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Home My WebLink About13249-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy Date November 17, I987 THIS CERTIFIES that the building .. Ac. C..E .8.8.0..R.Y..G.A.Z..A.B.O. .......................... 495 Jackson Street New Suffolk, N.Y. Location of Property P~s~ ~io'. ....................... · 'Street ........................... h;~ie~ County Tax Map No. 1000 Section I 17 .Block 9 ..... Lot 4 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 22, 1984 pursuant to which Building Permit No. 13249 z dated June 22, 1984 wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ACCESSORY GAZABO AS APPLIED FOR The certificate is issued to JOYCE TE SE (owner. ~e~c~.t~{ of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. . N 84 1887 N/A PLUMBERS CERTIFICATION DATED: 'r'~'~/Building Inspector Rev. 1/81 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? 13249 Z Permission is hereby granted to: ..~........%..~~.....~ ................ ~.:......~......~.?~,......~..:.~.:......t~.~ ..... ....... at premises located at ..... .~..~....~........~..~..~,~..~...)~.........~ ..~...........~....~..,--~..~.~ ......... County Tox Mop No. 1000 Section ....... , ................ Block ...................... Lot No ......................... to application dated ......... .,~.~..'~-...~... ..............., 19.~..~., and approved by the pursuant Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y~ 11971 76.5- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ~ohiS applicatlon must bo filled in tV,p. ewrltor OR Ink, and submitted ~ ~ to the Building Inspec- r with the following; for new buildings or now uso: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unumal natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal-{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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic features, 2. Sworn statement of owner or previous owner as to use, occupancv 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: l. Certificate of oecupancy tlew Dwelt[ns.S25.00, '&cce.~sory ~$10.00 ~u~Lnes, 2. Certificate ~f occupancy on pro.existing dwelling ~ 50.0 0 3. Copy of certJflcate of occupancy $ 5.'00, ove~ 5 yea~a ~I0.00 4.Vacant Land C.O. $ 20.00 ~- /~ - ~.~ 5.Uodated C.O. $ 50.00 Date ...................... 6. Alteration $25.00 NewCons bpuc~ion ...... O}d or Pre-existing Building ............ Vacant Lend ............. .................. ........... Hou~ No. Str~t Ha,nle~ Owner O~ Owners of Propert~ Jl. ........ .... ......... ........... ' ' ' Flied Map No Lot No Subd~wsmn .......................................................... Permit No./.~.~. ~..Z~.~.. Date of Perm,t Applicant. 4 ¢'r. ..................... Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval Planning Board Approval Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ..... Z.~, .................... Construction on abovo describedApphcant building .... and~~.. ,~,., .~... ;":'T~permit meets all.applicable codos"a~d regulations,. ....... It~. 10.I0.7S THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 1003B THI~ CERTIFIES THAT ~rs, Vincen~ Tese, Jackson Street, ~w Suffolk~ S~thold, ~.Y ~s exa,nined on a,~d found to be in cotnpliance with the require.~ent s qf this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS EXHAUST FANE 92 41 39 92 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMEiCLOCK$ UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R OTHER APPARATUS: C 21. ~/o E Panelbonrds :I- 28cir. 150amps Electric Room Heaters: 1--2.5kw, 3.-2.0kw, 2~-1.$t~, 1-1.01~, 1-.751~ Moro,Cs: 1-1bp Gary Doroski 42D Mom6ell Lane Cutdlogue, N.Y. 11.935 'Llc. 2941~ This ~ertificote must not be altered in any manner; return to the office of the Board if incorrect. CqPy JBUILDING DEPARTMENT. GENI~IIAL MANAGER Per may be identified by their credentials. IN ANY MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR I'.O, BOX 728 TOWN IIA I.,L $OUTtlOLD, N,Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13249Z issued t'o William Darvin on ~_~2/84 for Accessory is completed a final inspection has '(' ) has not ( x ')"'been dose. and rn order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please £il1 OUt the enclosed far,n, return same to the above o[fflce with a check fatS10.00 payable to the Town of Sou,hold. Please {ndleate to Whom tile Certificate of Occupancy is to be mai[ed, and arrange with chis office for an inspection date Occupancy or use in unlawful without a Certificate of Occupancy. Please. help ns to clear tip th~s matter so that legal action does not have Co be taken. Thank yon ~or yo,r prompt attention. Very truly Victor Lesaard gxecutive Administrator VL:gnr encl . TOWN OF s01JTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1 'To whom This May Concern~ We are unable to complete your Certificate of Occupa~'cy because ,of the following reasons° /5/ An application for Certificate of Occupancy 'is not on file. _~, No Underwriters Certificate on file. /Z/ The check is(outdated/not on file.) /Z/ No Health Dept. Approval on fileo ,/5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Dept. ***/--/ No Plumber Solder Certificate on file. ( all permlt,~ involving plumbing being issued after April 1,1984 ) PAINTING PLUS 1§ ROSEMARIE'S LANE EAST HAMPTON, NY 11937 CFEMICALBANK 14 Newtown Lane FIELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: ' FORM NO, 1 ,., -;v,'~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ .. $OUTHOLD, N.Y. 11971 'TEL.: 765-1802 kpproved )isapproved a/c ..................................... l~eceived .......... ,19.,. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. 19.., iNSTRUCTIONS' Tlds application must be completely filled in bY Wpewriter or in ink and ~ubmitted to the Building Inspector, with 3 :ts of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets .r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by tiffs application may not l~e commenced before issuance of Building Permit. d. Upou approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall be kept on t~e premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION iS HEREBY MADE to the Building Department for the issuance of a Building Pel~nit pursuant to the uilding Zone Ordinance of the Town of Sou}hold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dlnit authorized inspectors on premises and in building for necessary inspectiorjs. . . . . . ,. .............. (Signature of applicant, or name, if a corporation) 3 2 ti' ~ ~/.3-7 (Mailing address of applicant) e !/~$ .~ ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ./. ................................... i..'..... ..................... (as on the tax roll or latest deed) {f applicant is a ,corporation, signature of duly authorized officer. (Name and title of corporgte officer) , nilder' ,,ense :'"C'* Plumber s License No .................... ~ .... Electrician s License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .... ~ ,,.., .......................... ~ .............. .... ...... ....... .... .............. }louse Number Street Hamlet County Tax Map No. 1000 Section [ I .~ ......... Block ................. Lot.: ............... 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 .. .¢ ~'.d .................................................. b. Intended use and occupancy ........................................................ 3. Nature of work (check which a~plicable): New Building ...... Addition .......... Alterati, s;~ ... 't. ..... '.~ Repair .............. Removal .............. Demolitio~.~ ......... Other Work. ~,e',~ ld* ~ ~.... 4. Estimated Cost .... ~ .~ ~ ......................... Fee ...... ~ ....... .... ] ~' (to be paid on filing this application) 5. If dwelling, number of dwelling iunits.. Number of dwelling units on each floor ......... If garage, number of cars ..... : ................................................................... 6. If business, commercial or mixe~ occupancy, spec~ nature and extent of each type of uso 7 D~ensions ' ' ' ' Rear Depth · of ex~stmg structures, ff any: Front ..................................... Height ............... Number of Stories ......................................................... D~ensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... .. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front .... Z~. ~./.~ &f- Depth .............. Ileight .../~f~ ..... Number of Stories ~ .. . . ................. 9 Size of lot: Front i Rear Depth 0 Date of Purchase ~ Name of Fenner Owner 1. Zone or use district in which pr~mises are situated ..................................................... 2. Does proposed construction violate, any zoning law, ordinance or regulation: ................................ 3. Will lot be regraded ......... :. ................... Will excess fill be removed from premises: Yes No 4. Name of Owner of premises ~.~.q~.., ~.~. Address ~.,&¢~.~.~Phone $o.~g.~.'.~ 9J... Name of Architect .... ~ .... a Address ................... Phone No ................ N~e of Contractor,S.....' ~ ~ ~ ~ ~ ~ ~ ~ Addres~ .~.t~. ~. Phone $o.3~.~ r.~l~.~... P~T DIAG~M Locate cle~ly and disQnctly ~1 bufldMgs, whether existing or proposed, m~d, indicate ~1 set-back dimensions from ropeway ~nes~ Give street ~d block aumber or desgfipti~ccording to deed, ~d show street names and indicate whether ~tedor or corner lot. BY NOTIFY BUILDING 765-1802 9 AM TO 4 FOLLOWING INSPE~J~S:: t ~ I~. FOUNDATION - ~O 2. ROUGH - FRA~ING ~, INSULATION ~, FINAl...- CONSTRU~ION MUST " 'ALL CONSTRUCTION SHALL THE REQUIItEMENTS OF THE N.Y, ~ATE CONSTRUCTION & ENERGY ~ODES. N~ RESPONSIBLE FOR ~~ ~$IGN Og CONST~C'[ION El[e. O2S. DUN'FY OF ................. ............................................... being duly sworn, deposes and says that he is the applicant (Name of individual sign: ng contract) ~ove named. : is the ....................................... .................................................. , (Contractor, agent, corporate officer, etc.) ' said owner or owne:~, and is dnl~ authorized to perform or have perfo~ed the said work and to m~e and file this plication; that all statements contained M this application are true to the best of his ~owledge and belief; and that the )rk will be performed in the m~ne~ set forth M the application filed therewith. /om to before me this ........... of ...... ....... , .... ........... N01ARY P~BLIC, Slate 0[ New Y0[~ No, 4707878, Suf[olk CounlF ~ (Signature of. apphca.~t) lerm Exp~r0s March 30,