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Home My WebLink About14399-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Zt9645 Date JANUARY 8~ 1991 THIS CERTIFIES that the building. Location of Property 1000 House No. County Tax Map No. 1000 Section 34 Subdivision ADDITION & ALTERATION NORTH ROAD GREENPORT Street Block 04 Lot 02 Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21/1985 pursuant to which Building Permit No. 14399Z dated OCTOBER 25, 1985 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 2ND FLOOR DORMER FOR BEDROOMS AND BATH. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED KEVIN & LORRAINE QUILLIN H01792t SEPT. 5~ 1990 KEVIN O. QUILLIN DEC. 31~ 1990 Rev. 1/81 ~vOR~ NO. 0 TO~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 1439g Z Date ..................................... , 19. Permission is hereby granted to: .... Z.. ~-.,,~.~..'"-- ~,v ~ ~ .......... /./.7/.-..,r7:~.~.~.....~.....~ ..... .~.~a.~. .c~,~.,~...;.....~..~.'./:... ....... z./..7..~' 7 .... ',,'.,r' ~'-- ~ T -~ ~,z~,.~ _ -- to . C~ ........ r.. L,,~. . . . . . . . ~. ............................. .~. ~ ~. . . . . ~T~..~, . . . ,.~-Zs :, ,~,. . . . ~-m,7-~_~.o~ ~ .~ i . ,c~r..~ /. ....... ~. .~. ~ ............. ..~, ~,z ~. . . .~. .~. . r. .~, ~ ~z~. ........................................................ ~t premises located at ..... ./....c'~..~. ............ ,..~..C~./.~..~./..-/. ........ ~..~.,*f~.. ....................................... ........................................................................................... ...~..,<.~..~.~z.c.z. ........ ~.,...~ .... Co~n~ To× Map No. ~000 See.on ...¢2..~ ..... B~o~k ...~..~ ....... ~ot No..~. ........ Building Inspector. Fee $....-~...,.~. ............. Building Ir~oector Rev. 6/30/80 Form No .6 .~ ~ G. DEPT. : - APP[[CAT[OH ~OR.CERTIF[CAT~ dF OCCU?AHC¥ a~ ., A. This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.' of water supply and sewerage-disposal(S-9 fnrm}. 3. Approval of hlectrical installation from Board of Fire Underwriters. 4. Sworn state~ent ~rom plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. ~ 6. Submit Planning Board Approval of completed site plan requirements. B., For existing buildings (prior to April 9, 19~) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ' 2. A properly completed application and a consent-to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons that&for in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25,00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Chrtificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15,~0, Commercial $15.00 Date ;' :~ew Construction ........... Old Or Pre-existing Building ................. Location of Property ' House No. Street Hamlet er O eers ef Property .... .................................... County Tax Map No I000, Section ............... Block ................ Lot ...................... Su sion ................................... Filed Map ............ Lot ...................... ?ermit No ................ Date Of Permit ................ Applicant ............................. f~ealth Dept. Approval .......................... Underwriters Approval ,, ~l g d App 1 ' "" annin Boar rova ...................... Request for: Temporary Certificate .......... Final Certicate ........... · .///1¢/ APPLICANT TOWN OF 50UTIIOLD OFFICE O1: BUILDING INSPECTOR P.O. BOX '/28 TOWN IIALL $OUI'IIOLI), N.Y. I Ig?l September 17, 1990 TEL. 765-1802 KEVIN QUILLEN 1000 NORTH ROAD GREENPORT, N.Y. 11944 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 fil~. (ENCLOSED) /~//~;o Underwriters Certificate on file. /_~/ The check is(~m~ot on file.) $25.00 /5/ Ho Health Dept. Approval on file. /~/ Ho final inspection has been made. Please contact our office on this matter. Thank you for your cooperation.' ~uildinq Permit t~ I 4 3 ' 9 9 Z *'**/~ Ho Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) ~OUNDATION (~st) ..'OUNDATION 2. ~OUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING [ ] ROUGH PLBG. 2ND [ ] INSULATION ~r~FINAL DATE INSPECTOR / 765-1802 BUILDING DEPI'. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~"]'~'NSULATION I' ] FRAMING [ ] FINAL DATE , iNSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST FOUNDATION 2ND ~ FRAMING ROUGH PLBG. INSULATION FINAL REMARKS: / DATE / // INSPECTOR ' ~, '~;'"FORM NO. 1 ~,;,~,,','~,' ¥OWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Rec Disapproved a/c ................ ~-~ .'- .....~ ..... (lfuilding Inspector) APPLICATION FOR BUILDING PERMIT /¢/¢ Date ............. , 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 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 thc 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. .. ¢.0.¢.s..W~. ¢~.'?.. Hg:Y ¢:...¢~,.,.~p.~.x?-~.,:o. 9,, ...... (Signature of applicant, or name, if a corporation) · f~. 7.....~.~¢.~..r.m~.. ¢.,. ~.w?...... ¢.~..~.c~..?r.,.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. ~zt,~ Name of owner of premises .~~~... ~"~'~'"'?'' .(~.d~.~..¢,? ................. (as on the tax roll or latest deed) If~pp~ant~s-t~Oor, pxoration,,,,~ signature of duly authorized officer. ..... .%¢ ................... (Name and title of corporate officer) Builder's License No... Plumber's License No .................... Electrician's License No ....................... 1. Location of land on which proposed work will be done ................................................... House Number Street Hamlet County Tax Map No. 1000 Section ~,d¢ Block Z~- . Lot Z- 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 ..... ~./?. ~%,~...¢..A:~.,~._.~.....M..oLO?.%.. ........................................ b. Intended use and occupancy .............................................. o + 10. 11. 12. 13. 14. Nature of work (check which applicable): New Building ..... ' ..... Addition i ......... Repair .............. Removal .......... ~... Demolition ..../cd... i .... Other W Estimated Cost ...... .6~..~..c? .......................... Fee/.. ~ .&'., ~/..~. ........ /"~ (to be paid on filinf If dwelling, number of dwelling units ....... ! ....... Number of dwelling u;its on each If garage, number of cars ...; ...................................... i .......... If business, commercial or mixed occupancy, specify nature and extent of each type of use .. Dimensions of existing structures, if any: Front .... .4-..0 ........ Rear . . ~ {D, ........ Height Number of Stories '~- ' Dimensions of same structure with alterations or additions: Front ...~Y ...... ! ....... Rear Depth 3o Height Number of Stories...2;. Dimensions of entire new construction: Front ............... Rear .............. Del Height ............. Ntlml~ar of' ,qtnries Size of lot: Front ...~.~. ............... ' ...... ~ Rear .... ~ ................ Depth .. Date of Purchase ............................. Name.of Former Owner' . ......... Zone or use district in which premises are situated ..... .~.~..~ .............. ! .......... Does proposed construction violate any zoning law, ordinance or regulation: . ~ ........ Will lot be regraded ...... ~. ........... ......... Will excess fill be removed from premi Name of Owner of premises .K.¢.? .~..O.o. ;I.~. ~ ...... Address ............. i ......Phone ] Name of Architect .......................... Address ................... Phone ] Name of Contractor ~.~)$o.~.rzrc~. go~ ~1}~ . Address /~5' .5~¢/¢'~-o~2 dca~ Phone PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set. property lines. Give street and block number or description according to deed, and show street name interior or corner lot. Iteration . .~ ..... :rk ............... this application) th.. 3.°. .......... th es: Yes No o..47'2..o.s.% .... back dimensions from s and indicate whether STATE OF NEW YORK, COUNTY OF ......... ........ S.S ................................................. being duly sworn, de ~oses and says that he is the applicant (Name of individual signing contract) 'ab~ove named. He is' the ........................................................................................ (Contractor, agent, corporate officer, et. :.) of said owner or owners, and is duly 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 ............ ...... dayo ......... .... i ' THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 in the foBowlng l,,cation; [] Basement ~ Ist Fl. ~ 2nd FI. Section B~k Lot FIXTURE Ef ~ EPTACLES SWITCHES OUTLETS 2 DRYERS at,d found to be in coh~pliance with the requirements qf this Board. FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER SYSTEMS NO.OF FEET E R NO, OF CC COND AWG. OF CC COND NO OF NEUTRALS OF NEUTRAL :,R~P( i, t, J',~¥, J J 94~, GENERAL MANAGER fhis certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TN~$ COPY OF CERTIFI~CrATE MUST NOT BE ALTERED IN A~Y MANNER. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR. P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E RTI F I CAT I, ON (pleas~ print ~ (please prln~ v ' I certify that the solder used in the water supply system Contains lass than 2/10 of 1% lead. ~' (p~uum~er ' s signature')" SWorn to be for~- ma tkis Z FL C. DOl PLAI'-,4 [,[ cupper lubing is used L~r water distributing <¢s arn~ piping shall be of types K~or L only pLUMB D-E ON LEAD CONTENT BEFOR~ CERTiFt'C¢!Z~' OF occUPANCY , < sED IN WATER ~-P~RgB%D AS NOTED NOTI~ BUILDING D~AT 765-~802 9 AM TO 4 PM FOR THE ~OLL0WlNG INSPECTIONS: ~l. FOUNDATION _ TWO REQUIRED t FOR POU~D CONCRETE 2. ROUGH - FRAMING & PLUMBING ~, IN~LAT~ON ~,, FtNAL- CONSTRUCTION MUST BE COMPLETE FOR C. O. eLL CONSTRUCT[ON SHALL ME~ THE REQUtREME~S OF THE N. Y ~TAT~ 6ONSTRUCTION & ENEPGy ~ODES. NOT RESPONSIBLE FOP ,¢