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Home My WebLink About16555-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19098 Date JUNE id 1990 THIS CERTIFIES that the building. ALTERATION Location of Property 1225 9TH ST (A.K.A. 110 9th ST) House No. Street County Tax Map No. 1000 Section 048 Block 03 Subdivision Filed Map No. GREENPORT Hamlet Lot 28 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 19, 1987 pursuant to which Building Permit No. i6555Z dated OCT. 22, 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 MAKE NECESSARY REPAIRS TO AN EXISTING PORCH. The certificate is issued to ALIDA ROJAS-JOANN SC~ELLENBACH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N074498 JUNE id 1989 N/A ~uilding Inspector FO~'M' HO. B TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJV~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ........ ~~ ......~..:~ ........ t.t..g..~..~. ..... ,o .... e'""_"~"~"'-'~ ....... ~ ........................ ~ ....................... at premises located at ............ .~,.,.,..~. ........... ~..~ ........ ...~.~.~ .......................... Caun~ To× Map No. ,000 Sec,'~on ....... .~.~.~ ...... B,ock ......... .O...~ .... Lo, No. pursuant to application dated .... C~...~..~,~,....~..% ............... , 10..~..'].., and approved by the Building Inspector. Fee $..~....;.~..*. Budding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted I Iii.ii to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with a~curate location of alt buildings, property lines, streets, and unusual natural or topographic features. ~ 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-B form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, 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 applicable. For existing buildings (prior to April 1957}, Non*conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic 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 buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupanc¥ New l)welllng,$25.00. Accessory tS10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0.0 0 3. Copy of certiflcate of occupancy $ 5.00, over 5 yeats $10.00 4.Vacant Land C.O. $ 20.00 $ 50. O0 Date ...Dp.q~.~.r.. 1~.~. ;19~.7.... . Uodated C..O, 8. ~%lteratlon~ $25.00 NewC ohs t~rbc 1; ion Old or Pre-existing Building Vacant Land Location of Property ~.~ .].1 O ........... 9 J~b..;$ :~rD~. ~ .................... l~.r. ~ ~ n~o ~ l~ ...... House No, Street Ham/et Owner or Owners of Property Alt~ ~ RD ~ County Tax Map No. 1000 Section ...0.~.8. ......... Block ..... .0,3. ....... Lot,...2~ Subdivision .................................. Filed Map No ........... Lot No ............ ~,~,i, 0/22/8~ annll,nn~;nvzro~menb ~,ast, Inc. Permk No ..... ~. .... Date .......... . ........ C "'~" ................................. Health Dept Approvei ..... ~3~ ............... Labor Dept Approval ...... ~ .............. Unde~riters Approval Planning Board Approval ~ Request ~or Temporary Certificate ..................... FinM Certificate ....... ~ ............... Fee Submitted $...2~oO.Q .................... Construction on above described building and regula%ions. ~eat East~ Inc. for Owner FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME/' PLUMBING INSULATION PER N. STATE ENERGY CODE ./ FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION DATE , INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL $OUT}IOLD, N.Y. 11971 December 29, 1987 TEL. 765-1802 Environment East, Inc. 3075 Indian Neck Lane Peconic, New York 11958 RE: ALIDA ROJAS To Whom This May Co~cern, We are unable ~o complete your Certificate of Occupancy because .of the following reasons. ,/~/ An application for Certificate of Occupancy J.s not on file. /~/ No Underwriters Certificate on file. /~:/ The check is(Jt~uvtl~YcTd/ . on file.) /~/ No llcalth Dept. Approval on file. /~/ No final inspection }las been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding PermJ. t ~ J_ A_ ~.~ a~_ _~. Z ~lul ] dinq Dept. ***/_/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL. ~°OUTHOI. D, N.Y. 11971 TEL.: 765'1802 )isapproved a/c ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT a. This-application must be completely filled in by typewriter or in ink and submitted to the Building I~pector, st~ 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 plablic st~eets ' r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this , ,, c. The work covered by this applict~tion 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 app~¢ ,a~ll.t. ~11 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 Occgpancy aall have been granted by the Building Inspector. ' ' ' '" APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant to milding Zone Ordinance of the Town of Southold, Suffolk County, New York, and Other applicable' I~ws, Ord,[nantes ',egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein desoribed 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~, alad regtlt.a/~ioll~, .a~.cl · dmit authorized insp:cctors on premises and in building for necessary inspections. & if a corpo,atm) (Mailing address of applicant) irate whether applicant is owner, lessee, agent, architect, engineer, gener~ contractor, electrician, plumber Or bgilfl~er. } General Contractor 'Alid-a Rojas' ' ' ~Iame of owner of premises .........................................................." (as on the tax roll or latest deed) . "' ' "' ' .... tf applicant ~s a corporation, mgnature Of duly authomed officer, Pres, (Nmne and title of corporate officer) ' B~ilder's License No .................... Plumber's License No ......................... Electrician s Llcense No ........................ Other Trade s Llcanse No ................. Location of land on wl}~ch proposed work will be done. ~ .~. ~: ............................... .... , ~}~0 ..... 9.~h .$3V~s'~. [ ......... '.'..' ..... '., 'i ..:;'~nee ~p. qr; ................ House Number, , Street , . : ..... Hamlet County Tax Map No. Section .... ............ ~ock, · .. ; ........ , ·, ' Filed Map No Subdivision ................................................................... (Name) State existing use and occup~cy of premises and intended use and occupancy of proposed Construction: fam~l7 dwelling a. Existing use and occupancy ..... 9.R~ ........................................................ One fatal17 dwelling w~th repaired porch b. Intand~ uso and oecup~cy ...................................... ' .......... Nature of work (check which a~plicable): New Building ' Addition Alteration Repair . .~$ .......... Removal .............. Demolition .............. Other Work ............... i (Description) (to be paid on filing this application) If dwelli fdw ri g nit ~. N robe fd elling nit oneachfloo · ng, numbero e n u s .............. u re w u s r ................ Ifgarage, number of cars ............................... .;......' ' ..... .......... 6. If business, commercial or mixed occupancy, ..... ~ ............... 7. D~ensions of existing stmctu(es, ifany: Front .... Dep~ ............ Height D~ensions of same structure . Rear ............... Depth ................... ~... Hei 8. D~ensions of entire new construction: ..... Depth ............ ~. Height ................ Nut 9. Size of lot: Front .............................. Depth ...................... 10 Date of Purchase Owner Zone or use district in which premises are situated ~n ~ ~ ~ .~. {2. Does proposed construction violate any zoning law, r regulation: ...... fie ........................ t3. Will lot be regraded ........ .~o ................. Will excess fill be removed from premises: Y~s No 14. Name of Owner of premises ~Sda. ,Re ~m~ ...... Address ~0..9~h. 3g. O~.npg Phone No.¢77~2~0~ ...... Nme of Architect Address Phone No Peconic, fly 119~8 P~T DIAG~ Locate cle~ly ~d diet,cry ~1 hurtings, whether existing or proposed, md. ~dicate ~ ~et-back d~ension~ from rope~y ~nes. G~ve street ~d block number or descnphon according to deed, ~d sho~ street nme~ ~d ~d~cato wh,~r ~OTIFY BUILDING iJEPARTM~i~T AT '7654~2 9 A~ 'fO ,~ ~ ~R T~E ~UN~ATfO~ 'YWO ROUGH FRAt~tNG & PLUMBING , 'FATE OF NEW YORK, S,S 'OUNTY OF ........................... ..... . ................ being duly sw~p~~.[~fpe (Name of individual si~ing contract) r~t~q O~¢ o~',r-~Wm ~",'~' ........ bore namod, [e is the ................. ' ~ '. ., ' . . nt, corporate officer, f said owner or owne~, ~d is ddly autho~zcd to perfo~ or haw perfo~ed the said work and to m~e ~d pplicaQon; t~at ~1 statements contend b this application am tru~ to th~ best of bis k~owl~dg~ and belief; and that 'ork w~l be perfo~ed in the m~n~r set forth ~ the application filed ~erewith. worn to before me this .. / f ...... "~!~.~k~.,,~ / ~-- - - (Si~ature of appli~t)