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Home My WebLink About16212-zFORM NO. 4 TOWN OF S0UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19724 Date FEB. 13, 1991 THIS CERTIFIES that the buildin~ Location of Propert~ 2435 CEDAR AVE. House No. County Tax Map No. 1000 Section 37 ALTERATION EAST MARION Street Hamlet Block 04 Lot 09 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 6, 1987 pursuant to which Building Permit No. i6212Z dated JULY 12~ 1987 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 BATHROOM ALTERATION. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM, AILEEN & JOHN PAi{ROTT H020330 FEB. 4, 1991 JOHN L. PARROTT JAN. 2, 1991 B'uilding Inspector Rev. 1/81 FOR~ NO. 0 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) No_ ],~2,~,Z Z Permission is hereby granted to: /'-),/~ ~ , ./...L-:...?..~ ....... .~..~....~~ ................... ~...,~...~.....~.....':/ I l.~ ..o. ...... ,"-h ,o County Tax Map No. lO00 Section ...... ..~....~.']. ..... Block ...... ..~.....~. ....... Lot No.....(~.....C~. ............. 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 HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings 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 "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 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 Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..../.~..~..~ ?~ .......................... New Construction ...........Old Or Pre-existing Building..?~. ............ ocation of Property ..... .a. ............ . House No. Street Hamlet ]nwer or Owners of Pro err ~/~2%~w~ .~..~.~.~.~..~. ]ounty Tax Map No 1000, Section .............. Block .............. Lot .................... >ubdmvzslon , ..................... '.~ ............. Filed Map ............ Lot .......... .. ......... . >ermit No ..... pate Of Permit. '' ' · ....... App±icant ............................. {ealth Dept. Approval .......................... Underwriters Approval ........................ . 'lanning Board Approval ............ .equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: ................................. APPLICAiYD - ' TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL 8OUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 TOWN OF S<)UTHOLO_ . (please.. print) Plum.her ~/ ~. ~~ (please print) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system Sworn to before mc this ~'~ day o)//~~, ,. 19 ~/ . .ot~r7 ~ubl~o, ~~ ~ou.t7 signature) 'N'o. 314946483 Ouali[ied in New York ,County Commission Expires ,Feb. 8, 1~91: UNDATION (1st) UNDATION (2nd) UGH FRAME~'''/ PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]~] ROUGH PLBG. FOUNDATION 2ND [~INSULATION [ ] FRAMING FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FFO~MNDATION ;ZND [ ] INSULATION lNG £ I FINAL DATE /~//I ~/~ 7 INSPECTOR ~~~ TOWN OF $OUTtIOLD OIq:ICE OF BUILDING INSPECTOR ILO. BOX I179 TOWN IIALL SOUTIIOLD, N.Y. 11971 February 5, 1991 TEL. 765-1802 Mr. John Parrott 18-75 Corporal Kennedey St. Apt. Ig Bayside, N.Y. 11360 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the followinq reasons. /_--/ An application for Certificate of Occupancy is not on file. / /~ bio Underwriters Certificate on file. /~/ q'he check i:;(~~ on file.) /i]/ No Health Dept. Approval on file. /-~/ No final insDection has beeu made. Please contact ()ur office on this mat~er. Thank you for your cooperation. lh~il(ling Permit 1! I 6 2 1 2 Z Build in~; Dept. *** ~/ No Plumbar solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 8021627 BUREAU OF ELECTRICITY ~-- S5 JOHN STREET, NEW YORK, NEW YORK tOO38 Gate FEBRUARY 04,1991 ~,,fica~io. No o.fife 71892890/90 H 020330 ~sexa,~iA~do,, JANUARY 29,199t .. a.dfoundtobelncompH~n~e~u'ith:there,~ir~en sbf~l~O~H : ~ ~ FIXTURE FIXTURES RANGES C~KINGDECKS OVENS O SHWASHERS EXHAUST FAN~ 3 [ 2 3 : DRYERS FURNACE MOTORS -~ F~TURE APPLIANCE FEEOER~ SPECIALREC'P[: TIME CLOCKS BELL UN T HEATERS MULTI-OUTLET DIMMER~ METER A.W.O, NO. OF HI.LEG A,W.G, HO'O~H~UTR4ts ~[ :~EUTRAL~:'~' W G ,. ~ILLIAM PA~ROTT BOARD OF HEALTH 3 SETS OF PLANS FO,M SURVEY . :,p.::: .... TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved 19~.~. Permit No.. [ .~..~..1..~..~ Disapproved a/c ..................................... (Building Inspector) CALL ................ MAIL TO: 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, ordinances, building code, housing c_ode, and regulations, and to admit auth°rized inspect°rs °n premises and in building f°r necessary~t~,i;Z' ~ (Signature of applicant, or name, if a corporation) ....(. ('..J3. r. c ...... . (Mailing address of applicant) is~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. State whether applicant .......... O..~4..0 .~..~ ............................................................................ Name of owner of premises...~.LI.L' t~.et..~,: · ,~. ,~',~, .~.. ,..-t~-.i.t0. ~ .'T...~.U./:" ~ .~..':x. g]. .40.¢. /[. .~. .~,~. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL COI~TRACTOR'S MUST BE SIIFFOLK COUNTY Builder's License No ....... ~. ~'.t/~. ............ Plumber's License No ....... ff.. ~.// , _,r,v.I;I,/ Electrician s License No ......... LICENSED Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... ...... .............. ...... ............. House Number Street Hamlet County Tax Map No. 1000 Section .).?. ............. Block .... ~. ............ Lot...~ ............... 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 ..... ".~. .,'O '. (, .... .'--"./'7 '.b...rT~. l7_{.t~. ............ ~ ............................. /%. .. b. Intended use and occupancy .. ...5' .~7t/'. t~ ~ ," , , 3. Nature of work (check which applicable): New Building · ... Addition .......... Alteration . Repair .............. Removal .i ............. Demolition .............. Other Work ............... ,,F ~ I (DescfiPli0n) 4. Estimated Cost .... ~ .d-yT,4. ..... ,,. ................... Fee ...................................... i " (to be paid on filing this application) 5. If dwelling, number of dwelling unitsi .... (~.'2 f'. ..... Number of dwelling units on each floor ................ If garage, number of cars ~.,~ 4,...¢.ai~.. ':-.. ~/-./A~.. ~¢ ~/.~. ¢ ~. ~].../~.¥../'~.;; ,7~ ./p~ 0 r~.. O~ ~ff...f..'~. ~e.~c. 6. If business, commercial or mixed occupancy, specif~ nature and extent of ~ach type of use ........... '.,, .', ..... .... , ~ ~ ~ ~/ t 7. D,mensionsofexistmgstructures,~S~ny: Front,. ,fl?,, .Y~ ...... Rear .~... ~ ..... Depth /./.. ~ Height ............... Number ~f Stories ........................................................ Dimensions of sa~e,ttruc~ with alterations or additions: Front ...--rc.~. ?.. ~ ........ Rear .... 4.3..~m: ........ Depth ...... ~fr~, ~..~.~l~ .... Height ..... .-(.'~ m., ......... Number of Stories .... ~.o! .............. 8, Dimensions of entire new constructi6n: Front ..... -¢ .'~ .~ .~.. Rear .... ~.8 o~.~ ..... Depth ....-ciaO.,'. ...... Height .... -$~ r'~.* ..... Ntimber of Stories. ...... .~.'~.~../. ........ ~ ................................. 9, S~ze of lot: Front .. ,4.. ~.. ........., ...... . Rear .............. ........ Depth ....... ./.-,~ .......... 10, Date of Purchase ..... c]/.h f.~./, i .............. Name of Former Owner . .. ~.f.~ .~}.d"P.?. ~...t-Cd .......... 1 I. Zone or use district in which premises are situated. ~... ).~ ¢,,(., ~,~-~,,~,] ;-. -~ ~. 1~,'~ ~./]'i~. al. ................. 12. Does proposed construction violate a~ny zoning law, ordinance or regulation: ..... ~.~ ................... .,,~--., 13. Will lot be regraded ...... ~O. 0., k ................ W~ll excess fill be~emoved from premises: Yes 14. Name of Owner of premises .~...P~. !f°3.~. eo]~. .... Address ~d.&~../vtq, ....... Phone No. :'z/22~./~q', t Name of Architect ............. ! ............. Address ................... Phone No. -q-I ~.-.,~ .-*fl, n Name of Contractor ............ ! .............. Address .... : .............. Phone No ................ 1.5. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permit may be required. 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 ~nterior or corner lot. ~TATE OF 20UNTY OF...~'c-c-c-c-c-c-c.~. ..... S.$ ........... .~/./.¢ .&.//? .~...&2,. ~. ,~.tC~r~. ~..72~. ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) ~bove named. is the ................. ........................................................... (Contractor, agent, corporate officer, etc.) ,f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contalnkd in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner s~t forth in the application filed therewith. ~worn to before me this ........ ~.424 .......... day/ ~, , v~ ~°f'~;c,, , ~ ............ 19~. go}aw Public, ...~ .... ~ ..... ~ .... County /INDA J. COOPER ~. ~ (Signature of'applicant) Notary Public, State ~ New Yorlr~,~// No, 4822563, Suffolk Countl(/ ,d T~,r~ I~xOires December 31,