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Home My WebLink About22432-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23533 Date MARCH 8, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 647 PINE NECK ROAD SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 5 Lot 31.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1994 pursuant to which Building Permit No. 22432-Z dated NOVEMBER 1, 1994 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 AN ALTERATION TO ENCLOSE AN UNHEATED OPEN PORCU OF AN EXISTING SEASONAL DWELLING AS APPLIED FOR. The certificate is issued to JOHN & JOAN LADHMANN of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION SVC. 6180 PLUMBERS CERTIFICATION DATED N/A NOVEMBER 11, 1994 N/A Rev. 1/81 FORM NO.3 TOWN OF BOUIHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. N~ 22432 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNtiL FULL COMPLETION OF THE WORK AUTHORIZED) .................. .............................. Z Permission Is hereby granted to: ..~ .......... ~: ....... ~~ ................. ..... ~ ........ ../..,E..~.~..... ~.~.~......~?. ........................... ./.../.?./.~ ............................................... t o.....~...~ ........... ~ .......... ~~.-. ............ ~.~ ....... ~.~ .,~...~ ........... ,~....,d:.:~ ....... ~,.-. ........ ~ ~; ~ ............. ......... ~z..~..~.~..,~...~ .......... ~.~.~......~ ........ ~ ......... ~./.~-2.. ............ ........ ~~.~....~ ........................................................... : .......................................................... at prem, ses coated at ....... ~,...,~...,..~.. ........ ..~....~..?.'~-. ......... ~..¢~.'..~.. ...... ~ .................................... CounlyTaxMapNo. 1000 Section ....... .~.-~... .......... Block ....... .,~..~ .......LotNo ......... ~....'/....'~.. ........ pursuant to applloatlorl dated ............... ...~.....~[...'~.'..,......~,]..,~.. ................ 19......~..~....., and approved bythe Building Inspector, 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: t. 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 ~f Cods 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 ~nd 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 t9 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 Buildinz - $i00.00 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 .... .~.~.~. ~. .... ~ .~- 4..~. -~- -~.~-~. ........... New Construction. Old Or Pre-existing Building .... ..~... Location of Prope~C[C~C~.~...~f~.~..~.~.~..J~.[ .... ~~.~.~...~.~ House No. Street Hamlet Onwer or Owners of Property..~[~...~z...+...~...~.,...~.O.g~.~.~.~.. County Tax Map No 1000, Section .... ~ ...... Block .... .~ ......... Lot...~.~.~.% ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.~.~.~.%~.Date Of Permit .... ~:~.L.~.~+..Applicant. ~.~. Request for: Temporary Certificate ........... Final Certicate..~ ...... Fee Submitted: $ · · .~. ~7,..9.~. ................ . ...... VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD February 3, 1995 Mr. John Lademann Box 123 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of th/e following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) 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. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 22432-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. /516) 286~2ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 61~ Date 11-11-~ APPLICATION No. ON FILE ADDRESS: ~7 ~ ~ ~d VILLAGE: ~td TOWN: ~ld ISSUED TO: ~O~ ~. ~ INTRODUCED BY ~ ~. ~ LIC. NO. 2~ w~ examinedon I1--11-~ and found to ~ in compliance with the National Electrical ~e. LOCATION BASE, ~ 1st. 2nd 3rd Attic Pool ~ DET. GARAGE HOT TUB FIXTURE RECEPTACLES SWITCHES G.F.C.I. DIMMERS FANS r AIR. COND. i i a i 2 DISHW~HER DRYER CLOTHES W~H. GAR. DISP. ~ RANGE ] OVEN ~ SML DET. FURNACE I OIL GAS CIR.IMOTORS BELL TRAN. SERVICE DISCONNECT ' / ~esident ' / ¢ FIXTURE RECEPTACLES SWITCHES G.F.C.I. DIMMERS FANS AIR. COND. 3 10 4 2 DISHWASHER DRYER CLOTHES WASH. GAR. DISP. RANGE t OVEN I SMt~ DET. FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT 1 1200 O.O. ULAT~ON PER N. STATE ENERGY CODE ADDITIOHA'L C0.~ IEIITS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM.ENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... /[/( ........ I9 .~./ Approved ....... //././ ...... 19C/Permit No..~.g.~..~..~. · · Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CHECK .................... SEPTIC FORH .............. INSTRUCTIONS 'a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Buliding Inspect°r, with 3 set~ 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 Bt/ilding 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, Ordinances or 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 code, housing code, and regulations, and to admit authorized inspectors on-premises and in building for necessary/it~sp~ctions. ~.. ''' '~g~r'~'(}f' ~li~a~'tl ;; name, ifa corporation) ".C..q N e. W..,. (Mailing addre'ss"6f:Ji'~C~$t);.' i ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder· APPROVED AS em~ses -O o J~ ,~ ~y'l ~ ,J ~ ,~ ~,.~ ~ ~ ~ ~ Name of owner of pr ' . .............................. : · '~'}~l(~t. Oll~G 'DE~AR'ft~tNT' ' ' (as on the tax roll or latest~j.e~o~ 9 AM .TO 4 PM FOR THE If applicant is a corporation, signature of duly authorized officer. FOLLOWING1. FOUNDATIoNIN$~CIIONS:- TWO REQUIRE6 .OCCUPANCY OR ................................... 2.ROUGH - FRAMING & PLuMslNG (Name and title of corporate officeUSE IS UNLAWFUL ,. ,.S..,.O. ..llder's ,icense No. .WITHOUT CERTIFICATE ,,.AL- CONST..C,,,O..,ST .............. BE COMPLETE FOR C.O. Plumber's License No ........ : .... OF. OCCUPANCY Electrician's License No ................... UNI)EltWRIIERS CERII[ICgIE r I~EQUI~ED Other Trade's License No ...................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE ,FOR DESIGN OR CONSTRUCTION ERRORS l. Location of land on which proposed work will be done ........................................ t ....... · .c~.q-.'.'z ........... ~.~. .... ¢. K. Rp ................ .~.o.o... ~. .... ~..~.:,~. .............. House Number Street Hamlet County Tax Map No. 1000 Section ...'?..~ ........... Block ...~.. ............ Lot...*'7../.: ...7~ .......... 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 ... ~./~i.~. j. 0.~ p~...~ .~. .................... b. lntended use and occupancy ~r>..~q.~:'..t)....I..x)..~.~../.cq,~.'o'e~t~'~llll~ ~'~ml~ ..; ............. 3. Nature of work_(check which applicable): New Building .......... Addition ..... .....I Alteration . ...L~,. r. Repair ....t-:T. ......... Remo?al .............. Demolition ......... Other Work ...... : ........ i ' ' (Description) (to be paid on filing this application) $. If dwelling, number of dwelling ~ ' umts ...... .] ........ Number of dwelling units on each floor ................ · If garage, number of cars ...... ! .................................................................. 6. If busin.ess, commercial or mixedlo¢cupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structuresi if an,,' Fron~ 1~t,O * ~ A_ .-~ ,, f ,-. _. ~, p. ,, Height ............... Number of Stories .................................................. 'DepthDimensi°ns .... .q°f same, ~ ~structure, with?~,Helght, alterations..., or/t~i,a~ditions ..... .F. ront. .........~.C> J.Number; ......... of Stories Rear..·... '.. 1 ...... .i,~ .~../ .... i . ....... 8. Dimensions of entire new construction: Front ............... Rea~ ............... Depth .". '. Height ............... Number of Stories . . 9. S~ze of lot, Front ............ : .......... Rear ...................... Depth ...................... 10. Date of Purchase .q,/. ~l ! , ' ,. Name of Former Owner., ~,~)~..~....~, :.~/~ 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violaie-any zoning law, ordinance or regulat on: , /F'c~ , . . 13. Will lot beregraded t . , .......... ' , ~' .................. .... t. · ............... Will excess IUl De removecl Irom premises: Yes ( No Name of Architect , Address Phone No 15. Is this property within 3~0 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Tdwn Trustees Permit may be required. PLOT DIAG RA/Vl Locate Clearly and distinctly all bmldmgs, whether existing.or proposed, and, indicate all set-back dimensions from .property lines. Gm.ye street and~ :~,,~}~mber or description according to deed, and show street names and indicate whether interior or corner lot. / ~'J ! ' TUOHTiW STATE OF NEW YO ~._ / S.'S COUNTY OF. ~..~,~..._~., .... .<. . .., ,~ · .~.. ~ ..... ,Z~, O~ d'~, ~ i .'"~, .,~4, ............. being duly sworn, deposes and says that he is the applicant (Name of individual signin contract) above named. Heisthe .~.~...~i...D~ ~..'-~o~, - ~ . · ,.-4. ~ gA i (Contractor, agent, corporat.~ officer, etc.) of said owner or owners, and is duly tuthorized to perform or have performed ~he said work and to make and file this application; that all statements contal~ ~.d in this application are true, to the best of his knowledge and belief; and that the work will be performed in the manner s ;t forth in the application filed therewith. Sworn to before me this .... County or (Signature of applicant) I I~,~TOWN OF $OUTHOLO ~ ~994 'L