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Home My WebLink About15637-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20946 Date AUGUST 18~ 1992 THIS CERTIFIES that the buildin~ Location of Property 1265 DELMAR DRIVE LAURELr NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 127 Block 4 Lot 12 Subdivision Filed Map No. Lot No. ADDITION & ALTERATION conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 15r 1987 pursuant to which Building Permit No. 15637-Z dated JANUARY 20, 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 & ALTERATION TO EXISTING ONE FAMILY DW~LnING AS APPLIRn FOR. The certificate is issued to of the aforesaid building. BRENDAN BOWEN (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-857147 - MARCH 29t 1988 N/A TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLET!ON OF THE WORK AUTHORIZED) N9 15637 Z Permission is hereby granted to' ...................................................... .~.,.~.-.~ ..... U...~..~.~ ............. at premises located at ...L..~....(.q.~~. ..... .~..~...~ ~..--~ ....... .~.~ ............. Count,/ Tax Map No. 1000 Section .... ]..-~..]. ........ Block .......C~....~ ......... Lot No .L .~... ............ pursuant to application dated .....~.~ ...... ~..~' ........ , 19~...~., and approved by the Building Inspector. Building Insl:mctor Rev. 6/30/80 L__~ow~ OF sOUrHOL~ ~.~_ 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.O0, Commercial $15.00 New Construction ......... Old Or Pre-existing Building ................ ~ House ~n Street Ha~et On0 of Property ~X~ .~. ~ .A<¢ .z~. County Tax Map No i000, Section.../%:~ .... Block .... .~. ....... Lot .... ~%.... Subdivision · . . . .. Filed Map . .... Lot Permit No ............... Date Of Permit ................ Applicant ............................. Health Dept. Approval....... .............. ... . . Underwriters Approval......~.... ......... ......... . Planning Board Approval .... Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $... ; .................... APP ZC ,r Co toooso THE NEW YORK BOARD OF FIRE UNDERWRITERS BU~AU OI= "=L.ECTRI~rrY ~ ~ BB JOHN STL~EET. NEW YORK, NEW YORK 1OO3B l~trGh 29 1988 .4pp~..o.,~o.~,~,. 540072/88 !1857~47 THIS CERTIFIES THAT Brlnden BmMn,#/S hr Drive #x265-zoOO Yt u/o Pe~ou~ h7 Bou~evArd,Liurel,H.Y. ~ ex.mi~ ~ ~dfound to ~ ;n ~mplion~ with the ~ui~tx o~ th~ ~rd. ~ RXYUI~S I~ANO~ OYIR$ 7 MOTORS KJ'flJel API'UANC3I Ni~BS TIM~CiOCKS ~ SIIV~B mSCOHNICT S U R V I C E OlNIt mRJS: G~¢X-1, Smo~e l)etectora-I ^.w.c,. J ..o.o, .~L~.)^.w.o. ~.~,.~.¢o..). ] ~ cc.¢c~o. ~ ~ U-told T.Soebeck Sr 917 kmnokeAveuue · Lverhead,HevYork 11901 This certifica~ n-,est not be altered in any manner; return to the office of Board INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Sen/or 13t~ilding Irapector 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 SCOT[ L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 AUGUST 10, 1992 BRENDAN & DEBBEE BOI,/EN BOX 161 LAUREL, NY 1196.8 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 is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$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 ADril 1, 1984). BUILDING PERMIT 9 15637-z Please contact our office on this matter. cooperation. Thank you for SOUl'HOLD TOW~N BUILDING DEPT. 765-1802 .~ BUILDING DEPT. INSPECTION ~TION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: ~'/~ DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :>ND ["*~SULATION FRAMING [ ] FINAL REMARKS: DATE ~/~-/~'~.'~ ,NSP£CTOR,'~ ~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [Y~/FRAMING [ ]FINAL REMARKS: DATE INSPECTOR ~/~ ?~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/~ INSULATION FRAMING [ ] FINAL DATE INSPECTOR~? 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING ~ REMARKS: ~ ~,. ~/~ INSPECTO~ OUNDATION ( ls t) OUNDATIO:~ ( 2nd ) OUGH FRAI-IE & PLUMBI:;G ?JSULATION PER N. Y. STATE ENERGY CODE FI;~AL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 July 10, 1987 TO: TOWN BOARD FROM: VICTOR LESSARD Exec. Admin. SUBJECT: REFUND Please issue a refund in the amount of $359.00 to:Mr. Brendan Bowen P.O. Box 161 Laurel, N.Y. 11948 This refund is due to an error in calculation of the fee due for Building Permit #15637Z. j05~PH 1 FORM NO. 1 TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM TOWN HALL $OUTHOLD, N.Y. 11971 NOTIyY TEL.: 765-1802 CALL ^pproved~..~.....~.~.., 19~ .~. Pe,~it No. ~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ~/~ SURVEY ~-~ ~7 Date / 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 tlie diagram which is part of this appli- cation. c. The work covered by tiffs 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, inapec~ns,. ,, .- ,?fi__ (Signature of applicant, or name, if a corporation) · .~., ~..~. !..~.(,, .q.~ .~.~.c.,..~.-2./.: ? ~.t ......... (Mailing address of applicant) State whetlier applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ......... .o..~.~ ............................................................................. Name of owner of premises ..... ~ ?7 .t..~.~..4..~'.. ~ b..~..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 .... ~..~..-. 3/..3..-. . ./-(.. ( .... Plumber's License No ......................... Electrician's License No ....................... Other TradCs License No ...................... 1. Location of land on which proposed work will be done .................................................. ..... t .Z. ~.5., k)~. ! ~ .~.,~.. ~-,.~..~ .............. ./<. ~.~.¢.~.u. .................................... House Number Street Hamlet County Tax Map No, 1000 Section ... { .~..~. .......... Block /~L Lot. / 2-- Subdivision ..................................... Filed M~p No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'~ c ~ ,, .~ eriPt 4- ~, b. lntended use and occupancy ....... .'~./. (~q..*x.~. !.~....~....c.,~. y .~ ........ 3. Nature of work (check which applicable): Next' Building .......... Addition .. P"'. .... Mteration Repair .............. Removal .............. Demolition ............. Other Wor}~ ..... Dcscr ption 4. Estimated Cost ........ .~?.qj..*: J.~ .................... Fee ..................... " (to be paid on filing th s applicaL }n, 5. If dwelling, number of dwelling units ..... ~ ......... Number of dwelling units on each floor If garage, number of cars ....... ~. ....[. ¢-~.4Z.~t... /~-: .~c... Oc,,~-tx' ~&~t.. ~C-...~: :.: .?.. 6. ' · · ., · ,~ . , . If business, commerc al or mixed occupant,, specif~, nature, and extent of each tr.} pe of usc ..... 7. Dlmenslons_gf ex~sting structures. ~t anv: Front..'~. ~.. )< ...... Rear . .~.~.. &'.. Depth < ~.'~ . . Height ...')4.2- ......... Number of-Stories.. !?~'. ............... r-'7 .................... D~menslons of same structure w~th alteranons or ad&nons: Front ...'~ ~..~ ....... Rear . Depth..'2. C/'./ ................ Height ... ~,'. ?.,{..; ............ Nulnb?r of Stories .... ~.. Dimensions of entire new construction: Front . ./.~ Rear . ~k' .... Deptt .~:~ ' . He~2ht .~"~ ........... ~. Number of Stones . . .I...~,~ ............................. · ~ " ~ '~ !]- ' '~ '~ ' 9. S~zeoflot: Front .. lk.>...=.~ ............ Rear ...... ..5~...~) .......... De~th . .'.'fY ............ 10. Date o!Purchase .. ~ ................. Name of Former Owner .. ?. : 1 1. Zone or use district in xvhich premises are situated ..... ,5. e :tit(x. .............. 12. Does proposed construction violate an,, zoning law, ordinance or regulation: .......... 13. Will lot be regraded .... M..*.~. ................... Will excess fill be removed fi-om premises: ~ Y~,. , No 14. Naane of Owner of p,remises .~.q~.z.,/: ~.. ~.~ .cO .~,.*e! ./}. ~.t_.~.~.~ ~ ?.~.x:~... Address ?¢.6,~.p.e,.?.~. 1).?.:-r~__ _ '~'/~¢°Cne No. Name of Architect ............ Address . .J. ~*/??.¥..~f. ...... Phone No. Nan~e of Contractor ~. ~. ~ k../~..,y..c~.q~: .k..~- .h .~ ? .... Address .~.~'~.~ 3 !..5~. ).d ?'",3' Phone No. 7:/: '-. ~~/! g-.' ' - -" ' 15. Is this property located wzthzn 300 feet or a tidal wetland? *Yes ...... h'. ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM '8. 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 nantes and indicate whethcr interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................ ............... 7~.1..~. ,(t. 4.~/r"...~. D.~ . .......... being duly sworn deposes and says that he is the applicant (Name of indMdual signing contractl above named. He is the ................. -O. · .~../1{- -&.~- ............................................ (Contractor, agent, corporate officer, etc.') of said owner or owners, and is dui,, authorized to perform or have performed the said work and to make and file this application: .that all statement~ 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 tile application filed therewith. Sworn to before me this ................. 1..~.. .... day of...~...r~. ................ 19 .~.? Notary Public ...... . ~.~....o.-~/.. /f.../~.~..~...a~. ....Count,, ..... . . . ........ ~lmelllmW'~ (Signature of applicant) T 'T P-ouj~ c~z~T~ o~4 pu.~ *"~"~' ~"=1 cO" I L O_~UPANCY OR '*°' .,~,,.,o,,o, o, ~,, ~,,,,, J Ou!lnqHls~ lele~ lol IL 'I~'I ' T~,'-,,", 7 ' ..... ilo~d Engineer, s Ilegol", WITHOUT CERTIFICATE Exc=ro ~/ro O~ I~ ~r~O .... ' ~~ ?,~c, ~.~ · II *IS 10 except by a Licensed Profel- slonal Engineer, Is Illegal". Section 7209, ~<ubdlvJsJog N. ¥. State Education Law