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Home My WebLink About22554-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23744 Date JUNE 29, 1995 THIS CERTIFIES that the building Location of Property 1655 TRUMANS PATH House No. Oounty Tax Map No. 1000 Section 31 Subdivision ALTERATION EAST MARION, N.Y. Street Hamlet Block 13 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 1994 pursuant to which Building Permit No. 22554-Z dated JANUARY 11, 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 UPGRADE HEATING SYSTEM ROOM WITH NEW FOUNDATION & WINDOWS & MEW HEATING SYSTEM IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SUSAN CLICK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-356080 - JUNE 23, 1995 M/A Building FORM NO.3 ToWN OF $OUTHOLD 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 // 19 N_o 22554 Z Permission Is hereby granted~: _ / ~ ~ / ¢ ,0, I~ .......... .P..,.. ........ ~..¢..... ............................................... ........... ~..~.~..~.:..~,~..~,,.~,...,././..~-:~ ...~..~.....~.~. .~./../..~.....,¢:..~..~..>.~.~.:~i.......n:.....~ ..... ~z:. . .: .?. :,.~. . . . . ~,. ~ '/. . .~ . . . ,7.. ~ ;../..~... ~. . ~./. . ./:. ,. ~ ~ . . . . . . >.... .......................................................................... :::,': ...... ....................... ........................................ ~..:...~ ~~.~,, ~/ Lt, Counly Tax Map No. 1000 Seetion~,) ................... Block ....... ./.. ............... o o ..... ~ ................... pursuant to application dated .......... /LL....r,~.~ ........ ~ ...........19...~....~.,..., and approved by the Building Inspectqr~ Fee $.. ,../...~,....... ,¢':~T.. ..... Rev. 6/30/80 Bu Idl g peCT~' Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~.,, · ~, AP LICATION~FOR CERr~FICATE~OF OCCUPANCY · 7 /'.: 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. App~o~ of electrical installation from Board of Fire Underwriters. 4.~ Swo~n ~tatement 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. %. 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00,, Commercial $15.00 Date ~/. ~/~.~ ............................... qew Construction ........... Old Or Pre-existing Building ................. Location of Property House No. Street Hamlet )nwer or Owners of Property ................................................ ~ounty Tax Map No 1000, section...~..2 ....... Block ..... f~ ........ Lot ....~. ................. ~ubdivision ............................. Fi]ed Map Lot ~ermit No. ~..~..Date Of Permit ............ pp {ealth Dept. Approval...~ ....... Underwriters Approval. Planning Board Approval..~.~ ....... lequest for: Temporary Certificate ........... ~>wl~~e .... ~.. ~ee Submitted: $ .... ~ .......... "~/~~~~~, . ................... ' ~,d~ PLICANT FIELD INSPECTION RE. PORT i}~)ATE l} CnT,~t~]T~: FOUNDATION (iST//''''~ FOUNDATION (2ND) !4 Il {- {,3 (~ s~ I'[1 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 May 15, 1995 Environment East Inc. Indian Neck Lane Peconic, NY 11958 Re: Susan Click - TM#1000-31-13-6 Prem: 1475 Trumans Path, East Marion NY 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 (outdated/not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22554-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ [ ] FRAMING [ /-**']"FINAL [ ] FIREPLACE & CHIMNEY DATE~~~'~ INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION ZND [ ] FRAMING ROUGH PLBG. REMARKS: 765-180Z BUILDING DEPT. ~~NS,PECTION i l [ ] FRAMING [ ] FINAL REMARKS: · 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~]~ULATION I'~RAMING [ ] FINAL DATE :~'~//~/~--'~ '*$PECTOR~'(~~/*~ THE NEW YORK BOARD OF FIRE UNDERWRITERS PAo 1 1001093 BUREAU OF ELECTRICITY ~-- BB JOHN STREET. NEW YORK, NEW YORK 10038 ~at~ ~ 23'[9(~5 /JppllcationNo, onfile 87304595/95 ~ 356080 THIS CERTIFIES THAT o~y the electrical ~uipment ~ ~scribed below a~ int~uc~ by t~ applicant ~d on the a~ appl~ation numar in the p~m~es of SUSAN CLICK, 1475 TRUMANS PATH, POLE 11, EAST MARION, N.Y. in ,he fotlowiag ,,,cation; [] Basement [] Is, FI. [] 2nd I~. OUT Sectio~ Block ~s examined o, JUN]~ 20,1995 and found to he in compliance with the National Electrical Code. Lot fiXTURE OUTLETS ? DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER APPARATUS: MOTORS, 2-F H,P. G.F.C.I,-2 E R V I C E NO. OF HI-tEG A.W. G, A, W. G. OF HI,LEG OF NEUTRAL .o NO OF NEUTRALS DOROSKI ~LEC. INC. 425 MONSELL LANE CUTCHOGUE, NY, 11935 LIC.#2941-E GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FqR BUILDING DEPARTMENT.: THIS .COPY OF cERTiFiCATE, ~, ,· b~UST,: NOT_ BE ALTERED IN ANY MANNER. FO~IM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU'I'IIOLD, N.Y. 11971 TEL.; 705-1802 BOARD OF' 3 SETS OF PLA~IS ....... SURVEY - CH~CK . · ::mined ........ ./~..////-- ~. -"¢"~ , 19 5'J'""-... q)roved .......... 19 . Perufit No ........ ~approved a/c .................................... APgLYCATION FOR BUILDING PERMIT INSTRUCTIONS a. This applical,ion must be COmldetcly filled in by typewriter or iu iuk and submitted to the Build~g Inspector, with3 of plans, accur~.t~ plot plan to scale. Fcc according to schedule. , b. Plot plan si}owing location of lot and of buildings on premises, rclationsllip to adjoining premises or public streets Ircas, ~d'givlng a detailed dcscriptlon of layout of property must be drawu on tho diagram which is pan o~ ' this app~, c, The work covered by this application may not b~ commeuced before issuance of Building Permit.' ,~ ', :c,t: ~5 d~ d. Upon approval of this application, the Building Inspector will issued a Building Permit to the app~eant, Such~pe~it I be kept on the premises available For inspection throughout tim work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of 1 have been granted by thc Building Inspector. APPLICATION IS HEREBY MADE to the Building Dep~tment for the issuance of a B~lding Pe~it pu~uant to [ding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other appEcable ~ws, Ord~ces ulations, for the const~ction or buildings, additions or alteratious, or for removnl or demoliti0~, as here~ desc~bed. applicant agrees to comply with all applicable laws, ordinances, build~g code, housing code, and regulations, and ~it authorized inspccto~ on premises aud in building for ncccssa~ inspections. (Signature 'of applicant, or name, if ~ corporation) (Maihng address of applicant)" e whether applicant is owner, lessee, agent, architect, engineer, general contractoG electrician, plumber or lO Of owner or premises (as on thc tax reit or latest deed) ....... Builder's Lice,,se No~. .%~.~ /~ T ) 1 It nbcr s Lmcnse No ......................... Electri,cian's License No ....................... O!ber Trade's Lice)~se No ...................... 2ocation of hind on which proposed work will be done. louse Number Street ltamlet ~ .,,: .ounty ~ ax Map No, 1000 Sect/on ................ Block ......... Lot ........ ' ' ' Filed blap No Lot (Nanm)~ ;tale cxisting use and occupancy of premises and intclldcd use and occupancy of proposed construction: · Ex~slmguscandoccup~ncy ........................................ . ... .. ., · Intended use aud occupancy ,ocate cl~a~-ly and distinctly all buildings erty lines. Give street m~d block number ior or corner [et. it -- I~e_u3 ~ ~ o-.*'Vk Ct.3 Z- O~q , Nature ofwo~k (check which applicable): New Building ........ ~]Addition .......... ~t~ration .......... Repair Removal j... Demolition Other Work ~ (Description) Estimated Cost ........................................................ (to b~ paid on filing this application) : .... Ir dwel lng, nnmber of dwelling units . },.. · [ ...... Number of dwelling umts on each floor..'.' ....... ', .'..',. tr ~.~.~, ~,.~ or ~ ~,~ ~t ~ ........................................... ... ,, ........ v.':: ~,¢ [~ bus~ mss commcrcml or mined occu mncy s ecffy mtz re. zd cxte ~t or each type of uso ...... [.~ D ne ~s o ~s et ex~stmg structures ff my. 1 rent ..... .~. ..... Rear . ~.~ ........ Depth Dimensions of sa ~ c structure w~th n tergt ohs or add~tmns:~ront . .~ ~.. ~~Rear ........ Denth ....... lie gl~t ..................... Nt nber of Stdfies .............. He g ~t ....... Nt nbcr or Stories ................. Size of lot: Front ..... ~[.~ ...... ' ..... Rear ...................... Depth ..................... Date of Purchase ................. ~... ......... Name of Fornl~[Owne~ ......... ~. ~.. .... Does proposed constructmn v~ql~ any ~onmg law, ordinance or regulahon ...... ~ ~ ................... wm ~ot u~ ~,~,d.a ....... ~ ~ ..... ~, .,, ,.., ...... win .~,~s%n~, ,~,,,o~a gm¢ ,~mi~,~: _~J~_. Nmne of Owner of premises .~ .'~ ~[~ ~ . Address J~.~..[.~%~¢. ~ q~hono No. ~.~..~4~..?/- ....... Phone No. Name of Architect .... ~. ,. 4 .......... Address _ ~ '.kcS9. ~OA~hooe No. , Nmne or Contractor ~.. x .~.~ · . .[ .......... Address 1~¢.~' Is'.th~s property w~ch~n 300 reee o~ a e~daX weeland? ~Yes .... No ....... · . ~Z~ yes~ 8ouehold 'rom~ [rus~ees Permit may be required. ~ PLOT D[AG l~l ' whether existing or proposed, and. iudicat* ~1 set-back d~nensions . whether' dcscriptio ~ accordh~g to deed, and show street nm~es and indicat~., rE OF NEW ~ ~, .~ being duly sworn, deposes of individual signing contracR) ~ ~ (Name . named. the .......................... ~ ....... ~ ~(Contr~tor, a~*t, corporate omcer, cation; t ~at al statements contained in this application are true to the best oflus kllowlodge and belief; and th~} }¢?.~ ; will be performed m the manner set forth m the apphcatmn filed therewith. '1