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Home My WebLink About13026-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hale Southold, N.Y. Certificate Of Occupancy No. Z-15690 Date April 24, 1987 THIS CERTIFIES that the building ...~3.t.~?9..t.q. ~.!! Es tat e Of fi c e Location of Property 74000 Main Road Gre?nport, New York County Tax Map No. 1000 Section 045 .Block 6 .Lot 3 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated February 29, I984 pursuant to which Building Permit No. 13026 Z dated ...~..p.r.i.t.. ! .2..,.. ! .9.8.4 .......... 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 REAL ESTATE OFFICE AS APPLIED FOR ROBERT A. CELIC The certificate is issued to (owner,'t~')g~t~i!ga~X .................... of the aforesaid building. Suffolk County Department of Health Approval N'/A UNDERWRITERS CERTIFICATE NO .... N 8 0 3 7 3 5 N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 FORM NO. :J TO~N 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? 13026 Z Date ..... ~...~. ........................................ , Permission is hereby granted,~to~ ....~...~~....~..;.....~.~.~. ................... .... ~.~.~...~?.~.!~.. ............................................... ....%~.~,~.....~.;~.;.....L~.~.~ ......... to ~7 ~ ~ ~ ~.....t.~.~.~ ~..%.L .~ ~...= .~... at premises located at ............................... f .............................. County Tax Map No. 1000 Section ..... 9..~...~..~.. ...... Block......................~ Lot No ..... ..'.~.. .............. pursuant to application dated ...~..~~.......~..~ ............. , 19..~.~.., and approved by the Building Inspector. Fee $ ...'~.~..~ ............. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hell Southold, N.Y. 11971 765- 1802 [ MAR - 4 1987 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERT~ FICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~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 unumal 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 Underwritera, 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Coda 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)0 Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusua~ 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 premises, or other pertinent infG; tion required to prepare a certificate. C. Fees: 1, Certificate qf occupancy New Dwe[lJ.n~.$25,00, Acce.~sory ,.$10.00 Bu~z~e,~:~ $50,00 2, Certificate of occupancy on pre-existing dwelling $ 50,0 0 3, Copy of certificate of occupancy $ 5,'00, over 5 years $10,00 4.Vacant Land C.O. $ 20.00 5.Uodated C.O. $ 50.00 Oate .......................... 6. Alteration $25.00 NewCons truc t, ion ...... Old or Pre-existing Building ............ Vacant Land ............. House NO~ Street Owner or Owners of Property ~--~/ ~ County Tax Map No. 1000 Section .... Block ........... Lot ............... Health Dept, Approval ......... ,-f-C/ ............ Lab r Dept. Approval ....................... Underwriters Approval . ,.,~,, ,- ~-r-,'~Y,~',~,,~-~, ........ Planning Board Approval .................. flequest for Temporar~ Certificate ........ ~ .......... Final Certificate .................... Fee Submitted $ .... · .-'F--~. ............. c0 _ i (oc{ ' 85 JOHN STREET NEW YORK NEW YORK lO03B Cel$c ~1 Estate, gou~e 25 West of ~oore*s Lane, Greenpor~, NY ~ ~ca~ion ~ B~e~nent ~ Izt FI ~ 2nd Fl April 06, 1987 goodale Electrical Cont. Inc. //, 7355 ~a~ Road . ' TEL. 765-1802 TOWN OF SOUTHOLD Box 7:s .:, i :,-: l SOUTHOLD, N.Y. l 1~,~971 17, I~ ':'"',.: ~p~ ~'90~ ~L:~'[ ~[~ To ~om This May Concern, ~ ~ ~ We are unable to complete your Certificate of Occupancy because of the following reasons. ( )An application for Certificate of Occupancy ia not on file. ( /'/)No Underwriters Certificate on file. ( )The check is (*outdated/not on file.) ( )No Health Department Approval on file. ( )No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ ~ .~ O ~ ~ Z )No Plumber Solder Certificate on file. (all permits involving plumbing being issued after April 1, 1984) FIELD INSPECTION 1. FOUNDATION Ilst) FOUNDATION 2. ROUGH (2nd) FRAME & ?LUMBING YJ INSULATION PER N. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING iNSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13026Z issued to Robert colic on __JJ_l~./84 __ for Addition is completed and a final inspection has ( ) has not ( x ) been done. fn order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 paynble to the Town of Southold. Please indicate to Whom the Gertificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occepancy or nsc is nnlawfnl without a Certificate of Occnpancy. Please help ns to clear up this matter so that legal action does eot have to be taken. Thank yon for your prompt attention. Very truly y~, Victor Les~ard Executive Administrator VL:gar encl. FORM NO. 3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ..?o...~...2.~.~ ..................... · ...%m.~ ..... t.~. a..~ ~... PLEASE rAKE NOT~CE that your application dated ~ ~ ~ I 19 .~..~. for permit to construct ........ ocx ........................... at Location of Property . .~?.q..~ ...... ~ .O,,4<~..~. .......... .~ ~g,.o~,x ~. cM~. ..... ,...: . House No. Str*et ~} t~ r~amtet County Tax Map No. 1000 Section .... .O..~..~. .... Block .... *~-.. ....... Lot . ..'~: .~. ........ Subdivision ................. Filed Map No ................. Lot No. ....o~.....~..~..~.. M.. ~~.~..q.~ .~. ...... O~...~....~...~.~..-..~..~.L~) ..................... '.'. ...... Building Inspector N.y. $. RT~- ROAD L ~URVEY OF' PROPER'I'Y 6REEMPORT FOINN OF 50UTHOLD SUFFOLK COUNTY Surveyed b~ SMITH ~ dU IcO0 MEDFORO Al FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Examined .~ o~,~..~ .:~r.., 19~..~. Received .......... ,19... Approved ................. 19... Permit No ............ Disapproved a/c .q~. ~ ~e~ .~e~I~...~.~t~..~. ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date ................ 1 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 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, b~til~code, housing code, and regulations, and to admit authorized inspectors on premises and in building for nece~~ ~ ' (Signature of applicant, or name, if a corporatign) (Mailing address of applicant) State~~?~wner,~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premis~..~ ....... · ......................................... If a~-~s a corporation~ignature 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 ...................... I. Location ofland on which propo'sed work will be done. ~..~..~.....~..~ .... ........... House Number ~/ Street / ' Ham[et County Tax Map No. 1000 Section (~575"-'-~' Block C>~ Lot. v~x.?..~. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of p~ _ ise~a~d int~ _d u~ and occupancy o f proposed construction: a. Existing use and occupancy~~.'~..6.~ ............................................... b. Intended use and occupanc .~..~--~(~'. ~~...~. ~-.~ ............. 3. Nature of work (check which applicable): New Building .......... Addition .......... Altera~o~n~., ......... Repair .............. RemOval .............. Demolition .............. Other Work; ~ .~T~< .... --~.-~&---~ ,..~,~"~C~z"` (Description) 4. Estimated Cost ................................. ' '.F..~?.: 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 .... J .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of .... existing structurqs, if any: Front ............... Rear .............. Depth ............... }teight ............... Number of Stories ......................................................... · Dimensions of same structure with alterations or additions: Front Rear Depth ................... ~.. Height ...................... Number of Stories ....................... 8. Dimensions of entire new construction: Front .......... . .... Rear ............... Depth ............... Height Number of Stories 9. Size of lot: Front .......... i ........... Rear ...................... Depth ...................... 10 D fP ch Nam ofF . ateo ur ase .......... i .................. e orm~r ncr ............................. 11. Zone or use district in which premises are situated ............... 4.: .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ........ ~ ................... Will excess,fBf be removed from premises: Yes No 14. Name of Owner of premises .. i ................. Address ..; ................ Phone No ................ Name of Architect ........................... AddreSs ................... Phone No ................ Name of Contractor ........ i ................. Address ' .... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly 03( 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 STATE OF NE~_YORI~r.- · I ........... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ~ He is the ..... ' . , . : (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file ~is application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworn to before me this · ..' ......... ~.~..day of.. ~~ ....... 19~ nTs S~fo~ ~m~ ~ (Signature of applicant) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-180:1 Examined..(~7~7 ^ oved Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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, ordinanc~e, housing code~and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r ne?slatY in~-,-~,~'_%/~//'/Z// F/'~~ (~'~~~~;n'et, ifa corporatt'~'~'~' ~o'~') .... ·...B.o.x.. 7..8.6.,..~..a.t.t.~..t .u.e.k ,..~7..~ 195X ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Owner Name of owner of premises . .Rp.b.e. T .~..A.: . .C.e.l. 5. c. ....................................................... (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..n ................... 1. Location of land on which proposed work will be done.Dis. Eric.t .100D.,..See.rich..045 ~. ,Block. .6,. L~t:. 3 · 7. .4.0.Q Q. ~.a.5.n.. Bp.a.d. .............................. S. 9.u.t.h. 9 .1 .d.. (.q.r .e.e.n.p 9.r.t..U .a.m.l.q ~...v .) ........... House Number Street Hamlet County Tax Map No. 1000 Section ..... 9.4..5. ......... Block . ...6 .............. Lot ..... .3 ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... ~..e.a.l...E.s.t...a.l:_.e..Of..~.i. qe.[..s.e.y.e.n..4a.y.s..p.e.r., y.e.e. 15: .................. b. Intended use and occupancy ........... s..a.m.e ..................................................... 6: 7. 10. 11. 12. 13. 14ql Nature of work (check which a~plicable): New Building .......... Addition ...X. ...... Alteration .......... Repair .............. RemOval .............. Demolition ............ Other Work ............... ! (Description) Estimated Cost ...... ~.2., 9.0.0. ......................... Fee .................................... (to be paid on filing this application) If dwelling, number of dwelling iunits ............... Number of dwelling units on each floor ................ If garage, number of cars ....................................................................... If business, commercial or mixeO occupancy, specify nature and extent of each type of use . .r..e.a.1..e..s .t.af.e...o.f.f.± c e Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories-.... P. LEASF, .SEE..ATTACHED. E-UtLD.I.NG. P/,AN$ .......... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ................... ~.. Height ...................... Number of Stories ..................... Dimensions of entire new ~onstruction: Front ............... Rear . !4.@..1..2.' .6.". .... Depth .1.2. i .0.'[ ....... Height .6 .~ tlY!+ ....... Number of Stories .... .1 .................................................. Size of lot: Front SEE .ATTA&ItEDg}P. LOT..PR~tt~ ...................... Depth ..................... Date of Purchase ~{a~c. ch. 1.9.&3 ................. Name of Former Owner . .C.s. Oj .k.o. .................... Zone or use &stnct m which pr~m]ses are situated ..................................................... Does Proposed construction violate any zoning law, ordinance or regulation: .Of. ~.ours~ .Not.! ............... Will lo~ be regraded .... no. · ~ ................... Will excess fill be removed from premises: Yes No Name of Owner of premises B. ~. ce.l±c .......... Address . Ma.t:t; $1::a. fil~ .......Phone No. 2.~ ~3 r.8.0. Q 0 ...... Name of Architect .G....F~Ja~r/P.ennT. J~umbe.r. Address . G3:.e. wopp.r.t; ....... Phone No..q?7.-.q409 ..... Name of Contractor .... r .... ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. SEE ATTACHED PLOT PLAN STATE OF NEW YORK, COUNTY OF .Suff.o. lk ........ iS's ..... ROBERT..A,..C. EI~I ¢ ..... ;, .................... being duly sworn, deposes and says that he is the applicant above ~named(.Name of individual signing contract) He is the O~gNER I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cont~ [ned in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne set forth in the application filed therewith. Sworn to before me this ......... ' ....... !~.(?...2.9.day ot...~.e.b.r, qa..fy .......... 19 .8.6. B~'ANL~Y ~7.~D~SK~ No~ Public, State of N~w ~0~ .No. 52-9041175 Suffolk Coutl~_ , OFFICe.- L .... ; J J~L"t~ N A'T E ~0~I~ C,0NC] ~T~- L A~;'~.C-'. D AS NOTE~ FEE: ~' ~ BY: NOTIFY BUILDING DEPARTMEt~T AT 765-1802 ~ A~ TO ~ P~ FOR THE FOLLOWING IN~ECTION~: 1, FOUNDATION . ~O RE~IRED FOR ~OURED CONCRETE 2. ROUGH ~ r~AMING & PLUMBING 3. IN~U~TInN 4. FINAL - ALL CoNSTn~CT~N ~HALL THE REOUIREh4~tlTS Q~ ~HE N.Y. STATE CONSTRUCTION & CODES. NOT RESPONSIBLE E LE ",/A-C ~ Oh4