HomeMy WebLinkAbout24587-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25473
Date: 01/09/98
THIS CERTIFIES that the building ACCESSARY BATH HOUSE
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. 24587-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 REPAIR ROOF ON EXISTING BATH HOUSE (STORM DAMAGE) AS APPLIED FOR,
"AS BUILT".
The certificate is issued to JOHN C HINSCH
of the aforesaid building.
(OWNER)
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
N/A
Build~ Inspec~
Rev. 1/81
FORM NO.3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~ALL
SOUTHOLD, N.Y.
24587
BUILDING PERMIT
(THIS PERMIT MUST BE K~PT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Date .....E°..v...E.~.~?,,,,,,~,,~ ........................... ~9.,.~ ....
Z
Permission Is hereby granted to:
58HN C HINSCH
7290 PECONIC BAY BLVD
....... .~,~,~,~,~Z,.,!~2~,~ .............................................
at premises located at ................ ~,~.~..... ~.~ ~.~... ~.~ ~.~. ~ ~.,. ~.~.,. ~.~ ~.~ .......... ~.~ .LI..~ ~.~ ................
County Tax Map No..,.,~.~,~.~. ..... Section ,..~.~.~ .............Block ....,~.~.~.~. ........ Lot No..~.~..0.. ...............
pursuant ta application dated ....~.~.~.~..~. ....... ~. ........................ 19......~..7. ..... and approved bythe
Building Inspector,
Fee $ ........ ~.~.....0..0. .....
~uildlng Insp~,for
Rev. 6/30/80
GARY FLANNER OLSEN
COUNSELLOR AT LAW
RO. BOX 706 · MAIN ROAD CUTCF
~w~ oP so~i~ou~
11935 ·
PHONE 516-734-7666
FAX 516-734-7712
November 19, 1997
Re:
John C. Hinsch -
CO Application
Our file # 6341
Dear Mr. Verity:
On November 4, 1997 I mailed you an application for a
Building Permit and Certificate of Occupancy for 7290
Peconic Bay Blvd., Laurel, New York. I have been notified
that the railing to the upstairs room in the garage has been
installed as per your request if you wish to reinspect.
Very truly yours,
GFO:lmk
Southold Town Building Dept.
Main Road - Town Hall
Southold, NY 11971
Attn: Mike Verity
FORM NO. 6
TOWN OF SOUTHOLD
· . DuildimJ Department
Town Hall
Southold0 N.Y. 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
· Instructions
This apphcat'on must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec-
tor with the Iollowing: for new buildings or new use=
1. Final survey of property with accurate Iocatio. n of -~11 build!nBs, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Realtl~ 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 Installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the .butldln~].
5. Submit P.lannlng Board approval of completed site plan requirements where applicable.
.For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses=
1, Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or
topographic leatures. ' ' ' · ' ' s
2. Sworn statement of owner or previous owner asto use,, occupancy an.d cond eon of bu~.ld,ng,
3. Date gl any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
C. Fees='
.1. Certificate of occupancv $;.25200 -- ItUSIHESS $50.00
2. Certificate of occupancy on pre-existing dwelling $ 5 0 .. 00
3. Copy oi certificate of occupancy $'5;'00, ove~ 5 'yea~a $10.00
4.Vacant. ~..~nd C,Oo -$.'20,00 November 4, 1997
5 · UpdateG $" 5 0.0 0 Date ..........................
· geC.O
· - Repair roof on bath house and to enlar laundry room.in garage
NewCOns bruc bion ...... O~d or Pre-ex~sting Building .......... ,.. Vacant Land . .. ...........
7.2.9.0. P.e.c,o.n,i.c. Bay B1 vd , Laurel NY .......................
Location of property ....................... ? ........ Ha,,laJ
HOU~ No. Street
3ohn C Hinsch
Owner or Ownors of Property ........... . ....................... 10
. 126 11 ' Lot .....
Coun~ 'Fax Map No. 1000 Section ............... Block ..........................
Subdivision ................................. Filed Map No ........... Lot No,
' Permit No ........... Date of Permit .......... Applicant .................................
/ Labor Dept Approval
Health Dept. Approval ......................... '
' d Appr
Unde~vriters Approval ........................ Planning Boar ova
. . Final Corel,cate .............. ' .......
Request for Temporary Certsflcate ........ . ............
Fee Submitted $ 25 QO '
Construction on above described bu~ld'ng and permit meets all applicable codes and regulations.
Applicant ...................................................
fl,v. 10.10.7D
GARY FLANNER OLSEN, E8Q,
P.O. BOX 706
CUTCHOGUE, NY 11935
TOWN OF $OUTIIOLD
TO!qN llALI.
TEl,:
IlO^Ill) (IF IlEAl}I'll ...............
3 S~TS OF PLANS ...............
$11Rig¥ ........................
C, IIE~K .........................
SEPTIC FORH ...................
NOT1FY:
GAL1 ...................
MAI L TO: ....................
I)| sapproved a/c ......................................................................
(IMf ldlng Inspector )
^PPLICATION FOR BUILDING PERHIT
INSTRUCTIONS
a. lhls al~Pllcatlrm must be ccmplel:ely £11led iu by ty~ril.er or in i~ ~[~1 m~l~itt~ [o U~e Ihdldi~ lnsl~ctor
3 ~ts of plans, *c~r~te plot plan to ~ale. F~ according [o sch~hfle.
str~ts or areas, mgl giving a ~tail~ ~rlption of laym~t of pro~rty n~st I~ dr~ ~ the dla~ Odd~ is imrt of
c. 'lhe ~rk c~r~ I~ this a[~>llcation way ~g}t I~ c~l~rm~l I~fore isstm~e o~ ~ilding Pemlt.
d. lilts all)~at of this a~licatlon, tl~ lhildln8 lnsl~Ctor x,ill isst~ a ~filding Pemlt to the applicant.
I~nnit ~mll I~ ~pt ~ 6m ~o~i~s available for insl~cti(m tl}ra~0~t the x~rk.
e. ~) I~ildi~g ~mll I~ ~l)ial or u~l in ¢u)le or in ~rt Jar a~ ~n~ dmt~er until a C~rti[icate si
~(~q~y ~mll h~e I~n ~ant~ by O~ l~dldi~g lns~tor.
AI~PI.ICA'I'[(~ IS ]El]g~ [~l[ to the I~dtding l~lmrl~nt for the iss~nce of a ~ildlng Pem~it ¢~rm~ant to the
Ih~i]dlng 7otto Ordim~me si the '1~ of ~fl~ld, ~fffolk O~nty, ~ York~ a~fl other a~llcable I~s, Ordi~kq~es or
l~gulati~s, for the cmstn~tlm of I~dldi~gs, ~bliti~s or alteratlons~ or for r~al or d~lltlon, as herein
~scril~l. '~ applicant ~s to ~ply ~ith all a~)licable l~s, ordhm~mes, Imildlng c~e, h~slng c~le,
reb~latlons,/aml to ~lt ~tlg~ri~ resistors ~ proni~s a~ m Iml~mg for ~ces~ar~
.................
~i~tt~re of a~licant, or ~e, i~ a core, ration)
. ..: ....... .
(~alli~B ~klress o[ ~l ~c4nt)
State ~mther a~lieant is ~r, ]es~ ~ent, nr'chltect, eq~il~r, geg~ral c~tractor~ electricim~, ph~t~r or I~]ilder
............... ............... . .... .._ ....................................... ..........
.... ...................................
(as ~ lira tax ~ll or l~test de~l) ~ ' ' *~
If el~licant is a co~ration, oi~ture of dttly ~tt~lri~z~l officer. N~lff BUILDING DEPARTMENT ~
......................................................... FO~N~ ~10~:
(g~e atxl title o~ corlx~rate o[flcer) ] ~~ ~ ~O
l~dlders l.icea~ ~ .......................... 3. INS~
P~i~ ~P~ NOT ~ESPO~S~'
I. t~:ati(~ of lawl ~ ~irh prOlxm~l x~rk will I~ ~k~r~ ..... ~,O.~.~w,.,-.~v~ ~O~R~N-E~O~
........... Z~g..~ec~n i ~..~0~..~l ~.d; .................... M.~c~] ................................... ; .................
I~ ~t~c 5trot l~nlet
~nt~ Ta~ ~p ~. I([~ ~ti~ ...1.~ .......... Blink ..~J ............ l~t ,.J.Q ...........
~Ixllv[~i~ ...................................... FiI~ ~*p ~ ................ l~t ...............
2. State exist'b~ Um a~ ~o~my si I~ni~s m~l inle~ ose a~l ~cu~a~y of pro~)~ c~mtmctlon:
To repair roof on bath house and to enlacoe laundry room in ~ara~e
a. g~istlng um a~l mc~,l~ry ........................................ ~ ................ ~' ~6~b~i~]~fi] ~. ~acaoe
",'ex'~'' tm ami ~'n~, To'repair roof qp b0gk horse Aqd. g.q.eR1.0rge.JA~0Or.7 ....... wall
room ~n gpcage 5y repos~t~omng stage wall as built. ~,w,;:~?,,: ,',~,:'.:,,
(to be paid ee filieg th}
5.
I[
Qecaqmf~:y, apeeiL~ enture nix! exteet of entel type of use ......................
I)in~enicnla of sane stem}ute *dth,lalteratt{ms er ~gklil:ioea: Front ............... I{ear ...............
Ikqd h ' ' [
.................... IleJ~}lt I ................. ixkllli~r ef Stories ...............
9. /i|ze of lot: Ir'rc~lt i
.................... I~ar .................... I',ept h ....................
JO. INlre cig l~trdm~.~ ................ k .... H;Jne of lrermer Om~mr
I I. 2~a~ er i,m di. aLrie£ in ~4,i{:h pro daes nm szLtmttxl ........................................................... ...
I'L {4ill lot be zeE~r~led ............ i ........ }/ill excess fid Im renk'~eal
Hm~ of Architect ............... i ................. /'aldres$ .............................. I~}otle l~} ...............
I~..e { I' (~tr~ctor .,.' ......... tMklress ............................ l]~o~e No,
15. I~ lllis pmlmrt¥ whhin 300 leer o£ n tidal ~0erlm~l? * ¥1~ .......... NO ..........
~IL; YEti, SOU'lll{ll) 'lLi. dq 'll~.lglYA~q PEI~IIT }lAY BLt IUff~IIIUt. D.
! PI.eT I)IAGIIAH
l~xmte clearly taxi diat:i[mtly alt Lqdhlings, ~dmther exlsti~qt or proixosc~l, msl ilxlieate fill eet-lmck din~.esions
frm~ prelxerl'y lines. Give etreet a~l block nmlmr or deserJptic~n accoldieg co deed, a~l &~o~ street names alxl il~licate
idletlmr ieterior or co}mr lot. i
See at~ached survey
..... 1t ~ ~ CIaL4 ~lt~.r~lr~ Oa ..H..~ ................ ~,
¢ )1 .:~ , O~'?.'ll l J1 ,:', ,
(Cxmtracter, alien[, qorF)rnte cf liter, el:(:.)
o1: 8aid (~mr or ~r8, n[~l is duly ~thori~l to i~rfotm er ha,e i~rfonlt~ the m~id ~rk mKI Lo n~k~ a]~l file this
lime the ~)rk will I~ [~rfonlt~l ltl Ihd IlUllll~r ~t forth ie the applies r~tth.
:~,,,, t. I~fo[e ,,~ mis ~ ~~~~
14th · . October ; ..97
Hotary IMbl ~ " ~ '
, .... v~/.. ~ ...................
~R~INEK~R : (Sigt~aLure of hpplJcent)
IDuslifled In Suffelk Cemlty l
(lilly ~)rll, ilelxme8 a[xl says thnt he is Lhe appllc:snl: