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Home My WebLink About25499-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26352 Date: 03/30/99 THIS CERTIFIES that the building ALTERATION Location of Property: 7945 MAIN RD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 25, 1999 pursuant to which Building Permit No. 25499-Z dated JANUARY 27, 1999 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 ALTERATIONS & REPAIRS TO EXISTING FRONT PORCH OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RAYMOND L & JUDITH JACOBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ing Inspecto 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. 25499 Z Date JANUARY 27 , 1999 Permission is hereby granted to: RAYMOND L & WF JACOBS PO BOX 255 EAST MARION,NY 11939 for CONSTRUCTION OF ALTERATIONS & REPAIRS TO AN EXISTING FRONT PORCH ON A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7945 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0002 Lot No. 028 pursuant to application dated JANUARY 25 1999 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature ORIGINAL Rev. 2/19/98 11.1 - 1F� . ' � Form No. 6 Qn �� TOWN OF SOUTHOLD 1W BUILDING DEPARTMENT TOWN HALL 765-I802 44APPLICATION 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 - .25¢. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . . . /— ..... . . .Q S.. . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . !Z . . . . . . . Location of Property. .. 79f � . . . ...... .. ... .M6VW.ed. . . . . . . . . .. . . . . . . House No. Street Hamlet Onwer or Owners of Property.. . / P.�VQ. L. . ?f. �'��J�HtQI. `�! . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . . . . . ...Block. . . .:?7. . . . . . . . .Lot. . . .97�cf . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .°Z ��`9 Z.Date Of Permit. . Z'�. .T9.r. .Applicant.�.Y.?.W44^ . L. . ��. . . Health Dept. Approval. . . .. . . .. .. . . . . . . . . . . . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . .. .. . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . o� �— .. Fee Submitted: $. . . . . . . . . . . . . . . . . R. - SGOY A j �e J. . . . . . . . . . . . . C o -F--a C 3 S z APPL ANT 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. 25499 Z Date JANUARY 27, 1999 Permission is hereby granted to: RAYMOND L & WF JACOBS PO BOX 255 EAST MARION,NY 11939 for CONSTRUCTION OF ALTERATIONS & REPAIRS TO AN EXISTING FRONT PORCH ON A SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 7945 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0002 Lot No. 028 pursuant to application dated JANUARY 25 99 and approved by the Building Inspector. Fee $ 75 .00 Authorized Signature COPY Rev. 2/19/98 Town Hall,53095 Main Road Fax(516)765-1823 P.O. Box 1179 Telephone(516)765-1802 Southold,New York 11971 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 23, 1999 Mr. & Mrs. Raymond Jacobs P.O. Box 255 East Marion, N.Y. 11939 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. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file. )$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25499-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. LLJ c �Ycm iu Zz¢LLO �tWZMJW 2 O 20 (- d �{f F a C K Z y z.05 d 5 ® � � � mO ' 2 t- OOZVW ¢ LLJp� OUO ?¢ fq d 5Of2pp�2� ' �UJmzoo z ¢ 0- c/) MC fm. z6 5QUOWv �A2 V 0' LA ii O lWZWVWta LU (D Pl uwl ' A-uot- � Q W�m -�LL c?LLmdWQovy J= 1- Ow Q wZnS: rriv Qt- mVD t f t- -T --G -1 -� CCA `1 x(o G tc oma, aa. Ow CoNc�sTs F°o'riNoi G.� ODn �u i .� BCLOW �j�9DLrr q i tV V N Q � �{ G N � U I 1 Y i�iCq�(� Co Loc. 6xG CCA Post `7-a FoUrl U61 Gv 3 t' L Z 3 GRADFi TYPiCs� 22:-(o` i0 �} LOGA7i�s < � � N GN' Q 3(o Rt�t� HaN,� �,X�SS I�� Road aat� cretc � �ORGN ��rRu�ZuR� ro R6 rm A i t4. . F � 4 / — — — — — PoRcN 'Co rnaTcR �3Cl5Tt>`tLS TY��ca� � 1y -F- X15T I�l�j �V►t,D►N�j (19 K 10 2XbC� lCo ��t�C.a �t F�. Rha fi ;r,, M6T�V CouNeL1'oQ. CCAS' Pte' PO5,r BeYor�p Cot�cRF�fFi r ooTi u 3 &,p Low �,t S&ALL, '/z = I„psi h i N�WEVI- I w I , � I , i N�,g38E. PIPE � Mai OF 5URVEYED FGr,� .., v ✓ :z 0 3 AT EAST MA52t"ti rn Z TOWN :DP 5UTH0Lr.) � '.v.Y. w / !� `V' \ Unwtiwdzsd after"Icraddilm {fl to this w,ay is a V.d.p6w of O R} Z l \ 1 Section 7268 of the New York State JRN.Wxf tL q V Eduda#m taw. z 4,� Coplw of thist�tv�/mep not hearing rd w the mrVOI Wiwi eeat or to (.:. embossed well d W nota oorrekfered a boatraBdYw otgy<. LL m Q 3 O V it orf pto n the essm8y CIO m 11 mWe on Nshe�lmUe the l lending listed hereon and Z a Ln to the assignees of the lending msti- y., talion.Gurs Guarantees anot transferable, O. to additional lrsHwdona or swycq'j sent owners. GQ 3312&VEL \T p4� TG` p r n VI SCALE- :A`t ArZEA- 0.52 AC. ^FtiSftatsaezeP,�° 0• MCINUME!`f" tv SUFE. U7.TAX M"- low-03i-2.28 QC bI t i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULA ION [ ] FRAMING AL [ ] FIREPLACE A ,CHIMNEY REMARKS: t zt- DATE WV INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 71NAL LATION [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECT FIEL _INSPECTION xREPORT=_�xDATE CCMMENTS======x=x==zx=x In II N H FOUNDATION OST) .A ii �i cs FOUNDATION (2ND) x=xsxssssxx=ss==ssssxssx= ___xxxx�_____ssss==sxsssxc==x=sssxc=xx=sxxsaasxssssessesssx==x= u I Ait -�u o ROUGH FRAME & N "1 PLUMBING N I� II N u II II sasxaxssxsssaxxssssxxxssa�x_-xssas�ss�sxxxxMss�asxxxxssssxxxxxsvxsaaasssasszassxxxxxs_ I I' INSULATION PER N. Y. e H STATE ENERGY 1� CODE �� n sxxssxxsssssass:xsssasxxa�a y-asa: xaa�sas xmx � _ssa�ssssss II H II FINAL -amu sssssassasa-=�+asssxxxass�s---__�u sxxxaxssasasssssxsxssxsssaxssasa�essxasxxssasassssasx ADDITIONAL COMMENTS: \ _� -sxsaasxxxssaxssx=xxssxx=sssxaxsxaaasxxxxxxxxax:s xssxxasaxxxxaaxsasasxxxaxxxxx � I�j D i� H H O 7 -- - rtv H 1. . . . . . . . . . . FORM N0. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . .. . . . . .. . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: i?#IY J AiC00k5 ff CALL . . �+)Y. . 4' 76. . .. . Fxam�ired......! 2�...., 193.? MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved........ ..., 19 a Ic} Pernut No. .................................... Disapprovedarc .................................. .................................... (Building Inspector) PLICATION FOR BUILDING PERMIT Date. . l. . ... :`.. . . 19.7-- INSTRUCTIONS a. 'this application most be completely filled in by typewriter or in ink and submitted to the Building Inspector wii 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 most be drawn on the diagram which is part of this ar'plication. ct 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 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 wbole•or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICA71CN IS WEBY 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 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, ordi , building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildor necessary inspections. . ?4� .......... r a of applicant, o if a corporation) .......................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder .........Q �� 1. ...........................I..................................................................... Name of owner of premises ... .... n.� ,lm L3N L .P G b 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) Builders License No. 1` j � (LC e�... ...... ... ......... PlumbersLicense No. ......................... Electricians License No. ..................... Other Trade's License No. .................... R n ¢ 1. location of land on which proposed work will be done.. LC �7RovTC ..................... G� �"............... ......1 Yox.!�....... House Number Street y Hamlet('2Q County Tax Map No. 1000 Section .......a1...... Block ......2....... Int .....G Q...... Subdivision ...................................... Filed lisp No. ............... Int ............... (Name) 2. State existing use and occupancy of {premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......UJR. Qg!�T A4...................................................... b. Intended use and occupancy Rt.�QI,QmT la4r,..................................................... 3. Mature of work (check which app"icable)- New Building .......... Addition .......... Alteration ...x .... Repair ...X..... Removal .......... Demolition ............ Other Work ............ pa (Description) 4. Estimated Cost ..26D'.. ....... fee . (to be paid on filing this application) 5. If dwelling, moiler of dwelling' units ............ Number of dwelling units on each floor ................ i Ifgarage, number of cars ...................................... 6. If business, commercial or miweld occupancy, apecify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Heigh ..... ... Dimensions of sae structure withof Stories .tion.......,.. ....... nalterations alterations or additions: Front ............... Rear ............... Depth .................... Height .................... Midler of Stories ............... S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Height ........................, limber of Stories ..................... 9. Size of lot: Front .......... I......... Rear .................... Depth ......I............. 10. Date of Purchase ..............i....... Name of Former Owner ........................................ 11. Zone or use district in which prmmdsea are situated ............................11..tI................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: 0................ r 13. Will lot be regraded .... �.I;........I .. Will excess fill be removed from premises: YES I�u 14. Names of Owner of premise.p�tu'.`{n?4NP.1 AKQB�> ... Address .............................. Plan No. Name of Architect ............:'.. .................... Address .............................. Plane No. .............. Name of Contractor ............!. .................... Address ...............................Phone No. 111111 .............. 15. is this property within 300 feet of a tidal wetland? * YES .......... ti0 ...K..... *IF YES, SWUM Ti7WN Tri S1P8S PEBriCI MAY BB MDVM. PLOT DIAGRAM Locate clearly and distinctly s11 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 nares and indicate whether interior or corner lot. II SME OR NW YOW, cc SS .........:� " rrl�rYd '.. 4r.....being duly sworn, deposes and says that he is the applicant (Name of individual signing contract)II above named, lieis the ..................P.[t>/1l4q r.................................................................... (Contractor, agent, corporate officer, etc.) of said amber or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements cont�tnled in this application are true to the beat of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. ELIZABETH ANN NEVILLE Sworn to before me this J wca Nota Public,State of New York No.57.81 60,Suffolk County ~ .�j....day of ...........r�....19 9 ..... Terra October 3l,'oZ 20D Notary Publi�� ....� ..... �CIOfV'Ib ,ry•nr Arn.l t,.