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Home My WebLink About23196-zFORM NO. 4 TOWN OF SOUT~OLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26415 Date: 04/30/99 THIS CERTIFIES that the building ADDITION Location of Property: 125 MESROBIAN DR LAUREL (ROUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 145 Block 4 Lot 7 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 14, 1995 pursuant to which Building Permit No. 23196-Z dated DECEMBER 20, 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 ~DDITION TO INCLUDE DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GARY SACKS & ALAN SCHLESINGER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-387304 05/29/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO,3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N.o. 23196 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Building Inspector. ~ ' ' ~spector Rev. 6/30/80 Form No. 6 .~~ APR 999 BUILDING DEPARTMENT TOWN HALL 765-1802 ~_ TOWN OFSOUTMOLD ..... j 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: t. 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 sawerage-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 fromarchit~ctor 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 Vpre-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-existinR Buildinm - $i00.00 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 4/29/99 Date ..................... New Construction..~ ....... Old Or Pre-existing Building ................. 'Location of Pro~ert- 125 MESROBIAN DRIVE ~' House No. Street Hamlet Onwer or Owners of Property...~gr~..~9~.%k.6J.~q. Schl esi nger 145 4 7 ~ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... Subdivision .................................... Filed Map ............ Lot ................... ... Permit No 23196-Z Date Of Permit Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate. ~.g ....... .... ..... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Aprell 14, 1999 Gary Sacks & Alan Schlesinger 125 Mesrobian Dr. Laurel, RY 119~8 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax (516) 765-1823 Telephone (516) 765-1802 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. 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 # 23196-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD 'OF FIRE UNDERWRITERS PAGe. 10~955 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NY 10038 Date ~4~¥ 29, ~996 ~pplication MO. ,,~ile ~132~996/96 N 3873~4 THIS CERTIFIES THAT o~y t~ el~tr~ ~uipme~t ~ ~scri~ be~w a~ ifltr~c~ by t~ ap~icant ~m~ o~ the a~e applicat~ nu tuber in the p~m~es of SACKS, 125 t~SROBIAN DRIVe, LAUREL, N.Y. in she.follo,cln~ hwatio,; ~ Basement [~ Ist FI. [~ 2nd Fi. OB Sectian Biotic u~s examined on ~¥ 22,1996 and found to be in compliance with the National Electrical Code. ~THER APPARATUS: MULTI-OUTLET SYSTEMS NO, OF FEET Lot EXHAUST FANS DIMMERS PADDLE FAN-1 MOTORS, 1-F SMOKE DETECTOR ~ -1 GENERAL MANAGER [his certificate must not be altered in any manner; return to the office of the Board if incorrect, inspectors may be identified by their credentials. BI-COUNTY ELECTRIC CORP. 2279 JERUSALEM AVENUE NORTH BELLMORE, NY, 11710-1820 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 765-ZS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FO/~JNDATION 2ND [ [ *~RAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: ] ROUGH PLBG. ] INSULATION ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]~U~NDATION 2ND [ ]INSULATION [ ~ FRAMING [ ] FINAL [ ] FIREPLACE&CHIMNEY / DATE 3/~-'//~'~ INSPECTOR ./~/~~ :(}UNI)^'I' [orl (IST) ;'OIli'll)AT I. ON (;orli:lEIr]' $ tOtl(;ll FRAI'IF. & PI,IJHII I [NfiIILA'I'ION ?ER N. ¥. STATE F. ltE R(;¥ CODF, FINAl, Al)l) 1. T I ()HAl. COHHENTS: , I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL,: 765-1803 Exanlined /('~2 ., 19 Approved i i~ .,19... ermitN°..~''~'[f'~*'~-/ Disapproved a/c ..................................... BOARD OF }tEALTIt ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. CALL . · · % .... HAIL TO: . (BFfldinjgIuspector) APPLICAIION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or iu ink and submitted to the Building Inspector, with 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 must be drawn on the diagram which is part of this appli- cation. c. The work covered by thi~ application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept 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 HEREBY 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 removai or 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 necessaff inspections. _ .~..~ .s.~..0.~. ~y~..e.e.,.~! ~q. '..~. ?: .............. (Signature of applicant, or name, if a corporation) ~o.:..~.x.. !9~ !....¢., ~,x h ~...~...,..~3.~..~! .~.o. :... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ............... , ...... ......................................... Na,l,e of owner of/~,nises .&ry. ~O~,~S...aFl~.. ~.! .~.0..6.~l'¢.StaOtt~ ~d~gd' ......................... (ason theta, rollorl t ,~' ~(Na"me and title of corporate officer) :' ?* 9, [';i !;J }'! }' ..: Builder's License No. I .q - ~ q ~'o ¢/4I.. .................... B~,%C I 4 1995 Phlmber's License No ......................... Electrician's License No. ZgGG - E' Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... / .q'..~. ......... Block ..... ~ ............ Lot .... ~.-~. ............. Subdivisiou ..................................... Filed Map No ............... 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 .... ' ;*. 2'*,.'2, ~'~, ' '"' ** ' 3. Nature of work (check which applicable): New Bnilding .......... Addition ........ Alteration .......... Repair .............. Removal .............. Demolition ............. Other Work ............... J i .... (Description) 4. Estimated Cost ~; .%.~'p.o. 7. ! Fee I (to be paid on filing this application) 5. If dwelling, number of dwelling un)ts ..... ~ .......... Number of dwelling units on each floor ................ . If garage, number of cars ....... ,! ............................................... .: ................. 6 Ifb I do ify atu d of htyp f ' · usiness, commercia ormixe ccupancy, spec n re an extent eec e o use .................... 7 ...... ' Front Rear Depth · Dimensions of exmtmg structures, if any: ............................................ Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... ' Height ..... ' ................. Number of Stories ...................... 8. Dimensions of,entire new construetion:l Front · · . ~.. ...... ; .. Rear ... ~ ........... Depth .. ].~q. .......... Height .... ~. .......... Number of Stories .... 9. Sizeoftot Front ..... ¢~'.,.qq'.J ......... Rear]]].~i],]'l~..6]]i]i'.]]]]'.]]'~;t~']}.~?~]]]]] ]]] ]] 10. Date of Purchase ............ ; ....... , .......... Name of Former Owner ........................... 11. Zone or use district in which premises are situated...~.eS.i&~l~a. ........................................ 12. Does proposed construction viol&t,e, any zoning law, ordinance or regulation: ., Iq..9 ........................ 13. Will lot be regraded ....... ..,.".~.? ............. ... Will excess fill be removed fromoremises: Yes 14. Name of Owner of premises Jl.S.. ~'[~.re.~ .......... Address . ~ .g.c%~.o.b. 9a..1~..~, ?. ?~one No..7,..q.~; ': .g:..~(? .... Name of Architect . %:.. 'v · '~'ffl ............... Address . ,a ................. Phone No ................ Name of Contractor f,.~il~lYk4~ i~ ~.-Z,~4.~',a~ .27qt. ¢ Address (d.o.~p)( {C~.I ~-'~g~[~Phone No. 77-.w.'.6~-C0 15. Is this property within 300 feet ~)~ a tidal wetland? ~Yes.. I.'.k'v".'.. No ......... ~If yes, $outhold To~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block m tuber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW ;KOJk'-K - Ii- COUNTY OF.. ?k?..~.'.[ .~. ...... d\- ~-, .. Jc).~'~..0.~..[4).~..Vl,jwA.~r..C.C~ ................. being duly sworn, deposes and says that he is the applicant (Name o f individual signin contract). above named. }emi ' the 'i....f.-f~....-' I k, (~ontracto~agent, corporate officer, etc.) ................. of said owner or owners, and is duly n, thoriz"~erform or have performed the said work and to make and file this application; that all statements contair ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ,, et forth in the application filed therewith. Sworn to before me this ~ ..... ..... ..... '1