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Home My WebLink About22321-zFORM NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date DECEMBER 5, 1994 THIS CERTIFIES that the building ADDITION Location of Propert~ 710 ISLAND VIEW LANE GRENNPORT, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 57 Block 2 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23, 1994 pursuant to which Building Permit No. 22321-Z dated SEPTEMBER 13, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to GEORGE BLITZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/& Building In~ FORM NO.3 TOWN OF $OUTHOLD BUll.DING DEPARIMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax ~ap No. ~ 000 Sect~o, ..~....~ ............. ~oo~.....~ ............... Lot No....,,~...... ~.~...... pursuant to application dated ...... .~./;,~....~:..~.. ................................. 19...,f., .Z'~.... ..... / Building Inspector. Fee $...-~.,,'~..~... and approved by the Rev. 6/30/80 A4 Form No. 6 BUILDING DEPARTMENT . 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: 1o 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. B. 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. w 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 I. 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-existin~ Buildin~ - $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 ~D~. ~ ~q~ New Construction .... ~5~ .... Old Or Pre-existing Building ................. Location of Property ...... ~Tf~ ~.~5.~.~ ~.0L.4~.W~.~ . ..~ ~, House No. Street Hamlet Onwer Owners of Property T' '[' ............................ County Tax Map No 1000, Section .... ~.~...Block ....... ~ ..... Lot ....... .~.2 ........ .... ........... R~quesr for: Temporary Certificate ........... F~nal CertScn~e..¢..~.** 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 17, 1994 R & R Home Improvements & Bldg. P.O. Box 676 Greenport, NY 11944 /nc . Prem: George Blitz 710 Island View Lane, Greenport NY To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the 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 # 22321-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [,~] IN~U'LATION/ FRAMING [~] FINAL INSPECI'OR~~ 7654[802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~ FOUNDATION ZND [~].~:ATION [ ] FRAMING ~]"FINAL REMARKS: FOUNDATION FOUNDATION ( 2nd ) ROUGH FRAME & · FLUMBING~ INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L -¢ R & R HOME IMPROVEMENT & BUILDING INC. P.O. Box 676 GREENPORT, NEW YORK 11944 (516) 477-1255 JOB____ SHEET N( CALCUL/ CHECKE[ SCALE__ L) \ . ,/;, '~ ...... ~ ........;~'1 ; i TOWN OF SOUTHOED , ,~ n n ~.~,~ IJ'::t BUILDING DEPARTMENT il_!t I, t~,.5 I~/J- ~[~,)!, TOWNHALL J , I ~ SOUTHOLD, N.Y. 11971 i BLDg. DEPT. ~ . TEL.: 765-1802 [ TOW._N O'F SOUTHOLD I -- E×amined ///.?. .......... ,19 P.F ^pproved..9./ .. ......... ,19 ./?eermit No ............ Disapproved a/c ..................................... ................. ' ........................ ''---~ "'"~'~' ' '~"~(' '' (BjaSlding~' ' "'I~l~ector)' ? '~' ~' APPLICATION FOR BUILDING PERMIT ~TO: INSTRUCTIONS I/a. This application must be completely filf~d in by Wpewriter or in inld 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. 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admi,t author/zed inspectm~ on premises and in building for necessary inspections. -- . -- (Signature of applicant, or name, if a corporation-J (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~..~..~..v'.~....~...~.[~..~ .................................................. l(as on the tax roll or latest deed) If applic is a co~orat' ' t of duly ~u~r/zed officer. (~e a~ d title of co,orate officer) Bui~s License No...l.~.~P~... ..... Plumber's License No ....... Electrician's License No ...... ~ ...... :... Other Trade's License No ...... ~/~. ........ 1. Location of land on which proposed work will be done ........... House Nmnber Street Hamlet County Tax Map No.. 1000 Section ...... ~.~ ..... Block ........ ~ ....... Lot .... ~.g .... Subdivision ~¢Mt.~.. ~p. ~*~. B y. s}eF iled Map No ..... k.5 .... Lot ............... '(Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... [ .... ~.~ [).. ~* ~ ~., 5~ .~.F~ ~t~. ;~ ............ b. Intended use and occupancy [ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ...... ' Repair .............. Removal ......... Demolition ............ Other Work.. ~. i (Description) 4. Estimated Cost '~' ~, ~ ..... d' ......................... Fee ...................................... I (to be paid on filing this application) 5. If dwelling, number of dwelling nits...............~ Number of dwelling units on each floc · ..... ' '~'-"-: ......... If garage number of cars ~ ~-- ' 6 If business commercial or mixed: occupancy specify nature and extent of each type of use 7. Dimensions of existing stmcture~, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ....................................................... Dimensions of same structure wi~h alterations or additions: Front Rear Depth .................... ~. Height ............ ; ......... Number of Stories .................... 8. Dimensions of entire new constrtiction: Front ... 7,--,.'77.. ..... Rear ...... ~-..'.'~ .'.... Depth ... /..-~:../. .... Height .... .--~...r .......Number of Stories ....................................................... 9. Size of lot: Front '~.'~--..,.~o¥V.~.~.. Rear ...................... Depth ...................... 10. Date of Purchase.. .... [ .~(¢'.c~ i i i.. i/.)i ....... N.~me of Foraner O, wner ............................. 11. Zone or use district in which premises are situated .... ~.91 ~.~.~,4.~ ................................ 12. Does proposed construetion viol~te,any zoning law, ordinance or regulation: . . .~. .0. ........... . ......... . ...... 13. Will lot be regraded ...... .....k.{~..,~. ...... ,,~. ......Will excess fill be removed, from premises: Yes No Name of Architect ry. 'f Addr~ t~ Name of Contractor .~ ~. ~--~.. i.~.' ~.,. '~4 .~.~. .... Address ~...0: ~.-~. 6,.7. ¢..C"l~ '. Phone No. ~..7."/~l.~,~ ~.~ .~7~ 15. Is this property w±th±n 300 feet of a t±dal wetland? aYes ........ No.*,,.-r~. .... ~If yes, Southold Tpwn 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 block humber or description according to deed, and show street names and indicate whether interior or comer lot. STA'r OF NEW' ,K,Z , COUNTY ' .........- ~~.../~ ~~';~~u,,, sworn' de os~s an' (Name o~ndiffdual signi aboveflamed. / ~'~l -.~ : ,. P asaysthatheistheapplicant He is the ........ ~ ..... ~ :~ .............. ,, ................................ ent, corporate officer, etc.) of said owner or owners, ~d is dulyi auth~d t~orm or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfomed in the m~ner ~et forth in the application file&therewith. Sworn to before me this~ff ,.~~ .......... . '.{":., ................. // (Signat li;ant) ~U~l~l~ I~ ~U~l ~OUnty ~l I I I