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HomeMy WebLinkAbout24531-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25617 Date: 03/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 1345 SHIPYARD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 20, 1997 pursuant to which Building Permit No. 24531-Z dated DECEMBER . 4, 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 DECK ADDITION OVER EXISTING CONCRETE PORCH & REPLACE EXISTING PICTURE WINDOW WITH BAY WINDOW IN EXISTING ONE FAMILY DWELLING. The certificate is issued to DENNIS & JEAN T DELORME (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A - ELECTRICAL CERTIFICATE NO. 19171 12/10/97 PLUMBERS CERTIFICATION DATED N/A �L uilging In ector 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) DECEMBER 4 19 97 24531 Z Date....................................................... Permission Is hereby granted to: DENNIS & JEAN T DELORME ... .. . ..... .. . .. ..............I................. 1345„SHIPYARD..LANE..................................... ,,,,,EAST..MARION NY 11939 ............7......�........... .. .........................,.... to .....RE LACE..AN EXISTING PICTURE WINDOW WITH..A.,NEW BAY WINDOW„AND... CONSTRUCT DECK ADDITION OVER AN EXISTING CONCRETE PORCH AS APPLIED ......................................... ......................, .,. .................................... .... ....1. �`4� .................... .......................................................................................... .................................................................................................................................................................. at premises located at.................1345 SHIPYARD LA EAST„MARION. . .......................................... ............................... ............................... County Tax Map No. ,,,,473889.,,, Section ....038............ Block .....0001........ Lot No. ,014,,,,,,,,,,,,,, OCTOBER pursuant to application dated .... ........20,,,,,,,,,,,,,,,,,,,,,,,, 19......g7...., and approved by the .................. . Building Inspector. Fee S....,...75.:.��.... .. . .... .... ..I... .. .............. Buliding Inspe r Rev. 6/30/80 J Form No. 6 D p D TOWN OF SOUTHOLD �ppp BUILDING DEPARTMENT MAR Z 51866 TOWN HALL 765-1802 „ # G,DEPT. # 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 - 25C 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . .e4aplv . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre/-existing Building. . . . . . . . . . . . . . . . . 67 Location of Property. . . . .17J` . . . //i�/? ! had! . . Q.✓9. . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . .�� h�.J�. . . �.�R , . ��- . . . T. . LD✓ 1 . . . . . . . . . Coony Tax Map No 1000, Section. .°a :a'. . .Block. . .O P P© � . . . . . .Lot. . . .02 �. . . . . . . . . . . . . t s( 4-75.c89) Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. .c?.4ff.N-Z . . .Date Of Permit. . .IQ.10`,1171. . .Applicant. . . �Ieaa .�.-zoo.,%� . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . .U . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . Y. . . . . . . d� Fee Submitted: $. . l . . . . . . . . . . . . . . . . . . . . . . . a p y c v, ... . . . . . . . . . . . . . APPLI cc) -E� _25GI 1 o�V6gpFF0j/( O Town Hall, 53095 Main Road y Fax (516) 765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 10, 1998 DENNIS & JEAN T. DELORME 1345 SHIPYARD LANE EAST MARION, N.Y. 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : XX 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 # 24531-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVEAVE EAST PA TCHO G UE,NE W YORK 11772 (516)286-6642 a DATE: 12110/97 19171 �jPPLICATlONNa.ONFlLE PILLAGE. East Marion TOWN., Southold ' ADDRESS: .1345 Shinvward Lane ISSUED TO: Jean&Dennis Delorme RMODUCEDBY• Lademann Electric Inc. LICNo: 4141-E was examined on 12-10-97 and found to be in compliance with the Nadonal Electrical Code , ' °LOCi1TION:r' " � Base.. 1st x 2nd -_ .`3rd '_ ,.. Atha...''• •,ay. ..<,. .<,. <:'r-"v: '`. Del.Garage Not Tub Pool SWITCHES RECEPTACLES FIXTURES I .HEATERS I FANS G.F.I. I AIR COND., " 2 1 DISHWASHER DRYER CLOTHES WASH I GAR DISP. RANGE OVEN SMOKEDETECTOR FURNACE OR; GAS cmMOTORS BELL TRAN. SERY/CEDISCONNECT MUM AWS PXA3S , . . OTHER .. ` EQUIPMENT ' HUGO S SURD-I "- ' PRESIDENT ` BUILDING PERMITNo. tldsmtl6cnamustnotbeshaMln mymmnm h,spedommaybeidmtifiedbydtetaWmdals , BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE i y.... n:n• Ivn nl:rulrr 'un r(t r ruliyhilrl_ --------- !;uurmnr(ul.:l_ _(zni,) rLunn I rul �p� r I IIN i.A•I•IIIII 1`IUl it. Y . 1 c0 V I IIA1. 7411 - 41Z - _ -_ , U ` • AIIU 1'I•I OIIA I. (;(V IHI;II'I'Il t 2I' ---------------------------..-----------------,.....,..,,,,..,,.....,,,......,,....,...,,,,........,,.__.._--- i R , L, A� G `CC \ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ;FINAL ROUGH BG. FOUNDATION 2ND [ 1 LATION FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [Lj4INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R UGH PLBG. [ ] FO ATION 2ND [ INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 17 . DATE / //D 7-7 INSPECTOR � � B(1J HEALTH �. .. . . . . . . . . . . FORM NO. I 3.SETS�°OF,;.PLANS . . . . . . . . .'. . . . . . O {) TOWN OF SOUTHOLD ' . SURVEY `':U . . . . • ♦ . . . . . . . ..BUILDING DEPARTMENT CHUCK TOWN HALL _ SEPTIC FORM . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY-� h BLDF. DET7307 CALL`K.: . . . . . . . . Examined..... .. . ...., 19.... MAIL TO: . .4,.1' . rte.'-Of .�1. . ... Approved.. -. ( .4•y�19.... Permit No.1 �.• � � 1 .. . �.�..�t.4 .meq.. Disapproved a/c ........................ (Building Inspector) PLICATION FOR BUILDING PERMIT ' Date. . . . .. . . . . .'. . . . . 119. . . . INSTRUCTIONS a. This application must be'completely filled in by typewriter or in ink and a" tted to the Building Inspector will 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 mist be drawn on the diagram which is part of this application. c. 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 bekept 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. APPLICATION IS iLgM 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 ieimovalor demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for,necessary'inspections. ure of. .. .��..1............... (Si i � , or name, if a corporation) ................................................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........O.wne A':.....................................................................n............................... Nave of owner of premises .... Q/Jr�[ ..%�� or r1>?i .and..Tf.n ... 4 I L?r t................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... ' (Nave and title of corporate officer) Builders License No. .... e Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done...L' rr9 ..........................................................................:............:::............................. House Number Street Hamlet Canty Tax Map No. 1000 Section Block I........... Lot ....: .�.... .!6 5 Cr..................... Filed Map No. G.:... Lot .... . Subdivision ....... '.......... (Name) 2. ata�� ing � and occupancy ..of l��tenaea use and occupancy of proposed construction: existing - �R�Ky pr �scoy/ b. Intended use and occupanry .�C� J .°.'..:` ... •.••............ . . .•..qm (:h r"'T_%':. .. _ � _.;oi dPo93S�^,.ir@Yfi'3s. � ,_i.. ,'., i._. ,�.c,.«tk� Repair ........:., hal ....e.. New Building .......... Addition ....., ti � r n .. � h a 1 Y- �0.� PhCtirX Vs 1 Demolition . ..,.,..., Other Work :.. ✓Fir Gid 3. Nature of work (check which 4. l:strhh�htedl coat /,� � Ob .... 6.d[�..�!........ fee .......................... 5. if dwelling tx // (Co be paid on filing th s adon) ober of dwelling units ....A....... avber of dd elling units on ea h fd T 10.i>i1.18 Ifgarage, txnirer'of earn .....�.....I.....�.................... G. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... a, if any: Front................ Rear ............... Depth ................. 7. Dimensions of existing structure height ........................... Umber of Stories ...................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth ..................... 11eigl1t .................... Number of Stories ............... S. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. liei4ht .........................'' Umber of Stories ..................... 9. Size of lot: Front ...........j........ Rear .................... Depth ..............:..... 10. Date of Ahrc3hase °,..1...... Name of Former Owner ........................................ If. Zone 12. Ibex orouse ddistrict in unry opremises are situated .............................................................. P pte any zoning law, ordinance or regulation: ../.lk................... 13. Will lot be regraded ........... ......... Will excess fill be removed from premises: YES ND 14. Names of Owner of premises :... ...................... Address .............................. None No. ............... Naeof Architect ...,.................................. Address .............................. Phone No. .............. Name of.Contractor ............ ...................... Address ...............................Phone No. .............. 15. Is this property within 300 feet of a tidal wetland? * VPS .......... tM .. 7 i.... *IF YLS, SOII111t)[1) TOM MISIMS FGl>cIIT MAY BE IMOTITIED. PLOT DIAGRAM locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fr m property lines. Give street ancj block nouber or description according to deed, and show street names and indicate whether interior or corner lot. - i suvm, or 14FW Yam, SS (11"17 Or �det.'.<.T„ �-F!y. 'Q.^�.�.....................being duly sworn, deposes and says that be is the Oppl.icant (Name of Individual signing contract? above turned, Ik to the Q ..!2e tractor, agent� ........................................................................ i{r (con (corporate officer, etc.) of: said owner or owners, and Is duty!authorized to perform or have performed the said work and to make and file this application; that all statevents con alned in this application are true to the best of hin knowledge and ?relief; acxl that the work will be performed In t' e manner set forth in the application filed therewith. Sworn to before me this ......... ........day�of 19..Y. .. Notary Ahblic ... �fiGY1.✓..� �5-! (S posture of App, cant) HELENE O.HORNE { Noi..ry Public,State of NeW York No.4951364, i, Oual,ified+n ShSN M G4ur+tV Cornn ls.^;i n Ccx;hir.as P4,ay'2 .�9cJ . . BOARD.,OF;,UEALTN . . . . . . . . . . . . . . . FORM NO. I 3: SETS`.OF,;PLANS . . lS U DTOWN OF SOUTHOLD SU RVEYai'i'S : . . . . . . ' . ' . . • .. . , • • , BUILDING DEPARTMENT CHECK;'. .: : : . . . .. . . . . . . . . . . . . . . . 2'O TOWN HALL SEPTIC,FORM . .. . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY'i 4 BLDG.DEPT. .• (� L.�'-�2 / Examined..TOWN rFU 7,D -. ... . . . . . ... 19.... f� [ MAIIL TOO: . .Il .� Q(Approved- 19.... Pennit No. J•• Disapproveda/c .................................. Okiilding Inspector) PLICATION FOR BUILDING PERMIT 'Date. . . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. ']his application must be conjAetely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 pranisen or lxiblic 4treets or areas, and giving a detalled description of layout of property mist be drawn on the diagram whicli is part of this application. c. lbe work covered by Lhis application may not be cauinennced before issuance of Building Permit. d. Upon approval of this application, the Building inspector will issue a Building Permit to the applicant. Such petit shall be.kept on the premises available for inspection throughout the mark. e. No building sln.all 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. APPLICATIM IS IFWBY KNEI3 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 caiply with all applicable laws, ordinances, Building'code, lousing code, and regulations, and to admit- autorized inspectors on premises and in building for necessary inspections. (Siit tire of applic or name, if a corporation) ......................................... (Mailing address of applicant) SLaLe whether applicant is owner, lessee, agent, architect, engineer,'general contractor, electrician, plumber or builder. .........0-a.1/Ae-r,,...........j...�...............�...................../.......(........... �.................................. Nae of owner of premises .... ................ (as on lite tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nave and title of corporate 7officer) Builders License No. ..! �.� ..n.l...... . Plumbers License No. ......................... " Electricians License No. ..................... Otner Trade's License No. .................... J2�/ � „ .pH4G 1, iocation of land on whicln proposed work will be done.../s!.7�...5 ,/<, IZ) X CS*14w,,l / -.,. Al ..........................................................................:.............,:,............................ . Nouse Number Street Handel County Tax Map No. 1000 . Section .... ......- Block ....1........... lot .....:..�....... Subdivision ....... .................... Filed Map No. o-'l.Y.S '..... Lot ..........,.... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................... ...........: ....................... b. Intended use and occupancy ...t �-e..!.G4� it�.�'k ....1.4................................ 3, Mclture of work (dieck w{lidl aptili ahle): New Building .......... ArkHtion .... r `er t a 1, . 51.. lielyd r .f... 1C.... ( •...... Ik1mlILion .II........... other Work�// ... �71r ... .3,L1 • t ....�...:... Re++wa'�K710(J ;� . .p ` 4. lush.ish,�le<l Cost ..�lG.�&16.d.i .r i't' �...... fee .......................... (Lo be paid on filing th a a Ilea'on) 5. if dwelling, nsber of dwelling units .... ...... ll■d)er of chaelling out on ell At flr>Arlt.t.,....;�,:,.;rlycyr Ifgarage, txnber'of cabs ....... ........................ . 6. If Ixusiness, commercial or mixers pccupancy, specify nature alxl extent of each type of use...................... 7. Dimensions of existing stnictures;, if any: Front................ Rear ............... Depth ................. lit ....... Nud)er of Stories ...................... Depth ions of sane Anicture alterations or additions: Front ............... It-or ............... ..... 1 1 f .................... Nnlwr of Stories . R. Dhnenalnls of entire new coastrudLiar Frout ................ Itear ............... Depth .............. lleii;lu: ......................... �INnber of Stories ..................... 9. Sits of lot: Frout ............ ....... Rear .................... WI)tll ..............:..... 10. oace of Purchase ..........i....l..... More of Pourer Owner ........................................ 12. Ik)cs proposed construction vi8la�nisea are aittratrxl ..........................:f�................................ 11. Does or district ct onv1 prje any rAxling law, ordinance or regulation- ........................ 13. Will lot Ix- regraded ............I;......... Will excess fill, be renilwed Prom preunises: YES I10 14. Names of (Miter of pxanises ..... ..................... Address .............................. Pilon: N). .........:.... Knee of Arddtect' ..............',...................... Address .............................. phone No. .............. hAnw of,Contractor :............��'i...................... Address ...............................phone No. .............. * r of a tidal watlmxd * YES .......... ..��+.... 15'. is this protxrty withl,n 300 feeu IC YLS, 9Qfnioln 'lum llio"gIMIU3 IT- Mrf MAY BE FfiQMU-1). PLOT DIAGRAM Imate clearly and distinctly alll buildings, wlledler existing or proposed, and Indicate all Bet-back dimensions from property lines. Give street anl',bIock nnber or description according to deed, and show street nares and indicate whether interior or corner lot. SI'ME OF NW Y011K, axinly or ....................1,eing duly sworn, deposes and says that he is the applicant (None of individual signing contract), alxrve nattiod, IkiA the .....Qt✓:4)�C'/'' i........................................................................ (Contractor, agent', !corporate officer, etc.) of said mtuer or Immers, and is duly,authoriuxl to twrfouu or have 1wrfornhed the said work and to mike and file thin application; Lhat: 1111. flLatemento con4ained in Ihis atgelicatiou ore true to the Twat of: his knowledge and b6l.ief; and tlhaL the work will. Ile perfonll(:d Ill 11,he nlianwr net forth is ilia applientdon flied Oxa-wil.h. ,M)m to before me lllis ..... ... .. da))y��of�/Cj� 9C Notary Prblic (S glun:ure of App. r•anl) HELENE 0.HORNE Not..ry Public,State of Now York No.49.y'1364 ,Ouapfie(I its 9nNcJl(Count a -11 " 1 , -.,r .._' i..',•n °r• :J': w3, -17, ^C 5 - vm t� 4 fir^ . -`s,F`',"4,'� � 6,pf N L . 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