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Home My WebLink About16025-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou[hold, N.Y. Certificate Of Occupancy No g716.22.3 ..... Date September 29, 1987 THIS CERTIFIES that the building ADDIT ION tocatlon of Property 1.2.85 .Br. eakwa.te.r.R..o.a.d. ....... M.aot. t. zt.u.ck.: .N..Y,~ ....... House IVo Street Hamlet County Tax Map No. 1000 Sect[on . .I. 0 6. ..... Block .8. ..... Lot . .4 8 .......... Subd[vm[on ........................ Fded Map No ....... Lot No ........... conforms substantially to the Apphcatton for Budding Permit heretofore tided ~n tins office dated May 7, 1987 pursuanttowluchBmldingPerrnitNo 16025 Z dated . M.a y. 29, ! .9 .87 .. was msued, and conforms to all of the reqmrements of the apphcable prov~mons of the law The occupancy for winch tins certfficate m issued is . ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR JOHN GARRY The certificate is issued to ...... (owne~', '~XO'X,'~tv'v~x~ .......... of the aforesaid building. Suffolk County Department of Health Approval N/A N827085 UNDERWRITERS CERTIFICATE NO .................................... August 6, 1987 PLUMBERS CERTIFICATION DATED: ,/ ~/ Budding Inspector Rev 1/81 lvOB~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP-J~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 16025 z Permission is hereby granted to: /%, t , ................................................. County Tox Map No. 1000 Sect,on ..... .~..~.~. .... Block ....... ..~....~. ....... Lot No ....~.~ .... pursuant to application dated ...... ...~.~4~..-'[ ..................... , 19..~[..')., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 BLDG DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be fdled in typewriter OR ink, and submitted ~ ~ to the Budding Inspec- tor w~th the following; for new buddings or new use. 1. F~nal survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dmposal-(S-9 form or equal). 3. Approval of electrmal ~nstallat~on from Board of Fire Underwriters. 4. Commercial buddings, Industrial buddings, Multiple Residences and mmitar buddings and installa- tions, a cert~fmate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existing buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZ~operty showing all property hnes, streets, buddings and unusual natural or topograph m features. 2Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety ~nspect~on of buddings or premmes, or other pertinent mforma- t~on required to prepare a certificate. C. Fees' Addzt zone $25.00 1. Certlficate of occupancy New Dwellzng $25.00, Accessory '$10.00 Buszness $50.00 2. Cert~fmate of occupancy on pre-exmtmg dwelling $ 50.00 3 Copy of cert~fmate of occupancy $ 5 00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 ,~,~. , ~ . 5.Updated C.Oo $ 50.00 Date. .~..', ./?..~../~. ..... NewConstruct;zon .. . Old orPre-exmtmgBuildmg ........ Vacant Land ........... Locat,on of Property..~.~..?:.~. ........... ~..~r~3.~..~.~.~.. ................. ,/~.. J ~-?/)/7~/ .......... House No Street ~tam/et Owner or Owners of Property . ~../~,..~7/... ~.~.-~.. ~z2'~./3.../~ .................. County Tax Map No. 1000 Section ...]..O& ........ Block .... ~ ......... Lot...~/.~7. .......... Subd~wmon ........................ Filed Map No ........ Lot No .......... Permit No ........... Date of Permit ......... Applicant...~_~/~. ~%., .,~.... ~.~ .~./. ~'~./..4~. .... Health Dept Approval ............. Labor Dept. Approval .................... Unde~mters Approval ...................... Planning Board Approval .................... Request for Temporary Certlfmate ............... Final Certificate ... ~ ............... Fee Subm,tted $ .~.O ............. Con~ruct,on on above descr,bed building and~e~lt~eets all a~des and rogulat,ons. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000663 BUREAU OF ELECTRICITY [-- PD 85 JOHN STREET, NEW.YORK, NEW YORK 10038 THI~ CERTIFIES THAT Mr.-Carry ,Brea~ater Road ,Mat tituck ,Southold N.Y · ,.~h~f,,~t,,,.,~,,,.n,,,,. [ ] I~,.,,,~.~ ~] ~t [~} ~n,/ ~L Outside FIXTU~ [ PTA E ] - - ~ ~ FIXTURES RANGES IC~KINGDEC~SI OVENS [DISHWASHERS} EXHAUS? FAN DRYERS ~RNACE MOTORS F~E ~UA~ER~ ;PECIALREC'PT TIME CLOCKS BErt UNiT HEATERS MULTI-OUT~ ~ERS I .......... ~ ~/o ~/o Laurel New York Licf~1227 Th~s certificate must mol be oltered m any manner, return to the office of the Board ~f incorrect Inspectors ma enh~s TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Building Permit No. Owner ~-~-,[ (p~ease prznt) (please prznt) I cer%zfy that the solder used in the water supply system contazns less than 2/10 of 1% lead. (plumber's szgnature) Sworn to before me this / day of V~ ' Notary Publzc, ~/~.~ County Notary Public TOWN OF $OUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN' HALL SOUTHOLD, N.Y. ! 1971 TEL. 765-t 802 To Whom This , May ern We are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is not on f~le. /--_~ No Underwriters Certificate on file. /~// The check is(outdated/~.)~2~- /~/ 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 # ~_ ~ ~ _~ ~5- Z Building Dept. ***/~No Plumber Soldor 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 leEal action does not have to be taken. Thank you for your prompt attention. OUNDATIO:~ (1st) OU!~DATI 0~ ( 2nd ) OUGH FRAME & PLUMBING USULATIO~ PER N. Y. STATE ENERGY CODE FiLiAL ADDITIONAL CO~ME~TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ]FINAL REMARKS: ~-~,'.~~ Z//L~_~ INSPECTOR FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-180:3 D~sapproved a/c (Budd'ffng Inspector) BOARD OF HEALTH ..~/.. 3 SETS OF PLANS ....... SURVEY ...~ ...... SEPTIC FORM ............. : NOTIFY BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date .~pr,%l 30, . ..... 19 INSTRUCTIONS a. Tlus apphcatton must be completely filled In by typewriter or in ~nk and submitted to the Bufldmg Inspector, w~ sets of plans, accurate plot plan to scale Fee accordmg to schedule b. Plot plan showing locatmn of lot and of buddings on premises, relatmnsh~p to adjoining premmes or public str or areas, and g~vmg a detmled descnphon of layout of property must be drawn on the dmgmm which ~s part of thru cat~on. c. The work covered by flus apphcahon may not be commenced before issuance of Bufldmg Permit. d Upon approval of thru apphcahon, the Budding Inspector wflI issued a Budding Permit to the apphcant. Such pe~ shall be kept on the premmes available for mspechon throughout the work e. No bufldmg shall be occupied or used in whole or m part for any purpose whatever until a Certfficate of Occup~ shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Bufidmg Department for the msuance of a Budding Permit pursuant to Buxld~ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmancc Regulatmns, for the constmchon of bmldmgs, ad&tmns or alterahons, or for removal or demohbon, as herem descnl The apphcant agrees to comply w~th all apphcable laws, ordmances, budding code, housmg code, and regulations, an, admit authonzed mspectors on premises and m budding for necessary inspechons Twin Fork sidin.q .~. C. qntraqti.n~. .... (Stgnature of apphcant, or name, if a corporation) P.O. BOX .41, k.a. tt.~t.u, ck.¢ .N..Y...lt. 95.7 (Mafltng address of apphcant) State whether apphcant m owner, lessee, agent, architect, engtneer, general contractor, electncmn, plumber or buff c3ene.r a .1 con t:..r.a.c.t.o..r .................... Nameofownerofpremtses l~'r. and Iq.r.s. John Ga. rr¥.. (as on the tax roll or latest deed) If apphcant ts a corporation, mgnature of duty authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's Ltcense No ...... Plumber's License No Steve O' .Co.nner - ~qq.~ ~ Electrmmn'sL~cense No G..len.n Bra.d.l.ey .: J..227 Other Trade's License No I Locatton of land on wluch proposed work wtll be done 239-A Breakw.ater .R.d. , .b. aK%.l, gkl.Ck. ~ /~ ~-- Breakwate. r Rd. ~,a$t~tuck House Number Street Mantlet County Tax Map No 1000Section /~)~ Block "~. ~'/.. Lot C'Z'/O~. Subdtvismn Fded Map No Lot .. (Name) State existing use and occupancy of premtses and intended use and occupancy of proposed construchon a. Exmnng use and occupancy qne f. arn~l¥ dw. ell.%ng ........ b. Intended use and occupancy one famo_ly, dw.~l.l.i, oq .... 3. Nature of work (check which applicable) New Budding Repmr .... Removal 4 Estimated Cost $35,000.:00 . .. 5 6 7. Addition X Alteranon .... Demolition .... Other Work. .. (Descnpnon) (to be paid on filing this apphcatmn) If dwelhng, number of dwelhng units, one .. Number of dwelling umts on each floor one .. If garage, number of cars ........................................ If business, commercml or mixed occupancy, specify nature and extent of each type of use ........... Dnnenslons of existing structures, if any Front. 7.0 ' .. Height .. Number of Stones q.ne Dwnens~ons of same structure with alterations or additions Front Depth . same Height. .. D~mens~ons of entire new construchon Front. .. 1.2 ' ... Rear ?0.' ..... Depth 812 . :. i'." . Nu~e;' of Stones .s.ame Rear ......... Depth 1.0.'ii. 'i.' ' ' Height .... 403. ~q2umber of Stones on.e ............. 9. Sxzeoflot Front ...... Rear 469°0'5 ....... Depth .2'2'4J29' t0. Date of~?urchase ....... Name of Former Owner . .S.tephe.n &i .{/)-'c]~y ;~a,~t;:¢J.i~ 11. Zone or use district ~n which premises are situated .......................... 12 Does proposed construction wolate any zomng law, ordinance or regulation .NO ............. 13. WflI lot be regraded ........... Will excess fill be removed from premises. Yes X No -,~ ~rr~ ..... c ........ r,r, & Nrs. Garrv'AA~ .... 239-A Breakwater phoneNo 298-4627 14 ~ .............. }' ........................ d '' 'a .......... Name of Arcintect . .., ............... Address ,R ..,. r..)t~tuc.k PhoneNo .............. ,, ~ Twin Fork SiO~ng & Contracting ' ' Phone No. 298.-511.1 marne oI contractor ...... Aooress ............... [5. Is this property located within 300 feet of a tidal wetland9. *Yes ..... No .X.... *If yes, Southold Town Trustees Permlt maybe required. PLOT DIAGRAM Locate clearly and distinctly ali buddings, whether exist~ng or proposed, and. intimate all set-back dnmenslons from )roperty hnes G~ve street and block number or descnphon according tb deed, and show street names and ~nd~cate whether ntenor or corner lot k }T~ATE OF NEW YORK, /- OUNTY OF . s s ?w±n Fo..rk SJ..d±ng & eon..t.r.a, ot.±ng/ Stephen J. (Name of ~ndlvldual signing contract) ,bore named Perricone · being duly sworn, deposes and says that he is tile applicant {e is the .. cgnt.ra.c..t°r. .............................. (Contractor, agent, corporate officer, etc.) ~f smd owner or owners, and is duly authorized to perform or have performed the smd work,a~ td make and file tlns pphcahon, that all statements contatned m this apphcation am true to the best of his knowledge and behef, and that the york w,I1 be performed m the manner set forth m the application filed therewith. ;worn to before me this ~otaryeubhc,. ~t~s/-AQ~~~%~./7.. County j~//~ ~./.z/,/ ,-, , PLUMBER CERTIFICATIO~I : ON LEAD CONTENT BEFL ' '~-' ~ER~IFIC~ SG'£DER USED IN WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of I% LEAD. OOCUPANCY Oa USE, I'S UN~WFUL wiTHouT CERnF CATE OF ,OCCUPANCY A~OVED AS NOTr~ NOT~Y ~ILO~NG I)EPAR~ AT 765-~80~ ~ AM TO ~ ~ ~R ~E FOLLOWING INSPECTIONS: ' ~uNDa~loa ~0 REQ~D FOR POURED' CONCRETE ' ROUG~ FRA~ING & PLUM~ING FINAL CO~,JSTRUCTtON MusT ' CO[~ES ~[]~ h~PON~iSLE FOR ; , , , SOLDER USED IN WATER SUPPLY SYST£M ~4NNoT !for WilE' dl~tibut:n~ I~yltel~gldplng shill bi USEIS UN~WFUL WITHOUT CERTIFICATE OCCUPANCY OR OF OCCUPANCY :PLUMBER CERTIFIEA TION , ON LEAD CONTENT BEFORE ,CERTIFICATE OF O~CUPANCY APPROVED A~ NOTED ~ ~ ~E~A~M~T ~T 180~ 9 ~ TO ~ ~M FOR THE FOLLOWING INSPECTIONE,: