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Home My WebLink About21659-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25626 Date: 04/06/98 THIS CERTIFIES that the building ADDITION Location of Property: 32300 MAIN ROAD/ROUTE 25 (~OUSE NO.) (STREET) County Tax Map No. 473889 Section 19 Block 1 ORIENT (HAMLET) Lot 11.3 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 31, 1993 pursuant to which Building Permit No. 21659-Z dated SEPTEMBER 13, 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 ADDITION TO AN EXISTING ONE F~ILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT E. of the aforesaid building. & ELEANOR C. WEBBER (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-302423 01/18/94 N/A Rev. 1/81 Building Inspec~ FORM NO.'~, TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N~ 21659 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] Oo~o~Ta×Ma~No. ~000 ~eot~o~ ........ ./..~ ......... .~oc~ ............ / .......... LotNo ......... /,/'..~.. ....... pursLant to application dated .......~,~.. ......................................... 19.../~... ........ Building Inspector, Poe .................. and approved by the Rev. 6/30/80 APPLICATION FOR CERTIFICATE OP OCCUPANCY TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL This application must he filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Vpre-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. 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 Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15o00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building..;./~. ............ Location of Property.,.~ ................................... House No. Street Hamlet Onwer or Owners of Property. ~..~.~(c~...~.~..~... unty Tax Map No 1000, Section .................................. Lot ................ Subdivision ' Filed Map Lot Permit No ~ ,~. Date Of Permit .......... Applicant ........ Health Dept Approval... . . . Underwriters Approval · Planning Board Approval · · · ReRuest for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [~]/~U~TION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] ~/~UNDATION 2ND [ ] INSULATION ~ FRAMING [ ] FINAL REMARKS: ~-~~ ~: .... 765.~.802 BUILDING DEPT. INSPECTION ~FO~UNDATION IST []ROUGH PLBG. [~OUNDATION 2ND []INSULATION FRAMING [ ]FINAL REMARI~S, ~ ~-.~/. ~'~.%~1/~ DATE INSPEOTOR FOUNDATION (1st) FOU~DATION 2. (2nd) ROUGH FRAME & · ?LUMBING~ 3. INSULATION FERN. STATE ENERGY CODE. FINAL ADDITIONAL COM~EN 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 September 15, 1995 Mr. Albert T. Fickeissen Box 1451 Southold, NY 11971 ***** SECOND NOTICE ***** Re: Robert & Eleanor Webber Prem: 32300 Route 25, Orient 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. 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 21659-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 3. Nature of work (check which applicable): New Building .......... Addition . .' .k/~.. .... Alteration ....... ;.. Repair .............. Removal .............. Demolition ..... Other Work ... /. ~.9 0.0. 0 · (Description) 4. Estimated Cost ..... Fee ...................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....O .~./~.. ...... Number of dwelling units on each floor. · If garage, hum bet of cars ........................ ' ..................... ' .......... 6. If business, commercial or mixed occupancy, specify na/ture and extent of,each t), ........... 7. Dimensions of existing structures, if any: Front.. ,~,~ ~'~ pe of use ...... .c~.7.. ........... Height /./~/}otlo~: e~ ~:... Number of Stories ... c~. ~ ........ Depth .......... Rear . ..... ................... Dimensions of shme structure with alterations or additions: Front Rear Depth .... ' ............. Height .................... ... Number of Stories .... ' 8. Dimensions of entire new construction: Front .2 7. :. ' Rear . .a~ '7 · ' ' ' ' ...... ................... Depth . .[.;~t .......... Heh, ht .../~-. ......... Number of Stories ... O.~. -. . Date of Purchase .............. ./.~...8'.O. ......... Name of Former Owner . .~".~.r,q.o.rc.[. ,~ CP. Zone or use district in which premises are situated ......................................... · Does proposed construction violate any zoning law, ordinance or regul'ation: .................... ,W,~ll lot obe,,regrade_d ..... >':'~ F '~' ~.' ';.'~' }'c ......Will e_xc,_es_s,fill be~rehnoved from premises: Yes ...... ~ ............... ~,~uress .............. .'. mono No o/.~ £s cn~s property within ~ou zeet or a tidal wetlan~V *Yes · .. N ......... ' . *If yes, Southold Town Trustees Permit may be'requir~[' " o ......... -. 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. 10. 11. 12. 13. 14. STATE OF NEW YORK. COU~y OF..5.0..¢..4'.~. (t.(.. . . S.S · .. .................. (Name of individual signing contract) above named. 765-t802 9 AM ~ '4 PM FOR THE · FOLt.OW~NG ~NSPECTIONS: 1, FONNDATIO~ - - ~NO REQUtRED FOf~ POURED CONCRetE 2. ROUGH ~ FRAMING ~ PLUMBING & FINAL {~ONSTRUCTION MUST ~E COMPLETE FO~ ALL CONSTRUCTION SHALL TNE ~EOU~REMENTS OF THE STATE CONSTRUCllON g, ENERGY CODES, NOT RESPONSIBLE . FOR DESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that he is the applicant He is the ~..O~ ~..v'.~,.d.~.o.~. (Contractor, agent, cor~porate officer, etc.) of said owner or owners, ~d is duly authorized to perfom 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 knowledge and belief; and that the work will be perfo~ed in the manner set forth in the application filed therewith. Sworn to before me this .................... day of ......... . Nota~ Public, . ................. County N~ ~b~, ~e of ~ Y~ ........... No, 4~751 (Signature of applicant) SEP I -1993 FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Ex/ .... Approved... O.~t~.4';~ ....... , 19 ~,~Pe!mit No...~./.~..~..~./~ Disapproved' a/c ' .............................. , ( ui ng I ector) ~:~PklCATIO~ FOB B~ILDI~GPEBMIT BOARD OF HEALTH ......... 3 SETS OF PLANS ...... ' .... SURV£Y CI1ECK SEPTIC FORH ......---- CALL ............. HAIL TO: INSTRUCTIONS · a. This application must be completely filled in by typewriter erin ink and submitted to the Building Inspector, with 3 s~ts of plans, accurate plot plan to scale. Fee according to schedule. . · b. Plot plan showing location of lot Jmd of buildings on premises relationship to adjoinin remi~es or ublic st'reefs o .... gP P r areas, and giving a detmled descriptionl of layout of property must be drawn on the diagram which is part of this appli- cation. ' i ' T ' ¢. he work covered by this application may not be commenced before issuance of Building Permit d. pon approval of this application,!the Building Inspector will i~sued 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 l~y the Building Inspector. APPLICATION IS HEREBY MADE t~ the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town ofi South01d, Suffolk County, New York, and other appUcable 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 ~pplicable laws, ordinances, building code, housing code,.a¢d regulations, and to admit authorized inspectors on premises a~d in building for necessary inspections. ' .. // . ,, (Signature of applican~,'or name, if a corporation) ....... ,, .Y .tl? ....................... .... State whether applicant is owner, lessee (Mailing address of applicant) agent, architect, engineer, general contractor, electrician, plumber or builder. N~me of ofp mi~ ' ,owner re es ~ (as on the tax roll or latest deed) If applicant is a corporation, signature of ~uly authorized officer. (Name and title of co,orate o'fficer) auim ' ..... Hr ........ Plumber s L~cense No ........... , .... Electrician's License No, ., Other Trade's License No 1. Location of land on which proposed..~°rk will be'done ................. . House Number ' Street Hamlet Cotmty Tax Map No. 1000 Section . .O.~O~ ' 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 ... '.. .. ' ' . b. use.n, occupancy ... , , ; : . 3 3 '1 4