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Home My WebLink About22943-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. ~ERTIFICATE OF OCcumAN~Y No Z-24574 Date August 15, 1996 THIS CERTIFIES that the buildin~ alteration Location of Property 270 Rabbit Lane, East Marion House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 18 Lot 6 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated March 22, 1995 ~ursuant to which Building Permit No. 22943-Z dated August 13, 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 replace & repair existing cedar piers of existin~ one famil~ seasonal dwelling as applied for. The certificate is issued to George W. Koch Jr. (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLO, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 22943 Z Date .......... ~,=..=. is hereby granted,tc'J /, , .......................... ,.~..~ ......... ~~~ ............... . . ~.~. . ./~ l~,. . .~ . .'./.,../. ./. . ~. ~z ..... to ~,~.....~..~.o~.....~.~..../..,-,~.. .................... ~ ..~..,~,..~. ........ ./...~..,...~;~,~..~~....~..~ ............. ....... ~ ~ ~ . ./. . .;. .~ ....... ~.~. . ~. . .~. . . .~. . . . . . ~~. .,-,~. ' . . . . .~. ._~. ...... ......... .hff .~ ./.,...~..~:....~.....~...~.....~..~.~....~.. ............. ~...'..,~.,.~.,...~,. ............................. ~ ................................... .~ ............................................. ~tpre~,ses,oca,ed~t ......... ~ ......... ~~...~. '~~ ........................ Counh/ Tax Map No. 1000 Section,,,,.......,........3/ ..... Block .......... ../..~... ...... LotNo ..... ~.. ................... 19....~...~. ...... and approved by the pursuant to application dated ............. ~. ,~..~7,.....~.... ~., ,~r Building Inspeo~r. ~ee~..~.~ ..... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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 Complianoe from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site pIan ~equi~ments. 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 $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 Bui]din~ - $1OO.00 3. Copy of Certificate of Occupancy - . .25¢ &. 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 .... ~... ......... .-g ................. Location of Property..~.~ .............. ~ '~-- ~.~ ...... '... HouJe No. ........ ~treet ~ t{a~leh Onwer or Owners of Property ..... 6~.0.,~.*.~.... ~.~g.e~..~. ...................................... County Tax Map No 1000, Section....~.~ ....... Block ..... ~. ....... Lot...~ .................. Subdivision .......... : ......................... Filed Map ............ Lot ...................... Permit No..~.~. ~.~.~...~....Date Of Permit. ~/~Zg~.~ ..... Applicaot.. ~/~.~. ................... Health Dept. Approval ..... ~.~.~. ............... Underwriters Approval ..... /.~.~..~.% ............. Planning Board Approval ...... ~.'.~.% ............. Request for: Temporary Certificate ........... Final Certicate...../...... Fee Submitted: $, .~...,~-~.o.. , £o, FIELD ~NSPECTION REPORT DATE FOUNDATION (IST) FOUNDATION (2ND) ROUGI1 FRAI,~E & PLUFIR[NG INSULATION PER N. Y. STATE ENERG~ CODE F~NAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INS/ULATION [ ] FRAMING [~,-]/FINAL [ ] FIREPLACE & CHIMNEY .EMA~KS: ~ DATE ?'/~/~ INSPECTOR -/ / * New York State Department of Environmental Conservation Facsimile (516) 444-0373 Based on the information you Thomas C. Jorling Date: N '3 v'e ~,',r ~e ;" ~. / ~ g~/ Commissioner have submitted, the New York State Department of Environmental Conservation has determined that: Therefore, zh accordance with the current Tidal Wetlands Land Use Regulations (6NYCRR Part 661) no permit is required under the Tidal Wetlands Act. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal wetlands jurisdictional boundary, as indicated above, without a permit. It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and your project (i.e. a 15' to 20' wide construction area) or erecting a temporary fence, barrier, or hay bale berm. Please be further advised that ~his letter does not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, Deputy Regional Permit Administrator Examined .. ~ Approved Disapproved a/c .. FORM NO. 1 TOWN OF SOUTHOLD gU!LDI,~O DEPARTMENT,. TOWN HALL SOUTHOLD, N.Y. 1197~1 TEL.: 765-1802 / / . (Buildino Inspector) f .ICATION FOR BUILDING'PERMIT INSTRUCTIONS BOARD'OF HEALTH ........ 3 SETS OF PLANS ........ SURVEY ................. CIIECK ...... ZZ:':::::"' SEPTIC FOR,~! . ... CALL .............. SubdivJsiofl : ' ' ':':"'"l'i''(~'a~) .... ~ ........ '. Filed Map No ............... Lot ............... '~. Stat~ ' : ' : ' ' ' ~ -. ernst ~g use and Occnpancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~/d~. ~M./~d...'.~[~.~.~.. ~9.<~ .................... . nten c se ccupancy ,, / ~zZ .... o Couht~ Tqx .M-ag,No t O00.,Se¢flon ....... '.~./. ....... Block ' / ~' ' Lot ~' : (Name and title of co~orai~ ~)~r') ........ Builder's License No ................. ' ......... Plumber's License No ....... ~ ........ . .......... Electrician's License No ...................... Other Trade's License No ..................... 1. Location of land on which proposed work will be'done. ;¢7.q'. House Number Street Hamlet a. This application must be completely filled in by typewriter orin ink an'd submitted to the Building Inspector, with 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'eet or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appi. cation. e. The work covered by this application may n~t 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 penni sh, all 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 Occupanc. 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 th Building Zone Ordinance of the Town of Southbld, Suffolk County, New York, ~d other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions Or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, building codg,~housipg code~ and regulations, and admit authorized i~,spectors on premises and in building for necessary insp~~ .t( ,'.' : ., ~ (Signatur~ of applicant, or name, if a corporation) :'"' ~ ,' .... · (Mailing address of applicant) St~,te whether applica.nt is o,~ner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. Name'of owrter '0 f'p?einis, e~? . }:' '': (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly authori:/ed officer. · 3. Nature of work (check which !applicable): New Building ......... ; Addition .......... Alteration .... ;. ' Repair ~,, ........... 'Retnoval ............. ,.. Demolition., .... ; .......... Other WQrI~-:~..- ........... ' (to be paid on filing this application) 5. If dwelling, number ofdwelliffg units'. · ·. { ........ .. Number 0fdwelling units on each floor .... ,.-7 ......... If garage, number of cats .... .-7 ' ' ' 6. If business, commercml or m~x, ed occupancy, specify nature and extent of,each type of use ,. P(", ~: ............ 7. Dimensions of existing structm-es, if any: Front...,¢..O.; ....... Rear .... ~ .o... ..... Depth ...2t/ ......... e ... .......... , um ere res ................................................ . .... Dimensions of, shine structur,, With alterations or additions: Front ~-O.. .4. P. : Depth ;~,[ i H /.9 t . . ............ Rear ............ ................ eight . .. Nu b fStorie ~ 8 Di 'onsofent' ,~ . o-- .......... . ..... m ere s ........... : ....... · mensl ire new construchon.. Frnnt ..........,...'"'* ....; Rear .": .......... Depth Height ' '"' Numb fSt ri "" 9. Size of lot: Front ~ ' 10. Date of Purchase .-r..-~.~.g.,[-.! ./.q.~.o. ............ ,. Name of Former Owner .~Eo~,r ~,, 11. Zone or use district in which p}emises are situated ....... . ....... ' ......................... ' . 12. r.oposed construction violate any zoning law, ordinance or regulation. ' ........... ~. '13. wittier oe regraded ~?. .. ' .......... ' ............... ' .. . ~ · · ot~ ~'. .~.,, ,....·, ....... Wlll excess nu ce removed from premises: ~y~ 1.4. marne ox owner of premmes .t~.q/~l~.. ~/. J~, .o~.~. , Address .)f~r-,3Aq~.4 .~..~.o..,,:r0e4tPhone No. Z/eft. .... .&.q.'... Name of Architect, ' Address Phone No .. Name of Contractor ..... ~. *~ 15. xp cnzs proper~y wmcnxniJuu feet or a tzdal wetland? (v~'~3~, . u .... · *If yes,'SoutholdiTown Trustees Permit may..be re~d. ..... . ~,o ......... ,,'. i P~OT D/AGRAM Locate clearly and distinctly alI buildings, Whether existing or proposed, and, indicate all set-back dimensiong from property lines. Give street and block number or description according to deed, and show street names and indicate wh'ether J.,Fid STATE OF NEW YORK, '{.. .S (Name of individual signi~g contract) ]bore named. ~ . /~,~,r ~-~ ,~ ( ~Y'"'/J~.,,~ UNDERWRITERS CERTIFICATE . APPROVED,AS NOTi;I~ '_ , ' NOTIFY BUILDING DEPAB.I:MENT~AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPEC~ONS: ~. FOUNDATION - ~O REOUffiED . YO~ ~URED ' Z RO~H - FRAMING ~ PLUMBING. 4. PmNAL -' OONSTRUOTION MUS~ ALL CO"STRU~IO, 8HALL MEET' TH~ .mUm~.~NT~ O; ~; N.Y. STAT; CONST.UCnO. ~ CO.m NOr R;S,ONm.L; ;O. DESIGN ~ mN~U~ ERRO~ ON LEAD COflI'EN[ CERF/FICAF~ OF OCCUPANCySEFORE ...... being duly sworn, depose~ ~a ..'..d&k .'tr:.. ~Ie is the.., .............. ' , "" .......· · "· ........... · I:F~$TING.IIEiFOR5 ¢OYEFUNG ......... .. ; (Contractor, agent, cor'porate officer, etc.) )f said owner or owners, and is dulyi authorized to perform or have performed the said work and to'make. tpplication; that ali statements contai'ned in tt~is' application are irue to the best of his knowledge al~t belief, andand.thatfile the this ,york will be performed in the mannerlset forth in the application filed therewith. I'f~opper Lupin0 18 OSOCI ;worn to before me this ; for water distributing . c~r) . 8ystern; piping shall be .......... .qd. ,day of .......... , .............. '....., 19 ~..5- of types K or L only ,/et ry P bli ' ' ~fr,q-~ ¢ ~,~jCt, t~'a u c ...... ." ............. : ~ County ,~,. //..p,.~ ~''//,--, ,~ LINDA d. COOPER 'Nota~ Public, Stateof NewYork j (Signature of applicant) . · No. 4822563, Suffolk County e>2 ' Term E~ires Dee, ember 31, 19.~F_.~ 'BI.D<