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Home My WebLink About16702-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. Z-16579 Date January 14, 1988 THIS CERTIFIES that the building CONSTRUCT NEW STOOP & REPLACE WINDOW Location of Property 4255 South Harbor Road (#185 Pvt. Rd. #I0) Southold, New York House No. Street Ham/et County Tax Map No. 1000 Section 087 . .Block 01 .Lot 01 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated December 9, 1987 16702 Z ..................... pursuant to whioh Building Permit No ...................... December 30, ~987 dated ............................ 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 ......... NEW STOOP & REPLACE WINDOW TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR DAVID OLENICK The certificate is issued to ..................... [o~;n.e),~lil~vei~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ......... ~/.a .............................. UNDERWRITERS CERTIFICATE NO ................. .N/.~ .............................. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 ~0~ NO. ~ TOV~N OF $OUTHOLD 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_ 16702 Z Permission is hereby granted to: ................. ~.~......~.~:.1.:......d..?L..~... .................. , ,o ............ at premises located at ..~,~..~..~.,~....,~....~..~.~.....~-/..'~...~. ....... .q..-..,,-~. · ....... ¢ ........ ........ /..q........,..,,~.~......(ZS. ~.rc, m ............................................................................................. County Tax Map No. 1000 Section ..... ..0...,~,..] ........ Block ....... ,,O...J ......... Lot No. ,....~,~ ................ pursuant to application dated .~~.~2~...-~. ................ 19..~., and approved by the Building Inspector. Fee $...~-,.,.:...~.. ..... L .X .~_% ....~I...~. Z.; .................................... Building Inspector 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Deparlanent Town Hall Southold, N.Y. 11971 765- 1802 instructions ' A, This application must be filled in typewriter OR ink, and submitted g Ilmm.mm to the Building t0r with the following; for new buildings or new usa: build ngs, property lines, streets, and umJaual 1. Final survey of property with accurate location of all i 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 Underwriters. 4.Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installao tions, a certificate of Code compliance from the Architect or Engineer responsible for the bu 5.Submit Planning Board approval of completed site plan requirements where applicable B, For existing buildings (prior to April 1957), Non*conforming uses, or buildings and."pre-existing" land uses: 1,Accurate survey of property showing all property lines, streets, buildings and unusual natural topographic features. 2Sworn'statement .of owner or prevlou, s owner as to u~, occupancy an.d condition of buildings. · 3. Date of any houmng code or safety inspection of bud ngs or pram sas, or other pertinent informe. tion required to prepare a certificate. C. Fees: 1. Cerfificateofoecupancy New Dwal[ing,$25,O0, 'Acceaaory ,.$10.00 Bua~Lnesa $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50. O0 3. Copy of eartificate of occupancy $ 5.00. over 5 yea~s $10.00 4.Vacan~ Lan(% C.O. $ 20.00 ~ct, ton.. .... Old P Isti g B ildin9 Vac L nd Houae Ne, Street David Ole nicer Owner or Owners of Property .0 8.~ Block ~! Lot ,0,] County Tax Map No, 1000 Section ...................................... Subdivision Filed Map No Lot No ~ Permit No, 1,6,, '~),2,Z~,,, Date of Permit. ,1,2~ ,/,3,0,~,~ 7Applicant~r~¥ ~ r.o,r~c~ ,n,% i.~./.A. Labor Dept Approval ,~;4 Health Dept Approval Underwriters Approval .N/~, Planning Board Approval R,quest for Temporary Certificate Final Certificate Fee Submitt,ed'$ ,2,~, .; 0, ,0 .,~, .---. R~. 10,10,76 TOWN OF SOUTLIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTItOI.D, N.Y. 11971 TEL. 765-1802 Environment East, Inc. 3075 Indian Neck Lane Peconic, New York ]]958 Re: David Olenick To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. An application .for Certificate of Occupancy i.q not on file. (ENCLOSED) -x;o Underwriters Certificate on file. The chec~k is(~Xk~>[X~]/not on file.) $25.00 No Hnalth Dept. Approval on file. ~?o final ~nspection has been made° P]ca~,;e contact our office on this matter. Thank you for your cooperation. Building Permit ~[ 1 6 7 0 2 Z BuiJ. din~f Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION Ilstl FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y, STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: Environment East, Inc. R. R. No. 3 - 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] [ J/FOUNDATION 2ND [ ] [~ FRAMING [ ] FINAL REMARKS: ROUGH PLBG. INSULATION 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []/INSULATION / FRAMING [~/] FINAL DATE INSPECTOR BLDG, DEPI. TOWN OF SOUTHOLD ,, :~xamined .~c,a~.A~. ,~,o,., 195.~.. ~pproved ~., .~-~.~ i .~.9., 19~. ?. Permit No, J.~."J?..~..~. · ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Received .......... ,~19... )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date . .De<>orabe.r '7~ .... 19 a. Tt~is application must be completely filled in by typewriter or in ink and' submitted to the Building Inspector, with 3 ~'ts of plans, accurat0 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 dij~gmm which is part of this appli- ation. / 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 hall 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 g Certificate of Occupancy Imll 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 ~uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Legulations, 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 dmit authorized inspectors on premises and in building for necessary inspections. ·.. ~',.qv. il~p.qm~ ~..~ ~ s.g.,..I nc.~ ................. (Signature of applicant, or name, if a corporation) 3075 Indian ~eck Lane ., ... ~'.e.q o ¢,%.e.,. 7, .llgJA ...................... (Mailing address of applicant) ~tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Contractor ......... X/amc of owner of premises David Ole~c~ ......... (as on the tax roll or latest deed) If ap~,an~~nature of duly authorized officer. P ....... Builder's License No...JJJ. fi ..~x .............. Plu~nber's License No ......................... Electrician's License No ...................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.., lJo2~..~,~Ugk 3Jar b.o.r. Rp~ad (. 3_.(:1~. P.v.t, ~fl'.o../J. 10 ............................................................. gou.t, hold ........................ House Number Street Hamlet ~: - County Tax Map No. 1000 Section . .0.~. T ............. Block . .Q1 .............. Lot OD2~ ........... ;... Subdivision .... ~., ~.( .............................. Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f p~p~sed c~nstructi~n: a. Existinguse and occupancy .Q ge. ff. gr~;t}.7.. Dwo.ll i ~ ............................................. b. Intended use and oc.cupancy q g~. '~a~i3-~.. c~ w9./,],i rig, .w/. 3,.i gqt olz/..a ecl, .a t0~p..~e p~Lae e rag. at., ,. .... 3. Nature ' ' ' . .... , oi work (check which applicable). New Building .......... Addition .... Repair ........ , ...... , Removal .............. Demolition ............. 4. Estimated Cost. Altera~,(o~ ~ Other . ~ ........... (Description) (to be paid on filing this application) 5. If dwelling, numberofdwoilingunits.'..Z. ........... Number of dwelling units on each floor ................ If garage, number of cars .... ! .................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .............. , .... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............. Height Number of Stories Dimensions' ' of same structure with' ' alterations'm ~f. ,a~tditi°ns{' ~F~o~,~ -- Rear ' ~ i .Height Il\ I' ~ ..... : ................ Depth ............................ .~:,,.~. ·.. · O.. Number of Stories .................... 8. Dimensions of entire new consiructlon: Front .~.V..% ........ Rear ............... Depth ............. Height ..... · ............ Number of Stories .......................................................... 9. Size of lot: Front .......... ;..' .......... Rear. ..................... Depth ............ 10. Date of Purchase .......... ~ ................... Name of Former Owner ................... 11. Zone or use district in which premises are situated ..... Re s~.~on~&~3, ......................... 12~ Does proposed construction vi61ate any zoning law, ordinance or regulation: .... ~ ................ 13. 14. Will lot be regraded ....... ~.c~ .................. Will excess fill be removed from premises: ~,,~,Y~s .... No Name of Owner of premises ~P.,..0$~a&q~: ........ Address~Q. ~.g~f. ~., ..... Phone Ng~.E~.~V .... N~e of Architect . .~ ....... : .................. AddressNew. ~: ~ ~one No ....... 7 ' N~e of Contractor ~P~9~q~. ............East, ~nc ~a~m~ 'j67~ ~ nd~'~' ~eo~h~O. . .~. ......... -..~ ~'.. 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. ;TATE OF NEW Y~OORK, ~'OUNTY OF ................. 't, ................... being duly sworn, deposes and says that he is the applicant ' ' '---"" --ofindividual'sig~ lng contract) bove named. le is ~he ......................................................................... ~, ~'~~~t, corporate officer, etc.) ,f said owner or owners, and is duly au~eri~3-txrl~fform or have performed )he said work and to make and fil~'takis~ pplication; that all statements con(ained in this application are true to the best of Iris knowledge and belief; and that the .~ork will be p~rformed in .the manner set forth in the application filed therewith. ;worn to before me this · ' .......... f ......... a ~T .... NOTARY PUgUC. State of New Ye~'k No. 4707878, Suffolk Ceunty?~ ~ "~...~lgnature of applicant) Term Expires Ugrch 30,19,-,,~ OCCUPAI'~Cy OR USE IS UNLAWFUL WffHOUT CERTI?ICATE OF OCCUPANCY - 1 O.LE k~ / .^'r~: / :2.- 5. A-