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Home My WebLink About22909-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. (~ERTIFICATE OF OCCUPANCY No Z24540 Date August 1, 1996 THIS CERTIFIES that the building above ground ~ool with enclosure Location of Property 1625 Ship, yard Lane, East Marion House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 01 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, 1996 pursuant to which Building Permit No. 22909Z dated July 27, 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 above ground sw~mmin~ ~ool w/enclosure to code as a~lied for. The certificate is issued to Conrad C. Volinski Jr. (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERTIFICATE NO. 12537 PLUMBERS CERTIFICATION DATED N/A Dated June 25, 1996 N/A Rev. 1/81 FORM NO.$ 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 .....~../..~...~.. ........................................... 19q.~.....'~. 22909 Z Permission Is hereby granted to: , ~~.~,..~~/-~.~ ...................... ,/,,~;~.~...~~~ L~, .......... ~,,:~...~~...,..~.~..,.~ ........... .............. .............................. County Tax Map No. 1000 Section ........ ~,..~.... .....Block ................ .~.. ...... Lot No ......... ./.....2, .......... pursuant to application dated ........... '."2.,.,/../.....0. ............................. 19.......~..,~..~and approved by the Building Inspector. Fee $ ,.~-.~.,, ,~ / / BuilOlng inspector Rev. 6/80/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANC%[~,~ BLDG. DEP'E TOWN OF $OUTHOLD ...... ' 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 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 i. 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 Buildin~ - $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 Date ...~.~./.~ ............... New Construction...~ ...... Old Or Pre-existing Building ................. Location of Property.../~ ..¢.~.....~.O.t,.q~A. ~..~¢ ..... ~.a ..~... ,m~.. ~. ~ ~. ............ House No. Street Hamlet Onwer or Owners of Property..C~. ~.~..~.. ~&~..~.t.~...U~91.~. ~...I ................. County Tax Map No 1000, Section .... 4.~. ..... Block ....... l ........ Lot ....... ~../. ............ Subdivision %~' Filed Map Lot . ~ .~0. ~..~.. Date Of . .~/~ ~/. ~ .~..Applicant. · C~ · · .~- · ............... Health Dept. Approval ....................... :...Underwriters Approval ...... I~T~7 .......... Planning Board Approval ........................ Request for: Fee Submitted: $..-~..-~-~%-.. ............ £ec, Temporary Certificate ........... Final Certicate ........... .... APPLICANT Town Hail, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 17, 1996 Mr. Conrad Volinski 1625 Shipyard Lane East Marion, NY 11939 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) xx 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 # 22909-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P, O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765~1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 17, 1996 Mr. Conrad Volinski 1625 Shipyard Lane East Marion, NY 11939 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. No ~inal inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 22909-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FIELD CTION REPORT DATE COMMENTS FOUNDATION (1S:T) II I, FOUNDATION INSULATION PER STA~'E ENERG~f CODE ( 2ND ) ti I, ADDITIONAL CO~FfS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION [ ] FRAMING [ ~]-I~AL [ ] FIREPLACE & CHIMNEY ~iREMARKS" ~ DATE INSPECTOR JUL 019c.:jfi FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 g~ARD OF HEALTIt SURVEY .... CALL ........ MAIL TO: 'iMMEDIATELY" ENCLOSE POOL TO CODE UPON COMpLETiON BEFORE '*WATER" APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink a~d 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 sti'eets 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 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, Ordinance~ or Regulations, for the construction of buildings, additions or aiterations,,obf~qr removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, bgillt.i,fi:~.g~Omh~u~(llgtc~gde,~,~ ~ .'~-~ and regulal, ions, and to admit authorized inspectors on premises and in'buildin~ for necessary in~fs,)t~,'i",~';..t~~ ~ / ~ z/~ . :,C ......... ~- (Signature of applicant, or name, if a corpo_ration) (Mai~ng address of apphcant) State whether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. If applicant is a corporation, signature of duly authorized officer. . ( ,Name and title °f c°rp~°~2/~. ~ Builders License No ..... .~...'~. (....~..~/.. Plumber's License No ..... ' .................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .... . llouse Number /d- ¢~ ~ . Street Hamlet Cotmty Tax Map No. 1000 Section ... 2~..~. .......... Block ........ /. ' Lot ...... / 7. .......... Subdivision .......................... : .......... Filed Map No ............... Lot... .............. (Name) State existing use and occupancy of~i~rem~ and intended use and occupancy of proposed constru2tion: a. Existing u~e and'occupancy ~.2 .... ~t,~.. ,~...~.../~ . ....................... b. Intended use and occupancy .. ~-'~'~.. ~-~ ...... '~.~.~..~ .g~~.~ .............. · 3. Nature of work (check which a~_plicable) New Building .......... Addition .......... AlteratJ~u .... Re~alr .............. Removal .............. Demolition .... : .. Other Work~ff~_~~ , ~ (to be paid on filing this application) 5. If dwelling, number ofdwellingiunits ........ , Number of dwelling U. nits on each floor.... · If g.:arage, number of cars . i ...... · ......... I£h ' ' orinixeI ify ........................................ 6. uslness, commercial d occupancy, spec nature and extent of,each type of use .............. ~ ..... 7: Ditnensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ............... ' ..... Diinensions of shme structure with alterations or additions: Front .............................. Depth H~;,,h* .................. Rear .................. · ~ . ' ............. ~ .... ~,' ............ ~.' ........ :., Number of Stories .......... '. ~ .......... 8. Dimensions of entire new construction: Front .............. ~ Rear ............... Depth ............ Height ' ' ............... Nmnber of Stories .......... 9. Sizd of lot: Front ......... , .................. Depth 10. Dat~ of Purchase I ........................ ~. · ......... ~ ......... ' ......... Name of Fenner Owner , ~,, .,~ ~one or use &strict m which pr&roses are situated .................... . ........... ~,' *' ~':," ~2~' ~ '~ h;4/.~l ......... 12. Does proposed construction violate any zoning law ordinance or re ul t' " · .... '13· Will lot be regraded . ~ ,,,, _.._ g~ ~a.~on .... ~ ':.' ' ~,' ' :7 ,'.';~¢'~r ' · i ' ' ' >'-'~ . ........ [ ................... wm ~xcess nu ne removeu ~rom pre~l~e~;~¥. T~ Yes 14. Name of Owner of premises ... ........ ; ........ Address ................... Phon~,N~.' ...' ........ .~,.... Name of Architect ...... I .......... '. ·.. Address .. Phone No. Nmne of Contractor ......... I ................. Address ................... Phone No ................ 15. I.sithis property within 300 feet of a tidal wetland? *Yes ........ No ......... ·If yes, Southold Town Trustees Permit may be required. -. !' PLOT DIAGRAM L.ocaie clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from property[lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior 6r corner lot. , , AP, PROVED AS NOTED / ___ BEt=ORc ,A*I'E 765~1802 9 AM TO 4 PIV~fOR THE ' FOLLOWING INSPECTIONS: 1.FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2.ROUGH - I~RAM~NG & PLUMBING . 3. iNSULATION .. 4.FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, .S COUNI~iOF ................. . above nanied(.Name of individual signing contract) being duly sworn, deposes mid says that he is the applicant He is the ' , (Contractor, agent, cor'porate officer, etc.) of said owner or owners, mid is dulyI at thorized to perform or have performed the said work and to make and file this applicatiofi; that all statements contaihed in this'application are true to the best of his knowledge and belief; and that the work will he performed in the manner:~set forth in the application filed therewith. Sworn to before me this . ~ N.o. tarv Public S ' KINS . .{~..~ No 4982 h ~t.e~o.f.N_ewYoffi . · ........... ' Te:~ ~-L .24_, pu~roa{courl/y ' "'-'~Tpirosdune]2,,~.~7 " ' (Signature of applicant)