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Home My WebLink About22876-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-24685 Date OCTOBER 15, 1996 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 380 GIN ?.&NR SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 88 Block 3 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JIFNE 21, 1995 .pursuant to which Building Permit No. 22876-Z dated J~-LY 10, 1995 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 CONSTRUCT AN ACCESSORY APARTMENT FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR & AS PER CONDITIONS OF ZEA $4247. The certificate is issued to HUGH & CAROL L. CONEOY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. pENDING -- 8/6/96 & 8/19/96 PLUMBERS CERTIFICATION DATED AUG. 7, 1996- MICHAEL CONROY Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ' Date ..................... ~-r-..-~......~. ......................... 22878 Z / Permlssi°n '$ hereby granted~°V /,~ ' Coun~Tax Map No. 1000 Section ......... ~ ..... Block ........ ~ ............. Lot No...~ ................... Rev, 6/30/80 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 CERTIFICATION Owner: (please print) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signatur~ Sworn to before me this /f~ day of ~ ~ 19 9~ Notary Public, . County EDYTHE V. MULLEN NOTARY PUBLIC, State of New Yo~"k No. 4895193 Qualified in Suffolk County May 26, 19 ~/ Commission E~(mrea ,/ ~i'] I.E L~'~[ N .q~l' ~:T I. ON REPORT DAlE COMMENTS FOUNDATION FOUNDATION (2ND) ~ I} ROUG[! FRANE & " .,4.</&/'~'~ INSULATION PER N. Y. CODE ADDITIONAL COMMENTS: APPEALS BOARD MEMBERS Gerard P. Goehringer, Chairman Serge Doyen, Jr. James Dinizio, Jr. Robert A. Villa Richard C. Wilton BOARD OF APPEALS TOWN OFSOUTHOLD Southold Town Halt 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1.823 Telephone (516) 765-1809 August 22, 1994 Mr. Hugh L. Conroy 200 Gin lane Southold, NY 11971 Re: Appl. No. 4247 - Special Exception (Accessory Apartment Dear Mr. Conroy: I have reviewed your request for a side deck entry not to exceed 13 ft. by 10 ft. in size, rather than a 10 ft. by 10 deck entry, to the proposed accessory apartment on the second floor. Our office has no objection to this change in the size of the deck entry, provided it not exceed the size requested. Very truly GERARD P. GOEHRINGER CHAIRMAN cc: Building Department 765-1802 BUILDING DEPT. INSPECT!O/N [ ] FOUNDATION 1ST[/.~ ROUGH PLBG. [ ]FOUNDATION2ND [ ]INSULATION [ ]FRAMING [ ] FINAL [ ]FIREPLACE & CHIMNEY INSPECT~~ 765-1802 BUILDING DEPT. INSPECTIO FOUNDATION 1ST [ ]R~J~H PLBG. [ ~ INSULATION ~OUNDATION 2ND FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE ~///,~d INSPECTO~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAG 1~(~].2'l B[JREAU OF ELECTRICITY ~--,,,,: 85 JOHN STREET, NEW YORK. NY 10038 Date AUGUST 26,1996 /ippiieetion No. o, Jile 12325696/96 N 395~26 THIS CE~IFIES THAT o~y the e~tr~ equipment ~ ~sc~b~ be~w a~ int~uc~ ~y t~ applicant ~med on t~e a~e application number ~n the prem~es of C. CONROY, 2qg} GIN I~1~3, $OUTHOLD, N. ¥. was examined on AUGUST 19,1996 and fo~nd to be in compliance with the National Electrical Code. Lot FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS MOTORS SYSTEMS NO. OF FEET OTHER APPARATUS= ,SMOKE E R V I C No. O~t~CC,~,COND, OF CC, COND. NO, OF HI.LEG OF Hi-LEG PAUL R. BURNS P.O.BOX 1063 SOUTHOLD, N~, 11971-0932 LIC.#3897E GENERAL MANAGER This certificate must not be altered in any manner; ~eturn to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENTJ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ r 1~0121 BOREAU OF ELECTRICITY ~'- 85 JOHN STREET, NEW YORK, NY 110038 O~te AUGUST O9,1996 Application No. onfile 12222196/96 N 393698 ordy the eJ~trical ~ulpme~t ~ ~scri~ be~ a~ int~uc~ by t~ appl~ant ~med on the a~ve application number in the prem~es of C. CONROY, 20~ GIN LAN~ t SOUTHOLD, N.Y. in the foliowimg location; [] Basement [] /st FI, [] 2nd FL Section Block wes examined on AUGUST O6,1996 and found to be in compliance with the National Electrical Code. Lot DRYERS FURNACE MOTORS IFUTURE APPUANCE F~EDERS ~T. ,(.w. o~t ..P. o,~ ..P.~ ~,. ~o. ^.w.o. $ERVI~ DI~ONNECT I ~.OF I )THER APPARATUS: RANGES PECIAL EEC'PT I 50 E R EXHAUST FANS DIMMERS COOKING DECKS OVENS DISH WASHERS TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLeT sr. ,RA.S. .So:So' .t, C PAUL R. BURNS P. O. BOX 106! SOUTHOLD, NY, 11971-0932 LIC.#3892E GENERAL MAHAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentafs. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT.:SE ALTERED IN ANY MANNER. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 4~ _ / TEL.: 765-1802 Approved.. ,,9~].,(,ermitNo...~....~7...7.~:~--' Disapproved n/c ................................ : .... 3 SETS OF PLANS SURVEY ClIEcK SEPTIC FORH ' ; JUN 21'1995 ' ' ........ nspec ' '~ ?;i -. ,'t:~" ": A?PLfl'CATION FOR BUILDING PERMIT ' ~ ,Date. ~../.~ ....... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 'sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing 19cation of lot and of Imildings on premises, relationship to adjoining premises or public st}eets t or areas, and giving a detailed description of layont of property must be drawn on the diagram which is part of this appli- cation. . c. ' The work covered by this application may not be commenced before issuance of ~uilding Permit. . d. gpon approval of this application, die Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout lhe ~ork. e. No building shall be occupied or used in whole or in part for any pnrpose whatever until a Oertificat~ of Occopancy shall have been granted by the Building Inspector. APPLICATION IS HEREgY MADE to the Building Departmeut for the issuauce of'a Bnilding Permit pursuant to tb~ Bnikliog Zone Ordioance of the Town of Southbld, Soffolk County, New York, and other applicable Laws, Ordinauces or Regulations, for the construction' of buildings, additions or alterations, or for removal ~ demol tion, as b~rein descriSed. The applicant agrees to comply with all applicable laws, ord nantes, buikling code, housing code, and regulations, and to ~dm,, ~u,,,o,.,z~d ,,,,p~o,o~, on ~,,,,~ ~,,a ~,, ~,,,,~,~ ~o~,,~=~,',n~p~j,rn; ~" '"" ::~' :'l ...... .... ~ .... . . .. ...;~;..~T: t ~tur~of applicant, or nmne, if a corporatign) (Mailing a~fires; ;f al, i, lieant) Slat~ whether applicnn{ is owner, lesse~, agent, architect, engineer, g~nm-ai 'contractor, electrician, plumber or builder. ~,,,~ o~own~o~p=~,~, ..CS.~..k.,..eO. 0 ~.../.. ~m.k..T,. ~O n.m~.., .... (as on the tax roll or latdst deed) If applicant is a corpora]otb signature of duly authorized officer.' (Name and title of Corporate officer) Builder's License No .......................... Electrician's License No .............. , ......... Other "r t e's 1 icense No ,.~::~O ,. oc,,,'on O'and on wb,cb,, oposed wor wi,, be lone. ............... llouse Number Street Ilamlet Co,;,,~z~o.,000s~,o, ...~.~ ~g.g. ~o~k .... .~ ........... ro,..~ ............... Subdivisioo ..; ............................ '. Filed Map No ............... Lot (Name) ............... 2. Slate exisling use and occupancy of premis~ and intended use and oc'cupancy of proposed construction: . ~ . , '" 'r' ---k~.~i ..... 10. 11. .12. 13. 14. Repair Rem .o.o Estimated Cqst '~. f2 .... ; .......... jJm.,tuic): l%w .ouuodzg .......... Additioll ......... Alte ation ..... )val ' Denmlition · Other Work ..... (Description) t5. vm'r DIAGRAM Locate clearl.y and distinctly nilI buildings, whet!mr, existing .or proposed, and. indicate all set-back .dimensions from, property lines. Gwe street and block)~umber or descnphon according to de~d, and show street names and mdicat~ wb~ther interior or comer lot. 5. If dwelling, humber ofdwellingiunits .. [ ~.. ..... .. Number ofdwelhng units on each floor.....t. ........... If garage nu'nberofcars ...i ........... ,.. ' ......... ' ........... ' ................. . .... f U' S ' .... 6/ I b sines commercml or Jinxed occupancy, specify natrFe and extent or.eacl~ tvp? of t se ...~i/~ ..... ~ ... 7. D ~e~sonsor~m ,gstnctures lfanv'Front.. ~..:O Roar ~ .~i Height '~'.~. O . Nmfiber of Stories .'~. .......... 2 ........ Dme,so~s0fshmestnctutewlthateratorsoraddito,s Fro,t ~.'..f'l~.. e._~. Rear Depth .... .~..B'3~'3...~. ....... tleight ....~.~ ?...~ ....... ..; Number of Stories .... ~.'../~CA"L~..'. ~ ........ 8. D mensions of entire new co,struction: Front ... ~.[.[r~r'. .... ~ Rear . .............. Depth ............... lle ght ......... Nu)~tber of St, eries ........... .. ........... ~ ....................... J ......... 9. Size of lot: Er0nt ...,.~"~OO,.~ 4" ...... ;.:.. Rear ...... hO.O.: 0.~. '.... Devtl, .... I.~.7~..°.Q.r. ......... rote of r~rcl?e .. H/.a ~5 ........ . ....... .. ,~,,~ ,o~:onner Owner ...~. o.~,¢,~W..g..~.~..4~ ..... Zone or nse thstnct in which prcnuses are s~tuated .... 14 ':..'1 ~ ' . . . Does proposed constructionMoiate a,y zoning law, ordb, a;{ce Will 16t be regraded ..... .~0;O...: ................ wlu excess-ml.be remov' ed from premises:l/~/fq"Yes No of Ow,:,?r or pre,,, s, ,.Co. C dres, .Zo . ...... V,,o,,e .g':. ' Name of ~rchm~ct ......... !, ............ i'.... Address ................... Phone No..'~'L'5...q...S.~..q'..~.. Name of Contractor ...0.L,O ~ .~t~,,-, ............ Address ............ : ...... Phone bj,o ............ ' .... ' Is this property within ~00 feet of a tidal wetland? *Yes ........ No .~<~.. .. '. *If yes, Southoid ~own Trustees Permit may. be required. ' ' STATE OF NEW~O,E,K,/ iS S coum;¥ OF .~c.~.. ..... I ' ~(Name of Mdividual sign ng contract) above named. lleis lite , , .......... being duly sworn deposes and says that he Is the applicant (Co, tractor, agent, corporate officer, etc.) attthorized to perform or have performed the said work and to make aod file this Notary Public, EDW'HE V. MULLEN NOTARY PUBLIC, State of Nm ............. County" ' ' ~Yo~k ..... ......... ~ ....' · . ' ( ~ST~iature ofapphcant) . No, 4895193 Qualified in Suffolk Count~ _ ~ CommisSion Exp,res May 26,79V of said owner or owners, and is dnl application; that all state~nents cent: ined iQ this'application are trne to the best of his knowledge and belief; and that the work will be performed in the manne: set forth in tile application filed therewith. 8worll to before me this i