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Home My WebLink About15923-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17878 Date MARCfq 23z 1989 THIS CERTIFIES that the building. ADDITION Location of Property 5285 GREAT PECONtC BAY BLVD. House No. Street County Tax Map NO. 1000 Section 128 Block 1 subdivision Filed Map No. LAUREL~ N.Y. Hamlet Lot 19 Lot No. conforms substantially to the Application for Building Permit heretofore filed ~n this office dated APRIL 13r 1987 pursuant to which Bulldlng Permit No. 15923-Z dated APRIL 25, 1987 was issued, and conforms to all of the requlrements of the applicable provisions of t~e law. The occupancy for which this certificate is · ssued is TWO CA~ GARAGE ADDITION ATTACHED TO EXISTING ONE FAMILY DW~/.T.ING WITH SIX FOOT WIDE DECK (NON-HABITABLE) AS APPLIED FOR The certificate lis issued to MICHAEL & JANE FITZPATRICK (owners) of the aforesaid building. SUFFOLK COUNTY D~PARTMENT OF HEALTEAPPROVAL N/A UNDF~RWRITERS CERTIFICATE NO. N 053143 - JANUARY 9~ 1989 PLUMBERS CERTIFI,CATION DATED N/A ' Bu~idlng ln~'pe6~or ' Rev. 1/81 FO~]~ NO, ~ TOWN 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) 15923 Z Permission :s hereby grante~ to: . .....~....~....t.L..~. ....................................... , at premises located at ..~....'~,.'~.~.~.,~.'~..'~.~':~I~..~...~.."'9~.~1J[."...(~1~ County Tax Map No..1000 Sec ..... Block ....... ..~...~. ........ Lot No ...... J...~ ....... pursuant to applicatio! dated ?~%¢~......1j..~ ................ , 19'~.~., and approved by the Budding Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This apphcat[on must be fdled in typewriter OR ~nk, and submitted m ~mmm~m to the Building Inspec- tor with the followmg; for new buildmgs or new use: 1. Final survey of property with accurate location of all buildmgs, property lines, streets, and unusual natural or topograph m featu res. 2. Fmal 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 buddmgs, Multiple Residences and similar buildings and installa- tlons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicab[e. B. For exmting buddings (pmor to April 1957}, Non-conformmg uses, or buildings and "pre-existing" land uses: 1. Accurate survey of prOperty showmg all property lines, streets, bulldmgs and unusual natural or topographm features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buddmgs or premtses, or other pertinent mforma- tion required to prepare a certificate I Additions $25.00 C. Fees 1. Cert~ficate of occupancy New Dwelling $25.00, Accessory ,$t0.00 Business $50.00 2. Cert~fmate of occupancy on pre-ex,stag dwelling $ 50.00 3. Copy of certificat~ of occupancy $ 5.00, over 5 years $i0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. . $ 5Q. 00 . ,. Da~ two car garage addition To mn exzs~zng one ISL~ily awe- NewConstruct~on ...... / Old or Pre-exmt~ng Buddmg ............ Vacant Land ........ Location of Property . .~28~, .CzH¢M.~ .~.c.o.z~:~¢ B..~..~.l.v..d, ,..L.a.~?.e.1. ~..~.....Y., .............. House No. Street Fram/et Owner or Owners of Property .~,¢~.a,~]. ~..i.t .~D.E.C.~..i.c.k..&...J..e:_~.e.. F.:i.C.~.~.a.~.~i..c.k. ............. County Tax Map No. 10b0 Sect,on . .],~ .......... Block ...0.1, .......... Lot..1.9. ........... Subd,v,s,on ........................ Fded Map No ?.2-.8..z~....Lot No ............. Permit No. 3.592.57, . .', Date of Permit .~/.5,~./.8~. Applicant .I.~.l..s~..cl..I~.o, .m.e.s.t' .I.n.c.: ........... Health Dept Approval , .................... Labor Dept Approval ........................ Underwriters Approval ................... Plannmg Board Approval ...................... Request for Temporary ~ert~flcate ................. Final Certificate ....................... Fee Submitted $ ..................... Construction on above dpscmbed budding an.d.~mee.ts al[apphcable_,9~,des and regulations. Apphcant ................ Robert E. Hiltz, Inl~X~omes, Inc. R~ 10 10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1001460 BUREAU OF ELECTRICITY ~'-- I 85 JOHN STREET. NEW YORK. NEW YORK 10038 /~a,e JANUARY 09,1989 ,~pphcat;on ko onfde 51608087/87 N 053143 THIS CERTIFIES THAT M.J. FITZPATRICK, BIRCH DR & PECONIC BAY BLVD, LAUREL, N.Y. was exan~lned on DECEMBER 28,1988 and found to be .n conlpha~ e u,th the requ~ren,ent~ of th.~ Board. SWITCHES FIXTURE OUT.TS DRYERS NCAHDESCE NT FLU~ESCENT OTHER APPARATUS S E R V I 1 G.F.C.I:-i SOUTH PARK ELEC. CONTR. 4 PARK PLACE PATCHOGUE, NY, 11772 GENERAL MANAGER LICENSE NO. 273 E Per This cerflf,cate must not be aJtered in cm¥ manner, return to the O~Jlce of the Board If incorrect Inspectors may be idenhfted by their credent,a~s OUNDATIO:~ ( ls t) OUr~DATION (2nd) OUGH FRAME & FLUMBING NSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTIIOLD, N.Y. NOTICE OF DISAPPROVAL Fde No ..................... Date . . .(~gd3~. .1.¢ ...... 19~.7 .~.oa ~7 ............. ...... PLEASE TAKE NOTICE that your applicahon dated . .~ /.~ ...... 19 ~.7 lorpcmuttoconst~ct. ~ ~¢~.~% ................ tt Locahon of Property Ho~?A~~ ~ ) ,~ ~ ~ . ~.~, . . .~ ~H~m/et County Tax MapNo. lO00S¢ctton / ~.~ . Block . ~.~ . .. Lot / ~. .. Subdiws~on ........ Fried,Map No ......... Lot No ........ returned herewah and dmapprovcd on the following grounds. ~.o.~..~.~.~ .~'.'.'.'.'.'.'.'.~ Build mg Inspector Examined ~ '~.~ Approved~ '~ ~' Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 TEL.: 765-1802 , i9 7 , 195 "/Permit No. ].',~'"~ --J'--' TO',' ~xIF~' ', HOf D Recezved ........... ,19. (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ),Dx'il. 1.$198 INSTRUCTIONS a. This apphcation must be completely filled m by typewriter or in ink and submitted to the Budding Inspector, witl sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjommg premises or public stre or areas, and giving a detailed description of layout of property must be drawn on the d~agmm which ~s part of this ap cation. c. The work covered by this apphcat~on may not be commenced before ~ssuance of Building Penmt. d. Upon approval of this apphcat~on, the Building Inspector will issued a Budding Permit to the apphcant. Such pen shall be kept on the premises available for mspectmn throughout the work. e. No building shall be occupied or used m whole or in part for any purpose whatever untd a Certfficate of Occupm shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MABE to the Budding Department for the issuance of a Bmlding Permit pursuant to Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as herein describ The apphcant agrees to comply .w~th all applicable laws, ordinances, budding code, housing code, and regulations, and admit anthonzed inspectors on premises and m budding for necessary mspectmns. (Signature of applicant, or name, if a corporaUon) 11952 ...... State whether applicant is owner, lessee, agent, architect, enDneer, general contractor, electrician, plumber or build Builder Name of owner of premises .MicJ~ael FitzDatrick (as on the tax roll or latest deed) If applicant is a corporation, s~ghature of duly authorized officer ..... RoBert E. ~iltz, Pres. (Name and title of corporate officer) Builder's License No Plumber's License No Electrician's License No 2816 ...... Other Trade's License No ........ Location of land on which proposed work wall be done House Number Street s/~t of ~R-i-'z~-,t}-~ .7~ w/o . . Hamlet 2 County Tax Map No 1000 Section 1~8 Block Q1 . Lot 19 Subdivision (Nar~e) .. Filed Map No ... Lot State existing use and occupancy ofpremises and intended ]dse and oc¢u__pancy of proposed construction a Existing use and occupancy / ~ . , . b Intended use and occupancy 3 Nature of work (check whlqh applicable)' New Building ~ ..... Addlhon ....... .. Alteration ... Repmr ..... Removal ........ Dcmohtlon . ../ ...... Other Work ............ ~.~ ~ ~ ' / (Description) 4. Estnn~tedCost $12,00.Q~00 .................. Fee,'... (to be paid on f'fling this application) 5. If dwethng, number of dwellgtg units ........ 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. Dunenmons of existing struCtures, if any Front ....... Rear ............ Depth ......... Height ........ Number of Stones ...... Dzmensions of same structure with alterations or additions Front .............. Rear ............. Depth ........... Height ............ Numbe, r of Stones . . }~j ....... 8. Dtmenmons of entire new constmchon Front ?O ....... Rear . .4?. ....... Depth ........... Height . ~1,8. .... Number of Stones . ~ ............................. Slzeoflot Front 65 ...... Rear...65 .............. b;ptl} iibhl .......... Date of Purchase ........... Name of Former Owner .................. Zone or use district in which premises are situated ................................ Does proposed construction violate any zomng law, ordinance or regulation' . ....................... Will lot be regraded ................... Will excess fill be removed from premises' Yes Name of Owner of premlsesl{ich~el ~itzps~riC~dre~ New YOi~, N.- .¥, Phone No~12-~7.7.=~.O~ Name of Architect ............ Address .............. Phone No ........... Name of Contractor lNI~/~iD .It01~I1~3, ~NC .... Address BOx llT. rHag~itucl~one No. 29~-.9696. · · Yes ..... No .x... 10. 11 12 13. 14 15. Is this property located wzthintO0 feet of a tidal wetland? * If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and chstmctly all buddings, whether existing or proposed, and. indicate all set-back dimensions fro property lines Give street and block number or descnptmn according to deed, and show street names and mdmate wheth interior or corner lot STATE OF NEW YORK, S.S COUNTY OF.. SUi~OI~ ..... (Name of individual ~ignlng contract) above named being duly sworn, deposes and says that he Is the apphcm Sworn to before me this ........ o~.~ .... day of ...~ .~ NotaryPubhc, .~,.~.cq. ~.:..~.ff//j ..... ~ ~ M~rch 3~ 1~ ~ ..... 19Y/ / ·. County ,, '.,ri t/ ~ ~/ff//ff~ Robert E. Hiltz (S~gnatur~o~'papphcan He is the ..... Czmtra~tor ............................ I (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and f'fle th apphcatmn, that all statements cgntamed m this apphcatmn are true to the best ofhm knowledge and belief, and that tt work will be performed in the manner set forth m the apphcation filed therewith. DIETZGEN 135 11~46 AU0.22~1974 NOV 5, 1974 NOV. 6~ 1974 DEC 26,197~ JAN 23, I975 MA~ 19~ 1987 NOTE · --MONUMENT "~'=$TA.~E SUFF. COUNTY T.,~Y OlST YOUNG & YOUNG 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK ALDEN W YOUNG HOWARD W YOUNG SURVEY FOR: MICHAEL FITZPATRICK 8~ JANE FITZPATRICK AT LAUREL TOWN OF SOUTHOLD SUFFOLK CO., N.Y. SCALE I" = OCT. 26,197~ NOTIFY 81.11LOI~,IG OEPARTM~,/T AT 785.1L40~ ~ ~ TO ~ Pf~ FOR THE OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY .i Phone 477-0400 GREENPORT, N.Y. I 1944 Main