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Home My WebLink About15442-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17505 Date NOVEMBER 10~ 1988 THIS CERTIFIES that the building Location of Property 8420 MAIN ROAD House No. Street County Tax Map No. 1000 Section 031 Block 02 subdivision Filed Map No. ACCESSORY. EAST MARION Lot Lot No. Hamlet 14 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 24, 1986 pursuant to which Building Permit No. 15442Z dated OCT. 30~ 1986 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 ACCESSORY GAZEBO AS APPLIED FOR. The certificate is issued to GERTRUDE IGLESIAS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N043413 NOV. 2~ 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ffOIRM NO. ~ TOWbl OF $OIJTHO/D BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDinG PERi, iT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. ,15442 Z Permission is hereby granted to: .................. County Tax Map No. 1000 Section .... .~...~.~ ......... Block ....,,~)....'~.. ......... Lot No ..... !...~. .............. pursuant to application dated .... .~.~...0~t~,,..,.~..~(. .................. 19.~..,~.., and approved by the Building Inspector. Fee $....~....% .'..../.... .... ector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPAN Instructions A. This application must be filled in typewriter OR ink, and submitted ,~ ~ 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 instaila- 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 (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. Certiflcate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 . 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ...J.u..ly..2.2.,..1.9.8..8 ........ NewCons truc bion X Old or Pre-existing Building ............ Vacant Land Location of Property 8420 Main Road East Marion House No. Street Ham/et Gertrude Igles.ias Owner or Owners of Property ...................................... , ..................... County Tax Map No. 1000 Section 031 02 4 ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. , .1.5.44,2Z.. · · . Date of Permit . .Applicant J. Kevin .Mc.Laughli. n. Health Dept. ApproVal ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approva{ ..................... . Request for Temporary Certificate ..................... Final Certificate ....X ................... Fee~ubmtted~: 10.00 ~/r~ ~L . .10.10.7a ~ j ¢ ,/ ~ , , Attorney/Agent ,f,,/r,z 765-t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~FINAL DATE THE NEW YORK BOARD OF FIRE UNDERWRITERS ~00~07~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW NEW YORK 10038 YORK, ¢ ........ ~OV~I~;R 02, 1988, r,%q1088~/88 ~l~ ' Jpplication No, on fll~ T~IS GE~IFIES THAT ~ exami~ on ondfound to be in compliance u'ith the requirements of thh ~rd. RXTU~ RXTUIRS RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TIME CLOCKS UNIT HIATIES MULTI-O~TI~T DIMMERS SYSTIMS NO. OF PEET S~IIVIC8 DI$CORN~CT S E E OTI,I~I APPARATUS: HO'r HO't'ORS: 2-1. ~iO X. P. P~N~I, BO~R~S:I-2 CI.R. 100 (;, F.C. [:-1 CC, COND. I SO! "HOhl). NY 1'1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors nmy be identified CO~ FOIl BUILOII~ D~PARIMBtl'. THIS COPY ~F CERTIFICA?E MUST ~ BE ~I.TERIID IH 'OUNDATION ( ~ st) ~OUNDATION ( 2nd ) ~OUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTtlOLD, 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 file. ~~ /~/ No underwriters Certificate on file. /~ The check is(outdated/not ~ f_L--~.)~ ~ /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~, _~ ~- ~ ~ ~ Z Building Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 828 FRONT STREET, R O. BOX 803 (~REENPORT, NY 11944 (516) 477-1016 July 22, 1988 Southold Town Building Dept. Town Hall Southold, New York 11971 Re: 1000 - 31 - 02 - 4 8420 Main Road, East Marion, New York Gentlemen: Enclosed herewith please find application for a certificate of occupancy for new construction. Also enclosed please find my check in the sum of $10.00 to cover the fee. occupancy JKM/lg Enclosures Please send to the undersigned the certificate of for same. Ver _N'.iA_P_. OP P~OP~TY BASIC MEASURES 12' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .c)...~...5..~.o.., 19 .~.~. 3.0.., 19 .L6. Permit No. /. Received .......... ,19... Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by Wpcwriter 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 until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE 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 Lawj~rdinances or Regulations, for the construction of buildings, additions or alterations, or for removal or/~tmn~lition, gg~3~in described. The applicant agrees to comply with all applicable laws, ordinances, building co, d'~,, hgff'fl0g~/~de~i;"-t~,~!~f'~ions, and to admit authorized inspectors on pre mises and in bui ld ing for ne~//~,~ ~_~ (Mailing addr-ff~of applicant) 'P.O. Box 803, Greenport, NY 11944 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .G.o..r~?.u.d..e..I.q. 1. .e .s .i.a. s. ................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...S.o.u.t..h.o.l.d...Tp.w.n.. ?.e.r.m. 5:.~ ~ 53 Plumber s L~cense No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. No. ~ ~D Main Road East Marion House Number Street Hamlet County Tax Map No. I000 Section 031 Block 2 Lot 14 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~....R??j:d.?.n.t.J:a..i .................................................... b. Intended use and occupancy ....a.cl.d.~.~. $9.n..c?~./% .~r.e.e.r~e. ¢..ga.z..e.b.o. .............................. 3. Nature of wp. ik_.(che..cl~y~hich a~plicable): New Building .......... Addition .X.. (g.a.z.e~)Alteration .......... Repair ...~*.tlJ~.~Ren~oval .............. Demolition .............. Other Work ............... I (Description) 4. Estimated Cost pproxim.atelv $10,000.00 Fee oO. I (to be paid on filing this application) 5. If dwelling, number of dwelling 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. Dimensions of existing structu!es, if any: Front....2 .5 .......... Rear ...2.5 .......... Depth ...3.5. ......... Height ............... Number of Stories 1 1/2 -. all dimen.sions for both .h. qu..ses. Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ! Height Number of Stories 8. Dimensions of entire new construction: Front .... ~ 6.... ...... Rear ...... 1.6. ....... Depth .... 1..2 ......... .12.' .6" Number of Stories Height .................................................................... 9. Size of lot: Front 113.20 ' R~ar See attached mac Danth See attached mad 1982 (~nherited) G.S. Nowell 10. Date of Purchase ............................ Name of Former Owner ............................ I 1. Zone or use district in which p~emises are situated... P~O$0.eYll;$~.l ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .IxJg.. 13. Will lot be regraded .. ~Q...: .................... Will excess fill be removed from premises: Y~ No ~trude Iglesias Address vi~e~w~.Aye.. ..... 14. Name of Owner of premises . . EAc~' M~TDh .... Phone No...4.7.7. r~.0.7.. Name of Architect , Address Phone No Name of Contractor ~ai~i_am .V. 9.1.i.n. ski East Marion .. · ~'..~* ............. Address ................... Phone No...4.7.7..-.1.2.6.9. . . 15. Is this property lo~ated within 100 feet of a tidal wetland? Yes No X *If hes, Southold Town Trustees Permit may be required PLOT DIAGRAM Locate clearly and distinctly ali 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. See attac:hed map of property STATE OF NEW YORK, COUNTY OF...S.U.F. t~.Ofnt~ ...... S.S ..... ~,. ~'q~N. klq~-.U.~I~N. J .................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. He is the . . ..... .A.t.t. 9.r.n.e.y' fo.r.l .owner (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ day o~... Notary Public ......... .S.U.F..Fg.~.K.... ............. Coun (Signature of applicant)