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Home My WebLink About15911-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. Certificate Of Occupancy No Z-16300 Date .9~t. opef..?~. 1987... THIS CERTIFIES that the buridmg CONVERT PLAYHOUSE TO ART STUDIO WITH SKYLITE Location of PropertY,H~se4~0..~ Huntington Blvd. Pe¢onic, New York County Tax Map No 1000 Sechon 06.7. . .Block . .03 ...... Lot .. 6..&..7 ......... Subdlvzszon. .. ~ ............. Fried Map No ...... Lot No ........... conforms substantially to the Apphcation for Bmldmg Permit heretofore filed m fins office dated · . .Ap.r .~ 1. J 4:1.98 ,7... pursuant to which Braiding Permit No, , . ,1.59.1.1 z ........... dated bpril I~.J.987 .. was issued, and conforms to all of the reqmrements of the apphcable prowmons of the law. The occupancy for wluch this certificate is msued m ,, CONVERT PLAYHOUSE TO ART STUDIO WITH SKYLITE AS APPL.[ED FOR The cernficate is issued to KATHLEEN CHAMBERLAIN ! ' '' fo'wrier, ~ ..... of the aforesmd building. N/A Suffolk County Department of Health Approval ,.. UNDERWRITERS CERTIFICATE NO. N835840 PLUMBERS CERTIi~ICATION DATED: Rev 1/81 TOWN OF $OLITHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15911~ Z Date ...... ../..~. .................... ~.~..]. County Tox Map No. 1000 Section ...... . .c~.....~,...~.. .... Block ..... ..Q~....~ ........ Lot No.....(~..~..~. ....... pursuant to application dated ....... ~ ..... .~..~ ............ , 19.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL 765-1802 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 flle. No, Underwriters Certificate on file. /5/ The check is(outdated/not on file.) /~/ 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. Buildin~ Permit ~ _J ~- ~ _~ ./ 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 of Occupancy. Clear up thzs m,]tter as soon as so that ,legal actzon does not have to be taken Th~nk you for your prompt attent ~on OUNDATIO:~ { 1st) 0UNDATtON ( 2nd ) 0UGH FRAME & ?LUMBING NSULATION PER N. STATE ENERGY CODE Ye ADDITIONAL COMMENTS: Aprzl 14, 1987 To the Building Department I have a l~ayhouse/bunkhouse on my property, lndzcatcd as a cottd6,~ on thc attached survey map (photo also attached). The dlmens±ons of th(, floor plan are below. I want to renovate the building as a study. Th~s w~l] :nvolve no additional floor space. The work will involve: (1) replaczng existing wzndows with new ones~ (2) puttzng a skylzght zn the roof; (3) pntt~ng ~nsulat~on In thc walls; (4) replacing the electric cable (th~ existing oho was chew~d through by an anzmal). Bill Jacobs has agreed to do the work when a bulldzng permit is issued. Th~ estimated cost of the job ms $1~OO. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE r-~· OCCUPANCY F 765-180Z BUILDING DEPT. INSPECTION FRAMING REMARKS: [ ] FINAL I NSPECTO FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL C. OUTHOLD, N.Y. 11971 TEL,: 765-1802 Exam,ned ~J~..J.~..,19~. Approved .~h~ . .~-., 19g~. Permlt No ,/ S c~ I / .-~:., . ~ Disapproved a/c ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date I~plqi I~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: / q.., INSTRUCTIONS a. Tins application must be completely filled in by typewriter or in ink and submitted to the Budding Inspector, w~t sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locataon of lot and of braidings on premises, relahonsh~p to adjoining premises or pubhc strc or areas, and glvmg a detmled descnptmn of layout of property must be drawn on the diagram whach is part of thru ap cation. c. The work covered by tins apphcahon may not be commenced before issuance of Budding Permat. d Upon approval of thru apphcatlon, the Bmld~ng Inspector wall issued a Bmldmg Permit to the apphcant Such pet shall be kept on the premises available for mspectaon throughout the work. e. No budding shall be occupied or used m whole or an part for any purpose whatever until a Certificate of Occupm shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Braiding Department for the msuance of a Bmldmg Permit pumuant to Building Zone Or&nance of the Town of Southold, Suffolk County, New York and other apphcable Laws, Ordmance~ Regulations, for the constructmn of buddings, additions or alteratmns, or for removal or demohtaon, as herem descnb The applicant agrees to comply wath all apphcable laws, ordinances, bufldmg code, housing code, and regulatmns, and admit authorized inspectors on premises and m bmldmg for necessary inspections (Signature of applicant, or name, if a corporatmn) · f. ¢ :. 7¢.% (Mailing address of applicant) //q~ ff State whether applicant ,s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Name of owner ofpremmes ....'~a,~ ~_~..~..~e?~...,.,.~. ............. (as on the tax roll or latest deed) If apphcant is a corporation, mgnature of duly authorized officer (Name and t~tle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . ~V~d.m ~, ~a aob..r ~. .O.e.£o P ~a, .~ O. uJ-C{nO C~ Plumber's License No ....... Electrlclan's L~cense No. .. Other Trade's License No ......... Locatmn of land on wtuch proposed work will be done '-/5 o .. Itouse Number Street Hamlet 2 County Tax Map No 1000Sectmn O6~ Block-f' .. . Lot Subdivision /'T]Ct.~o ff- ~ ff,.e t o~/c .oC ~o.z~ FdedMapNo 6 5~'/ . Lot (Name) State existing use and occuphncy of premises and intended use and occupancy of proposed construction a. Exmtinguseandoccupan~y p/d~.dJ?p.~M.o_./ ~.&~.~O.r.-o~ /.o2.~. ~/5:' ~ b Intended use and occupancy .-$ 36qCb.) 9 10 11 12 13. 14 Nature of k (check which applicable) N, ew Building Repmr w.~. .... Removal ...... Demolition Esamated Cost J/~..0..0. .. If dwelling, number of dwelling umts. If garage, number of cars Addmon .... Alteration ~ ·.. Other Work . (Descnpnon) (to be prod on filing this application) .... Number of dwelling umts on each floor ......... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Toxm Trustees Permit may be required. PLOW DIAGRAM If business, commercial or mixed occupancy, specify nature and extent of each type of use ............. Dimenslonsofexlstingstructures, ifany Front :~l~'~'~ g.~ Rear .. ~ ~tZ Depth .[.Q . ~ .... Height .. .~.~ .... Number of Stones .... l .... t' b ................ ~' ' ~' ' ' D~mensmns of same structure with alterations or additions Front '~.~- ~ . Rear ~ ~..g.... "~'~ I ~ --" -'"' H t ~. ' ..... Depth . .~ ~'~O..~ ~ ~ e~gh~ ... Number of Stones . .I ..... Dnnenszons of enUre new constructmn vron[ ...... Rear ......... Depth Height ....... Number of Stones ............................ Size of lot Front ....... Rear .......... Depth ................ Date of Purchase a4t~,a.-; . / ~...~J .... Name of Former Owner 3/;'.c P~ .3(f~.P~.'~P4a~z4~"~ . . Zone or use district in which premises are situated ............................. Does proposed construction violate any zoning law, ordinance or regulation .. r/.o ..................... Will lot be regraded fi/4. . .... ... . Will excess fill be removed from premises ~v/, Yes N Name of Owner ofpremlses .~.N.*&~ C~a~g .&~..~ff~.. Address fl..t9 ~v~..q.~/a;.~to?t.T.. Phone No Jg~,..'?'.~-~. Name of Architect '.~'.' :r~. . .......... Address ....... , .... Phone No ............. Name of Contractor . .~... ~...~. ...... Address ...~p0.P .,~.a .~.~.)~.b .~a~Phone No 7..~ No Locate clearly and dlstlnctly all buildings, whether existing or proposed, and indicate all set-back dtrnenslons frm property hnes Give street and block number or descnptmn according to deed, and show street names and ~ndlcate whethe interior or corner lot. STATE OF NEW YORK, S S COUNTY OF ...... ............ being duly sworn, deposes and says that he is the apphcan (Name of mdw~dual signing contract) above named He is the ................. (Contractor, agent, corporate officer, ere ) of said owner or owners, and m duly authorized to perform or have performed the smd work and to make and file ttu apphcat~on, that all statements contained m this application are true to the best ofhm knowledge and belief, and that th, work wflI be performed m the manner set forth m the application filed therewith Sworn to before me this ......... day of .. Notary Public ..... No, 4707878, s,~ffo~k Cou~, ? Term Exp~m~ Msrch 30,1~..~.4 ..County (Signature of applicant