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Home My WebLink About22613-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~RTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25233 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the buildin~ Location of Propert~ 22715 MAIN RD. House No. County Tax Map No. 1000 Section 18 Subdivision ACCESSORY ORIENT, N.Y. Street Hamlet Block 2 Lot 21 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 1995 pursuant to which Building Permit No. 22613-Z dated MARCH 3, 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 ACCESSORY STORAGE SHED IN REAR YABD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED WILLIAM P. HOPKINS & MARy K. BAUMANN N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 22G13 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........... ~ ........................................ Permission Is hereby granted to: ,~.... ~....~,~.~,.:~.~.~...../3.~. ~.~ .................. ,~...~~.~..~....~.~.~.~~...~'~%..~ ................... ~~.~,~ ...... ~;....~.....~~.~.z....~.~ ........... ...... y~..~..~..~..~.~.~...~..G ....... ~z~.~ ......... ~.~ ~ .~ ~ ~ ~ ........ Court, Tax Map No. 1000 Section .........Z~.... Block ........~'. .......... Lot No...~.( ................. Bulldin~g Inspector. Fee $.....c~.....~...... ~... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEP~RTMENT TOWN HALL 765-1802 :~PPLICATION FOR CERTIFICATE OF OCCUPANC~ This application must b~ fitied in by typewriter OR ink inspector with the following: for new building or new 6se: 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 l~nes, 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 of Certificate of Occupancy - ~ .25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. ~"~.~...~..~. ocation of Property.. / ...... House No. Street ~mlet Onwer or Owners of Property. . ~.~.~r/~ . '''' County T~x Map No 1000, Section..~./~ ..... Block....~. .......... Lot...~.~.~ ................ Subdivision .................................... Filed Map ............ Lot ...................... Permit No ........~.{~..-~.Date Of Permit. 3/~../.q~/ .... Applicant..~/~.~-/~-~'~/'~'S/~' -~ ~/ ~' ~''" ............ // Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Fee Submitted: 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 $OUTHOLD August 13, 1997 Will Hopkins c/o Hopkins & Baunnar 236 West 26th St. New York, N.Y. 10001 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. JXX 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 # 22613-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (Is~) FOUNDATION (2ND) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE {I FINAL BA3 NtW Y I' I I(,) I,I I ~ A X NO, FA DI~K, NY 212. 727.3776 SIMILE ~t']! ?ROM HOPKINS BAUNANN P. 5 JAWORECHI S.87° 15'20" E. 181.03 0 0 2 STORY FRAME 0 0 t~ z 88.16 N.87° 58'20"W 123.48 N-84° 18'10"W. MAIN ROAD COPY FROM SUFFOLK COUNTY TAX MAP DATA: 1000-018-2-21 SURVEY BY RODERICK VAN TUYL, P.C. JUNE 29, 1987 OWNERS: WILLIAM HOPKINS & MARY K. BAUMANN ADDRESS: 22715 MAIN ROAD at YOUNGS ROAD,ORIENT, NY 11957 JAWORECHI S.87° 15'20",E. 181.03 ~.84° 18"~0"W. 88.1~ ~.87° 58'20"W 123.48 MAIN ROAD COPY FROM SUFFOLK COUNTY TAX MAP DATA: 1000-018-2-21 SURVEY BY RODERICK VAN TUYL, P.C. JUNE 29, 1987 OWNERS: WILLIAM HOPKINS & MARY K. BAUMANN ADDRESS: 22715 MAIN ROAD at YOUNGS ROAD,ORIENT, NY 11957 JAWORECHI S.87° 15'20" E. 181.03 60FT 8 N.84° 18'10"W. 88.16 N.87° 58'20"W 123.48 MAIN ROAD COPY FROM SUFFOLK COUNTY TAX MAP DATA: 1000-018-2-21 SURVEY BY RODERICK VAN TUYL, P.C. JUNE 29, 1987 OWNERS: WILLIAM HOPKINS & MARY K. BAUMANN ADDRESS: 22715 MAIN ROAD at YOUNGS ROAD,ORIENT, NY 11957 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ],~ IN~TION [ ] FRAMING [ ,~FINAL [ ] FIREPLACE & CHIMNEY ,-.,/, DATE ~~/~ INSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ~j~FINAL []FIREPLACE&CHIMNEY DATE ~/~/~ 7 INSPECTOR ~/~ 765 -180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,i INS~~ON [ ] FRAMING [ x*3~FINAL []FIREPLACE&CHIMNEY / DATE"~/~~ INSPECT~ "~} ~R O~31n~l~ ]~ BUILDING DEPARTMENT ;'-t ~ IW IL.J; TOWN HALL , ~ . SOUTHOLD, N.Y. 11971 : G DEPT. l TEL.: 765-1803 *pp,o,,,... ........... Disapproved a/c ........................... , .......... _~/ . (~mlding Inspector)/ LIC~ION FOR BUILDING PERMIT BOARD OF H~ALTH · SURVEY ......... ~' c,l c 3/.0. SEPTIC FORH Date ' 19 INSTRUCTIONS a..'This application must be completel~ filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets.of plans, accurate plot: plan to scale. Fee according to schedule. o., Plot plan showing ~oc. ation 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 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 Building Permit. d. Upon approval of this application, the BuiIding Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspaction 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 HEREBY MADE to the Building Department for th'e issuance of a BuiIding 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 i'or rt~ovai or demolition, as herein described. The apphcant agrees to comply with all applicable laws, ordinances, build/mtz.c~]i;, hc~sing code, and re ulations and '" ~ E{J,Z. L, ~/C(~o ~ .... aa~ur~ ~z ~p.~cam, or name,, u a corporauon) t o?I: .............................................. '2-'~L LO Z. .~- 0 (Mailing address of applicant) State Whether applicant is owner, lessee, aaent, architect, engineer, general contractor, electrician, plumber or builder. ., .~UA~ ~..~.~: .......................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized offic, er. ~Name ~:nd title of corp orate officer) .Builder's License No .... N/~ ..... . .............. Plumber's License No. A'/A Electrician's License No... A~.~ ................ Other Trade's License No...LlJ~ ............... Location of land on which proposed work will be done... . ...... House Number Street Hamlet County Tax Map No. lO00 Section :.. ~ j ~ ..... '..' Block ...~.. Lot.. ~ J'. ' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing ~se and occupancy b Intended use and occupancy ' 3 N f ~( h k hich pplic bi ) N B ildi Additio ' Alt ati · Ratureo wot cec w ~ a e: ew u ng .......... n .......... er epair ............. Removal ........... Demolition .............. Other Wot on ........ 5 lfd fling mb old llin~ nits N (to be paid on filing this application) · we , nH er we u .......... umber w If ga e, numb of ars i · · · ofd ellingunits on each floor· . , · rag er c ...... . ~ Irbu ' ''"A': ....................................................... ' '",' 7' Di .... ' .... - ...... ,,yu occupancy, specify nature and extent clench t,,v .... ,e ............... · Hlull:~lOnS OI ex~stmg structu[es, if any: Front . . ].7~.. .... Rear ............. I~ '" "~') .......... 'ute With It ti dditi 'F'r ........... ' ' 'amc ............................. D /~. street a era OhS or a OhS: ont ./.:~.. ...... pth. · Rear .... Height · .'. Numb f Stori ./' ' ' D% si of e;, i ......... " · ................. erees ............... · mn OhS re new construction: Front ............... Rear ............... Depth ..... - 9. 1 t: Front ..'~/a.O~ i ......... Rear ./~/..b~" . . " ' ........ 12. Does proposed Construction viM ............ 13. m:., ..... ~'I"'* ""Y zoning law, oramance or regulation: . 14. _'..'_':' .... j ................... Will excess fill be removed from premises: ...... ,~ F*cm~ses . . l ................. Address .................. Phone No .... Name of Architect .. ~..¢~B/. ~/'~-~ .............. Address ................... Phone No ..... j ...."''" ' Name of Contractor . O..~f. dY..~..~., z. . .~; :L .. Address ............... ... 15. Is chis property within ~00 feet of' o. ': ..... i PLOT DIAGRAM Locate clearly and distinctly all ibuildmgs, whether existing or proposed, and. indicate all set-back dimensions from property Lines. Give street and bock ~umber or description according to deed, and show street names and indicate whether interior or corner lot. i ' O CU?ANC' USE tS UN] YV THOUT C OR ^ ¥FUL ERTIFICATE "APBROVED~A$ NOTED . .. ~MLLUWINO INSPE~IONS: ' I. FOUNDATION . ~0 REQUIRED FOR POURED CONCR~E Z ROUGH. F~MING & PLUMBING 3. INSU~ON 4. FINAL . CON~RU~ON MU~T BE COMpL~ FOR C.O, ' ~L CONSTRU~ON 8~ ME~ , THE REQUIREME~ OR ~E N~ STATE CONS~U~ON & ENERGY :.OESlGN OR~NS~U~ON ~ROR8 TA;'FE OF NEgt-YOR/~, ("' , h [ ' ou ¥ o[. .'..[~(.~a~..~ ~ekt~.' being duly sworn, deposes ~d says that he is the applicant t me o~ individual signing ~ontracf) >eve named· is the ~~ ' ' (COntractor agent Corporate officer ' ~ ......................... i ' ' , OtC. ~d owner or owners, ~d ~s duly authorized to ~erfo~ or ~-.~ ~rk i~cation are ~;~ perfomed the'said work and to m~e and file this phcatmn, that all statements contained ~h this app ~o the best of his ~owledge and belief; and that the will be pcrfo~ed in the manner set ~orth in the application filed therewith. 'om to before me this ' ........ .... No. 487~fi0~ Quailed in Sufl~k Cou.~ ~'~ Commi~ion ~ires Oecem~er 8, 19~ (Signature of applicant) ./