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Home My WebLink About22287-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23237 Date SEPTEMBER 19, 1994 THIS CERTIFIES that the building ALTERATION Location of Property 1275 MILL CREEK DRIVE House No. Street County Tax Map No. 1000 Section 135 Block 3 Subdivision Filed Map No. SOUTHOLD, NY Hamlet Lot 41 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1994 ~ursuant to which Building Permit No. 22287-Z dated AUGUST 29, 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION SERVICE 5309 PLUMBERS CERTIFICATION DATED Rev. 1/81 THOMAS & MARIE MAC DOUGALL N/A SEPTEMBER 14, 1994 N/A Building Ins~ctor FO~M NO.3 TOWN OF SOUTH.OLD BUILDING DEPARTMENt' TOWN HA~ SOUTHOLD, N.Y. N~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ..~..~...~...~... ................................. 19.... 22287 Z ................... Permission Is hereby granted to: ....... ........ ...../~.~......~..//.......~ ....... ~(. ....... ~,~..~...z....~....../../..~zz.=./. ,~/~, to...~~.: ........... ~... ~~ ......... ~......~.,..~ ....... Coun~'Tax Map No. 1000 Section ,.,Z.~,,~ ........ Block ....... . ,~...,,.~.. .......... Lot No ........ ~ ............ pursuant to application dated .......... ~..~..~...~...../...~.. ..................... 19.....~...,~....i, and approved by the Building Inspector. Fee,.....7~ ........... / ~' Building Inspector Rev. 6/30/80 BLDG. DEP'[ · ,]',~OWN OF SOIJTHOI..D - 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~FINAL DATE ~~/~//¢~ INSPECT~~ OUNDATION ( 1st } OUNDATIO:; (2nd~ :OUGH FR A~-IE & -PLUMBING iNSULATIOn! FER N. STATE E~;ERGY CODE FINAL r , : i Form No. 6 TOWN OF SOUTHOLD TO~N IIALL 765-1802 A. 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: j 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 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. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-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. 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 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.T~mporary Certificate of Occupancy - Residential $15.00, Commercial ~15.00 Date . .~.'~ ~ ~ .~.. New Construction ........... Old Or Pre-existing Building.....~. oeatio of roperty. . .................... House No. Street '' Hamlet ....... Onwer or Owners of Property."~./~..~..~'~/~/~. /F/ff...~ .~.~.//,(~. ~,~ County Tax Map No 1000, Section.../~..~..~. .... Block .... .~.~. ........ Lot .... .~./. .............. Subdivision ..................... Filed ............... Map ............ Lot ...................... Permit No. ~..~..~....Date Of Permit..~.?~ .~..~...Applicant..~.~.~ff~...~.% ~{.~.~..~..~ Health Dept. Approval ....... ................... Underwriters Approval ....... Planning Board Approval ....... {equest for: Temporary Certificate ........... Final Certicate..k ..... ~ee Submitted: ~...~...~ /~.~ / ~ ' Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 6, 1994 Mr. & Mrs. Thomas Mac Dougall 1275 Mill Creek Drive 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. (Living Rm) 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 # 22287-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. ELECTRICAL INSPECTION SERVICE, INC. , 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 5309 Dale __ 0~,,*14-,~ , ~, APPLICATION No. ON FiLE (516) 286-6642 ADDRESS: r D~C. VILLAGE.'__ ~lal;]13~ TOWN: ~1~[~]~101{~ ~SSUED TO: ~ ~X:II~I~_ INTRODUCED BY ~ ~ LIC. NO. was examined on_ ,t~N-]4,.~.:.:.:.:.:.:.:.:.~ and found to be i~) compliance witt~ the National Electrical Code. LOCATION BASE. .~st. 2nd 3rd Attic Pool DET. GARAGE HOT TUB j FANS AIR, COND. FIxTuRE RECEPTACLES SWITCHES : G.F.C. I,, DIMMERS ' · · DISHWASHER ;DRYER ' CLOTHES WASH. GAR. OISP. RAN~GE I ovEN" I SMA. DET. FU RN~CE: ]'~ o,I L.] GAS ,~: ~ C~'F~!¢i;F'lI,: . ':;~ ~OTO RS?~ r BELL TRAN.,~'~~]:~I" SERVICE DISCONNECT '' FIXTU~Ei: RECEPTA'CLE$ SWIYC~I'E$ G,F. C',.I:' ,, DIMi~IERS , F "' ',Al' CO DISHWASHER DRYER CLOTHES wAsH. GAR.'DISP. ' RANGE t OVEN~'I SMK. DET, FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT (516) 286-6 2 ELECTRICAL INSPECTION'SERVICE, INC : 375 DUNTON AVENUE , :',': ')': "' ~ , .,'EASTPATCHOGUE, NEWTORKii77Z , 5309 INTRODUCED BY HOm~er ~:::: , . w~ examined,on ~/~94 _ and found lo ~ il/ complianc~ with the al ElectriCal ~d~., .................. ~ ................................... ~;===~;~= ........... ~===~= LOCATION ~ BASE. 1st. 2nd 3rd Attic ol F XTURE ~ R~CEPTACLES SW ~CHE$ , G F. C, . ,, DIMMERS , FA~S DISHWASHER DR~ER CLOTHES WASH. GAR.'DISP. ' RANGE ~ OVEN"I SMK. DET, FURNACE OIL GAS CIR. MOTORS BELL TRAN. SERVICE DISCONNECT ~esident ~ ' .... ' ' , ": ' ~ O~cto~'~ be den{ fi~b~ the r/crede~{~ ~ . , , , , ~ ;, .-: ,,, '' -- - -' ....... 0,'~RDOF IlEAL'I'll Ir3 , ' . ........ ..... · ~ TOWN OF SOUTHOLD ~SU~V~Y ................. ~J~J ~IIR J0199~ h ; BUILDING DEPARTMENT /ClIECK .................. ['"--J [' TOWN HALL /SEPTIC FoRH ........ ~ J J SOUTHOLD, N.Y. 11971 ' ' '' ........ . · ................. Disapproved a/c . . .............. ..-- , (B~J ' o Inspector) APPLICATION FOR BUILDING PER~IT INSTRU6TIONS Date ....... ; .......... , a. This application must be completely filled in by typewriter or in ink and submitted to the Building InSpector, with sgts 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 st~'ect, 6r 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 corn .':~,~"cc~ before issuance of Building Permit. . d. Upon approval of this application, the Building Inspecto, ~ ,;sued a Building Permit to the applicant. Such permit- shall be kept on the premises available for inspection throughout u' ~'ork. 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-, o~ for ~'emoval or demohhn, PP ~, .~- o omply w,th al: applicaole taws ordina .... ~._;~.~;__ ~ ~ ~ . . , described. admit authorized insnectors o ..... ; ..... ,~ ;. ).-;,.~-_ ~, ..... .°'~k'/~.;~ coue, hOUSing coae, a~ regulations, and to r "*' ............. m uuzzulrlg IOr necessar~f~_~.~lons. ~ ' '~/(Signatur9 of applic.qn~/, or n:~.~e, if.~orporation) . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general ·contractor, electrician, plumber or builder. oW/V ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~ (Name and title o£ corporate officer) B rider s License No .......................... Plum bar's License No ......................... : Electrician's License No ....................... O~her Tr~de's License No ...................... 1, Location o£1and on which proposed work will be done ................. · House Number Street Hamlet CotmW Tax Map No. ]000 Section ~ ..; ......... Block ' Lot. . Subdivision ........ . ............................. ~iled Map No. (Name) .............. Lot ............... State existing use and occupancy of premises and intended use and occupancy of proposed construclion: b Intended Use and occupancy .... " ?:~ Nature of work check whic a cable): New Building ......... Addition ....... ;,;,; Repair .............. R~moval .. Alt~i'~o~': .~. ..... i ............ Demolition .... : ......... Other Work .... ' ..... 4. Estimated Cost · ' · ( ) ' Fee ~f i (to be paid on filing~this application) $. I dwelling, number ofdwelli g units ............... . Number of dwelling unitson each floor ....... · It garage, number of cars .. -i ...... usiness comme--:-, -- -' I IDfi,bnension; ...,y,., m m,.~eu occupancy, specify nature and extent of.end, typo of usc H ' · ............ Nt Rear ..... Depth Imbcr of Stories ..... i .......... ' .... '.. . ' ........ Dimensions of Shme structure iwith alterations or additions: Front ............. ' Depth ..... ~ ...... . .... ~ ............ Rear ............. · · igt ' 8 Di .... '" ...... ~ He ~t ................ umber of Stories .......... ; : · H mensions of entire new con{truction: Front .............. Rear .... De ight ' ' pth ......... e ......... Num bet of St~ories... ' .................. 9 Si fi ' ............. · zeo et: Front ....... ~ · · .......................... 10 ~ .......... Rear.. ~; .................. Depth ....... · Date of Purchase ........ , ......... . ......... 11 ,.Zo ' d' itl "p~ ....... l'~ameofFormerOwner .............. ' ' · 12 ' ' ne or use mtr c n which emises are situate ...... . ..... . ........ . .. 13' ~oes proposed construcnon vi ate any zonin aw, ordina ce or r a . · Will lot be regraded ....... ;i Will ...................... 14 Nam fO fp [ .................... excess fill be removed from premises: Yes · Name o wrier o remises ........... , ..... '...Address ... ................ Phone o ..... e of Architect ..... ~ '. N Nam f C ................... Address ....... Ph ' ' e o ontractor ...... [ .. · ........... one No ........ . .' · · ............. Address ............ . .... Ph N ~ "' ':' ' ' ty 300 'wet ' · · one o... 15 Is this proper within l feet of a tidal land? *Yes ........ No .......... · If yes, Southold iTown Trustees Permit may be required. ' ~ ' PLOT DIAGRAM Locate .'learly and distinctly buildings, Whether existing or proposed, and. indicate all set-back dimensions from property : m ,, Give street and block number or description according to deed, and show street names and indicate whethex interior ~ ~,:r lot. :TATE OF NEW YORK, [ /("~' ' '~'~' '(Name being duly sworn, deposes ~d says that he is the applicant of individual signin~ contract) bore named. . -,~ e is the . .~ ~ ; (Contractor agent corl~orate officer ' ' ~ ........................ etc ..... said owner or Owners, and is duly ahthor zed to perform or have perfo~ed the said work and to m~e and file this 'plication; that all statements contained N this application are true to the best of bis knowledge and belief; and that the >rk will be perfo~ed in the manner se~t forth in the application filed therewith. ' .'om to before me this