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HomeMy WebLinkAbout23481-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25684 Date: 04/24/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 38785 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 8 Lot 1.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1996 pursuant to which Building Permit No. 23481-Z dated JUNE 6, 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 AN ACCESSORY PLAYHOUSE AND SWING SET AS APPLIED FOR. The certificate is issued to DANIEL L FISCHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A N/A "//~ldin~/inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25683 Date: 04/24/98 THIS CERTIFIES that the building Location of Property: 38785 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 15 Subdivision Filed Map No. __ ALTERATION EAST MARION (STREET) (HAMLET) Block 8 Lot 1.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 10, 1996 pursuant to which Building Permit No. 23481-Z dated JUNE 6, 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 REPLACE EXISTING COVERED PORCH AND ALTER GARAGE TO FAMILY ROOM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL L FISCHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 451194 04/22/98 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO~,e NO. 0 TOWN OF SOU'J3.1OLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Rev. 6/30/80 *C ~4.oo' 01° 34' 00' E ,,00 ,~'E ,,lO N N3~lgT-g~ 'V N:THd315 :I/O*/N Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings amd Ppre-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, Sw~ming pool $25.00, Accessory building $25.00, '" Additions to accessory building $25.00. Businesses $50.00.. 2, Certificate. of Occupancy on Pre-existinR Buildin~ - $I00.00 3. Copy pf Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........ Old ur ~r~-ex~sti%g Building. ~.. 'k' ..... LA~ ....... Location of Property. House No. Street Hamle~ County Tax Map No 1000, Section .... J ....... Block ..... ~ .......... ho[ ................ Subdivisiom ........I ......................... :..Filed Map ............ Lo~ ................ f~ .... Permit No Date Of Permit.. Underwriters Approval ....... Approval .................. Health Dept - -- Planning Board Approval . Request for: Temporary Certificate .......... .. Final Certicate..~. ........ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 Buildinm - $100.00 3. Copy pf Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential ~15.~0, Co~ercial $15.00 ate .... New Construction ........... Old Or Pre-~isti. ng Building ................. oc t on of ..... ......... . .............. House No. Street Hamlet Onwer or Connty T~ ~p ~o lOOO, Section...,~. ........ ~l ............. ............ Filed Map Lot -- · ~'' Subdivision ........ Fermit ................ Bate of pe it. . Approval Underwriters Approval · · Health Dept ........................... Planning Board Approval ........................ ./ Request for: Temporary Certificate ........... Final Certicate.~.. ....... Fee Su mitre ............................. 1~0~ NO. 0 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) N-~N? 2130J Z Doto ....'~../.4.~ .......................................... , ~.Z'.,,~ ...... ~...~ ............................................ premises I~eted et..~..~.0.~2 ........ 5([:.,...,....~/~/ ...%~5 ................................................................... · ..~ ....... ~ ......................... ~...:...~.~...:~:~ ................................................................................. '~ ~"~"::'"":~:':::::~"::::~:':"~:;"~:"'":.'~':'~': .......... ~:~ ":. . ........................................ pursuant to application dated ........................................................ , 19 ........ , ond approved by the Building Inspector, ~e, $.../../.~.,.~ Rev. 6130/80 FOUNDATION (1st) FOUNDATION 2nd) < ROUGH FRAME & .?LUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 27, 1995 Mr. Daniel Fischer 38785 Main Road Orient, NY 11957 Re: Building Permit #21304-Z Premises: 38785 Main Road, Orient Suff. Co. Tax Map #1000-15-8-1.1 During a review of our building permit has expired, never been issued. files it was noted that the above and a Certificate of Occupancy has According to the Code of the Town of Southold, Article XXVIII 100-284, it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Thomas J. Fisher Senior Building Inspector NEW YORI' ~ . 8~, NEW THIS CERTIFI~R THA~ only the electric~uip~t ~s ~ri~d ~eim a~ ln~ro~uc~ ~ Ist FI. OF FIRE UNDERWRITERS BUREAU OF= ELECTRICITY YORK '10038 fil~ 0~6~8~92/92 ;pplication number ih t/~e premises of Block Lot FIXTURES FLUORESCENT DISH WASHERS NO. OF 2/0 1/0^'w'°' 275 TONN H~RBOR l,~ This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspecto~ may be identified by their credentials. OF: CERTIFICATE MUST NOT r~_, AI~TERED IN ANY MANNER. ~0~r NO. ~ TO~VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHOAIZED} N~_ 19152 Z Permission is hereby granted to: ..... .~..~..~....~..~.. to pursuant Building Map C) i~'~ Block ....... ..O... ~ ... Lot No...J .................... doted 'ii ....... ~}, ~....~ ............. , 19..~...~.., and approved by the Building Inspector Rev. 6/30/80 £4'00~ 01' 34' 00' E 'V N~JHd31$ ~/O/N ,./ .i, THE OF ~ 40 FULTON STREET, NEW YORK, NY 10038 ~ APRIL 22,~998 ~c~. ~o. o.~1~ 15863298/98 N 451194 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the ~ove applica~n number is in the premises of D~/EL FES~R~ 38785 in the following locaaon; ~ Basement ~ 1st Fl. ~ 2nd Fl. OUT Secaon Block Lot was examined on ~RI~ 09, ~99~ and found to be in compliance with the Naaonal Electrical Code. FIXTURE ~ECEPiAC!.ESI FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS I ~['dO~SCEm OrHB~ DRYERS SYSTEMS NO, OF FEET E R V I C OTHER APPAR~US: *NO VISUAL D~FEDTS~ "An electrical sul-vey has been made of the exposed electrical equipment in the premises indicated." "No obvious unsatisfactory condition was found. GENERAL MANAGER This certificate muff not be altered In any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. , PAUL R, BURNS PO BOX 1061 SOUTHOLD, NY, 11971-G932 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST~NOT BE ALTERED iN ANY MANNER. '" ~ BOARD OF HEAL,T,H ............ f~ 3 sETS OF PLAdS ............ ' IIVJI III .................. ... I1~11 ~ ~ ~ ~111 ~o~ OF ~OUTHOLD ClI~C~....... ' .. ~~OLD EL: 7G5-180~ CAgL , ~- ~?Z~ _ . . ......... Examincd..~.~ .... , lP~ ~ HAIL TO: _ _ . '' . . ........... ..................................... .......... (BoNding Inspector) APPLICATION FOR BUILDING PERMIT Date .. [ ........... · INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building IhSPector, with sets of plans, accurate plot plan to scale. Fee aCCording to schedule. b. Plot plan sho~ving location of lot and of bulldogs on premises, relationship to adje/nlng prcm~ or public streets or areas, and aiv~g a det~led descriptio~ of l~yout of property must be drawn on thc diagram which~ of t~s ' ca~on. c. Thc work covered by tMs application may not be commenced before issuance oi BuUding Pe~i~ - ' d. Upon approval of this application, the Building Inspector will issued a ~uilding Pc~it to thc app~ Such pe~it sh:ll be kept on the premises ava~able for inspection throu~out the Work. e. No build~ shall be occupied or used in whole or in part for any purpose whatever until a Cc~fi~ of Occup~cy shall have been 8r~ted by ~e BulldOg Inspector. APPLICA~oN IS HEREBY MADE to thc Build~ DepOnent for the ' , · · · ' ~jle.apph,can~ agrees to COmply with all appiicabI~ laws. ordinan~.~ ~..aJ;.. _'~ ? o[ dcmo~,~on. = ~,.m des~bed. aumlt authorized ~s~ect . .~; ..... ~ :_ ~..:,~- ~ _ .... .~a=~= u au, ~gusln~ cOQ and ~Ilons. and to (Mailing address of applic=t) State wh~ther applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. ........... ~. (as on thc tax roll or latest deed) If applicant is a co~oration, ~ignature or duly authorized officer. · State existing ose and Occupancy of premises and intendcd use and occnpancy of proposed constructio~ · -- a. Existing usc and occupancy ;.. b. Intended use and occupancy Plumber's License No. ~' Elcctrkian's Hcensc No. ~ ~ ~ Other Tradek ~cense No ...................... Location of land on which proposed work will be done; ' ouse Nun her Street ......................... '- Hmnlet ' *' Coumy Tax M ~ N ~ 1000 ~ rio ~ff. ' ' ' ................ Lot. u v on .............................. ~ ...... Eilcd Map No. (Name) .............. Lot ............... Tennis Court ~ ....... Accessory ~u£Zd/.ng .......... ~e,ce ...... · Oc~~. .~/~ o*~... _~.. Estimazed Cost ~0o 0, ~ .I (to be paid on filing this application) If dwelling, nmnber of dwclling unit~ . / ~ ......... ; .... Number of dwelling units on each Floor ............. If garage, number of cars ........ i .......................................................... Ir business, commercial or mixed ocFupancy, x~ccify nature and extent of each type of us~ ............. H~ight ....... ~.~ ..... Numhcr?f Stories . . .~ ............................................. Dimension~ of same st~ctur= wit~ alterations or additions: Front . .~ ¢0~ ~f~-'. Rear ........... ' Depth ...................... HeiSt ....................... Numbor of Stones .................... Dimensions of entire new construct{on: Front..~o~dd..qi. Rear ............... Devth ....... Size of lot: Front ......... ~ ........ Roar ......... Depth ~.e~ ~... Date of Pure~ase ~ ............. i ia 7"i?d Li&;i'a .... S m= or o = Ow= ....... .......... Zone orus~ distric vhic r i r ~ .~g<~ .......................... ~,~es proposed Construction violat~ any zoning law, ordinance or regulation' ~ ............. Wmiotb= g =a a · .' · ' ~, .. + ................ Wdl exceos~ll be remove~ from prem~aes: ~m= orO,~n=r orpremises ~AO~a~ d.T~ec~<~f~ddresx ~ ~TZ. ~r/eo. L'.. Phone No ~rd.q~..~ .. N~eof Architect ........ i --- , 15.Is thzs property locate~d ~ithln ~00 feet of a .tidal uetland~ ~lgS .... ~O~. ~If yes, Southold ~oun ~runtees Permit may be required. PLOT DIAG~M I. Locate cle~ly ~d distNetly ~I buRd~gs, whether ~xisting or propos=d, ~d. indicat~ ~1 set-back a~tnsions from prope~y Enos. Giw street ~d b~ock number or description accord~g to deed, ~d show street n~es and ~di~ int~Nor or comer tot. STATE OF NEW YORK, COUNTY OF.. . .............................. ' ................ being duly deposes and says that he is tho applicant (Name of individual signidg contract) ... sworn, above nam'ed. He is lite ' ; (Contractor, agent, corporate officcr, etc.) of said owner or owners, and is dulyiauthorized to pe.rform or/lave performed the said Xvork and to maize and file this aPplication; that all statements contaified in this application are true to tile best of Iris knowledge and belief; and that the Work will be perlbrmed in the manner ~ct forth in the application filed therewith. /, Sworn to before me this j .'~ No, 4707878, ~tf~k G~m~-., (~Jgflatur~ of applicant) BOARD OF IIEALTI1 FO~S .o ~ s~'rs O~f~.A~s ~ .......... BUll. DING DEPAR~ENT CIIECK .~ ...................... ,O,~NO~...~. ~9~ TEL: 765-1802 NOTIFY: . / ~ ~n. ~o= .................... .................................................... .................................. ~PPLI~TIO~ FOR B~ILDI~G ~E~IT a. ~his application namt be cmpletely filled in Ir] typewriter or in ink and anhnittad to tim lkdlding Inspector with 3 sets of plans, accurate plot plan to seale. Fee according to schedule. ' h. Plot plan abowing location of lot and of beildings on premises, relatiom~ship to adjoining premises or public streets or areas, and giving a /~ailed description of layont of property namt be drawn on the diagr~n ~hlab is part of this application. c. llm ~ork covered by this application n~y not be ccramneed before issuance of Building Pennlt. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pemit shall be kept ¢m the premises a~ailable for inspection thrcnghont the work. e. No building shall be occupied or used in whole or in part for any parpoee whatever until a Certificate of Occupancy shall have hean granted by the Building Inspector. APPLICATICtt IS l~[~f MAtE to the l~dlding Department for the issuance of a Building Pemit pursuant to the Building Zone Ordinance of the Town of Sonthold, &fffolk Cxamty, New York, and other applicable Laws, Ordinances or llegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described, alto applicant agrees to conply with ail applicable la~s, ordinances, building code, housing code, and .... ................. (Signature of applicant, or nam, if a corporation) (NaHing address of appllcant) State whether applicant is o~er, les~e, agent, arddtact, engineer, general contractor, electrician, plmber or builder. ......... d~ .~.¢../, ...... .ises ......... ..................... ........ (as on the tax roll or latest deed) ' ' If applicant is a corlxrration, signature of duly antt~orized officer. (Nm~ and title of corporate officer) Plurrbers License No .......................... Electricians IAcenae No..~.~...~. ~.....~'. ...... Other Trede'~ License NO ..................... I. Lacation o[ lard on ddch propa.~t ~ork will I~ done .............................................................. ~ 'r~ mp ~. ,~ ~i~ ..... /~ ....... ',,~k ..~ .......... ,~ ...d,.d: ........ ~ivisi~ . . Fil~ ~ ~ ........ l~t ............... (~) 2. State existi~ u~ a~ ~ of pr~i~s ~ inte~ u~ ~ ~ of p~ ust~ction: a. ~isting ,~ a~ ~ ..... ~.(~.~. .~.'. .~.df(~..qX~ ............................... b. Intem~ ~ ~ ~c~y ~a~ ~ 3. lO. ii. 13, 15. · Den) ition'('../.~Z?~?~g'-/¢'.. Oiimr ............ ............ ~l.i,~llal ~ . ~.~ ............... ~a ...................... Vi ........................ &~llins, ~nli~r of (kmllil~ uai~s......../ .... l~i~r of &~lling units ~l each fl~r . ............... garage, ~l*i~r of cars ...................................... I~mhmss, c~m~rcial or mi~l ~m]Im[~y, s~cif7 ~ture a[~l exEenE of eacl tylm o~ u~ ...................... r ~ .... I)iueimiom cfi ~isEing atr~Lurefl, ie any: ~ri~L ................ t~i~,~ ~ .................... a.,i~ o~ SL,,,-i~ .~: .................. I~plh .................... I~i~lE .................... Rlll~r og Stories ............... ~i~ ,,~ ~o. ~,~ .~-0. ............. ~.~ ...~.q.~ .......... ~p,, .~~ ...... Z' 7~ or u~ district in ~dd~ p[anisea are ai~at~l I~a pro[x)~l ~ml r~ti(m violate an] ~ming h~ ()~di[~e ~ill lot I~ ferried .................... Wilt e~eaa ............................ ; ................. 1~ ~. .. ~.~ el: ,~.,~,,~,.o~ 9~ 0,~/~,~ ~,~,, ..~ ......................... ~,o,~ .......... .................................. this p~rty ~itllin ~ll f~t of a titht i~tla~17 ~ ~1~ .......... ~ ~ ......... PLOT I)IAGRAH Iix:ate clear'iF aixl distinctly all Imiidiags, ~d~etJmr exisl:Jeg or proposed, Prou pr()perty li~es. Give strl.~at mai blc~zk Ix~tmr or descriptitm according to de ~d~etlmr interior er coruer lot. s~l ip~licate att set-lmck dineasions M, m~l shoe street nines'taxi ir~licate as alxl says that lie ia tile appl iCalil. ^ppi '.enl. } ,'~2nt Io before#~d this ........ .... ~ [.: Y~LENE O. HORNE ; NOtaff Publio, Slate of New York ,' , No 4951364 Ik; i8 the ...~. ................................................................... i ............................ ~ (Cz) LracLtr~ abe ~ (orxrUe offlte , el.( ) apldicaL~ that all statamnta conL'ai~xal in this flpplit.ation ere t'rl~ to lite I~;l: of his ktx~l~ge Ilmt Lite ~)[k will. I~ l~r~onl~l in the ,ureter sec forth in tile appl ica[ion fil~l[tlm~iLh.