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Home My WebLink About16720-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19603 Date DECEMBER 21, 1990 THIS CERTIFIES that the building. Location of Property 345 House No. County Tax Map No. 1000 Section Subdivision ADDITION DOUGLAS ROAD ORIENT Street Hamlet 26 Block 03 Lot 83 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 14, 1988 pursuant to which Building Permit No. 16720Z dated JAN. 29, 1988 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 AN ADDITION WITH DECKS TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT BANOME (owner) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ROY C. TAPLIN DEC. 20, 1990 N033762 SEPT. 16~ 1988 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) NO. 16'720 Z Permission is hereby gronted to: , /~ / ,K'JZ 7L' ~,..~, .....~..~ ............. ~ ............................... .~.~,.~.....ZZ~ ..................... ....... ot premises l~ated *t ..... .~.....~~....~ .................................................. ..................... ~.~, ............................................................................... pu~u~nt to epplicotion doted ....... ~ .................................. , 19~ ond opprov~ by t~e ~uildlng Inspector. F~e ~.~.g~ Rev. 6/30/80 445 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and sut 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. Bo 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. 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 // New Construction ........... Old Or Pre-existing Building .... .~.~..' .......... ii iiii Location of Property ..... ~.~].~. .................. ~. f~.~...~. % ....... ~..~.-. [.~..~..~... House No. Street Hamlet Onwer or Owners of Property .................................................................. County Tax Map No 1000, Section .... ~.~. ...... Block ....... ~. ....... Lot .... .~. ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit. . Applicant .... .......................-- Approval.. .~.! Health Dept. Approval Underwriters .~. Planning Board Approval ...... ,~- ................ / Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .... ,> 3~ 6 ~) ~ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 CERTIFICATION Date Buildin~ P~rmit NO. /~> ~,~ 0 Plu,~er (please prznt) ease prznt) I certify that the solder used contains less than 2/10 of 1% lead. in the water supply system Sworn to before me this 2~ 7// day of 19~ NOtary Public, (plumber~s signature) f Notary ~u~flac County FOUNDATION FOUNDATION 2. ROUGH FRAME ~/x~' PLUMBING/ INSULATION PER N. STATE ENERGY CODE FINAL ~DDITION~L COMMENTS: INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH SCO'rT I.~ HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York ! 1971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 30, 1990 Robert Banome 345 Douglas Road Orient, N.Y. 11957 RE: B.P. %16720Z Addition w/decks Sec. 26 Block 03 Lot 03 Dear Mr. Banome: I am enclosing copies of the two notices sent regarding the Certificate of Occupancy for the above permit which has expired. A final inspection was done 7/16/88 and passed. At that time you needed an Underwriters Certificate and a Plumbers Cer- tificate. Since then the Underwriters Certificate came in. I am enclosing an application for C.O., please return it along with your check for $25 and the Plumbers Certificate. If you have any questions please call our office. Yours truly, -, Princ±pal Building Inspoctor VGL:hkd c.c. Robert Sorenson TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECFOR P.O. BOX 728 TOWN HALL SOUTtlOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Conoern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/~An application is not on file. No Underwriters for Certificate of Occupancy //~/// Certificate on file. _ The check is(outdated/not on .fil~)~Q~.OO /~/ No Health Dept. Approval on file. /-~/ No final inspection has been made. Please contact our office Thank you for your cooperation. Building Permit (~ ~-~ .-~-e ,7,~ ~----O Building Dept. on this matter. ***/_~/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 January 19, 1988 TEL. 765-1802 SORENSON CARPENTRY, INC. P.O. BOX 253 Orient, New York 11957 TO Whom This May Co~cern, We are unable bo complete your Certificate of Occupancy because,of the following reasons. 2nd NOTICE Re: ROBERT BANOME /~/ An application for Certificate of Occupancy is not on file. (ENCLOSED) /5/ No Underwriters Certificate on file. /_--~ The check is(C~e~not on file.) $25.00 /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # 1 6 7 2 0 Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) OCCUPANCY OR USE IS UNLAWFUL WITHOUT A CERTIFICATE OF OCCUPANCY. CLEAR UP THIS MATTER AS SOON AS POSSIBLE SO THAT LEGAL ACTION DOES NOT HAVE TO BE TAKEN. Thank you. 76~-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ,.~INSULATION FRAMING [ ] FINAL [ ] FRAMING REMARKS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST ~ROUGH FOUNDATION 2ND l' ] INSULATION ,r ] FINAL PLBG. INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ R~~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING FINAL 765-1802 BUILDING DEPT. INSPECTION [//]FOUNDATION 1ST [ ] ROUGH PLBG. / [~J//FOUNDATION ZND [ ] INSULATION / [~/] FRAMING [ ] FINAL INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS Dat~ Application ~!o. on/ile THIS CERTIFIES THAT 26 22 23 2; SIRVIC~ DISCONNECT S E R V I C 6.0KW SAUNA {JNIT-I MOT(>Rg:{-3 H.P. S~OK:~ DETECTOR:-{ SAGE 4 I,A~EH~NN !NC. ['.().BOX SOUTHO,1)~ NY.. {,! ,ENSE NO. 3635 P; This certificate must not be offered in any manner; return to the office of the Board if incorrect. {n~u~s m~y be · FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .7 .......... 19 0~..~ Approved./.5~. ......... 19.0~Permit No~.~.7..~-..O.. ? Disapproved a/c ..................................... (Buildin;'I~ct~r) BOARD OF HEALTH ..>~.- 3 SETS OF P/L~ANS ....... SURVEY SEPTIC FORM ............. NOTIFY cg~ 3~3...¢.~..5.~.:.. MAIL TO: BLDG. DEPL mwu o~.s0U~OtO 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. .¢..o.& ~/.,.,...s.o..,s(...es?. p.c~..'.r..sy...~.'.w.. ~ ....... (Signature of applicant, or name, if a corporation) ........... ?.2 .... i ........... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~.0..~. ?m~.~..T'. .... .~ .~ .~.0.' . /9// /:::?. ....................................... (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 CONTRACTOR'S MUST B~ SUFFOLK COUNTY LICENSED Builder's License No.. ~ .."~..5~..(-~. ~ . lq.'. J ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ................. o. N,, ............... y. ...... 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 ........................................... ; .... : . f .'; ................. b. Intended use and occupancy ................................................... :.. ~,x ............ 3. Nature of work (check which applicable): New Building .......... Addition .. ~ .... Alteration .......... Repair .............. Remo~at .............. Demolition .............. Other Work ............... J~ ,!, (Description) 4. Estimated Cost 0-~z°~dZ) ............... Fee ...................................... ! ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .... .0.~?..t~. ..... Number of dwelling units on each floor ................ · D: ,,/C~c ~ If l~arage, number of cars .... ~../. .............................................................. 6. If business, cgm,~,~rcial or mixed Occupancy, specify nature and extent of each tyl)e of use ..................... 7. Dinensions o~ti~g stractures, if any' Front -~;x4~ Rear ~ . De . Z~ t · t , I,, , . /, ..... Hmgh .. ~-.~:.~ ....... Numb,er of Stones .... /.~P~z.,~. .......................... .pth ! Dimensions'o~ same str~cture, v/Jill alterations or additions: Front .... ~7.~. .......... Rear . .-~.. ~. ............ Depth....~.O. ~,¢.t~..~. ~.'! ~,.~..~Height ...................... Number of Stories ...................... Dimensions o£,~ntire new construbtion: Front ............ Rear ....¥ .......... Depth . ./. ............ Height .... ? .......... Numb'er of Stories .................. 9. Size of lot: Front.~. ,.4qqr. .... i .......... Rear../.¢qf, ............... Depth . Z'2~'.~ ............... 10. Date of Purchase ............ [ ................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construetion viola~e any zoning law, ordinance or regulation: ...... ~.0. ...................... 13. Will tot be regraded .... ~t...~P~,.i .................. Will excess fill be removed frorg premises: Yes No 14. Name of Owner of pr,emises ...~.o..~.~..F...~.~..~:?..~,. Address . ~.q.~.. i~..~.k~..~/..O~.~.~tone No ................ Name of Architect .fi .~.. 01'g.~9.F. IP.~. 5: ...F~..C.. ..... Address . .f~.~..~2.°...O0 .R,t..~,_..F. Phone No. ~.~. $. ': .B. '.~..... Name of Contractor . .,,%'fl ~.~..~0~.0.. ~,~,/~,'.~/~y. ~l~'~zss ./-J~..~...Q.R.L' .~.. Phone No. ~.-~.~.g. ??~-K'~..z~.. 15. Is this property located w~thin 300 feet of a tidal wetland? *Yes ..... No ....g~. *If yes, Southold Town Trusi~tees Permit may be re,hired. ~ 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. : ' s.s ·/.. · J~1~ ......... being duly sworn, deposes and says that he is the applicant (Name of individual signifig contract) above named. , He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d ~s duly~ authorized to perform or have performed the said work and to m~e and file t~s application; that all statements contaihed ~ this application are true to the best of his knowledge and belief; and that the work w~l be perfomed in the m~ner~set forth in the application filed therewith. Sworn to before me this ,, .................~ ~day oh., .... r ....... 19..-. ~~~ .... County ~IRE L, GLEW N~ P~bllo, S~te of New Yor~ ................. No. 4879505 [b]gnature o[ appncan[) Quelff~ In Suffolk cmmw ~mlsslon ~ires December' ENERGY CODE CALCOLA--FION5 c~,-,r~ ~ Z~. '/~/~ o.~. '/o°~ x.~. ' 7o'~ , ~1~/~ /~r &5o I ~ o.'o~ 3,/~-~ j,/50 ~/~x~ (~ c~) /? :-F-/_,n_ :ht Th. Cf Ff~'F z~ ....... ~ ~?( _ '1 if' eepper tubing I,~ used for water distributing lY~tem~ Piping shall be of types K~or L only 9Af £EAD ~,~ .... 'A~'ION ./CER I?FI CA ?~'Eu~vrEtW' 8EFORE · .<~ ~rr~/, o~ OCCUeANCy SOLDER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD· 4 . _-.:?:_ , , ~,~ -- . I~'.~' IIL[ · ~.~ s.47~G'¢ ,',, 9?0" g:O~ ~',C ~' 2'~fO'' ' ~:~' ' ' llV~'' T~4'' ' e