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HomeMy WebLinkAbout22204-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTF~NT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23304 Date OCTOBER 24, 1994 THIS CERTIFIES that the buildin~ Location of Property. 1345 FOUNDERS PATH House No. County Tax Map No. 1000 Section 64 Subdivision ADDITION TO ACCESSORY SOUTHOLD, NY Street Block 4 Lot Filed Map No. Lot No. Hamlet 18 conforms substantially to the Application for Building Permit heretofore filed in this office dated J~/LY 5, 1994 pursuant to which Building Permit No. 22204-Z dated JULY 23, 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 FOR AN ADDITION AND REPAIRS TO AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to of the aforesaid building. EUGENE F. MURPHY (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N329544 PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A OCTOBER 7, 1994 FORM NO.$ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date...~ ........................... ,. ................ ,9~ 22204 Z Permls'sion Is hereby granted to: CounlyTaxMap No. 1000 Section ..... ~.,...~,., ....... Block .......... ~ .......... Lot No. .. .~... .~.., ............... Building Inspector, and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT oWN ! t 81994 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter OR ink and submitted to the building inspecto~ with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lihes, 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 ~ertifying that the solder used in system contains less than 2/10 of.l% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and instaliations,.a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit ?lanning 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: i. 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 dwellin~00~, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building~$2~.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinR Buildin~ - $100.00 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 .......... ~ ....... ; ................ ew Construction ........... Old Or Pre-e~xist.~n~ Building.~..~.4.~..~.¢.(~ mouse ~O. Street Onwer or O~ers of P~opertv .... ~q.~.4:. ~ ~>/ ......... /~'-~ ........ FiAed M~. ~. ~ ~...Lot..9. ~ ............... Permit N~~}~..~Date Of Pe~it.'~ ~.9.~ ..... Ap Health Dept. Approval .......................... Unde~riters Approval ......................... Planning Board Approval ........................ Request for: .Temp°rary Certificate. 'i Fi~ticate ........... Fee Submitted. . ............ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING' INSULATION ?ER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 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 October 19, 1994 Eugene F. Murphy 1345 Founders Path Southold, NY 11971 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 # 22204-Z Please contact our office on this matter. Thank you for cooperation. / SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] F/O~UNDATION IST [ ] ROUGH PLBG. -~'J"-FOUNDATION 2ND [ / ~ION-/ []FRAMING [//]~FINAL DATE INSPECT~ TITLE NO. 7ES-0103~ ~ S 9~ ~0~ %0~ Unaulhorized alteration or addition to th~s survey section 7209 of the New York State Educatior~ Law. Copies oF this survey map ~.ot bearing the l~nd su~eyo~s seal or embossed seal ~hcH nat be conddercd to be a valid person for whom the ~u,v%, ~, 'r,-:~r,.4, end .:'n h~ behalf hereon, and fo lhe assignees o[ lhe lending insl~tulion. Guara or certifications are n~ lmnsferabl~ Io addilynal SURVEY FOR EUGENE F. MURPHY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE: I"= E,O~ APRIL I0:~ 1972 REFERENCE ' SUBDIVISION MAP OF FOUNDERS ESTATES MAP NO. 8~4~ FILED MAY 10,1927 BUARANTEED TOt CHICAGO TITLE INSURANCE COMPANY SOUTHOLD SAVINGS BANK EUSENE ~ MURPHY LAND SURVEYOR , I~8 ?El N.Y. FORM NO. 1 TOWN OF SOUTHOLD, BUILDING DEPARTMENT TOWN HALL ~ SOUTHOLD, N.Y. 11971 ,~ TEL,: 765-1802 Disapproved' a/c ..................................... APPLICATION FOR BUILDING'PERMIT BO,~RD OF HE..~,LTH .~,.,..,-.. SURVEY b~.-~ c.~cK =~..~? ........... SEPTIC FORH .............. NOTI PY: CA~ .%St 7~.~.~.. ....... HAIL TO: Date ................... 19... INSTRUCTIONS ' a. Th/s application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 gets 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 sfi'eets 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 ttfis 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 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 shalI 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 admitauth~rizedinspect~rs~npremisesandinbui~dm.~-~rn~cessaryinspe~cti~ns~r~\~~ - ~ ~ .~ . ..... -- -- ' {gig~Jture of applicant,jcr name, if a corporati6n) ' (Mailing address of applicant) State whether applicant is owner, lessee, 'agent, architect, engineer, generai contractor, electrician, plumber or builder. Nmne of owner of premises E00~ ~)1~ t~.~tjtj/~DLkj7 ....... (~ ;~'t'~e't'ax roll or If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder s L~cense No .......................... Plum bet's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................. Z ~' ~ .:. ................ · ...,'..~. '.r. ....... ~Z ~'F~ .... ... /. ' House Number Street I Hamlet Connty Vax Map No. l'000Section-...G.~'. ..... ~.;t:: Block .... ~ ....... ::... Lo:.~. t.~ ........ .,St:bdivision...~.~~e?~T~ ' FiledMapNo~.~~ .:. Lot..~. ........ 2: State existing use and occupancy of premises and intended use and occupancy of propbsed construction: a. Existing use and o~cupancy , .' · -:~ · . b. intended use and occupadcy ... , ..... , ... 4. Estimated Cost ~ . ' '~"1 ..... ~ ................ Fee .~- [ ' (to 5. If dwelling, number of dwellin~ units .,.&~ .... ~ ... Number of dwelling units on each floor ..... . Ifgarage, numberofc~s ........ ~ ~ 1~ ~ ............ If business, commercial or mixed occupancy, specty n~tu? and extent oLeac~ type of use ........... / ...... 7. Dimensions of existing st~ct~es, ifany: Front .... ~ ........ Rear /~ ........... De th .t.~ .... ~eight ..... 1.~'~ ~ .... Number of Stories l ' P ........... i ' ' , · · ............. ~'~ ',' .................... ~ ....... e structure w~th alteratmns or additions Front /~ ~ ..... ~ mens~ons of s~ Rear . Depth ....~.t ~ · ' ................... 8. Dimensions of entire new construction: Front ... ~ ......... ; Rear . .~.~ (~ .... Depth .~.( '" .Height .. 1 ~..~. ~ ..... Number of Stories .... l~. ' .............. 9, Size of lot Front { I [ · 11. aone or use &smct in which premises are situated .... ~ ~ ~, ~ r ~.e~r t ~.~.. .12.D°es pr°p°sed construction vidlate any zoning law, ordinadce or regulation: .... ~. ....................... 13. Wflllot be regraded~ ..: . . ....... ' · · ~_'t ~ ~' '~. ~,~.,.~ ·wm exc. ess fill he remov~ frpm premises: ~ Yes No 14. ~e o[ gw~er of premises ~'~'~J~.~Address[~C~5~4.PhoneNo ~eoIArcnitect :- ~.~, .. ..I. Addre ~ - ' ~ ' ' ;'" 15.' , p p fey wxtn~n puu reec or a tida~ web,and? *Yes .... . ~If yes,' SouLho~d Town Trustees Permit may be required. ~-. .... o ......... . :' PLOT DIAG~ Locate clearly ~d distinctly ~1~ bulldogs, whether existing or proposed, ~d. ifidicate ~1 set-back d~ensions from property Hnes. Give street ~d block humber or description accord~g to deed, and show street n~es and indicate whether ~te~or or corner lot. . 765-1802{9 AM TO 4. PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION - 'IiYVO REQUIRED FOR POURED CONCRETE 2, ROUG~ - FRAMING &'PLUMBING 3. INSULATION 4, FINAL {- CONSTRUCTION MUST BE CONIPLETE FOR C.O: ' ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE' N.Y. STATE cONSTRUCTION &' ENERGY CODES., NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEWC~TEXr~' ,~ fk ,. l, ' COUNT,,, OF..._~.b~ .~3.?.~A. ~'i' ' ~ ' ......... (Name ofindi~dual signing contract~} ., being duly sworn, depo~e~ ~d says that he is the applicant above named.,. Heisthe ' j.~~ ~ I (Contractor, agent, corporate officer, 6tc.) ~f said owner or owners, ~d is duly ~ut~orized to perfom or have perfomed the smd work and to'm~e and file this npplication; that all statements contained ~ thisapplication are true tat ~e best of his knowledge and belief; and that the ~vork will be perfomed in the manner s~t forth in the applicati6n filed therewith. ~w~ to before m~ this { . ' .... ........ ~ '. dayof~ , ,' ' ' ............. , Quallfl¢ in S~ff~k C~U~ 1~" / r ~pature of applicant) ' ~mmlmslon ~ires ue~m~r e, '~ ~ . -j--