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Home My WebLink About22920-z t - R FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23880 Date SEPTEMBER 18, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 445 TOWN HARBOR TERRACE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 1 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 1995 pursuant to which Building Permit No. 22920-Z dated AUGUST 1, 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 ALTER PART OF AN EXISTING GARAGE TO A SEASONAL SHOWER ROOM AS APPLIED FOR. The certificate is issued to GENEVIEVE DALY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION SERV. 9151 SEPTEMBER 8, 1995 PLUMBERS CERTIFICATION DATED SEPTEMBER 8, 1995 THOMAS J. BALL Building Inspector Rev. 1/81 r FORM NO.3 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) Date V 19... 9~> NG 22920 Z Permission Is hereby granted to: ......,s .o:.. ~ .....14~1 .........................11Y71 to ?7. 1- ..............P'~tl.~/........... ?~~/rs!l~'.......... d'..,...... i~~~ )...........1...... - at premises located at ~~w!? /l%i /f~'1~~F` 5....................................................... County Tax Map No. 1000 Section .....4. ..7.......... -Bllock 0Y Lot No. q pursuant to application dated 71-1-7 19..../.. and approved by the Building Inspector. Fee $ Bull IRev. 6/30/80 %s- IY35y 6 U Form No. 6 -FM t fUI TO OF SOUTHOLD BUILDING DEPARTMENT f[ TOWN HALL 765-1802 fY '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 17 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 525. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ......`77.". 11n.9 . 5 New Construction........... Old Or Pre-existing Building X............ Uw f r/ar fGv~~v~~ Location of Property .....~1.....7.....0L-............. . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Pro ert CT . .0. . P y . . . . . ..Y .ounty Tax Map No 1000, Section Block Lot...................... Subdivision.... ................................Filed Hnp............ Lot...................... Permit No. Date Of Permit. 7-.Sf.......Applicant..U~..4*:f`!f:f~.'^.!.f....... health Dept. Approval ..........................Underwriters Approval......................... 'lanning Board Approval 2equest for: Temporary CCerrttificate........... Final Certicate...X....... -ee Submitted: 4.V &C-tr-501(45- 8i ,i o 0 0 0 0 0 0 0 o e o e e e c c (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. ) 375 DUNTON AVENUE c EAST PATCHOGUE, NEW YORK 11772 9151 c APPLICATION NO. ON FILE DATE: 9-8-95 ADDRESS: Town Harbor lane VILLAGE: Southold TOWN: Southold ) c< ISSUED TO: Genevieve Daly ) INTRODUCED BY: Thomas Ball LIC. NO. 2520-E ca ) c a AREAS LISTED WERE INSPECTED ON: 9-8-95 AND WERE FOUND TO BE IN COMPLIANCE WITH THE ) NATIONAL ELECTRICAL CODE. LOCATION: -BASE Xx 1ST _2ND -3RD -ATTIC ,POOL ca 2 GFI -SMOKE DETECTOR -DETACHED GARAGE c 1 LIGHT ) ca 1 SWITCH ca <a SERVICE DISCONNECT METERS I AMPS PHASE (d/ e 0a c THIS CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IAJGO S. SURDI INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. PRESIDENT c ) 0 0 0 0 0 Town Hall, 53095 Main Road Fax (576) 765-1823 P. O. Box 1179 ° - , Telephone (516) 765-1802 Southold, New York 11971 -per/ OFFICE OF THE BUILDING INSPECTOR. TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. .2-2 920 -Z, Owner: G-eN C y,°e ve (please print) Plumber: -T4.14f T /30-// (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. / orr~ 9 ~~eNit i1 (Plumbe s Signature) RICHARD ONCARROW Notary Public, State of NewYOrk- No. 2902160 Qualified in Suffolk County Term Expires January 31, 1996 Sworn to before me this A day of ,Sepr 1g 95 `r County Notary Public, Sc~-r-fa o~~gUFFO(kc0 -Z Gym y x Town Hall, 53095 Main Road p • Fax (516) 765-1823 y~Ol ~aO~ Telephone (516) 765-1802 P. 0. Box Now York 9 11971 Southold, N OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD August 23, 1995 Mr. Bob Grigonis P.O. Box 1611 Southold, NY 11971 Re: Genevieve Daly Prem: 445 Town Harbor Lane, Southold 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. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. / xx No Plumber Solder Certificate on file. ? (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22920-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG,--' [ ] FOUNDATION 2ND [ ]INS TION [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 4. 4f, 0 p DATE INSPECTOR _ S IYT.D INSPECTION REPORT-_I DATE JI--- COMMENTS I~~( H FOUNDATION (IST) II J Zb. FOUNDATION --(2ND)--- it - ROUGH FRAME tr PLUMBING- 11 INSULATION PER N. T.~ STATE ENERGY CODE u--11 ii opl, 0 Ao? i FINAL ADDITIONAL S: - ~l C C H Hv O z - ty ro _ H p~ BOARD OF HEALTH . ;5 ~r lrJ µ FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY JUL j ` BUILDING DEPARTMENT CHECK , . SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 tool i FY , sc tr~_?30I D ~ ` CALL Examined ....(1 I. . . . .19~yS. - MAIL TO: / /l,......, 19~.?. Permit No..~, F. Approved Disapproved a/c ................................................/sp7ctor) 6910111.- I APPLICATION FOR BUILDING PERMIT ' Date .2...l:.~ 19 INSTRUCTIONS a. This application must be completely 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. 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 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 Ordin e o, ,t e o f Southold, Suffolk County, New Yorl~ iarid`othei a`pplieable Laws, Ordinances or Regulations, for th¢C tfi ct~R"Lf(rildings, additions or alterations, ol~for f6idtval or dembhtion, as herein described. The apphcapt agz@e~ 4 ylagk ly y?ith all apptZ able laws, ordinances, buil.ljl geode, 1loustng ode,pand regulations, and to admit authorized mspectonLgn premises and in building for necessa tw I , f liusLgr t d1 A V(Si'n i pp'lt n ar ame, if a corporation) g il~ a3f1 C1`vf1 =i1cSF.}'.isiaa /CJf in rJor H{B?rybtat"lsc YzI'1 ;:l YMailingaddressofapplicant) 6 ,00 J,,J State whether.-sppligg,qt;is.owner„ lesspe,.,agent, architect, engineer, general contractor, electrician, plumber or builder. n :T2?,.rL ....'s.f nigev,. Name of ownibrl4Pprcunises +.;~?k?:t ~~,e~,d? •I„ p,l~•Ly (as on the tax roll or latest deed) If applicant is a corporation, signature of dulyf authorized officer. f (Name and title of corporate officer) e Builder's License No. 71 JUL 171995 Plumber's License No. Electrician's License No. 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 . Y11 3.W.4 ..i... Block . . . . . . . . . . . . . . . Lot Subdivision 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 ........CT!R . r b. Intended use and occupancy . I Re Nature air o work . (check , , • , which applicable): New Building Addition , Alteration Removal . Demolition . . . . . Other Work ~.~s®N~A;L-:. . (AM13n~ " 4. Estimated Cost ........~CJ®c7 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor garage, mix If business mberocalcars ed occupancy, specify nature and extent of•eacli type of use 7. Dimensions of existing structu'es, if any: Front . Rear Height Depth • • unber of Stories . . . . . Dimensions of same structure with alterations or additions: Front • . ' . . Rear 8. Dimensions of entire new cons n Height Number, of Stories • , ?ruction: Front "1 .J.1? Rear ..t y Depth . Height 7.' Number of Stories.........."-,,,,,,,,,, Size of lot: Front Rear Depth 10. Date of Purchase 1 1. Zone or use district in which . . ' ' ' ' ' • • • • • • Name of Former Owner . . p emises are situated .......mot 12, Does proposed construction violate any zoning law, ordinance or regulation: . 13. Will lot be regraded . Will excess fill be removed from premises: Yes e 4D 14. Name of Owner of premises . ~I m~~ .w~ yiA L Address. Any O .L-.O , , , , , • , Phone No. Name of Architect , „ , Address Phone No. . Name of Contracto c, in6 by Address o, • , , , , Phon~No. , .7~ t; -S io r 15• Is this property withinli300 feet of a tidal wetland? d< *If yes, Southold Town Trustees Permit may be required. No...... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. l OCCUPANCY OR ~aNat~o USE IS UNLAWFUL DATE: 9s"•'~r WITHOUT CERTIFICATE,' NOTIFY BUILDING DEPARTMENT AT OF OCCUPANCY' 7654M B AM TO 41;1 FOR THE FOLLOWING INSPECTIONS 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING Si PLUMBING S, INSULATION 4. FINAL + CONSTRUCTION MUST UNDERWRITERStERTIFICATE BE COMPLETE FOR C.O. REQUIRED ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION # ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 'I s STATE OF NEW YORK, COUNTY OF .S ~1' • • . • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the...... .T ? v (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly lIauthorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner het forth in the application filed therewith. Sworn to before me this j f.. //~pp~'.. ~.ddnay of ' 19 Notary Public, ounty c Notary Public, LEstate ORNE \ No. 495136NawYor Signature of applicant) Qualified in Suffolk! Countfyy Commission Expires P 22, 19 a R Ex>ST~u X11 i 3y "epT S FLoat,da C9 M 1 m - v , z E- ~R ~ST~r 1tr 7~oe ~ a s y w n L-1-- „ IM~~~,. t~ 3g µt4 zo }tiouSC to rl, • 3G 'RP iLlacr o '7n, , • • s ~ST3.NCr ecgly "Cr a S N ~ r"~ 2 acK. i, # __..a Y C1 F M ors 4 -,~y®n K4 l ~Oue^ IE _ _ cC~~~-