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Home My WebLink About24588-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25474 Date: 01/09/98 THIS CERTIFIES that the building ALTERATION Location of Property: 7290 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 11 Lot 10 Subdivision Filed Map NO. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 1997 pursuant to which Building Permit No. 24588-Z dated NOVEMBER 14, 1997 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 ENLARGE LAUNDRY ROOM IN EXISTING ACCESSORY GARAGE AS APPLIED FOR "AS BUILT". The certificate is issued to JOHN C HINSCH of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H05791 10/01/97 PLUMBERS CERTIFICATION DATED 10/08/97 CUTCHOGUE PLUMB.&HEATING Buildin~//~nspect or~ Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT ToWN HALL $OUTHOLO, N.Y. 2~5B8 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) D~~^ NOVEMBER 14 u,,~ .............................................................. 19.. ~..7. .... Permission Is hereby granted to~ JOHN C HINSCH 7290 PECONIC BAY BLVD ....... ~E,.u.~.,,~X,,,~ ............................................. to..,..E,~k,EE,~,,,k.E~E%,.~Eg~,,,~,~,,,EEEEgE.,.%,E~,.,~,,u,~b,[,,,tt .............................................. at prembe~ located at ................ ~,~.q,,,,,E,~EE~,,.E,~E.~E~.c..,.E,E~,,,EkY,E .......... k.E~,~,k ................ C~u~Ta×Map~o. ,,,,~Z.~E?. ..... se~tie~ ...~.~.E ............. ~l~k .....9.~ ......... ~t ~a..q~.E ............... pursuant to application dated ...,~g.~.~,~, ....... ~, ........................ 19,,....~. ..... and approved by the Building Inspector. Fee $ ........ ~..5......0..0. ..... Rev. 6/30/80 Bulling Inspectc~ FORM NO. 6 TOWN OF SOUTHOLD · Building Department Town Hall Southoldo N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ' Instructions A. This application must be filled in Wpewriter OR ink, and submitted -, ~ to the Building Inqoec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of a I 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 lnstalla- lions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit P.lannJng 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 cond lion of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent nforma- lion required to prepare a certificate. C. Fees:~ .1. Certlflcate of occupancy $25;00 -- IHJS]:HESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $'5;'00. over 5 yeaCs $10.00 4.Vacant Land C.O. $ '20.00 5.Updated C.O. $"50.00 Date November 4, 1997 ' Repair. roof on bath house a.n.d to .e,n]arge laundry room in garage NewC ohs truc ~ ion ...... Old o¢ Pre-existing Building .......... ~.. Vacant Land ............. Location of Property 7.2.9.0. P.e.c.o.n.i,c. Bay B1 vd., Laurel ,N.Y Hou~ No. Street Hamlet Owner or Owners of Propert~/ohn-- C. Hi nsch 126 11 10 County Tax Map No 1000 Section Block ' Lot Subdivision ................................. Filed Map No ........... Lot No Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor. Dept. Approval Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ......... ~ ........... Final Certific; . Fee Subm.tted $..?,5,0(1..'.., ..... .... ...... ....;. / / Construction on above described butldmg and permit meets all app~/~ Applicant ............. j~.~.. n,v. lO-lO-78 GARY FLANNER OL6EN, P.O. BOX 706 CUTCHOGUE, NY' TOWN OF SOUTHOLD ' OFFICE OF BUILDING INSPECTOR P.O. BOX ii79 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 Building Permit No. Owner' ~--o ~ C' --~1,,~...5-- i ~ ~ P/ ~%Se prlnt) . / ~ease print) ' ~ I certify that tile solder used in the water supply system c°ntains.less than 2/10 of l%'lead. S. worn to b~fore me this 19~. [;Otary Public,~ GARY FLANNER OLSEN COUNSELLOR AT LAW PO. BOX 706 MAIN ROAD CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666 FAX 516-734-7712 November 4, 1997 Re: Hinsch - CO Application Our File # 6341 Gentlemen'. Enclosed herewith please find the following: 1. Application for Building Permit to repair roof on bath house and to enlarge laundry room in garage. 2. Copy of Survey. 3. Copy of solder certificate. 4. Copy of Affidavit signed by John C. Hinsch. 5. Copy of Board of Underwriter's Certificate for entire premises. 6. Copy of sketch showing enlargement of the laundry room in the garage. 7. My attorney's check in the sum of $75.00 f~r~the Building P~rmit. / / 8. My attorney's check in the sum of $25.]~ fo~the Certificate of Occupancy. / GFO:lmk Enclosures Very truly/ G ~PPf ' FLANNE OLSEN Souzhold Town Build'Lng Dept. Main Road - Town Hall Southo!d, NY 11971 P. S. Also enclosed is sketch of deck on bath house. :~i 'Il 1~/ ' · GARY FLANNER OLSEN COUNSELLOR AT L~W RO. B,QX 706 · MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 PHONE 516-734-7666 FAX 516-734-7712 November 4, 1997 Re: Hinsch - CO Application Our File # 6341 Gentlemen: Enclosed herewith please find the following: 1. Application for Building Permit to repair roof on bath house and to enlarge laundry room in garage. 2. Copy of Survey. 3. Copy of solder certificate. 4. Copy of Affidavit signed by John C. Hinsch. 5. Copy of Board of Underwriter's Certificate for entire premises. 6. Copy of sketch showing enlargement of the laundry room in the garage. 7. My attorney's check in the sum of $75.00 for the Building Permit. 8. My attorney's check in the sum of $25.00 for the Certificate of Occupancy. Very truly yours, GFO:lmk Enclosures Southold Town Building Dept. Main Road - Town Hall Southold, NY 11971 GARY FLANNER OLSEN FY BOARD OF I1EALTH ............... , -Jr ~ ~ FORH NO. I 3 SETS OF PLANS ............... Fm ~ ~ ~ ~ ~ ~_ldl .,.o,, o~ ~o~',,O,.D ~ ........................ I1~) r IIIIII~D~ ~.'~.~ c~c~ ......................... lin]/ . ~ IIlll/ TOWN tIALL SEPTIC FO~ ................... i~:~[ I . / TEL: 765- 1802 NOTIFY: .................. '~ni~ Z~ .Z.~, 19Z~ . / _~ ~II. TO: .................... ...... ~... ~~.~ Z 2.7 ................................... mm~ a/c ................................. ~ ~-~-~- ~/ .................................... (l~tdl ding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date. PF3P~9?.l~ ..... ,19~. a. 'lhis application must be conpletely filled in by t3q~ewriter or in ir04 and gut,hilled to the l!~dldiag Inspector will 3 ,sets of plans, accurate plot plan to scale. Fee at, cording to sd~edule. 17. Plot plan slm~ing location of lot and of lmildings on premises, relationsl)ip to adjoining prt~nises or public streets or areas, and giving a detailed description of layout of property nnst be drmm on the diagram ~hid~ is pert of ~his appllcatic~. c. 'lhe ~ork covered by riffs application may w~t be coaneeeed before issuance of Ihfilding Permit. d. llpon approval of this application, the Building Inspector will issue a Dailding Pemit to the applicant. ,~lch pemit shall be kept on tie premises available for inspection throughout the ~orlc. e. No building almll be oocupled or uscd in ~d~le or in Dart for any pur0ose ~;hate-zer tmtil a Certificate of Ocmipancy shall have been ~,rranted by dm Building Inspector. APPLICA'IqCIi I8 IIEREB¥ IVlAllg to the Building Depertment for the issuance of a l~uilding Peratit purstmnt to the fluildlng Z~mm Ordinanc~ of tim ~Dam o15 Southold, S~ffolk County, New York, and other applicahle I.a~s, Ordi~moces or Rngulations, for tim censt~uctlan of buildings, additions or alterations, or for removal or deraolition, as herein described. 'lt}e applicant agrees to ca~91y with all applicable laws, ordinasces, building code, housing code, and regulations, and to -admit authorized inspectors on premises and in bui!~lina for neeesaTr~ iaspec, tlous. (Mailing address of appUc4nt) State ~bether applicant is mr, lessee, agent, arddteet, engineer, get~eral contractor, electrician, plunt>er or ladlder. John C H~nsch .... ~'IiI~I~I~£D~SNOT£D - 'If applicant is a corporation, siglmL~rre off duly anthori~ed officer. NOTIFY IIUII.OII~I and title of eorpe~ate office}) UNDERWRITERS CERTIFICATE REQUIRED Ikfilders License No .......................... PlmL, ers License 1~o .......................... 765-1502 9 AM TO 4 PM FOR THE FOL, LOWIN~ 1 ~ · TWO REOUIREO 4. FINAL - ~OlO~lUffiqON MU~T 8£ COMINA~ IN~ C.O. ~l~trici~s Licen~ ~ ...................... THE REOUIREME~ OF TS~ N.Y. Odmr ~'s Licenm ~ ..................... STAT~ , 79an ~ .... j, n~O~4 NOT RES~NSIBLE~ FOR h lz~ri~ of laed m ~dch p~)~ ~rk will ~ ............ ~G~ 0R ~O~TS~T~N' E~- ........... 7.89¢..~ecp. ni c..B~..~1 yfl:~ .................... ~,~ne] ..................................................... lm ~r st~t l~et O~mt~ Tax mp ~, lad ~tia, ..J. 8~ .......... mink ,.JJ ............ l~t ..J.0 ........... ~lxlivisi*~ ...................................... Fil~ ~p ~ ................ l~t ............... 2. State existing u~ aM ~y si ~niscs and inte[~ tree aed ~c~ of pro~ ~mtmctlon: T0 repair roof 0n bath house and to enlarge la~.ndry room ~n garage a. Fmistim tm ~ ~a~my ......................................................... ~' ~d~[~'(t~61 h~, garage b. ~n"e ....urn.and ~cu-"m"' T0'repaJr. . r00f, 90 batb bOAs¢ kqd. gq enlarge,,.., lAuDS, ,.,:~ wall . room ]n gfrage By repos]tlomng arage wall as built. 3. I0, II. 12. 13. 15. 10z~tt~re of work (clmck whtds al~Aicable): New l~uihling .......... ,~klition ....... ~i'.~lt~ratio, I~mlr ............ I~smat ...~ .......... l~s~ll~lon ............ Other ~ ... ~ ' ~I~ripri~) [ (t'o Im I~id ~, filing ti, if a~) _._ If garage, t~;i~r of car~ ..... : ................................. Dil~nM~m of ~i~tieg ~Cn~Lur~a, i~ any: Fret ................ ~ac ....... I~i~r ........................ [. ~dmr o~ S~ories ...................... Dm~nsto s of sam s~rure wl[h alterarkms or ~irions: FronC ............... l~ar ............... l~pth .................... I~i~C .................... ~mtmr of St'oriea ............... I~it~r ........................ [. ~mtmr of Stories ..................... Size ef lo~: l~r .......... ...' ....... ~ar ........... ...... ..... ~pth ... ............... ~ or u~ disl:ric~ in ~tich pr~i~s a~ I~s propel ~st;~ti~ violSt;e any ~ming 1~, o~i~e or regulaLi~u ........................ ~s this p~l~rl:y within ~ f~ of a tk~[ ~cla~? ~ YF~ .......... PLOT DIAGRAH lc. cate clearly and dist:inct:ly M1 bull(lings, x~mther existing or proposed, and indicate all set-lmck dimensions i'Ton properry lines. Give st:feet: andlblock rt~nber or deseriptic~a according I:o deed, and shc~ street: names and indicate xdmtlmr JnLerior or corner loC. See attached ~urvey (C~[rac~or, s~en~, qor~ra[e officer, etc.) said ~mr er ~mrs, snd in duly ~thori~ Lo ~rfonn or h~me lmrik)n;~ the said ~tk a~gl Lo ~ke a~l file this application; Umt: all skal:~nrs c{~ta t~l in tibia al~}lieaki(m are t:~m to the Imat: of his ktx~l~se ' _,le ~)rk w~il Im l~rfon~l In thq .~m~mr ~C forth xn the alii xeak ~ti~. ~rn to I~fore ne tlus ~R~INEKLO~R ~ (Sigt~lt:ure e[ Applicant) ............. l~itq; duly swon~, delx)ses and says tha~: he is the applicant.