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Home My WebLink About22452-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23528 Date MARCH 6, 1995 THIS CERTIFIES that the buiidin~ ALTERATION Location of Property ~3625 PINE NECK ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 6 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretgfore filed in this office dated OCTOBER 31, 1994 pursuant to which Building Permit No. 22452-Z dated NOVEMBER 4, 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED,FOR '* The certificate is issued to FRANKLIN J. MOUNTAIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A ~6570 -- JANUARY 26, 1995 N/A FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT '~OWN ~ SOUTHOLD, N.Y. N~ 22452 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z ............ ........................ ..................................................................... ~,~.~-~.. ........................................................... ooun~,To~Mop,o. ~000 seot, on....?~. ........... ,,oo~.....~.~ ........... Lot ,o. .. 2.>.. ................ pursuant to application dated ........... ~.~...-~..~.,.....'~..'.../. ................... 1 ~....~...~...., and approved byt,e Building Inspecton Fe~ ~..Z~.~ ....... Building Inspector Rev, 6/30/80 BUILDING DEPARTMENT TOWN I/ALL APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and subm~t~~d~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location o2 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 thaw 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. B. For existing buildings (prior to April 9 1957) non-conforming uses, or buildings and pre-ex%sting" 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 Building - $I00.00 Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupanck - Residential $15.00, Commercial $15.00 Date .... ...... · ............ ..aw Construction ........... Old Or Pre-existing Building ......... · I,oca~ion of Propertv ........ House No. Street Hamlet Onwer or Owners of Property ........ , ................. County Tax Map No 1000, Section..Z.~. ....... Block. .~[ .Lot .... ~ .......... ';ubdivision · ' ............................. Filed hap ............ Lot ...................... Permit No...~.Z~..~..Date Of Permit././/..~./..~..~. ..... Applicant..~.~.9~L~/.~.~.~z.~ff./~..~.~ Health Dept. Approval ................. Underwriters Approval./~f.~/~/..~. ......... 2ianning Board Approval [{equest for: Temporary Certificate .... ~- Final Certicate ........... ............................. ~6 ~ ~35 ~ APPLICANT Town Hall, 53095 Main Road P, O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD November 18, 1994 Mr. Ernest F. Richter 515 7th Street Greenport, NY 11944 Re: Mr. Franklin Mountain Prem: 3625 Pine Neck Road, Southold NY To Whom This May Concern: We are unable to complete your Certificate of because of MX Occupancy the following reasons: 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 # 22452-Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFll OF, OCCUPANCY.:~-~? NOTIFY BUILDING DEl 765-1802 9 AM TO 4 PM FOR! FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO FOR POURED CONCRETE 2. ROUGH - FRAMING & 3. It~SULATION 4. FINAL - CO~ At.L CON?~" 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] ~,ATION FRAMING ~i~NAL ELECTRICAL INSPECTION SERVICE, INC, 375 DUNTON AVENUE EAST PATCHOGUE, NEW ';ORK 11772 65'70 ISSUED TO:__]~r~- _PraJlk ~)~lDJ2a.'[]3. . uc N0._.4141E was examined on ..... 1_--~,~1_~:5 ...... an, LOCATION ........ BASE. DET. GARAGE 2nd 3rd Attic Pool . _HOT TUB RES. DISHWASHER ~ DRYER CLOTHES WASH, j GAR. DISP. ' RANu[ ~ 6VEN'I SMK. DET. Post Lite Cable replaced 1- overhead fixture replaced President LAT'r 0,'~ PER'N. STATE ENERGy CODE FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 3isapproved a/c ..................................... . (BT~ng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTII ......... 3 SETS OF PLANS ...... SURV£Y ................... ClIECK ._ . FLAIL TO: Date ....... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the B fldmg Inspector, with 3 ets 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 aail 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 .mil 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agiees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to flmit authorized inspectors on premises and in building for necessary insT~ ..~...~..././..~. ~ (Signature of applicant, or name, if a corporation), ;rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrici'an, plumber Or builder. (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~'~2 .?.~.G...~..~.~. ........ Plumber s Lmense No ........ : ................ Electrician's License No ....................... Ii! H. . ' Other Trade's License No. '?R~)F~oLrr~O o Location of land on which proposed work will be done .................................................. ............. gl, .................... S;r;;; ................. ounty Tax Map No. 1000 Section .................. Block .................. Lot. 2 ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: .................. / ....... .~'';'~''''~2'; ..................... 3. Nature of work (check which!applicable): New Building .......... Addition .......... Alteration . .o.~ .... Repair .............. Removal .............. Demolition ............. Othe, r Work f/.C~ i )(5~ ~_9 (Description) 4. Estimated Cost ........... i ................ F ......... ~ (to be paid on filing this application) 5 If& ell'rig b fd ll'n~v :g nits · x ,num ero we : u ............... Numberofdwellingunitsoneachfloor. If ga ber fcars ' · rage, hum o "'i · . ............ 6 If b si ci I ii d cup ............... d ........................................... y si cffy t of h typ f us .,------7... 7' Di uniess,co.memer a orm xe oc ant , )e nature an exten eec e o e ...... · mens ons ot xisting structures, if any: Front. ~ Rear . ..-v; ....... Depth -- ' ...... Height ... ~ .......... Nun}ber of Stories ..: .~.. .................. Dimensions of same structure with alterations or addit ons: Front ................................ Depth Hei h' · ....... ' ........ Rear .................. .............. i g t Number of Stories · Dimensions of entire new construction: Front Rear ............... Height Number of Stories ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' · · · · · · ... ·.. ·.., Depth ........... ~.. 9. Size of lot' Front ~ -~- ~ , .............. Depth ........ 10. ~Date of Purch.ase.. :. ~.. .... I .......... ' ........ .AName of Former Owner .. 11. ~one or use &strict ~n winch Premises are situated.. · ./1'..~..st .~..~.~..T'.( :t, [ ................ 12. ,D, .o,,es, proposed construction vjCa, te'any zoning law, ordinance or regular;on''' .' .,~..~.' 'i'iilJ ................... 13. wm mt be regraded ./,.,,.ca. ,, .... · · ..... ~ ' ' '~ ' ' o:.t ..... ,, ..... WIll excess 11n ~e r, omov~o from premises: Yes 14. Name of Owner of premises /:r~,l.( {~.l.o.~ ~.0,:'.~ddress l°lv.ql~'.qd(Se?ff.~?fc~. Ph .............. one mo ...... .4 I. ZI .... Name of Architect a,~,4 .... ,,, ,. Name of Contractor ~:3./'.~. (fe.m.e, JTm~u ~..o .... Addr~,~ 4"/. '_~,?m 5t~ -.. 15. 'rs th±s property with±n ]300 £ee~r;f a t±aal w;VJ~a~l'?' ';~'e':'.'.'.'.'f':?(~n.e. .m?:.?..,.:. /..'-"; 1.4.q .... · If yes, Southold iTown Trustees Permit may be required. .". PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing.or proposed, and, indicate all set-back dimensions from property lines. Give street and bloc] number or description according to deed, and show street names and indicate whether interior or coruer lot. ~TATE OF NEW YO_P,I~ S S ?v*. e.? (Nam ~bove named. la is the , ' .................... ~ .....:,~ x~ ...................... , ontractor, agent, corporate o cer, etc. f said owner or owners, ~d is duly ]anthorized to perform or have perfo~ed the said work and to m~e ~d file this pplicat on; that all statements contaified in this application are true to the best of his knowledge and belief; and that the .'ork will be perfomed in the m~ner set forth in the application filed therewith. .worn to before me this ..................... .... ' ~ ~TA~L~, ~.~ ~J (Signature of applicant) NO. 4/Z~U~, ~UHO~U~ , Term ~pl~ May~,