 7q ? C File No ................................ To ~.~.. ~...~.,~.~z~.....~.z.. · ~(...Z~.~. ...................... .. W~ ~z<~Z,. ~.f .......... PLEASE TAKE NOTICE that your application dated .~~.. for pemit to construct .~ZZ/a~ ~. ~. ~~ ~dl/~ ....... at County Tax Map No. 1000 Section .... ~ ..... Block ...~.~. ..... ~t · ~.~. ...... Subdivision .~:~..~ . . Filed Map No ................. Lot No...~ ............. is returned herewith and disapproved on the following ground~.&.~(~ . ~ ~.' ~J.~; ~. ~.. ZZ~c<~e (;~~.. ~.~ ~z~. o~ .~z~./~ .~ _ . . ~ /0 ~ ~ ZS--' ~ -- Building Inspector HB~ YORK STATE DEPART~iE~!T OF E~!VIRO'~KE~!TAL CI~ISERVATIO~ Regulatory Affairs Unit Building 40, SUNY Stony Brook, NY 11794 Henry G. IIilliams Commissioner ~0 P£R~'..][T :,!ECESSAR¥ - T1DAL L'ETLA:!DS AC~ Re: Dear A review has been made of your .~ro.~osal to: It has been determined that no permit is necessary under Article 25 (Tidal ~etlands). Ho~,~ever, any additional work or modifications to the Project ma% require a permit. It is you~ responsibility to notify this office in writing tf such additional work or modifications are contemplated. Assumin~ you have obtained any other a~llcable permits, you may oroceed with your pro.iect. Very truly yours, 9antel J. Larldn ~ u Reginal Permit Administrator 9JL:Rt!T:11 st. ~