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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: