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Home My WebLink About16696-zNo Z-22176 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date MARCH 2, 1993 THIS CERTIFIES that the building ADDITION Location of Property 2705 GIIJ.~TE DRIVE House No. Street County Tax Map No. 1000 Section 38 Block 3 Subdivision Filed Map No. EAST 'MARION, N.Y. Hamle Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22, 1987 pursuant to which Building Permit No. i6696-Z dated DECEMBER 24r 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 ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JEROME & VIRGINIA REUTER Building Inspector Rev. 1/81 FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALt. SOUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No ]6696 z Permission is hereby granted to: , ..~.~.~......~~.....~...~.:...I..~..%~ ,,, p,e,n,se, ,ocote , at County Tax Map No. I000 Section ...O...~,.~.. ........ Block ....... ..O......~, ..... Lot No ...... J...'~ ............. 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' 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 Complianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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 i. 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 - $i0.00 4. Updated Certificate of Occupancy - $50,00 5. Temporary Certificate of Occupancy - Residential $~5.09, Commercial $15.00 / Date New Construction...~ .... C.. Old Or Pre-existing Building ................. Location of Property House No. Street Hamlet Onwer or Owners of Property .................................. County Tax Map No 1000, Section...'.~..~'~ ....... Block ..... ~ ........ Lot ...... [.~. ............. .................... .~. .Lo~ .3 .... Subdivision...~ .~.~.(~,.. i'''[~*' ~ ................. ~ ......... pp ...... . ..... Health Dept. Approval,. Planning Board Approval Request for: Temporary Fee Submitted: $ .............. .. . Underwriters Approval ............... e .. Final Cert'~cate ......... .. ~. ....... ~A~ ................. INSPECTORS Victor Lessard Principal Building Insl3ector Curtis Itorton Senior B,4ilding Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervis~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 FEBRUARY 26, 1993 JERONE & VIRGINIA REU13gR 2705 GILLETTE DRIVE EAST NARION, NY 11939 To Whom This May Concern: We are unable to'complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on fileo)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 16696-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. UND~TION UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~'I~AL DATE f / ? _ ! /Y/~P OK LOT $$ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved'~"o.~..&.~.., 199 .~. Permit No..1..~..(,0..~.[~ ..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT DEC 2 2 1987 BLDG, DEPT. 'TOWN OF SOUTHOLD Received ........... , 1~9~,-: . . INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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. Sucl} 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/~tccupancy 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, ,o,r for removal or dem_.,oli~n, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing rcode, ahd regulations, and to admit authorized inspectors on premises and in building for nec~'~a~ inspections· (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 2- ..... N of owner of premises .~: · . ' .Td. L ............................. (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 ...................... 1. Location of land on which proposed work will be done.. ; _~,..~. ·.. ~:,.'/.~...~ ..................... % ..~.t .... ~--./, / .~ House Nmnber Street Hamlet / County Tax Map No. 1000 Section Block Lot ~' Subdivision...~..P?{'[/?.//.../~ ~./5/..°[.2': ............. Filed Map No. 2..0.3. ~ ..... Lot,..~. ]~. ........ (Name) 2. 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 applicable): New Building .......... 'Addition..i Alteration Repair .............. Removal .............. Demolition ............... Other Work ............... ~ ~ 9.0 r,,-,~' (Description) 4 Estimated Cost Fee "~ (to beipald on filing this application) 5 If dwelling number of dwelling units ~-'-' Number of dwelling units on each floor Ifg arage, number of cars ....... ~ ................................. . ........................... 6. If business, commercial or mixed occupancy, specify nature~aad extent of each typB. cl~f use .................... 7. Dimen$ions of existing structures, ifany: Front .~:;;~ ....... Rear ...'Z,~.%~. Denth .~Z~ %.o. '17 //. .. ' ..... ............ Height ........... Number of Stories ............. Dimensions of same structure with alterations or additions: Front . .3. ~. ..... i ..... Rear .. ~.,~. ........... Depth ...... .~...-~. ........... ,Height ..... ~...O. ............. Number o~ Stories... /..//.':w-.,~.. 'l ........ 8. Dimensions ofmn~re new construction: Front .. ~ .......... Rear .... ~2 .... Depth .1./. ~..~.....' Height ..... ~]..7.'.'~. .... Number of Stories / . . . j .......................... -.' 9. Size of lot: Front .... [l~. ......... ;... Rear ...... /. (~-~'.-t.~. [ ....... i'Depth . ~...~. ................. 10. Date of Purchase ...~. &IL.."t-.~.../.~.. 7.) ......... Name of Former Owner ~.~ ~'~ .~.. t .S fi/?/~ ........... 11. Zone or use district in which premises are situated ........................ i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: .. (~..Cfi. ................... 13. Will lot be regraded ..... /~.,.C? ................... Will excess~flll b~ remoV~e.d from premises: Yes" 14. Name of Owner of premises ...,[~ 'ct I~...F.~. Address .Z.~..~.C, tt~C~'~ ph,~.,~J~ ~,'~'~ Name of Architect - Address Phone No . ' .... Name of Contractor ....C?...cA<../~.[. Address . ~..6k.Y, ........... Phone No. ~q ;/-k<'~. tiC. 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. 'ISTATE OF NEW YORK, COUNTY OF ..... ' ............ S.S (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the applicant He is the ............................................................ i ............................ (Contractor, agent, corporate officer, etc.:) of said owner or owners, and is duly authorized to perform or have performed the §aid work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this · . . . da .------. .................... y f. Notary Public,...~l~/...~!:... HELEN & Ot VOE ... NOIIQIY PUBLIC, State el ~. 47o7878, ~u.o~ C~ty.f-q '~,._j (Signature of applicant) Te~ Eq~ms Ma;~h 30,