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Home My WebLink About26734-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27279 Date: 08/29/00 THIS CERTIFIES that the building REPAIR Location of Property: 180 KNOLL CIR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 5 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 2000 pursuant to which Building Permit No. 26734-Z dated AUGUST 23, 2000 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 REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ERIC ISBISTER & WF. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED 08/08/86 COMPLETE PLUMBING & HEAT Authorized Sign ure Rev. 1/81 FORM NO. 3 TOWN 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) PERMIT NO. 26734 Z Date AUGUST 23, 2000 Permission is hereby granted to: ERIC & MORA B. ISBISTER 2602 HUNTINGTON ROAD CHARLOTTESVILLE VA, 22901 for REPAIRS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" at premises located at 180 KNOLL CIR EAST MARION County Tax Map No. 473889 Section 037 Block 0005 Lot No. 017 pursuant to application dated AUGUST 8, 2000 and approved by the Building Inspector. Fee $ 75.00 4VAu horized ASSigrat ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. 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 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from 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, 1957) 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 therefor in writing to the applicant. C. Fees 1. 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 - .25V 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . ....... —Q� . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . .01� 1 Location of Property. . . , q. . . . . . . . . . . . . . . . t�f�� . . . . :T. � . . . . . . . ..�t/L . . . . House No. Street Hamlet E R--1 L -15 b I�. -�- lJ �-P Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l� County Tax Map No 1000, Section. . . 3 �. . . . . .Block. . . .`J. . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit NO. . . . . .Date Of Permit. �.�-� . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certifiiicate. . . . . . . . . . . Finalr is eN. . . . . Fee Submitted: $. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT COMPLETE PLUMBING & HEATING 1210 NORTH ROAD GREENPORT, N.Y. 11944 516-477-1348 ---------------------------------------------------------------------------------------------- AUGUST 8, 1986 LIC.# 3079-P MORA ISBISTER 180 KNOLLS CIRCLE EAST MARION, N.Y. 11939 ---------------------------------------------------------------------------------------------- THIS IS TO CERTIFY THAT THE SOLDER USED IS 95/5 NO LEAD ON ALL COPPER PIPING. ---------------------------------------------------------------------------------------------- HEATING J. KEVIN McLAUGHLIN Notary Public, State of New York Qualified in Albany County 9 My Commission Expi1esA+-vi--*'--1/r acts( suaoiNc DE". INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;71NAL ULATION FRAMING [ ] FIREPLACE 8 CHIMNEY REMARKS: a, J DATE � e9 IN8PECT0 It,U) INSPECTION -II DATE _ _ _ COMMENTS- )UNDATION OST) a ' -- --- ---- ---- ---- ---- n A JUNDAT ION OND)------------------ lu --------II II jj � DUGft FRAME — ---ii— ora e, PLUMBING ii ii NSULATION PER N. Y. u a td STATE ENERGY CODE I i� — -il Ii A u – –_________I Ilk ------------ ------------ u S u-- —ii FINAL u .T __ II 0 ADDITIONAL COUNTS: Ilk r� H� O z r ra J5 U1LTJlly0 1 -1LKINIl 1 ItL N/ 1L Ny l�1ILl.-A 11 ►5 I Applicant/ Date Owners Name: Li L LS�i5 i+ Reviewed: Architect/ Date Engineer: Submitted: SCTM 4: /�/ ` I District: 1,000 Section:Y l Block J Lot: ProjectI Dti ( n C Subdivision I.ocation: D �fr�(�J ��C C•t6✓� Name: Single& separate Required certification (Yes/Nod Req Req. /.onme District ILot size Actual I ILot coverage I'mpu d Rey Req Req. (Front Yard Proposed: J (side Yard Proposed J [Rear Yard Proposed J Project Description: AGENCli' ERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: to • 7s. BOARD OF HEALTH . . . . . . . . . . . . . .� FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOI.D SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y- 11971 DEC ..... ... .. .... .. . .. . . . . . . TEL: 765-1802 TRUSTEES . . . . .. . . . . . . ..... . . . . . NOTIFY: , � CALL 12 Examined... `"' .... 2C� .. .. .... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..... .....,7...... .... Permit No IQ: ................................... Disapproveda/c ........................... ................................... ......................................... ....... .... •••• • --•• ildingInspector) AP ATION FOR BUILDING PERMIT QQ Date. �o. . . - - • • • , 2G.OU INSTRUCTIONS a. 'This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector w: 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 application. c. The work covered by this application may not be cam enced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector krill issue 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. APPLICATICN IS BERM MAL- 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, r for a or ition, as herein described. The applicant agrees to comply with all applicable laws, s bu' di , ing code, and regulations, and to admit authorized inspectors on premises and in fo ion. .. ......... .......1................... (S tore of applicant, or name, if a corporation)• (Mailing address of applicant) J St to whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde 1, C.Y,-: ..:` .0 _Q YNQ Q........................................... Name of owner of premises .................................r G- .. ....%.................................... i (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nam and title of corporate officer) Builders License No. ......................... Plumbers License No. .................... ... Electricians License No. ..................... Other Trade's License No. .................... 1. Location off land on which proposed work will rbe done.............................................................. .....................................o . C c�- `4............................ .............d'(q-.,Q.............. House Number Street Hamlet County Tax Map No. 1000 Section .. Block .!;6�.Q... Lot .O 1.r: 900 0-9 Sac*Ia%A_b7� 6 a rdi#tors ...... Lot ......' /. Subdivision ' ��' e�Ee�i.. �- �,�,�`..:.. Filed Map No. . ... (Name) ' � 2. State existing use and occupancy of premises and int use and occupancy of pro"ask jon: , i C� K!v'�" 6 3 Y PAY a. Existing use and occupancy .bhQ ^:�� :............. °t, 1:' :,••:r i�. WA. b. Intended use and occupancy CX* ... 1 i •.•. ,w• «.•.,�. ..�,,, .......��. av-w uX/A,ui[4; .......... ewulcion .......... AlteraLion Repair .. ......... Removal ............. Demolition ..... Other Work ............................. . (Description) �. Estimated Cost .. ... DOd::°�!:....... fee .............................................. A (to be paid on filing this application) IE welling, number of dwell i units .J......... dumber of ckael.ling units on each floor ................ Ifgarage, number of cars ......I�,............................. ff If business, commercial or mixed occupancy, specify nature and extent of each type of use.... .I P%......... Dimensions of existing structures, if any: Dont................ Rear ............... Depth ................. height ......................... Number of Stories .............. Dimensions of same structure with alterations or additions: Dont ............... Rear ............... Depth .................... Height ...............''.11.... Number of Stories ............... Diuensions of entire new construction: Dont ..l:4!. V...... Rear ............... Depth .............. Iiei64mt ............ .. Number of Stories ..................... Size of lot: Dont .................... Rear ........ ........ Depth .................... Date of Purchase ..................... Name of Former Cleaner ........................................ Zone or use district in which premises are situated ........................................ Does proposed construction violate any zoning law, ordinance or regulation: ...^o................ Will lot be regraded ...`\0............. Will excessfill be rqwved from premie YES Names of Owner of premises['Y?}IQ110t... ... .... Address .....:�......... .. 'Phone No. �.U. Na»e of Architect .................................... Address .............................. Phone No. ............. Name of Contractor ................................... Address // ...............................Phone No. ............. Is this property within 300 feet of a tidal wetland? * YES .11....... ND .......... *IF YES, SC1 ri D ma TII mlms PERMIT MAY Bc- REC mim. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions am property lines. Give street and block number or description according to deed, and show street names and indicate ether interior or corner lot. A'il's Or Nil Yom, SS XiNIY or . ..•-.'� :. �. Y�being duly sworn, deposes and says that he is the applicant 4-me of individual signing contract) Kove named, isLlie .... ........................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this gml.ication; that all statements contained in this application are true to the best of his knowledge and belief; and gat the work will be performed in the nmmvr set forth in the.appl.ication filed the 'th. orn Co rte this .... .d y of :20 �0 �b4� Notary Public . ..... ..........1.!.1. ly ..... .. ........... LYN M.BOHN (Si , tu. of Applicant) NOTARY PU lu State of New lfbrk No.01 fualified in Suffolk Cou l r Term Expires March 8, 1 — -- -------Etc------------- -------- PJ MLT x 2u�FPR(q� iii"C.�„ xX¢ w�rxa>✓ sk?SRI? J— i n �n�• - ,. .- y�-:.-r �r+ , , - �-� il= �'•''2' _ -1 PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIFICATE OF OCCUPANCY i , 2w ad e . SOLDER USED /N WATER t., SUPPLY SYSTEM CANNOT EXCEED 2/10 OfI% LEA>J. PLum1w p .w . - - r Al ,_. .. . . - � � � �•fJl„JCc �-<-• ^� fi�3 tl i u J L PLUMB RVO VILAg�,e . 'I I - i '� •�� j 4m ''FR LINES NEED TESTING BEFORE COVERING - f '.�"'! C1 (I f1 C 71 -- I� h11 �._...,,�.._____.�-. � fr.-n _. .. ..._..__ - _-...--�k �--._ . _.___. ..'�i -_.___ ,c'- r..taf`i.� 1✓-�I.ea�� t��I._:s t I yeamor wng is usw fW wahrdbvibW it WYMNR PtPMY 111111811 be L K�� _.-- n I � Yfii'��1.-i � �t'��—_ d 1YPM or L on -- ,� �! ' OCCUPANCY OR — .-- j USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY rf G ' IF , 1 II � t f I AP RD n \ TEL. , EAsRo� u� , / FEE = NOTIFY BUILDING DEP NT AT 765-1802 9 AM TO 4 PM FOLLOWING INSPECTIONS: FOR THE 2X(o +;J.� 24°GG, t FOUNDATION - TWO REQUIRED t _ FOR POURED CONCRETE d 2 ROUGH - FRAMING & PLUMBING ___ .r- '- _ _._�t-`-_. k'4' ae, S INSULATION I ( Li 64 t-,A1 ra i_J w r _ __ _ _ _ -.- dai'CEL r-X•M1, FINAL • CONSTRUCTION MUST T — T BE COMPLETE FOR C.O. Ii `L ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. �1 lee r I "�\ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESION OR CONSTRUCTION ERRORS \ ONDERWRRERSCERIErAE REQUIRED _ i 'I ` OF NEW cHF� �0. 0525 �2 f I " I I f