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Home My WebLink About22571-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23508 Date FEBRUARY 24, 1995 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 1380 BAYBERRY ROAD House No. Street County Tax Map No. 1000 Section 118 Block 2 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 23, 1995 ~ursuant to which Building Permit No. 22571-Z dated JANUARY 23, 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 ALTERATION TO EXISTING NON-HABITABLE BOATHOUSE AS APPLIED FOR & "AS BUILT". The certificate is issued to of the aforesaid building. MARGUERITE P. MULLEN (owner} SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-044163 - JANUARY 25, 1995 PLUMBERS CERTIFICATION DATED N/A ' / ~il~in~ ~nspector Rev. 1/81 FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N.Y. N9 22571 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ................ ./..~,, ...................................... / Building Inspector, Fee 0..~....~....~ ..... and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD ~~.~ TOWN HALL '~' · ' APPLICATION FOR CERTIFICATE OF OCCUPANCY T~¢~O~--~-~~ This application must be filled in by typewriter OR ink and submitted to the buil~'~'~'~, tnspecgor 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. l, Final Approval from Health Dept. of wa~er supply and sewerage-disposal(S-9 fo~). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in syst~ contains less than 2/10 of i% lead, 5. Co~ercial building, industrial building, multiple residences and similar buildings and installations, a cergificate of Code Compliance from architect or engineer responsible for =he building. 6. · Submit Planning Board Approval of completed si~e plan requirements. For existing buildings (prier ~o April 9~ 1957) non-conforming uses, or buildings and '.'pre-exiSting" land uses: 1. Accurate survey of property show~g 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 Insp.ector shall ~tata the reasons therefor in writing to ~he applicant. C.' Fees 1. Certificate of Occupancy .- New dwelling $25.00, Additions to dweliing $25.00, Alterations to dwellin~ $25.00, Swim, inS pool $25.00, Accessory building $25.00, Additions to accessory build/ns $25.00. Businesses $50.00. 2,Certificate of 0ccupanay on Pre-ex/sting Building - $100,00 3,Copy of Certificate of Occupancy - $5.00 over 5 years ~ $10.00 4..Updated Certificate of Occupancy - $50.00 5.Tsmporar.y Certificate of Occupancy - Residential $15.00~ Commercial $15.00 Date .... ~D~rD~.~.~ ............ New Construction ........... Old Or Pre-existing Building.,~~ .... Location of Property...%~Q.~.~9~y.~99~.~p$~R;.p~~ YPI~. ~)~ ........................ House No. Street Mamlet Onwer or Owners of Froperty.,.~rg99~$g~.~:.~ .......................................... County Tax Map No 1000, Section..l~ ......... Block..~. ........... Lot.~% ................. Subdivision. Map.~f.~as~au. Po~z. Club. ~n~.Filad Map ............ Lot ..... ~.o~.~u~s~dcd. Map A Mp/ 156 Permit No ................ Date Of Permit ................ Applicant. ~h%ga%l.A,.~%%~M~.%~gq~q~y for owner Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... X ...... Fee Submittsd: $.~.~.. THE NEW YORK BOARD OF FIRE UNDERWRITERS 8052122 BUREAU OF: ELECTRICITY ~'- 85 JOHN STREET, NEW YORK, NEW YORK 10038 D.se JANUARY 25,1995 4ppli,.t;o, Mo. ,,file 06847195/95 H 044163 THIS CERTIFIES THAT only the electrical equipment a~ described below and introduced by the applicant named on the above application number Jn the premises of WILLIAM MULLEN, BAYBERRY ROAD, CUTCHOGUE, in she following location; [] Basement [] Ist FI. [] 2nd FI. Section Block Lot ~sexamlnedon JANUARY 10~ 1995 and found to be in compliance with the National Electrlcal Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES SYSTEMS NO. OF FEET S E R NO. o~coNv O~ CC. COND, C NO, OF HI,tEG OF HI.LEG NO. OF ~EUYRAL$ OTHER APPARATUS: BOAT HOUSE-1 *NO VISUAL DBFECTS, "An electrical survey has been made of the exposed electrical e~ipment in the premises indicated." "No obvious unsatisfactory condition was found. P. O. BOX 89 CUTCHOGUE, NY, 11935 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board~if incorrect ~nspectors may be identified by their credentials. Exalnined .............. , . . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTN,.,~,~, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ................................ ' .... BOARD OF tt~ALTH ......... 3 SETS OF PLA;~S ......... SURVEY .................. NOTiPY~ CALL HAIL TO: I' ~OW~8~'i~ g~Jq'h 0 kO INSTRUbTIONS a. TNs application must be completgly filled in by ~pewfiter or in ink and submitted to the BuildNg Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot pl~ show~g location of lot and of buildNgs on premises, relationship to adjoining premises or public sffeets or areas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of this appli- cation. , c. The work' covered by tNs application may not be commenced before issuance of Budding Pemit. : . - d. Upon approval of this application, the Building Inspector will issued a BufldNg Pemit to the applicant. Such pemit sh~l be kept on the premises ava~able for Nspection throughout the work. ' e. No build~g shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occuo~cy shall have been granted bY ~e Building Inspector. ' ~PLICATION IS HEREBY MADE to the BuildNg Dep~ment for the issuance of a B~lding Pemit pumuant to the Building Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other appUcable ~ws. OrdN~ces or Regulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as hereN described. The app~cant agrees to comply with all app~cable laws, ordinances, bufld~g code,.housing code, and regulations, and to admit authorized ~specto~ on premises and~ b~ild~g for necessa, inspT~~~~ (Signatur~f applicant, or name, if a corporation) .......... .. (Mailing address of applicant) State w~ther applicant is owner, lessee, agent, architect, engineer, general 'contractor, electrician, plumber or builder. Name of owner of premises. .~M~~ .......... -- (as on the tax roll or latest deedS'2'~~~' ....... If applicant is a corporation, signature of duly authorized officer. ' ........ ; ( am title ofco~orate officer) ~: ~ ' NOTIW BUI~ING DEPARTMENT AT 765-1802 9 ~uildcFs ~icc~sc No .............. * ....... FOLLO~NG INS~ONS: P[umb~r's ~iccme No. ' 1, FOUNDATION - ~O REQUIRED .................... 'FOR ~RED ~CR~ El~ctrichWs ~ccnsc No. 3, 4. FINAL - CONSTRUCTION MUST ' Ot~cr T:adc's ~;cc~s~ No ...................... BE COMPL~E FOR C.O, " ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. s . ......... ; ....... .............. House Number ( S~eet Hamlet Snbd v s on ............................... Filed Map No. .. ' ' (Name) .............. Lot ............. State existing use and occupancy of premises and intended usc and occupancy of proposed construction: sting Use and occu anc ~~~ ' a. Exi p y .................................. ,~-- .......... .,..,, .... jjj'j b Intended u~ and occu ancv 10. 11. 12. 13. 14. Locate clearly and distinctly all property lines. Give street and block interior or comer lot. Nature of work (check which iapplicable): New Building .......... Addit on ........ 'Alterati..on ...... Repa/r .............. Removal .............. Demolition .... ; ..... Other Work Estimated Cost ........... i' · ' ' Fee If dwelling, number of dwellin~ units ............... (to be paid on filing this application) If garage number or i . Number c£dweliing units on each floor · , . cars ........ . .............. If b'usiness, commercial or mixed occu,-a ~.. · . . .', ~, ,:,~y, ~pecny nature uno extent of.each type o ~nnensmns ut ex~sting structures, if any: Front .............. Re r ... f use ........ ; ......... DH.eight.'''' nberofStories ..... a.... '... ...... '' Depth ........... ,mens,ons ......... : ............. .. Nme structure l~ith alterations or additions: Front ' ' ' ............... Depth ' Rear .................... i Height .............................. Dimensions of entire new conslruet' ,. ' Number of Stories . ight ~ .............. : Rear ............. Dep, th ..... He ............... Number of Stories ........... .: ..... Size of lot: Front .......... Rear . · ·, ........... ~. i..; ..... Date of Purchase ~ ............. Depth Zo . . ': .... . ........ ...... ~'. ........ Nam! of Former Owner ...... - ne or Use &strict in Wll~ch p!em~ses are s~tuated ..... /.z~. ~ '" . ' ': "'i'~:j" Does proposed construction viqlate any, zoning law, ordinm{ce or regulation: .~/~.' ................... ~a2ul le°tofb;~ngl;doe/pr;~n'i;;s' '~,.~.~_ .ff~.. )~_.- :~ Will excess fill bex0moved from premises: Name of Architect . ~ ~'r'~'~"~'~'r/t'~-~, d,d, ress . .~2~ ....... Phone No.~.. ~.: .'-~.~...~/7~.. Name of Contractor. · ..... , ~uress ............... Phone No .......... 19 this llroperty wi'rickel' ~bb' '~'e't:';'id '.,' .~....~...¢a.d.[e~s~s . .,.. .......... '... ....Phone No ........... i"'" ~-~ yeu, aoucno±d town Trustees Permzt may be requi~'~d: ..... an ......... PLOT DIAGRAM buildings, Whether existing or proposed, and. indicate all set-back d~nensions fr¢In aumber or description according to deed, and show street names and indicate whether rAVi Oi iqfiW'9¢l r, 5' "i i . .. . . ,ore namedta~mq o, m~dml signm~ contract) .-is the . ' [ ( ~tractor, agent ....................................... 'porate officer etc ) sa~d owner or owners, ~d rs duly a.uthonzed to perfom or have perfumed the said work and to m~e and file plication; that all statements contained in this application are true to Ibc best of his ~owledge and belief; and that the :rk ~fll be perfumed in the manner se~t forth in the application flied therewith. ' ~om to before me this ....... . . NO. 4879506 , ~ z . ~"~' ~ ' ~ ~' ~ ......... , Quahfied in Suffolk ~ou0W , ' Si~natu nt.......,~ 0