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Home My WebLink About21928-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC=umANCY No Z-22992 Date MAY 10, 1994 THIS CERTIFIES that the buildin~ Location of Property 580 SOu'&'~LANE House No. County Tax Map No. 1000 Section 38 Subdivision ALTERATION EAST MARION, NEW YORK Block 6 Filed M~p No. Street Hamlet Lot 9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 15, 1994 pursuant to which Building Permit No. 21928-Z dated MARCH 3, 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 ENCLOSE EXISTING SCREEN PORCH AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 EDITH E. MINNIGAN N/A ~4549 - APRIL 25, 1994 N/& Building FODM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No 21928 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ............................................................. 19... Permission Is hereby granted to: /~..~. ~..,.~.... ~:~:~ ................................. ..... ~./.,..~~ ...... ./?~ .......... ~ ...... . . . ~:~ .:. . ./. .~, . . . . .~. . . .,..¢.., ....... ~,:./. . . .:. : . .:. . .z ........ '" .............. ~.:.. ........ ~...~..P..~:.....:..~.,.....". .......................................................................... a, brem,ses,ocateda, .................................... ......... .................................... CounlyTctx Mop No, 1000 Section ....~.~... ............ Block ...... ~,~,,,,,, ....... Lot No ...... ..~....~... ............. p~rs~anttoapp,,ca,,on~o,ed ............. ~, ....... ~...:.... ......... :.,~.....P.~i. and approv~ bythe Bulrdlng Inspector, Fee $,,., ,~',,. ,~,'.,, .~?, ......... Rev. 6/30~80 Form No. 6 BUILDING DEPARTMENT 765-1502 AP?LICATION FOR CERTIFICATE OF 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. 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 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 ~ 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing ~Bilding ..... ~ ...... Location of Property...~.'.~..f?.. House No. Street Hamlet Onwer or Owners of Pro~=wt County Tax Map No 1000, Section .... ~..~. ........ Subdivision .................................... Filed Map ............ Lot ..................... . Permit No ................ Date Of Pe~it ................ Applicant .......................... . . . Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................. ×/ ~ ~ ELECTRICAL INSPECTION SERVICE, INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 Date zJ-'2§-°~ ADDRESS: 580 ISSUED TO: 4549 APPLICATION No, ON FILE VILLAGE:][. ~[~'~.E~ 11939 TOWN: INSTALLED BY: Ivy. TL~r,~ ~z~ic was examined on zJ--25-oJ4 LIC. NO. 4141-][ and found to be in compliance with the National Electrical Code. 5 President 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 May 2, 1994 Mr. & Mrs. Thomas Minnigan 91 Princeton Ave. Hewlett, NY 11557 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) No Underwriters Certificate on file. The check is not on file. ($25.00) 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 # BP# 21928Z Please contact our office on this matter. your cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. []FRAMING [//,']'FINAL DATE .I FOUI__~DA__TIO._N ---. ( 1 S,,~ ) FOUNDATION (2nd) 2. ROUGH FRAME &. .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COM~E~;TS . ~, ...... TOWN OF SOUTHOLD ,~,'~ BUILDING DEPARTMENT !i i',,iFEB 2 5 Ib'.fi,, TOWN HALL ii ~,~ . SOUTHOLD, N.Y. 11971 i~ ~'-~ ..... ....... ~ ' ' ' ' TEL.: 765-1802 7~ .... ' Disapproved a/c ..................................... . (~ilding Inspector) APPLICATION FOR BUILDING PERMIT BO4RO 'OF HEALTH ......... 3 SETS ~Or PLn~S suRv~ CIICCK Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole orin 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 ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~/ec~ions. ~ . . .... ..... -- (Signature of applicant, or name, if a cflf.~oration) ...?z. ~;:., .~.. ~Z.~ .z/..,,Sz'. ?.~...//..~:. (Mailing address of applicant) State whether applicant is lowner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................... L ................. , ............................ 'APPRGVEB.AS NOTED ...... · -- .... (as'~ ;n' the t' a~li o; iit;;t' ~k:~ ~ .... ~5:~-' If applicant is a corporation, signature of duly authorized officer ~ NOT{~ BLJILD~ D~ · 765..1802 9 AM TO 4 PM FOR T~ FOLLOWING INSPECTIONS: ..............................................(Name and title of co~brate officer) 1. FOtJNDA'rtOI~ ~0 REQLJtREO Builder's License No. 2 ~<),t(.~ FRAMING &' PL~Y~M~ING ......................... '~ l~d~q rtT~O~ Plumber s Lmense No ..................... ,~, , :O~V,;"~ E g'~: ¢ t,~:~ C,O j .... AiL C()NSfRL~CTION SHALL MEET ~bME CONSTRUCTION ~ ENERGY . Other Trade's License No ...................... COOES, ~OT RESPONSIgLE FOR ~~ '~ESIG~OR CONS rRUCTION ERRORS I. Location ofland'on which proposed work will be done ......... ~ ~ · · f~f.~.Z~ .................. · .. .... ................ ........... House Num bet Street Hamlet ' " ,000 .on ..... ........ ..... ........... Lot .... 7 ............. County Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State ex/sting use and occupancy of premises and intended user, occupancy of proposed construction: Locate clearly and distinctly all property lines. Give street and bloc) . interior or corner lot. Repair .......... Removal .............. Demolition I ............ Other Work ............... .~,..,..~.. ~ ' ' ripti ) 4. Estimated Cost ..... ,, , (Desc on ] ' i . (to be pa d on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .............. If garage, number of cars .... i .................................. 6, If business, commerc al or mix!ed occu ........... ' ............................. pauuy ~pecny nature eno extent of each t e of use .. . 7. Dimensions of existing structures if any' Front ~, fit ? o YP .... : 7' ', ........ ..................... ear ..... , ......... Depth.../. ~..t ........ Height ............... Number of Stories ....................... . .. Dimensions of same structure wtth alterations or additions Front' ' . ............................ Depth ~, He ght ~ '" '~,;'';'";;~"" Rearers' ......... 8 Dimensions of entire new constr~tion: Fr;~t ....... ' .... ~umner ' Rear ' Depth Height Number of Stories ' ' i .................... '" ............. 9 Size of lot: Front i ..................................................... Rear · ' ......... ~ ...................... Depth ' ' 10 DateofPurckase ............ ~ ' Name of Former Owner .......... ' ............ 11. Zone or use district in h:c emises are situated ....,. ' ........ iolat g I ~c?. .... 12. Does proposed construction v e any zonin aw ordinance or regulation. ' ..... 13. Will lot be regraded w-:~z? ~ ... · ................... fP ..... .,?~. '. ................ wm excess ,fill be removed ~om ,~e, mises' Yes No 14. Name of Owner o remises ]~.i ~..~. ,Add .... ............ ~ ........ ^caress ................... Phone N Nmne of Contractor ........ ; ................. Address .... , Phone No ......... 15. Is this property within 1300 feet of a tidal wetland? *Yes ........ No...;.. · If yes, Southold ~own Trustees Permit may be required. "' .'-. PLOT DIAGRAM buildings, whether existing or proposed, and. indicate all' set-back dimensions from. number or description according to deed, and show street names and indicate whethm¢ STATE OF NE~'/,YOg.'J(,O /~ COUNTY OF .O.O.~.'.ff-FO.{.f~... S. · .. .O~'fi//'~.. ...... f~./. Ji'~, ~( .......... being duly sworn, deposes ~d says that he is the applicant (Name of individ u~f signin Contract) (Contractor agent corporate officer etc ) ...................... )f said owner or owners, ~d is duly ~ athoHzed to perfom or have perfomed the said work and to m~e and file this ~pplication; that all statements contaim d ~ this application are true to the best of his knowledge and belief; and that the york w~l be perfo~ed in the m~ner s6t forth ~ the application filed therewith. ;worn to before me this I