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Home My WebLink About23778-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24796 Date DECEMBER 12, 1996 THIS CERTIFIES that the building ADDITION Location of Property 1350 OLE JULE LANE House No. Street County Tax Map No. 1000 Section 122 Block 4 Subdivision Filed Map No. MATTITUCK, N.Y. Hamlet Lot 1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 1996 pursuant to which Building Permit No. 23778-Z dated OCTOBER 24, 1996 was issued, and conforms to all of the requirements cf the applicable provisions of the law. The occupancy for which this certificate is issued is GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. RON DOBERT (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-052693 - NOVEMBER 8, 1996 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO. 4 TOWN OF SOUTMOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24797 Date DECEMBER 12, 1996 THIS CERTIFIES that the building ACCESSORY Location of Propert~ 1350 OLE JULE LANE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 4 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 1996 pursuant to which Building Permit No. 2377B-E dated OCTOBER 24, 1996 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 ACCESSORY STORAGE SHED IN FRONT YARD OF WATERFRONT DWELLING AS APPLIED FOR. The certificate is issued to RON DOBERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / Bu d ng nspector Rev. 1/81 I~OR~ NO. ~ 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) ~3778 z Dot, ...... .~.~ .................... , ,9.?..~, Permission is hereby granted to~ /~. / , _ .... ./.~....~..o..~ ............................... ../.~.~.....~.~...4.~/~.~ .................. ...~~~.....~....~. ./..~:..? ~' v (/. ~ , at premises located at ...................................... /.~..~..~? ........2.~_~.. ,~'. ~...~~.. ..... ........... .......................................................................................................... T Ma ~ e 'n /'~"~'- m k . County ox p No. 000 S ct,a ........................ ac ........ ~ ....... Lot No.../.. ................... pursuant to application dated ................................... ./../. ........ , 19 and approved by the Building Inspector. Fee $..//~.,..~... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCOPANCY 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/i0 of 1% lead. 5. Commercial buildiqg, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. 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. Fees 1. Certifzcate 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 Buildin~ - $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 ...... ....................... Construction .......... Old Or Pre-existing Building ................. bocation of ~vv~~ .... ~ .................................................................... House No. Street Hamlet )nwer or Owners of Property. ~ounty Tax Map No i000, Section .... ~:~ ..... Block .... ..~. ......... Lot ..... ./ ................ gubdivision .................................... Filed Map ............ Lot ...................... ~ermit No ~. ~ ~ Date Of Permit ~.~?X.~..~ - 1' ~ ~ ~--~---- ............. ! .... ~ .~/.~.,./z.'...~pp zca ....................... ~ ......... .... ................ ......... ............... equest for: Temporary Certificate ........... Final Certicate. ~ g 3'2 ........................... PLi~ . Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT CATION FOR CERTIFICATE OF OCCOPANCY 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 i% 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. 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 applioation 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. ~ Fees ]. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.0D-~-- 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 Buildin~ - $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 House No. Street Hamlet )nwer or Owners of Property..~..~. .o ooo, qubdivision ....... ~ ....................... Filed Map ............ Lot ...................... ~[ann~ng Board Approual ....................... ~equest for: Temporary Certificate ........... Final Certicate. THE NEW YORK BOARD OF FIRE UNDERWRITERS P^ E 8~63193 BUREAU OF ELECTRICITY ~'- 85 JOHN STREET, NEW YORK, NY 10038 Dave ~OV~ER ~8 ~ 1996 ~pplication No. on file 12813296/96 H ~52693 THIS CE~IFIES THAT o~ t~ eJectrJeel ~uipment ~ ~e~6~ ~e~ e~ i~tr~c~ 6y t~ applicant ~med on the e~e ~pplie=tion n~mher ~ t~e prem~es o~ RON ~BERT, 135~ OLE~LE L~E~ HATT~CK~. ;. ~he followi.~ h,cat;o.; ~ B~ment ~ I~t FL ~ 2~ FL Section Bl~ Lot ~s examined o~ NO%~]~R 05,1996 and found to be in compliance mith the N~on~ Elect~cal Code. OTHER APPARATUS: GREEN HOUSE ADDITION-I. RANGES ;PRCIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS OF CC. COND. NO OF HI-LEG A,W.G. OF HI-lEG EX[4AUST FANS DIMMERS NO, OF NEUTRAJS A W G, O~ NEUTRAL 1350 OI,~IJULE ~ HATTITUCK, NY, 11952 Per IlOENERAL. MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their}credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I:tEI.I) Iti~H'l~(;l'iOII t~l~,l'()~'l' I)^'l'l': ............~ ~ 'l ' ^l)ll ITl 0t1^1, {.:{)l*l[l 1{ [tT,:i: J "J FOLLOWING INSPE~IONS: 'L ~OUNDAT~ON - ~0 REQUIRED FOR POURED COflCRETE ~ ~JNAL - CONSTRUCTION~UST ~L CONSTRUCTION SHALL ME~ ~ATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIB~ FOR DESIGN OR CON~U~ON ~RORS -V 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [~]-'~INA~ [ ] FIREPLACE & CHIMNEY DATE INSPECTOR BLDG, DEPT. .~TOWN OF SOUTHOLD Bisapproved ale ............. APPI~ffAT1OR FOR BUII.DIRG PERHIT FORH 140. I 'rOl/N OF SOUTIIOLD BUIIJ)ING DEPARTHENT TOWN IIALL · SOUTIIOLD, N.Y. 11971 TEL: 765-1802 INSTRUCTIONS BOARI) OF III*.AI,'FII ;./~.J. ......... 3 SETS Ot~.,,,mTA~S .F. ............. SURVEY ~- ........ ~. .............. SEPTIC FORH .' .................. NOTIFY: HAll, TO: .................... Date ................. ,19 .... a. qhis ar4)licatlot~ mint be completely filled in by typewriter or in ink anti sulxnitted to the Building Inspector wit 3 sets o~ plans, accurate plot plan to ~cale. Fee according to sd~efhfle. la. Plot plan sho~qlng locatltm of lot and of I~aildings on premises, relationship to ,~ljolning pre~nlses or I~flfllc street~' O~ hreas, mfl gi¥iog a detailed de.scriptita~ of layr~at of preperty m~st be ilr~m 0ti the (li~an ~ici~ is-part of this application. c. 'lhe ~ork covered by this applicatitm puy not be ccmrenced before issuance of Building Permit. · d. Upon al~prcmal of this appticatlon, the h~ilding Inspector will issue a Building Permit to the appllcant. Such permit shall be kept on the premises available for,inspection thmlghont the.work. e. NO I~filding shall be occupied or ~med in ~hole or in part for any Illrpose ~harever antil a Certificate of Oc. cupancy shal ]. have beep granted by the Building Inspector. AH'~ICA'rlclq IS ItE[~IIY IIAIE to the l~dldlng Departmnt for the issuance of a Building Pemit parsamnt to the Building Zone Ordinance of the Tc~n of Southold, Suffolk County, New York, and other applicable l~s, Ordinances or Regulatians, for the construction of lmildings, aklitlons or alterations, or for m~oval or de,el ilion, as herein described. 'lhe applicant agrees to comply with ali applicable la~s, ordinances, beilding code, tmslng code, and regulaticam, aed to a&nit anthorized inspectors on pmnises and in bu~~~ections. (Signature of applleant, or imme, if a corporation) (14ail lng address of applicant) Sta~e [d~etJmr al~,Iica~t is o~er, les~e, a§en~ ardfitecE, engineer, gel~eral, con~ractor, eIe~rlclau, p'[[~d~er or Ixdlder, ..... .................................. = ........................................ .......................... (as on the tax roll or latest deed) If applicant is a corporation, sipdmture of duly antberized officer. ali(] title o~ corporate officer) Piutd)ers Lice~ ~ glectrici~s l,[cen~ ~ ...................... (~) 2. ,State ~isC]~ u~ a~ ~on~ of ~i~s ~fl inte~ ~e a~ ~ of ~ const~tion: ([0 I~ lmid on fi l lng Lhla appl ical:i~O I0. I~lle of lSirchtme 12. 1~ proi~)~l c~s r~g:tl(~ violote any rx~inl~ h~, ordJlm~e or rej}ulat:Jon: .... ~ ............... PI,OT I)TA(~RAff l~x:al'e clearly md dJstiT~l'ly alii IxHldil~ls, OlelJler existing or prolx>sol, m~l itxlical.e all set-lmck di~emions Notary Public. State of N~w York No. 4879505 , Qualified in Suffolk C?junty Commission Expires December 8, (Sl[~tm .ute of Appl icalsl.) m'A'm ~ ~J~, /?/'~ // I I - Z,~ . (~ of i~llvichml ~il~nit;g ((~.~l';aetor, aSenl., ('.orlx~rat:e officer, el:e.) apl)licatio.; tirol all ~Lat~mnt~ con~:a[~l in Lhi~ alq)licati¢~ nre I. rx~ to the I~;l: Ihat. tl~e ~)rk will Im l~rFb~.~l i~ Ihe n~.n~r ~el: 'forth i{I Ihe applicat. Jo~ filed ¥ORH 1NO. I TO~/H OF SOUTIIOLD BUILDING DEFARTHENT TOWN I1A1,L SOUTIIOLD, N.Y. 11~71 TEl.: 76~-III0~ Exxon b~r~l ................. , 19 .... Approved ................. , 19 .... l~rmitNo ................. Di~qppn~ed ~/c .................................. BOARI} OF IIF. AI,TII ............... 3 SETS OF FI,AND ............... SURVEy ........................ CIIECK ......................... $1CF]'IC FORH ................... NOTIFY: C^M ................... MhI1, TO: .................... (lkH hmh,g l,mpector) APFI,1CATION FOR llUII,I)ING PERMIT ]NSTRUCTIONS Date ................ ,19 ..... a. lhL~ ol~llcatJon .~mt Ix~ coavletely filled in b7 tyl~.~rher or in ink 0[~1 mfl~nittO to I:he lklildh~g hml~ctor will, 3 ~t. of plnn., ac~lrate plot plan to ~cole. F~ acconling to nch~le. b. Plot plnn slming l~tJ(ll o[ lot md o[ lamildb~s .{:reet~ or areas, ~1 g[vhM o (Mtn{1.~ {~scripti~ [~,rmit slmll I~ kept ~ tim pt~ni~s ~allnble For insl~eti*~ tl,rr~O~mt the xmrk. e. ~ hHldb~ droll I~ ~r~,pled or tm~ in Omle or i. l~rt Jar mV t~rl~se ~mt~er until a [~rtiflcnte or (~:y r~ml.I have 1~. grm~ted t~ tl~ l~Hldlng ln.l~Ctor. AP~,I(~TI~ lS IE~[I~ }~II[ to O~ l~lil{liug l~rt~mnt for the is~a~e of a lh~ilding PemJt ¢lrm~ent to the lhdhllng 7~ O.lbm~e o[ I.Im 'l~m of ~mtlmld, ~[folk ~ty, ~* Yod% m~ other *MAieable ~., O~tlt*~e~ or ~lgdnti~m, for ll~ c~mtn~'ti{~ of I~]ihll,~s, ~ith~a or alteratRnm, or for m~al or d~liLion, a~ lintel. ¢~scril~l. 'llm appllc~t ogres to c~fiy with 811 (fil~mture ~f alq)licnot:,~or ~, i[ a corl~Tal:i~q) 1329 North Sea Road State xd~etber sFplicont is cr~a~r, leto. ce, agent, architect, engi.eer, general contractor, electrician, Flumber or {~tihler. AGENT I$-~e o[ c~-ne_r of l,r~nLqes ~ .l~..r.o..m...C.h..a~p.a..r. ......................................................................... (as on tim tn~ roll or latest deed) If nppl. Jcant is a corporation, ,qlglmtun? o[ ~hfly m~tt}orirx~l o[[icer. (l~ne oral title of corporate o[[icer) l~dlders Lice.se No. NOt yet selected Phxd~ers I,icer}r~.' No .......................... Electrmlans Lmense ~ ...................... Otl~r 'l'r~K~'s l,lcen~ ~> ..................... ~-~ (~,a.y 'r,x ~,p ~. ItX~ ~cth,~ .... ~.O ......... Bltx:k .... 2 ........... lot . :~-. .... '. ~flxlivi,hm . ~9~. ~gq~. ~ ............. riled ~,p ~ ..... 9~ ........ l~t &.tg .......... (~) 2. State exi~tiog uem aed ~c~I~:Y Of pr~l~s a~ inte~x~l use at~l m:m&~r~y of pDml c~mtmctlrm: n. Existitll urm n~l ~'~JIm~:y Single family residence b. Intet~l o~ ar~ ~O~[mr~y NO change proposed Not ~et d~termined (lo I~ fid on l'ili,~g 'i. II:(k~llh~ll, *~,l~ ol:(k~llin 'ueits ..... ~ ...... ti.liar of (~lllnlt unit'~ ~ each fh~r ..~.~. ......... lti~ll ......................... ]. 5~1~ o1: ~l()rJe~ ...................... llq)lh .................... llil~l ..................... ~t~:r of ~lories ............... II. lli.~n~h~ (~1: enl. h~ [~ lx~m[~i~E:l'i(.~ l,'r(~l ~¢~.~~nr . .............. I~plh .............. ~. l,i~e ~i: nt= I,',~ ..~.¢~.~.~g.1)9.~ l~ r ........ I~pth .................... II. Z~ l)r u~ dl~l[ic~ hi ~l~i(~ I~d~e~ ~re ~ilu~led .... ~7.~ .................................................... I'1. I1ill 1ol I~ ~et~(I .... ~..~ .......... Will ~c~ ~ill I~ ~-~(I ~,,,, ,,~, ~,~,,~,,.L .cl~.~.~..qu~i.~ ................ ~,~ .~.~. ~.~.~..~ .~... ~,~,~ ~,.~ ~.~ ~.~ ~.~ ~... i t ' Deer Park, NY 11729 1'1~,,~ of (l,ll. racl()r . !lO.~. ~. ~..~Z~X~ ....... ~litm. ............................... l~lc.~ ~ .............. I~i. hi Ih[~ i)rOl~lrLy vilhJll ~i) fe~l r~ a ti(let I~hu~l'? ~ YI~i ..~. ...... ~) .......... PI,OT IHA(IRAH I~l~k ~.~l~r or (kmcripti~ accllrdJl~g to ~ed,, a~l ~Kx* street ~u~,ea alii il~licate t:~(~ propelly I inet. C, ive street SE~ ATTACHED (Nm~.~ of i,~livld.~d ~il~uing I:UIIII'ilCl.t .................... J~.'inl~ duly t,~)ln, ilelxiSe~t lil~l mlys Ihat lie iii Iho. ~lppl ici.il IIq i~t Ihe Agent (Ix) I r~ :t )r, nllenl', I c°rl×lrllle offf(:er, el(:.) ......... ...... ~ ~u~llo, State ~ N~ ~o. 4772055 Ouall~ed in ~u~olk ~u~ ~mlM~ ~1~ Ju~ 0