The URL can be used to link to this page

Home My WebLink About12507-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18328 Date AUGUST 30, 1989 THIS CERTIFIES that the building Location of Property 13135 MAIN EOD~ House No. County Tax Map No. Subdivision ADDITION EAST MARION~ N.Y. Street 1000 Section 031 Block 05 Lot Filed Map No. Lot No. 10 Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated July 21, 198~. pursuant to which Building Permit No. 12507-Z dated JULY 23~ 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 DECK ADDITION TO EXISTING ONE FAMILY DW~TJ.ING The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH L. TOWNSEND, JR.. Buildinq Inspector Rev. 1/81 FORM NO. 2 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) N? 1250~ Z Date ..................................... Permission is hereby granted to: .................................. r f¢ l to .~..t.~......~....~.~.......~.... .................................................................................................. County Tax Map No. 1000 Section ............. ..~..../.... Block ...................... Lot No. pursuant to application dated ......................... .~.....~.., 19...~..., and approved by the Building Inspector. Fee $ ........................ ................... ~,....~.....~.(...~.,..~...~ ~r~' Building Inspector ~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUP~ Instructions ~3LDG. DEPT. TOWr'~ OF A. This application must be filled in typewriter OR ink, and submitted ia ~ to the Building Inspec- tor with the followin~J; 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-existing" land uses: 1. Accurate survey of p~t)perty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date July 31,1985 New Building × Old or Pre-existing Building Vacant Land Location of Property 13135 Main Rd. East Marion House No. Street Ham/et Owner or Owners of Property ........ Jos.el~.h To,w. ns.end ( .Jr. County Tax Map No. 1000 Section .... 031 Block 05 Lot. 010.09, Subdivision.,. × .Filed Map No .... Lot No, Permit No, 12507[ Date of Permit 7/,2,3, ,/,8,3, ,Applicant ,, .q°. ,~.eRb: .?9.~.qs..e.~.ct. N/A Labor Dept Approval Health Dept, Approval ............................................. Underwriters Approval ....... i~./.A, ............. Planning Board Approval .................. Request for Temporary Certificate ................... ..Final Certificate ... ..,....,.........× .. "~ Fee Submitted $&,5...0,0. ....................... Construction on above described building and p~mit meets all__nd regulations. Applicant , ,~,-~,/,., ,~,, ~,L .... ,-~,,//,, ................... Joseph Townsend ~ Rev. 10-10-78 TOWN OF SOUTIIOLD OF[:ICI'~ OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /.~/'--/ An al)pi{cat:ion for Certificate of Occupancy / / I,lo Underwr,it. ev:~ Certificate on file. /~ 'l'h(~ check is(ouLdated/not on f~)2~X, oo /7~'/ No Ilcalth I)ept. Approval on file. /__/ No final inspection has been made. P]~.'ase contact our office on this matter. Thank you for your cooperation. BuiJding Permit t~ / ~ ~' ~_ _~ Z Build{hq Dept. OCCUPANCY CLEAE UP Tills MATTER AS SOON AS {lAVE TO BE TAKEN. Thank you. No Plumber Solder Certificate on file. ( all per,nits involving plumbing being issued after April 1,1984 ) OR USE IS ~L WITNOUT A POSSIBLE SO CERTIFICATE OF OCCUPANCY. TIIAT I~ DOES NO'{' F~ELD~INSPECTION FOUNDATION (lst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL ~OMMENTSi ADDITIONAL COMMENTS~ 765.1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH pLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~ FINAL ////0 REMARKS: ~m~ m-Z~ ~m~ Z~o= ml--~'z ~m~'. o~z~ ~ ~ ~ / / / / . / FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1B02 Examined ..... NY .~v, ~ ..... , 19... , Approved..../~.~..~....~...~., 19 .~..~ermit No...(.~..~.07~-~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No.../.~...~..tg..~...~..... Date ................ ,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 throughout the work· e. No buildhag 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, housi~lg_code;-and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary ~pectiT~ '~'"--,e4~ ~, ~ p~(~ign~ur;';; ~licant, or name~ ifa c~/o'n') .... (Mailifig address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... .......................................................................... Name of owner of premises ... ' .................... · (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... h Location of[and on which proposed work will be done../ ........................................... /... ......... J House Number Street Hamlet / , County Tax Map No. 1000 Section . .Q .~. ! ............ Block ....~..~.i .......... Lot...Q! .L} ,~..9.(j ..... \//.~ Subdivision .................. '.~. ................. Filed Map No... 2~ .......... Lot. d.'~'. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed constr{~ction: a. Existing use and occupancy ...... .d..ty.~....i~.9 !,~.~; .k~....CJI ¢J~j .' .' )g.% ........... .... " ..................... b, Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .... ,.....//' Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... . .~/ .d. ~ ~ (~ (Description) 4. Estimated Cost .... '~ ~ Fee 0 (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ./d.A~.x~.. .....Number of dwelling units on each floor ................ If garage, number of cars ' 6. If business, commercial or mixe~t occupancy, specify nature and extent of each type of use ....t~/..~.~. ............ 7 Dimensions of existing structure' if any: Front Rear Depth Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Dept .................... i. · Height ...................... Number of Stories ..................... 8. Dimensions of eatire new construction Front /dr. / Rear ~-. / D~,n*h ,/~ ~ Height .... ,-~..~ ........ Numlber of Stories ........................................................ 13. Will lot be regraded ....... ~t~,~ .................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises ... i ................ Address ................... Phone No ................ Name of Architect .......... i ................ Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines, Give street and block n amber or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~ ~'.~ ~d t' q STATE OF NEW¥ORI~, COUNty ...... s.S ..... ~/.~.J.~..'W. ;~ g.~.b:...eft., .~.t4. .............. being duly 'sworn, deposes and says that he is the applicant (Name of individual sign(ngi contracti above named. He is the ' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly aothorized to perform or have performed the said work and to make and file this pphcatmn; that all statements contmned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner sci forth in the application filed therewith. Sworn to before me this , / c/o~_~ ............. 'h ......... day of.. 'i.."N/(. .............. , 19 .~..-~ · .... i~(~r^R¥ eUEIUC, Siato of New Yo~t~ . . .~t.~.~.w-/~n .............. ,-~.,_.. ~ ............. , ~lo, ~,~2~77~ ~ (Si~n~iture of applicant) Quaflfie~ i. Suffolk County / / Commission Expire~, March 30, 198~,C/'~ ~