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Home My WebLink About10480-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAt~TMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19318 Date AUGUST 24~ 1990 THIS CERTIFIES that the building. Location of Property. 385 House No. County Tax Map No. 1000 Section ADDITION SHIPS DRIVE Street 79 Block 03 Lot subdivision BAYVIEW WOODS EST SOUTHOLD Hamlet 08 Filed Map No. 5520 Lot No. i0 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 19, 1979 pursuant to which Building Permit No. 10480Z dated NOV. 21~ 1979 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 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 TIMOTHY R. & NANCY A. MULLEN N141183 JULY 19~ 1990 N/a ~B~ui/iding Inspector FOI~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10480 Z Permission is hereby gronted to: 7~07"/y(7' r~'./-~c~(~ /~'r.y~:Z ~____~-/t...j ...~.,~..~.....~.~....~......:., ............. to ~.~:.~.~...~.~ ~.~ ~ ~' r ~O.....Z.~Ca~...~.-t:~z~.~ ............. ......... ~rdz~.c7 ............................................................................................................................ ~,p,~m,,e, oc~,~d a,.~.Z~ ........... --~'-'.~*~"; ......... ~'~Z~'~'~'""~"~ ..... ~~...~.~...~z~7~,~....~..~..~.~ ............ ~..~../~ ...................... pursuant to application dated .~~.~-~..../..~ .........., 19.Z~, and approved by the Building Inspector. F~e *..Z~...'..°..~. ....... / Building Inspector Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOWN OFe' APPLICATION 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 electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contm~,~ ) less than 2/10 of 1% lead. 5. Co~ercial building, industrial building, multiple residences and similar bui/dings 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, 1957) non-conforming uses, or buildings and I "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features· ,.o 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of 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. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Cernifzcate o£ Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..ew Construction ........... Old Or Pre-existing Building ........... ' ............. House No. Street Hamlet Onwe~ or Owsers o~ Proper4~ ~.~..~..~....~...~.~:~...~....m.~.C~.~ .......... ~e~it ~o ........... Uate Of Permit ................ Appllca~.~.~. ~ ............... [/ealth Dept. Approval ............. ............. Underwriters Approval .... .~. .... ,, Pi d App 1 ' Request for: .Temporary Certificate ........... Final Certicate..../,. ..... ~ee Submitted: $ .... ~.5--'~ ~ ~7 '" ¢o z/f3? F . ; .: ...... ~ /~ ~/q, .~, .~ v .. FIELD INSPECTION 1. C~OMMENTS FOUNDATION FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY COD E FINAL ADDITIONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~E 1 1001381 BUREAU OF ELECTRICITY ~- BS JOHN STREET, NEW YORK, NEW YORK 10038 Dat. JULY 19,1990 Application No. onfile 69311390/90 N 141183 THIS CERTIFIES THAT TII~OTHY E. HULLEN, SHIP'S DRIYE, POLE #12, $OUTHOLD, N.Y. in thefollowing location: [] Bmsernent ~ 1st Fl. [] 2nd Fl. Section Block ~s examined on JBLY 09 · 1990 and found to be in compliance with the req.lrements of thts Board. Lot FIXTURE [ OUTLETS SV*/ITC'dES 2 1 DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER SYSTEMS ITHER APPARATUS UTIhITY RM & BATH RH %~IRING-1 S E R V I C A W G ~ OF NEU?RAt$ A 'W O OF HILEG OF NEUTRAL PAT LANE MATTITUCK, NY, 11952 GENERAL..MANAGEI~ 11 (J/./. Per ~ ' This certificete must not be oltered m any monner$ return to the office of the Board i~ incorrect, laspectors moy be ~denfified by their credentials. TIMOTtPf MULLEN 385 SHIPS DRIVE SOUTHOLO, N.Y. TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN HALL $OUTItOLO, N.Y. 11971 tugust ~, 1990 TEL. 765-1802 To Whom This May Co,~cern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /--//An_ application for Certificate of Occupancy i/~ not on file. (ENCLOSED) /_~/~o Underwriters Certificate On file. /~ Tile check is (~_-~-~not on file. ) $25.00 /5/ No llealth Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit ~ I 0 4 8 0 Building Dept. ***/~/ NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,19~4 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-180;~ Examined .~.O~.. Zt' .., 197. Approved . .~. ?. · ./~. · .~.~. .... , 19... Permit No./~..~..r.~..~-'f.~. Disapproved a/c ........... (Building Inspector) Application No../(~[~..~...~..~. ...... APPLICATION FOR BUILDING PERMIT Date ~ovember. 3O~ .... 1979. INSTRUCTIONS a. This application must he completely filled in by typewriter or in ink and scb~itled in triplicate 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 issue 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 ~e issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk Cmmty, 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 buildings for necessary inspections. George..Ahl.er$ ,. Builcker,. Inc .............. (Signature of applicant, or name, if a corporation) 250. C.o.x. Lane,. C~ttchogue ,. N,Y ............. (Maihng address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... 9.e.n.e..r.a.1..C. 9.n.%v.a.c..t.o?. ............................................................. Name of owner of premises . . ?.i..r~.~.by...&.. ~.a.n. qy..M.141.1..eiq ............................................ (as on the tax roll or latest deed) If appli~poration~g~a~.re of duly authorized officer. Builder's License No ..... ~.1 ................... Plumber's License No..by. awner. ............ Electrician's License No..~ 529-.E ............... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~-~ ~'~'~ Snips..Drive ................... Sou. thotd. .................... House Number Street Hamlet County Tax Map No. 1000 Section ....~. 7~' ......... Block ....(~..3 .......... Lot...(~>.~. .......... Subdivision ~ .~. ~/.~- ...... Filed Map No. 5~.2. Q ........ Lot../C) ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ¢t~etling ....................................................... b. Intended use and occupancy ............... ~. ....... t' ................................... 3. Nature of work (check which applicable): New Building .......... Addition . .X. ....... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost.. ~6500.00. Fee .~../r.~.. ~ (Description) : (to be paid on filing this application) 5. If dwelling, number of dwellingl units ............... Number o f dwelling units on each floor ................. If garage, number of cars ........................................................................ 6. If business, commercial or mix{d occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ...... 35 ....... Rear ...35 ......... Depth . .30 ........... Height .. 3.0 ........... Number of Stories ... '.2 .................................................... Dimensions of same structure With alterations or additions: Front .~.5. .............. Rear . ~.0. Depth 32 ~ Height .... 30 Number of Stories 2 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height .............. Number of Stories ............................................. 9. Size of lot: Front..q?.~ ..... ' ............ Rear...2.~a ............... Depth . i~.~i~/~ii i ....... 10. Date of Purchase ..unkno~a~n .................. Name of Former Owner ............................. 11. Zone or use district in which p!emises are situated...g, ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ... lfl, O. .......................... 13. Will lot be regraded ........ , .................... Will excess fill be removed from premises: X Yes No 14. Name of Owner of premises .~.17.:. ~.i.m.q~.hy' .~.u.l.i. eAOddress ................... Phone No ................ none ' . .......... Address ................... Phone No ................ Name of Architect .... ° ~ ~ . Address Phone No. Name of Contractor 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. See attached Diagram STATE OF NEW YOg~K ~ //// ......... Geo.~.ge ·/~:[er5 ........................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..... ~.q~.~9~... ~ .................................................................... ; (Contractor, agent, corporate officer, etc.) of s~dd owner or owners, ~d is d¢ly authorized to perform or have perfomed the said work ~d to m~e and ~e this application; that all statements conta~ed ~ this application are true to the best of his knowledge and belief; ~d that the work will be perfomed in the m~fier set forth in the application filed therewith. Sworn to before me this ~ ~~I ~'~z~- 19..7 ............ ~.day ~f ..................... , Nota~ Public,.. ~~ ~,,,~'~~ .... ;~:~.;'~ ~~ ...... County ' ....... NOTARY P , ~ ~,,f~L Co'mbl~ ,, DF. SIG~ OR CoNSTRUCT!ON ERRORS- i I/ 't