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Home My WebLink About21968-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23668 Date MAY 25, 1995 THIS CERTIFIES that the building ADDITION Location of Property 3360 ROCKY POINT ROAD EAST MARION NY House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 4 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 18, 1994 pursuant to which Building Permit No. 21968-Z dated MARCH 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 -A ONE STORY ADDITION WITH A WOOD BURNING STOVE AND A DECK TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NICHOLAS & HELEN BABALIS (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N322684 AUGUST 5, 1994 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N Date 4`.'~ 19...~/..,. 21968 Z Permission Is hereby granted to: l . U' :.k ../..510 rr>o............./1..9,.7/ to c7 ........................s..:........ . , S Y<.JT..%?~ ~~~F 0,...!^~~i 7~........ `....1..~...... 4'r...3.............. ..44 s............................................................. at premises located at 3..Jy.'S .O......... CSC. AT~...... . ,Sr County Tax Map No. 1000 Section Block "V Lot No. pursuant to application dated ...................3/j.. 19....191K., and approved by the Building Inspector. rl~ F7 ee 5..., d. / Building Inspector Rev. 6/30/80 w Form No. 6 I~ - r~ TO14N OF SOUTHOLD BUILDING DEPARTMENT 5 TOWN IL1LL 765-1802 L....____ APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: 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. 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. 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 dwelli g $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory bui .00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildina - $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 . New Construction.... ..7. Old Or Pre-ex' jsting Bu'ldin j Location of Property.... 3:t~?v..........!yvU+CY t,- (t?f:C ~J( A.1-1.`?..... House No. / Street Hamlet Onwer or Owners of Property County Tax Map No 1000, Section q .A.....Block..... N......... Lot.... .1 Subdivision ....................................Filed Map............ Lot..... Permit No. Z! P..Z ..Date Off Permit. Vyy...Applicant... ..J.~ ~ fealth Dept. Approval t~//~:!.............. Underwriters Approval..?( r`74 .1.............. 'lanning Board Approval.... ' request for: Temporary Certificate........... Final Certicate.. =ee Submitted: $ ,CQey~is . M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL /~GgiL N~~ REM RKS: 4yz 9r?;~ Cc CLI 71 ` VC6 ^T~ 'V 02 I / DATE INSPECTO M-1802 BUILDING DEPT. NSPECTION UNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING ( ] FINAL REMARKS: ~UL /V h O-yt- l DATE A INSPECTOR 765-1802 BUILDING DE". INSPECTION [ I FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION A FRAMING [ I FINAL REMARKS: r3~ DATE ~ l~ INSP C~ M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL t REMARKS: 4,te DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [vIfNSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR / / 765-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION 1ST [ ) ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [ ] F ING [ ] FINAL [ FIREF E IAI MARKS: CTO DATE S a' INSIDE THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1.;x31,; L BUREAU OF ELECTRICITY F 83 JOHN STREET. NEW YORK, NEW YORK 10038 Date '111GUST 05 , .193 44 Application No. on file 06200794/94 N 322684 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of OR6-gLIS u- y c~ NICK BABAUS, i_•.H ROCKY POINT ROAD, EAST I-1ARLGN, N.Y. in the following location. ? Basement ® Ist Fl. ? 2nd FL OUT Section Block Lot Peas examined on JUMY 28. 1994 and found to be in compliance with the National Electrical Code. NKTURE RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 15 OUTLETS TACT IS SWITCHES I,,.DE5CEM FLUORESCENT OTHER AMT K. W. AMT. K. W. AMT. F.W. AMT. K. W. T. N. P. 3 I % 4 .3 DRYERS FURNACE MOTORS FUTURE ANRIANCE tUNItS SMOALREC-PT TIRIECLOCKS ULL UNRHEATERS MULTI-CWTIET DIMMERS AMT. K. W. COL N. P. GA$ H. F. "T. NO. A W. G AMt "p. "t AMPS. TRANS. AMT. H_ P. SYSTEMS AMT. WARS No. OF RET SERVICE DISCONNECT NO. OF S E R V I C E AUTIR AMT. AMP rrFE EdNP. IX Tw T P tW T tr TW 130 tW OPFR rCOND. WA C. CGa. NO. OF HHEG A W..G.. W. OF NEUTRALS O A W. G. OTHER APPARATUS: MOTORS:1-F H.P. SMOKE DETECTOR:-1 G & S CONTRACTOR LIC.#578-L BOX 215 SOUTHOLD, NY, 11971 Opium MANAGER 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ATE commENTS L ~ m ~ 1. Cl~ m H ~7OU11DATION (1st) y b FOUNDATION (2nd) - 2. ROUGH FRAME ?E PLUMBING N C 3. m .i m H INSULATION PER N. Y. IZ, STATE ENERGY CODE 1 4. OCR C// y. FINAL I La 7 .Qa ~c3.s - ZJ~~~' t3 ADDITIO AL COMi:•fE11TS: x t- A x 9 O ~ } • r -3 O • m BOARD OF HEALTH FORM NO.1 3 SETS O~LANS TOWN OF SOUTHOLD SURVEY : . BUILDING DEPARTMENT CIIECK --ft. Al TOWN HALL SEPTIC FORTS SOUTHOLD, N.Y. 11971 TEL.: 765-1802 T.oT1FY qGy Q CALL .~~y.'•"~~q v., . • • • . Examined 19~Q!. NAIL TO: Approved 3/~9... 199tt//Permit ~yYl....... . ~ ~ ..1171. . • • • • • • • • • • • • • • • • • Disapproved a/c . ' ( it g inspector) APPLICATION FOR BUILDING PERMIT Date 19yy 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. 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary i pectin s.• (Signature of applicant, or tame, if a corporation) (Mailing address of applicaInt) State /w(hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....IVVI.t. MS.r .............1.'...I ^ .../.............I......................... Name of owner of premises ....vV t4 dkf... 6A L% I! S . (as on the tax roll or atest deed) If applicant is a torrp~po/r //ion, si ature of duly authorized offi r. ? ~?c Uif~t'.... -~j dame and title of corporate officer) f' Builder's License No. ...~.J.f U 7... C!~ . Plumber's'License No . Electrician's License No Other Trade's License No . Location of land on which proposed work will be done . j........................ 4417 /~J..... M.1 33.bb..... k~..('t.W House Number Street Hamlet aa County "fax Map No. 1000 Section ?Z.( Block q............ Lot .....1 Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: ` II a. Existing use and occupancy ......Jtk1c . u'NJ y `1 y....... Lv..:...:: r'.. 1 ,.Intended use and occupancy ..~.m . 3. Nature of work (check which applicable): New Building Addition ..1.~ Alteration Repair Removal Demolition Other Work (Description) 11A 4. Estimated Cost .......(..0.0 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor 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 structures, if any: Front Rear Depth Height Number ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height...................... NumberQQfStories ...........p 8. Dimensio of a tireinew construction: Front D.0....... Rear 2........... Depth ...IQ . Height . N....... Number of Stories Pti.c 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Address Phone No............... . Name of Architect Address Phone No............... . Name of Contractor Address Phone No................ 15. Is this property within 300 feet of a tidal wetland? *yes........ No......... *If yes, Southold Town 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 number or description according to deed, and show street names and indicate whether interior or corner lot. I STATE OF NE!YOJRI~ /V S.S COUNTY OF t --77-- • , .....6l0 / ,J...l-.i. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the T:........................................................ (Contractor agent,corporate officer, etc.) ~f said owner or owners, and is duly aut zed rform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the .vork will be performed in the manner set forth in the application filed therewith. iworn to before me th's day of 19 Jotary Public.. 4 \ County , G US"~ CLAIRE L GL.EW' (Signature of applicant' Notary Publle, State of New yak ? J No.4679506 Qualified ih Suffolk County Commission Expires December 8,18.-, I - - - - 'IF -1 -ZOA _68.0 1167 - p1 OD . f , f 1210 p' 7- EAU i ! 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R19 5/00500 zX0 Jelsrs I•°OC CCh'2X4 Slyy 1 7ZRH'T9/SLL hM sly - -LEFT Stb 0.'$GhL If 11 11 1 3e+'~ 2!K 10 Girt P~PL . SCALC I~~ ` hwcn.m saws 1 -STL C11t ON e~ I 2-V Zwelir0iab.e. _ GRhpE UNDERWRITERS CERTIFICATE c,AewL .a REQUIRED - - mpflwuL. q x eFEw1 EX~sr !i2hEE m NIHI ELEW GIRDER T I m, RI OCCU 1RmFE VEUT . _ 2%la USE PANCY O N[AWFUL - FiSN NT IL XB° i 1 I I _T WITHOUT CERTIFICATE f3o 6UVEN, Dolt rC 3o V u¢ OF OCCUPANCY i - - - Vi Plv - 2uY APPROVED AS NOTED P / DATE: B.P. S ~ - -°f CEIIIxD ; \ -FEEL I '`TO BY:A-'~144 I~ETm YID 1~4~-1 QENTED NOTIFY BUILDING DEPARTMENT AT (yDTE! I D~ IY4 SUFrt 765-1602 9 AM TO 4 PM FOR THE VERIFY 1NnEN,SIPNf 4~pNDrr osa:nr 4w4 - FOLLOWING INSPECTIONS: _ 1 %nUM1 n Tlnl+ M40 REQUIRED 3eG -3066 AV* i 0H MUST 11F f.OP.V'L ETf Ff4: C O A~se~ C ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y. - - zx+< ~.~'hQ?4~;=117•0400 y, y itmau3 SIN DECkIr+G _ STATE CONSTRUCTION R ENERGY GRFENPQRT , 1,1944 CODES. NOT RESPONSIBLE FOR • _ 3104%. 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