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Home My WebLink About21948-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23130 Date AUGUST 1, 1994 THIS CERTIFIES that the building Location of Propert~ 1300 GIN LANE House No. County Tax Map NO. 1000 Section 88 Subdivision ADDITION SOUTHOLD, NY Block 3 Filed Map No. Lot No. Street Hamlet Lot 15 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1994 pursuant to which Building Permit No. 21948-Z dated MARCH 17, 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 A NON ~ATED "SUN ROOM" ADDITION TO '£~J~ REAR OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & MARY KLINGEL (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N312872 MAY 5, 1994 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 il~ing ~nspector FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 21948 Z Permission Is hereby grar}Le~ to: ,-. ..... ~..~..:....~,~ ........ ~ .................... . ..................... J .,..~.~..,~,~ ........... ~..¢.., .......... z/..,t~ .......... to,.,....~, .~. . . .~. . ~ . .~. . ~. . ........... ~. . ............ ~ '.~. . ./. . ........ ./. .~. . ./~g~ /. .~. . .................................... .......... .~Z.~ ......... ~ .................. ~/~.~.~¥ .......... ./,.~ ........ ~ ............................. ........ ~.~ ............ ~ ......... ~ . . . . ~x. . z. .~ ~&~ ....... ~ ....... ~.,..¥9. . ............... ..... '.. ~.- //: ~. .......... /~ ............ ~. /~. ~. ......... ~. ~, ......................... ~... ............... ....................................................................... ~.,~,,z,~&~.~ ............................................................ at premises located at ............................................................................................................................... ........................................................................ ~~.~-..~ .......................................................... Couniy Tax Map No. lO00 Section.......'~....~iP/. ............ Block ....... ..~,..~.. ........... LotNo ....... ../,..~ ........... pursuant to application dated ................ ...-~.//.., ,.~... ....................... 19.....~..~......, and approved by the Building Inspector. Eee ~......?..~. ...... Rev. 6/30/80 I?orra No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~65-1802 . APPLICATION FOR CERTIFICATE OF OCCUPANCY T'his 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 t6pographic features. 2. Final Approval from Health Dept. of water supply and sewerage-Risposai($-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. Foi' 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 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 - $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 Date .'. / ............................ New' Construction ....... · .... Old Or Pre-existi~ Building ............ Location of Pro-ertv... /~.~. ' ~'~ ~a :: House No. Street Hamlet Onwer or Owners o Froper ....................... Subdivis~ ............................... Filed Map.. ~:~'i77~ ~Lot ..... :~ llealth Dept. Approval ...... ~.~ ................. Uederwriters Approval ........... Plaoning Board Approval ........ ~.~ · . Final C~ .... ........ 'Fee Submi=ted: $ ..... ............................ ~PLIC~T THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGe, 1 IC)OO121 2 v BUREAU OF ELECTRICITY [--- 85 JOHN STREET. NEW YORK, NEW yORK lOOSe O=te ~Y e5,1994 ApplicntionNo. onfile 84248394/94 N 312572 THIS CERTIFIES THAT JOHN ~INGEL~ 13~ GIN ~ ~OUTHOLD~ N.Y. in thefollowlng locotlon: ~ B~sement ~ Ist FL ~ 2nd FL G~ Section BI~ Lot 10 FIXTURE I I FIXTURES I RANGES ICOOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS 3 ~ 3 3 ~ DRYERS FURNACE MOTORS FUTURE AP~UANCE FEEDERS ;PECIALREC'PT TIME CROCKS IH~U~r.FA?~:m~ IUNIT HEATERS MU[TI-OUTLEI' D MMERS SERVI~ DI~ONNECT NO OF S E R V I ' PAUL R. BURNS LIC.~282-E P.O.BOX 1~61 ~ SOUTHO~, ~, 11971-O932~ ~ GENERAL ~AGER Thi~ ce~ifico~e mosf .of be ollered in o.y too.net; refurn to 1he offke ot the Boerd ]~ incorred, nspec~ors moy ~e d~ntfied by ~he~r crede.fiels. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .,., ,¢TLmit Disapproved a/c ................................ . (Buildjzfg ~¢y~pe ct6r) APPLICATION FOR BUILDING PERMIT 3 SETS O~,-PLANS SURVEY ..*' , ........... Cll r-c:< ~-'-'~..I. ll.~. ........ SEPTIC FORM '~. c^LL .TBS.: 1 Il ........ MAIL TO: Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ]nk 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 sti-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 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 Bttilding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk C6unty, 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 admit authorized inspectors on premises and . _ [. ~'-) . ,~ .~ in building for necessary ins~'tt'O~'~'. , ..... ~.0..e.o..x:: .¢.~.. (p..a .o~.;. ~... ~V.. (Mailin~ address ot~ applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. Name of owner of premises ................................... If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No ..... '.7..O.'7. ¢./..-../t ../ ..... Plumber's License No ...... ff. ~.~ .............. · Electrician's License No. Other Trade's License No ...................... 1. Location of land on which proposed work will be done .... z* .fl..O.O. .... .~../..,~....... ~3~ ~-,~/4,'/~d~-.~. House Number Street Hamlet County Zax Map No. 1000 Section ...;.g..~ ........ Block ..~. ' Lot.....l~...t~ .... Subdivision ........ . ............................ '. Filed Map No ............... Lot ............... (Name) . 2; Stat~ existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~... ~4 ~ ...... ~. ~.~& ~ ~ ................ .. b. Intended use and occupancy -~-- r',' ~ ~ ......... ... ~'. '.~...', ;,..., .'. t. [ l~y~ .......... · · 3.Nature of work (check which hpplicable): New Building ............. Alterationi ....... ~. Repair .............. Removal ..... Demolition"'~.,..<... _~-"~. _.... Other Work .... [ .......... (Description) 4 Estimated Cost (to be paid on filing this application) 5. If dwelling, number of dwellin units ............. . Number of dwelling units on eagh floor ./.~ .. · If garage, number of cars .... ; .... 27,.,. ' ....... 6. If business, commercial or mi.x~d occupancy, specify nature and extent 6f,each type 6f use ...Tb:r. ~:~.... !... 7. Dimensions of existing structures if any Front . . ~ ~/..~. Rear /,~ d / no.,th ~.¢~ ' ....... l-lelght ..... ~...J ...... Number of Storms . .'~... .............. ~. ........... Dimensions of shme structure With alterations or additions Front ~.. 4'" I~;~' ' ' ~,,'~"/! ......... DDepth .... ~ ............... !... Height ....... ' .... · ........ ,. · Number of Stories ............ ; ....... 8. imensions of entire new construction: Front ............ Height ............... Number of Stories .......... ...: Rear ~ .............. Depth .....~ ......... 10. Date of Purchase .......... ' .......... . ......... Name of Former!Owner tJ"~b.~..b...~M..w... ~..t~..~.,l~7 1 I. Zone or use district in which premises are situated ....................................... ' ' 12. Does proposed construction vi61ate any zoning law, ordinaace or regulation: ~.O. · ' ' ' i .......... 13. '~ dl lot be regraded ....... de'/D. ................. Will excess fill be removed from premises: iYes 14. NameofOwnerofpremises'V~Jg.~./'f'.L/~.~'. Address ./~oo .0./~. Z-~, P ..... , '~"[ . Name of Architect ........ //e/..~.. Address m,,,,~ ~q,, I N, ame of Contractor ~.O~ ./~..4~. tg..~R..4'~"~_,t~/47[ Address .,g&,K OW, aO..~.~/~. Phone No..?t,,a?'~ &s this property withzn ,300 feet of a tidal wetland? *Yes.~.-. ...~ ........ I . *If yes,~ Southold ITown Trustees Permit may be required. ' ' ~ ... PLOT DIAGRAM Locate clearly and distinctly ali buildings, Whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block~ number or deseriptiof~ according to deedi and show street names and mdilcate whether interior or corner lot. . (Name of individual s~gn~ng contract) above namea. ' ' - { (Cont:acto agent, corporate of said owner or owners, is dut autO, zed or have perfo application; that all statements contained ~ ~pplicafion are t'rue to the b~ work will be perfo~ed ~n the m~ne~ set forth ~ the application ~led therewit No. 4879505 ~ ~mml~lon ~tres D~m~r 8, the applicant :er, etc.) ' ~, ,'d the said work and to make and file this st of his kr~owledge and belief; ~nd that the (Signature f applicant). 765-1802 BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. [] [ ] FRAMING REMARKS: FOUNDATION ZND [ ].~SU~TION [V~ FINAL DATE / / - f / 765-X802 BUILDING DEPT. INSPECTION FOUNDATION XST FOUNDATION :)ND FRAMING ROUGH PLBG. INS~J~iON ~NAL 7GS-~.802 BU DEPT. INDATION SST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMARKS: DATE INSPECTOR // ~00 hl ¢~ T L'<S '°