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Home My WebLink About21689-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF O~CUPANCY No Z-24240 Date MARCH 26, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 3225 LIGHTHOUBE ROAD House No. Street County Tax Map No. 1000 Section 50 Block 3 Subdivision Filed Map No. SO~THOLD, NEW YORK Hamlet Lot Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 17, 1993 ~ursuant to which Building Permit No. 21689-Z dated O~TOBER 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 ALTERATION IN CELLAR OF EXISTING ONE FAMILY DWELLING LAUNDRY ROOM (WASHER DRYER) BAT~ROON & NON-HABITABLE AS APPLIED FOR The certificate is issued to DANIEL ROSENBLATT & JAMES PRITCH~RD (ownere) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-291035 - SEPTEMBER 30, 1993 MA~CH 19, 1996- JOHN W. REICH~RT uilding Inspe~ FODM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 21689 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Coun~Tox Map No. 1000 Soctlon ...... ~.o.. .......... Block,..,..~... ................. [otNo. ~/ pursuant to application dated ....? ./../...~-, ....................................... 19... ,~,. ..... Building Inspector. Fee $., ?, .~,' ..~ .... Rev. 6/30/80 and approved by the 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. 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 1. Certificate of Occupancy - New dwelling $25.O0, 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 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 New Construction ........... Old Or Pre-existing Building. Location of Property..~..~..~.....~ ,~.t..~...~....~..~..: ............. .~.../?. ,~.~i~. ....... House No. Street ~-~- Ha.m~et n Onwer or Owners of Propertyk-~. ........ ~. ~w~.'... ~...! ..... .~" .......................... County Tax Map No 1000, Section.--~..-~ .~...Block. . . .._~.' ......... Lot..7. Subdivision .............................. ' ..... Filed Map ........... Lot ....... Permit No ..... .~.~ .~..~..".~..Date Of Permit../.z~..~/.~,~..~.~' Xpplicant~ ..... ..~..~.- Health Dept. Approval .......................... Underwriters Approval ......... · ............... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: APPLICANT Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 22, 1996 Mr. Daniel Rosenblatt 3225 Lighthouse Road Southold, NY 11971 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) xx No Underwriters Certificate on fil~/ The check is not on file. $25.00 No Health Department Approval on file. XX No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21689-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P.O. Box1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD CERTIFICATION Building Permit No. ~.~/~ Owner: ~oS~-~,~ ~ (please print) Plumber: '---~o~ ~ ~g/~lg~T (please print) I certify that the contains less than 2/10 solder used in the water supply system of 1% lead. (Plumber§ Signature) Sworn to before me this HELENE O. HORNE Notary P[~I~Nc, $~e~e of New ~o. 4951 ,~4 Ouelified in Suffolk q~?~W Commission Expires May 2~, 19 765-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHpLBG. [ ] FOUNDATION2ND [ ~] I~ATION~ [ ] FRAMING [//J FINAL FIREPLACE & CHIMNEY DATE INSPECTO~~ THE NEW YORK BOARD OF FIRE UNDERWRITERS [~{)1~093 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 , ~ Date ~?~[~ ~(~'~'~:~ ApplicationNo. onfile ~9~?~9/~9 ~ ~9~:~ THIS CERTIFIES THAT o~y the e~ctricai ~uipment ~ ~scribed be~w a~ int~uc~ by ~ applicant ~m~ on the a~ve application number i~ the prem~es of Lot FIXTURE OUTLETS DRYERS ~ECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS tdCANDESCENT FLUORESCENT OTHER SYSTEMS NO. OF FEET E OTHER APPARATUS: R V I NO OF CC. COND. A.W.G. NO.O~ HI.tEG A.W G. NO OFNEUTRALS ~ /~A.W G PER ~' OF CC, COND. OF HI-LEG OF NEUTRAL INC. GENERAL MANAGER 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. Town Hall, 53095 Main Road P, O, Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 )FFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 3, ~996 Mr. Daniel Rosenblatt 3225 Lighthouse Road Southold, NY 111971 Re: Building Permit %21689-Z Premises~ 3225 Lighthouse Road, Southold Suff. Co~ Tax Map %1000-50-3-1 During a ~eview of our files it was noted that the above building permi% has expired, and a Certificate of Occupancy has never been issued. Accordinglto the Code of the Town of Southold, Article XXVIII 100-284~ it is unlawful to occupy or use a structure until a Certificate of Occupancy has been issued. Please co~tact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. F1ELD ~ 1. ~ ~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & FLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: if copper tubing is used ~ ' ~ for water distributing system; piping shall be of types_K or L onl~ UN~RtTERS CERTIFICATE ~ REQUIRED ON LEAD CONTEN~ BEFORE CERtIFICAtE OF OCCUPANCY SOLDER USED IN WATER SUPPLY S~STEM CANNOT ~ EXCEED 2/10 OF I% LEAD. Approved /. f Pe mit · . Vt/.. ...... , 19 No. ~..~..~..~..~i,~- Disapproved a/c ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197~1 TEL.: 765-1802 BOARD OF HEALTH ......... 3 SETS OF PLANS ......... SURVEY .................. CHECK CALL ................... ../ (B~i'Iding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS' Date ............. 19... a. This application must be completely filled in by typewr/ter 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 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 Btfilding 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 descr/bbd. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit author/zed, inspectors on premises and in building, for necessary .....inspesp~.~./~tions., ~ ....... ~'~-~ff"~' ~. ............ -- (Signature of applicang, or name, if a corporation) .............. a'.,~."~'; ;' ............ 2' ...... "' · (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.' ......................... Plumber's License t'qo ................ / ........ Electri ' ' · ~'~,,.~..~h t~t, Other Trade's License No ...................... 1. Location of land on which prpposed work will be done ............... ~ ............. ~: ................ ......................... ~ ,...., ........... -..~ . .). ' House Number Street Hamlet Cotmty Tax Map No. 1000 Section ...; .............. Block .............. J.,. Lot,..' ................ Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed constr~ction: a. Exishng use and occupancy .%.. ~:. ~..~ ~> ~ (',~ ~ .' ~ ~ ........... ~ ....... ~ ............... ..,.~ ~..y ........... b. Intended use and occupanc;~~ ¢ 5 ~.~ ~ .~ .)~ ~t~~)~ ~.~t ~ ~ . · 3.Nature of work (check which a'pplicable) New Building . Addition . .' ....... Repmr .............. Retrieval .............. Demolition .... : ......... Other Worn.; ............. 4. Estimated ... ..... ..'.. ............ .. ... . Fee ................ . ...~. ..... . .. ii (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ............... Number Of dwelling units on each floor ................ If garage number of cars i ' f ' ' ' ~d ify h typ 6. I bumness, commercial or mix occupancy, spec nature and extent of,eac e of use ............ ~ 7. Dimensions of existing structur s if any: Front Rear ... Depth ...... Height...............Nm~aberofStories.....i .................. ' .................. ' .... Dimensions of shine structure With alte. rations or additions: Front Rear ............ Depth ~ i Hmght i ............................... ·,: ........ :.. Number of Stories ' · Dimensions of entke new const~ction: Front ......... : Rear ............ Denth ........... Height ... ~ ........... Number of Stories .... . ............. '. ' ' f.-.. i 9 Size ofl0t' Front i Rear '" ' ';' ' '-' ................ ........ ' i ............................ ~Jepm ..................... 10. Date of Purchase .......... i ......... . ......... Name of Former Owner ........................... 11 Zone or use district in which pr~mises situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will 10t 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.' I.s this property within 300 feet of a tidal wetland? *Yes ........ No ......... ~ · If yes, Southold Cown 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 description according to deed, and show street names and indicate whether interior or corner lot. 4. VI~4AL CC)~;TRUCT~O~ MUgT ' B[7 CO~)PLETE ~O~:z A[.L CO~3STRUCTION SHALL MEEI T~-¢E ?~EQ[JIREMENT8 OF THE ~J,Y. STATE CONSTRUCTION & ENERGY <;Cfi)ES. NCff RESPONSIBLE FO~ D~['$IGN OR CONSTRUCTION ERRORS STATE OF NEW~:ORgrh~'" ,/.~ ! ' · · .~ ............... ~ · ~ , ......... · ......... being duly sworn, deposes ~d says that he is the applicant (Name of individual signing contract) ' above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly[authorized to perfom or have perfomed the said work and to m~e and file this application; that all statements contained ~ this'application are t'rue to the best of his knowledge and belief; and that the work will be perfomed in the manner ~et forth in the application filed therewith. Sworn to before me this No~w Publlo, State of NIW. Y~