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Home My WebLink About12590-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No: Z-30541 Date: 11/10/04 THIS CERTIFIES that the building ADDITIONS Location of Property: 2250 DELMAR DR (HOUSE NO.) (STREET) County Tax ~hap No. 473889 Section 127 Block 4 subdivision FiledMap No. Lot NO. LAUREL LOt 23 (KAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1983 pursuant to which Building Permit No. 12590-Z dated SEPTEMBER 13, 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 A~D ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. THIS CERTIFICATE OF OCCUPANCY UPDATES CERTIFICATE OF OCCUPANCY Z12401 DATED 3/30/84. The certificate is issued to ANNE O'DONOHOE of the aforesaid building. (OWNER) SUFFOLK C0%5~I"fDEPARTMENTOF~RALTHAPPROVAL ELRt-£KICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DAr~u3 N/A N 632540 02/03/84 N/A Rev. 1/81 FO~.I~ NO. !~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12590 Z Permission is hereby granted~,~: ..... ~_~....~~ ............... '"~' ..... ~ ......... i .................. i .... ,o_ .~~..~Z~_~ ~...~~~q....~....%~t. ' ~ ~n, .- -._ ~ '~,,. I..~.~.. ......!. ..~.~...~.,~....~......~_. '..~.~...~ .................. . ............ ~.~ ..................... at premises Iocated~at .~..-~.......:..~...-~.~;9~.O~,~.,...~-.~ ............ pursuant to application datea'~...~.....~........~....I ..................... , 19.~...~.; and approved by the Building Inspector. Fee $.~(;....~... ...... Building Inspector Rev. 6/30/80 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N~Y. Certificate Of Occupancy · March 30 19B./! No. Z....I 2 z10............1 Date .................................. THIS CERTIFIES that the building . .A.d.d. z[ .t3.qr~ ..................................... Location of Property 2220..1.)9.1$n.a.~.. p.r'.~ y9 ............. Laurel /t~ds'e ~Jo. Street ' Ham/et County Tax Map No, 1000 Section . .1. 2. .7 ....... Block ...it ........... Lot .... Subdivision · ,L,~Ljl~,~...g 9~l~q,l~,r2~r. ~.~ ~,'t,.e.S., .Filed Map No, ,5.tt86,..Lot No ..... 4.3 ....... conforms substantially to the Application for Building Permit heretofore fried in this office dated ... gpgtt~g..3.l ....... ,19 8.3. pursuant to which Building Permit No..t2 ~3gj.0.Z ............. · dated . .S. 9 p.q.. ~ 3 ................. 19 8 3., 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 ......... Addition to existing one family..~w.~.l,%~g... The certificate is issued to Bernard O' .D. qil~.h.q~ .............................. .................... (owner, lessee or tenant} of the aforesaid building. Suffolk County Department of Health Approval iq/g. UNDERWRrrERS CERTIFICATE NO ~,f.6 2.2. ~ .6.0 Building Inspector Rev. 1/~tl FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,%uthold, 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. Finsl survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 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 build{ng. 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 peoperty 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. C. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land 3. Copy of certificate of occupancy $1.00 use L-Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .~/~)/~. ~. ........... New Building .~ .... Old or Pre-existing Building .... ~ ...... Vacant Land ............. · ocat on of Property .... ................... House No. Street Ham/et Owner or Owners of Property ............. .O.. ~..4;).~ .~ .~. (~).~,~.. f. i~. ~ ........... County Tax Map No. 1000 Section . l .c~.? .......... Block ....~. .......... Lot...~. 5. ......... Subdivision L(~.%_~. C~;~.-~,~....~:~.'.'5 ....... Filed Map No . .~...~r'...~...Lot No. · .~..~. ........ Permit Noir..~.q.(~ .-Z... Date of Permit .~ll~l.~..'~..Applicant....~_.o,..k~.C~... ~. ~ ...... Health Dept. Approval ........................ ,abor Dept. Approval ........................ Underwriters Approval .......... Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~.T,....~'..~.~..../...~. ~/('°C~ Construction on above described building and permit meets all appl Cable codes and regulations. Applicant .. ~ .~ .......................... Rev. 10-10-78 FIELD INS?ECTION COMMENTS FOUNDATION (~st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY o FINAL ADDITIONAL COMMENTS: DATE iNspt THE NEW YORK BOARD OF FiRE UNDERWRITERS eUREAIJ OF ELECTRIC~IT~ e5 JOHN STREET, NEW YORK, NEW ~ORK ~O0~e only the elec trical equipment as described below ~nd introduced by she appllcaht he'ed on the above applicatio~ ~ber irt the premises of in the following location; [~ Basement ~ 1st FI. wasex.mln.do. JanUary ~ 1~4 FIXTURE FIXTURES OUTLETS SWITCHES FLUORESCENT 10 3 [~ 2nd FI. ; Section Block Lot and found to be in compliahce with the requirements of this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO, OF FEET DIMMERS OTHER APPARATUS: 1-G. F .C ~ I. E R :V C COPYF not be altered in any manner; return to the office of the Board inspect GENERAl. MANAGER - //~ may be ridentified by their credentials. NER. FORM NO, 1 TOWN OF SOUTHOLD. BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved...k~...~.. ! .~.. .... 19~.~.. Permit No./. Disapproved a/c ..................................... Received .......... ,19... (Building Inspector) APPLICATION FOR BUILDING PERNIIT INSTRUCTIONS a. Tiffs 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 tins application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Irispector 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 Permi.[,.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,.~)i~ing c/o):le,fi)o~g code and regulations, and to :ldmit authorized inspectors on premises and in building f°r necessary ~)(°'/Cti°i34/ ~'//A / _///X/.,(I//../ ' -' .. .................... ,'~i~ature df a~pplicant, or name, if a corporation) ., (Mailing address of applicant) 5rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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. ~..e~..W~.. ~ .~,~..~..c,..~... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ....... '. ltouse Nu~nber Street Hamlet County Tax Map No. 1000 Section '~JZ-'-/ Block '~ Lot '~--~ Subdivision ~ .C~t~N~a e~.~ ....... Filed Map NO. ~...~..~.~. ...... Lot...~.. .......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. b. Intended use and occupancy .... ~ .~ ............. ~ ~"' ............................... 3. Nature of work (check which appiicablel: New Building .......... Addition . l'f/.. , Alteration .......... Repmr .............. Removal Demolition Ott:er Work ............... ' (I)~scnprion 4, Estimated Cost ..... 1 .~.~.~ ....................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or m~xed occupancy specify nature and extent of each typ? of use ..................... 7. Dimensions of existing structurels, if any: Front ............... Rear .............. Depth ............... Height Number of Stories ' Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories ................. 8. Dimensions of entire new construction: Front ....... ' Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. 'Size of lot. Font ...................... Rear ..................... Depth ..................... I0. Date ofPurc ase ........... , .................. ~Name o.~Former Owner .~..p. ~t ~,~~ ....... 11. Zor~e or use district in which premises are situated... ~,~..--..~ ........................ : .............. 12. Do~s proposed construction violate an zonin~ law ordinkance or re~,ulati · , Y ,~ , ~ on ...................... ~ ..... 13. Will Iot be regraded .... .~.~. ? ................... Will excess fill be removed from premises: (~¥es...J No 14. Name of Owner of i~.emises-.....i ................. Address .................. Phone No ................ Name of Architect .-.9..~.~..~..~.~,~).-q. ....... ~ Address J~z_loo~/~x~.~ ~ Phone No Name of Contractor .~.r~ .~-...&&~. ,~.wFqc,~'l~ddress ~,~3Pe~c3'-~';,~' ' Phon~?-d/~ No' ~z/~' .~.2~'''{i ~.' 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 :number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NF~RK,, ,,~ d, ff 'o c:° u N (Name of individual s'ig~"~n~ c'~n't~ac~ .~bove named. He is the ....................... !..~ .............................................. ~f said owner or owners, and is dul .~u.th. ori.ze.d to perform or have performed the said work and to make an :~pplication; that all statements contain'ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne'r set forth in the application filed therewith. being duly sworn, depo_ses and says that he is the applicant (Signature of applicant) Sworn to before ~ne this .......... c-~./.~.-...dayoi..~: , .... 19t ~.~~ / t OCCUPANCY OR {;SE I~ UNLAWFUL ,,i~'i,~T CERTIFICATE ~F OC~PANC¥ APPRO"'~D AS NOTED DATE: .y/~/Z23 B P. 765-180~ 9 AM TO ~ PM FOR THE I FOUH~ATION - ~0 REQUIRED CODES. MOT RESPONSIBLE FOR --I / x T-/iLF--.V~TIOb~