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Home My WebLink About21257-zFORM NO. 4 TOWN 0F'SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22718 Date NOVEMBER 10r 1993 THIS CERTIFIES that the building Location of Property 7220 ROUTE #25 House No. County Tax Map No. 1000 Section 31 Subdivision ALTERATIONS EAST MARIQN~ N.Y. Street Hamlet Block 6 Lot 8 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2, 1993 pursuant to which Building Permit No. 21257-Z dated MARCH 4~ 1993 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 REPAIRS TO EXISTING ACCESSORY GARAGE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN R. CUSHEN & THERESA E. SWEENEY H-037264 - SEPTEMBER 30~ 1993 Rev. 1/81 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*-N? 2~2~? Z Permission is hereby granted, to:. ~// /' ~, /~ ..~ ,/~ ~ .... ~....~ ............................................. ~ ~ .......... ~~.~..~...~ ,o ~~~..~.~.....~~.....~.~ ...................................................... ~~....~~ ..................................................... County Tox Mop No. lO00 Section ....... .~.../.. ...... Block ........... ~.. ...... Lot No .......... .~.~. ......... pursuant to application dated ~.../~ ......................................., 19.~, and / Building Inspector. Fee $.. . approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN HALL~ 765-1802 · APPLICATION FOR CERTIFICATE OF OCCUPANCY A. ~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-~isposal(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 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-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 exis'ting B ilding Location of Property. House No. Street Hamlet Oswer or O o rs of Froperty. . County Tax Map No 1000, Section ............ Block .............. Lot ......... Subdivision .................................... Filed Map ............ Lot .......... Permit No. z~ Z~..~....Date Of Permit ................ pi ................ ~.~...~...~.~.~%~ ~ea~th ~ept. Approva~ .................... Underwriter~ App~oval.~ FI[~ ~-r 'i~oW'~ Planning Board Approval ................ .......... Final Certicate ........... Temporary Certificate . $...z. ................... Request for: Fee Submitted: o~ INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTf L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 29, 1993 Mr. Jack Cushen 7220 Main Road P.O. Box 381 East Marion, N.Y. 11939-0381 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XXX An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. XXX The check is (o ....... /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 # BP# 21257Z Thank you for Please contact our office on this matter. cooperation. SOUTHOLD TOWN BUILDING DEPT. THERESA E. SWEENEY JACK CUSHEN 7220 Main Road EO. Box 381 East Marlot~, Nero York i1939-0381 4 October 1993 Buildinq Inspector's Office Town of Southold Main Road Southold, New York 11871 To Whom it may concern, Enclosed please find my NY Board of Fire Underwriters Certificate for my studio workshop located at 7220 Main Road in East Marion. I understand that the Certificate of Occupancy de- pends on this Certificate and a final walk-through by a representative of your office. Please be advised that the shop door will be open for you to complete this inspection (just push hard -- it sticks some). I thank you in advance for your attention to this matter, as I am anxious to get working inside. Cordially, 765.t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ .1 FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~ DATE INSPECTOR FIELD xi;;Si'ZCT;c" Ib~TE il du;~c.,L~rC ~ (1st) fOUNDATION f2nd ~,0UGH FRAME & ,PLUMBING INSULATION FEB N. STATE ENERGY CODE FINAL ./ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~ULATION FRAMING [y'~ FINAL Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: 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. Sworn statement from plumber certifying that the solder used in system'contains less than 2/10 of i% 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 a. 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 ~ew Construction ........... Old Or Pre-existing Building ............. ~... location of Property ......................................................................... House No. Street Hamlet )nwer or Owners of Property ............................................................. ..... ~ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... ~ubdivision .................................... Fi~ed Map ............ Lot ...................... *ermit No ................ Date Of Permit ................ Applicant ............................. !ealth Dept. Approval .......................... Underwriters Approval ......................... *lanning Board Approval ........................ 'equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: $ ............................. ~, '.~ ............. FORM NO. 1 ' %('("~ ' ' ' TOWN OF SOUTHOLD r ' ' ' BUILDING DEPARTMENT - TOWN HALL · ',', JAR 2. 1993 SOUTHOLD, N.Y. 11971 ,, ~ TEL.: 765-1802 Approved .q~.~. ~. .......... I ~ Pe~it No.~ ~ Disapproved a/~ .......................... ' ARPR EO AS NOTED ', , . // .... ' NOTIFY 8~O1~ D~'PART~N~ AT (Bmldifi~pector) . 765-1802 9~AM ~ 4 PM FOR THE ~ FOLLOWING INSPECTIONS: ~PPLICATION FOR BU.ILDING PERMIT BOA'RD OF HEALTH ......... 3 SETS OF PL,'iNS .......... SURVEY ................... CI1ECK .................... SEPTIC FORH .............. /HAIL TO: I. FOUNDADON .. TWO REQUIRED Date ~.~..~.. "~ , 19 FOR POURED CONCRETE ....... 2. ROUGH. FRAM!NG & PLUI},~B NG " ~ 3. INSULATION ' INSTRUCTIONS 4. F!NAL ,. CONSTRUC, TION MUST a. '~i~:O~t~tLq~f~F~l]¥~,rO?e completely filled in by typewriter or in ink and submitted to the Buildin8 Inspector, with 3 se'ts C~tllJla~gl~:gg~[~lll~ i~[$. s~TFee according to schedule. ' bTHgl~~l~i~f~ and of buildMgs on premises relationship to adjoining premises or pubic streets o[ ar~D~OgfO~~ of layout of property must be drawn on the diagram ~hich is pa~ of this appli- catio~OOE8. ~O~ 8fiSPONSI8L~ gO~ cDE~~~ion may not be commenced before issu~ce of Budding Permit. d. U~~t~ ~OHEation, the Building Inspect~ will issued a Bu~dMg Pemit to the app~cant. Such pemit sh~l be~:cn tS: ~r::ni~aflab!e for Mspection throughout the w6rk. e. ~:bu~lding shall ~ccupied,or used in, whole or in'p~t for any purpose whatever until a Ce~ificate of Occup=cy shall hav~ ~ ~~~:ector. admit agih,~cto~,on premises and M buildMg for necessa, in:;~e~ ~ ¢~ FIN~L - CONS ,'RUCTION MUST ~..~~ ~ECOMPLETEFORCO " , ..... . .... :"~''" · ...... ; ...... STATE CONSTRUCTION & ENERGy ~, CODES. NOT RESPONSIBLE FOR: '~ (~aiHn~,address0fappHcant) DESIGN OR CONSTRUCTION ERRORS State wnemer appucan[ zs owner,lessee, a~en[, architect, ensineer, ~enera] contractor, electrician, plumber or builder. Name of owner of premis,es "" ~ (as on the tax roll or latest deed If applicant is,,a bo~rporation, signature of duly auth?rized officer. Plumber s License No' ......................... Electrician's License No ....................... ~___~,7/~ Other Trade s License No ...................... Location of land on which proposed work will be'done ................................................... House Number Street Hamlet County Tax Map No. 1000 Section ....... ~../. ....... Block .... ~ Lot.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~ ~ $ --J~.~. t~'~'~'l ~ .~.~.~-.., ................................... '~;:; ',~ ' ,~,~ ";'~ '~L' ............. bi dd d .... · nten e use an occupancy ........... 3. Nature of work, beck which applicable): New Building... ........ Addition .......... Alteration .......... Repair Rem~vai Demolition ' Other Work .~f/~..._.~.. ' · ~ (De ipti ) ; scr on 4 Estimated Cost .i.'..o~. F (to be paid on filing this application) 5. If dwelling, number of dwelling Imits ...... ~ .... Number of dwelling units on each floor · If garage, number of cars ..... 6. If business, commercial or mi.xe¢ occupancy, specify nature and extent of each type of use .................... 7. ~i.m,en. sions ot'~xi?ng struc, ture:, if any: Front.....~. O. ....... Rear . .'.~..~ ........ Depth.. Z2.-, ...... he,gm ....... ~ ....... ~2m )er of Stories .... .~. ....................................... ~D~ne, nmons ~f,.,same s_tructur,~ wi :h alterations or~ad(litions: Front ~ ~ Real' , ~.'~ vepth ..... ~'~.~e.~ ....... ,.. Height .~:~...~.. ' 'Number to ....... ~' ...... · ........ of Snes ................ 8. ~Jtmenmons o~ entire new construction' Front '~. o ~A__ ~.~ ,,-, ,-, .,. -" 2 .... - ' ' , · ............. . ~.~ur . . .'..~-~.%~.'... '. ,...'..l. Jeptn ....~-; ~ .-'~--..; ..... Height ...... ."4-.1 ...... ~.mber pf ytories · .. ' '' 9. Sizeoflot:Front .... ~.2.:~.. . '~,'"'~' ';~'~,';~kiT .................... 10. Date of Purchase ~ear..t. tr... ~.2: ............ Depth .. ........... r' ....... ' ......... Name of Former Owner ............ , ................. 11. Zone or use district in which preinises are situated ......................... ' ....... 12. Does proposed construction violgte any zoning law ordinance or regulation' ~ ' 13. ~,,W. dl lot be regrad~d .... ~'~" i" i~' '~ · · '.','_ ....... Wall ex~cess fill,be re, moved ir.om premises: Yes No 14. mameofOwnerofpremises ,h}~ ~ .~.~$t,~..~ Address -)2 ~-o Name of Architect ,' Address .......... ~ ......................... Phone No · Name of Contractor ......... 4 ................ Address .............. ..... Phone 'No... ............. 15. I~ this property within 300 feet of a t:idal Wetland? *Yes ........ No ......... ' · If yes, Southold Tbwn Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all mildings, whether existing or proposed, and. ~ndmate, all ~et-back dimensions from property lines. Give street and block n'umber or description according to deed, and show sfteet names and indicate whether interior or corner lot. . STATE OF NEW v-~,ORK, COUN'ry_aF .,.....D.. ,Ca_. ...... · ~'~' '~' ~' ~'' ~'~..~. ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing contact) above named. He is the ....................... (Contrac~orporate officer, etc,) of smd owner or owners, ~d is duly ~uthorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contain ~d ~ this application are true to'the best of his knowledge and belief; and that the work will be perfomed in the manner s forth in the application filed therewith. Swom to before me this j .~ ........ · . .-., 19. / f / . ,. , '.. uoalJfied n Suffolk Coo~ . ~mmi,~on E~ire. De~m~r 8, I~ MAIN RoAD 178.50' · , -o" E AREA = 1.1448acres $ 60* 40' 30~' W · "" ..... ' SURVEY OF r ROPERTY '"~ '~A T~. EA S T' MA RION :. ~"-.,.'-'.'.-'~ ,1/N OF SOUTHOLD :'-i~:"i.;'""~ :' :i.~'SUFFO£K COUNTY, _N_.. Y. .-~?;-~-':';~:.. 1000-- 31 - 06 '" .":,.",:;:: ..Scale.. 1' = 40 .: .. Feb.. 9, 1990 CERTIFIED TO, BRIDGEHAMPTON NATIONA~ BANK JOHN R. CUSHEN . THERE$$A E. $WEENEY ~,VEyOR~ P.C. .,. :.:. P.O. BOX ~9 ., ~'~;?,, '- ' . '~ -~ MAIN ROAD . ~ ~:.~. ,~'~ ,'.*~' . -. ,