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Home My WebLink About15400-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date ~ember 30, 19 ~? THIS CERTIFIES that the build~g Ac c es s ory garage . 49250. County Road ~48, Southold, New York Location of Property ............................................................... House Ho. Street Hamle~ 055 03 5 County Tax Map No. 1000 Section ............ Block ............... Lot ................. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 15400z ' September 19, 86 19 pursuant to which Building Permit No . . dated .. O.c. to.be.r.J.4 8.6. .... .. . .' ............ 19, , was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Accessory Garage as applied for EVELYN EBERHARDT as Administrator of the Estate The certificate is issued to .......................................................... (owner, le'r&~[ ;~r~i~[g~ X TIMOTHY GA~/ELKO of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N785377 UNDERWRITERS CERTIFICATE NO ................................................ . . of Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER/~.IT fi.HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15400 Z Permission is hereby granted to: ..~..o..~ ..... ~.~ .............. ,~.~,~ ....... ~ ~~~. ~.~,, at premises I~ated at ................... .~ ................................................. County Tax Map No, 1000 Section ...... ~:~..,~-.~...... Block ...... ..~.....~... ..... Lot No ...... pursuant to application doted .....~..~.~.~...../...~ ......... , Jg..~...~.., and opproved by the Building Inspector. Fee $.~.~ ............ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTNOLD Building Dapartmant 'Town Halt $outhold0 N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted -- Im~Jmm~ to the Building Inspec- tor with the following; for new buildings 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 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 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. B. For existing buildings iprior to April 1957), Non-conforming uses, or buildings and "pre-existing" land urns: 1. Accurate survey of p["operty showing all property lines,.,streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owne[ 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. Fees: 1. Certificate of occupancy . $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 $15.00 Date ......................... NewConstruction .x Old or Pre-existing Building Vacant Land Location of Property .4.92b.0. C. ou..nty. R.6a.d ¢f~8 Southold N..Y figure No. Street Nam/et Owner or Owners of Property Evelyn Eberhardt , 055 03 5 County Tax Map No. ~000 [;action ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1.~. ~.0.0.~.... Date of Permit .1,0../.1.4/.8..6Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Reques~ for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $... 5.. 00. Construction on above described building and permit meets all applicable codes and regulations. Applicant .......................... R~v. 10-10.78 76.5-1802 BUILDING DEPT, INSPECTION I* ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: ~ ~~_, , .......... DATE INSPECTOR FIELD I~SFECTiON FOUNDATION FOUNDATION (1st) (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ![DATE ~DDITIONAL COMMENTS THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOH_ STREET, NEW YORK, NEW YORK 10038 Decer~ber 23, 1986 ' $ r /lppllentlo, No on~ile ~. 447631/86 .... . ' N }78 ~'Estate of T~othy Gawelko, 49250 County~oa~,--~8 :Dece~er ~15~ 1986 OTHER APPARATUS: Panelboarde: l=2oir., 30a~pe NO VISUAL DEFECTS: AN 'ELECTRICAL SURVEY HAS BEEN MADE OF THE EXPOSED ELECTRICAL EQUIP- MENT /N THE PREMISES INDICATED. NO OBVIOUS UNSATISFACTORY CONDITION WAS FOUND. . . Robert L. Tooker Att ..... ' '~ ?' ~;~' "L/ , ~,1380 Roanoke Ave. ' . ' 'I ~ '~;.,'=i~ ~.: ";':~' ,..~ . ,,' :~ , OENEIIALM, ANAGEII .... R~.verhead, N~¥. 11901 ....... .... ~ .... ~ This cerhflcate must not ,be altered in any manner; ~'eturr, to the office of the'lSoard if ,$ncorrect. Inspectors m~y be identified 'by 'the;r ROI~gRT L, TOOK£R December 30, 1986 Southold Town Building Department Main Road Southold, New York 11971 Attention of Georgia Gentlemen: Enclosed herewith is a copy of the certificate issued by The New York Board of Fire Underwriters on premises at 49250 County Road 48, Southold, New York. Would you please issue the certificate of occupancy for the garage and forward it to us together with the certificate of pre-existing use for the house on the subject premises. Thank you for your helpful suggestions and help in this matter. I am sure without them we would still be working on the application. Very truly yours, JML Enclosure 3 0 0 9 30HN & BONACCI, P. Co CONSULTANTS e SURVEYORS · PLANNERS ~Ot~ G£ /4AdlZ TOH FORM NO. 1 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .O.~../.~..., 19~.~. Approved = .~..t,5~.....].5/7., 19a~. Permit No. J.~'7.{~ . .t~...~ Rece±ved ........... ~19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .S. gP.t.e.m-b- 9.r..9.,.., 198. 6. INSTRUCTIONS 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 the diagram which is part of this appli- cation. c. The work covered by this 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 tmtfl a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MA~DE 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~inspections. .d(~f applicant,~ or nam.e, ifa corporatioTl ·. ............... ........... (~ili~g ~ddres~/of applicant) State whether applicant is owner, lessee, agent, architect, engineer, genera] contractor, electrician, plumber or builder. Owner ............................................................... Evelyn Eberhardt as Administrator of the Estate of Timothy .... Name of owner of premises ............................................................ ¥diko' (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... .N./..A .................. Plumber's License No....Iq./..,5 .................. Electrician's License No..N/A .................. Other Trade's License No .... N./A .............. 1. Location of land on which proposed work will be done ..... $/~..Mi.d.d,%e.. gp.~ ........................... ............................. 8$¢.d. le. ~pAcl,. Sp.u~:bo.lcl, 87 .................................... House Number Street Hamlet County Tax Map No. I000 Section .. 0.5.5.,Q0 ......... Block . .. 9.3...0.9 ......... Lot...QQ~...0. Q0 ........ Subdivision ......... ' ............................ Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... O .n.c..fia~ .m~-%34..qlW.O.l%$Dg..a.n..d..cle. t..a.c.h.e.d., ggr,,a, g9 ...... . .............. b. Intended use and occupancy . Same Existing Building x 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... I~ -~' (Description) Estimated Cost ........................ Fee .... '. ............... I (to be paid on filing this application) N/A Number of dwelling units on each floor If dwelling, number of dwellin~ units ............................ If garage, number of cars ... I ...2. .1../.2.. .......................................................... If business, commercial or mix'ed occupancy specify nature and extent of each type qf use .N./A. Dimensions of. ex~st~ng structures, if any: Front...~..~.., ...... Rear . ~ ~..~2. :~. .... Depth . ????..~. ....... Height ... ( .~/.' ......... Number o f Stories ..... /. .................................................. Dimensions of same structure With alterations or additions: Front . .~/~ ........... Rear .................. Depth ..................... Height ...................... Number of Stories ...................... 8. Dimensions ofent~re new constructmn Front ...N./.A. ......... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 300_+ tri a .ng.u.1 a .r Depth 300_+. 9. Size of lot: Front ......... , ............ Rear ....................... - ............... 10. Date of Purchase . .9./. ~.3./.8.~ ................... Name of Former Owner 3%r;thP. ny. &. ~Ielen..Gawalko. 11. Zone or use district in which ' ' ' premises are situated ..................................................... 12. Does proposed construction viblate any zoning law, ordinance or.regulation' N/A. . 13. Will lot be regraded .N../ .... ; .................... Will excess fill be removed from premises: Yes Ng 14. Name of Owner ofpremises .~1..yr}. Eberhardt asaadress293. E. Main f~;. No 4.21~4532 . ............... cermez, poz~e ,..~ ...... Phone ............. Name of Architect ..... Ixl/.P, .................. Address ................... Phone No ................ N/A, Add · No Name of Contractor . . tess ..... Phone ........ 15. Is this property locate~ withiBl,00 feet of a tidal wetland? * Yes ..... No ...x.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM 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 names and indicate whether interior or corner lot. ' ... County STATE OF NEW YORK, COUNTY OF...S.U.FF.0.5,5 ..... S.S ........ W. VELXA]. EBF-~RHARD."~ ..................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named, J He is the..qWO.er. ............ i .................................................................... : (Contractor, agent, corporate officer, etc.) , of said owner or owners, and is dhly authorized to perform or have performed the said work and to make and file this application; that all statements cofitained in this application are true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this ~ ..................... day Of. · S~ptember ......... 19