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Home My WebLink About21345-zNo Z-22447 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JULY 8, 1993 THIS CERTIFIES that the building Location of Property 1865 MAPLE I2tNE House No. County Tax Map No. 1000 Section 35 subdivision ACCESSORY Street Block 8 Filed Map No. GREENPORT, N.Y. Hamle [ Lot. 3.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 12, 1993 ~ursuant to which Building Permit No. 21345-Z dated APRIL 16, 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 ACCESSORY INGROUND SWIMMING POOL~ FENCE & DECK 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 FRED & JENNY SCHOENSTEIN N-277268 - MAY 28¢ 1993 N/A /~uil~ing Inspector Rev. 1/81 l~OB~ NO. O 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) Ne~T°. 21345Z Permission is hereby granted to: i,..~.,,~...~ ...... ..~.~.~ ........ .... ........................ ...~.~ ~.,..~.:~.:....L...L~.~. ............. ...~~....~..~~L~....~.~..~..~.~....~ ........... at premises ,~ated at. ~. ~ ~ ~...~ .... :~....~ . ~ ..... County Tax Map No. 1000 Section ..... C~..~.,~,~. ..... Block ~ ....~. ~'...~... ..... .~ ............. Lot No ................... pursuant to application dated .... .~......./..~ .................. , 19.~..~., and approved by the Building Inspector. Rev. 6/30/80 · .~' ,'~ Form No. 6 TOWN OF SOUTHOLD 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 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 aystem hontains 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 requirement~. ! 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 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 Certi{icate of Occupancy - $5.00 over 5 yeara - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15tO0, Commercial $15.00 Date ............................... New Construction ........... Old Or Pre-existing Building..~ ............. - Logation of F~perty~.¢~..~f~p~.I~..~.~...~?.`.~..~.~r~C~"~.f)~j~.~.~..~. House No. -- Street (-/ , ~,' Hamlet -- Onwer Owners of Property...~,.~.~..~,...~O..~...~z~'.~.~..~.(?--~.~.~... .......... .... iiiii .iiii, Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~Z~.~.~ ....... Date Of Permit ................ Applicant ............................. Health Dept. Approval ........................ . . Underwriters Approval ........................ . Planning Board Approval~ . , · Request for: Temporary Certificate ........... Final Certicate... ...~/...... Fee Submitted: *. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST r ] ROUGH PLBG. FOUNDATION ZND [ ] I~ULATION / FRAMING [ v'] FINAL REMARKS: DATE INSPECTOR fieLD I,,S,~,ON IIDATE It COMMgNT~ FOUNDATION ( 1 st) FOUNDATION 2. ROUGH FRAME & PLUMBING FINAL ADDITIONAL COMMENTS: (2nd) 3. INSULATION PER N. STATE ENERGY CODE THE NEW YORK BOARD OF FIRE UNDERWRITERS J. 1 I 9~0q9 BUREAU OF ELECTRICITY t [-~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date }{AY 2~[993 Application No. onfile 8~2559~/g3 ~ 277268 THIS CERTIFIES THAT o~y she electrical ~uipmen~ ~ ~scrlb~ be~ and int~uced by t~ appl~ant ~med on the a~e application number in t~ prem~es of in thefollo~inglocation; ~ Basement ~ Ist FI. ~ 2nd ~7. O~T Section Bilk ~s examined on {'[~ ~ J 7 , 1 9 9 3 and found to be in compliance with the NaMonal Elect~cal Code. Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPLIANCE F~EDRRS TIMECLOCKS UNIT HEATERE MULTI.OUTLET EYSTEME NO. OF FEET DIMMERS SERVICE DISCONNECT S E R OTHER APPARATUS: *NO VISUAl, [}fiYMC?S~ "St~ eJ. ectri'cal e]~etrical equipment in t,he P. O, BOX 38 CC, COND I C E GENERAL MANAGER Per ~ 1 This certificote 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. 3. Nature of work (check which applicable): New Building ..... Addition .......... Alteration ...... ' Repair .............. Removal Demolition .............. ·...: ......... Other Work ............... 4. EstimatedCost...~f ~ '...~...ii'.'.... (Description) (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 mi.xed occupancy, specify nature and extent of.each type of use .................. 7. Dimensions of existing structures, if any: Front ............... Rear ........... Depth ....... Height ............... Number of Stories ..... ' ....... Dimensions of shine structure with alterations or additions: Front Rear .......... Depth. ' ............... Height ........... · ........... Number of Stories ........... ~. 2 ........ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories . 9 ..... ~.,. 0. ............. Rear .... Size of lot' Front r~ [ ' ............. · ............ epth ...J. ~... 10. Date of Purchase ............................. Name of Former Owner ................. 11. Zone or use district in which premises are situated ......................... .~ ................. i ...... 12. Does proposed c~struction do/ate any zoning law, ordinance or regulation: .. ~.~. ...................... 13. Will lot be regraded ...... ~/.(0. ................. Will excessJSll be removed from premises: Yes 14. NN%~ oO~ ?w,n.e,r of prem~,s~ i~.~2~Q/.O?~C&ttq. Address ~.Q/~.'.7.~2,~.e.eO{o0 (~. Phone No..//.?7--~'~0 .~.... arcmrect ..... iX.q- ......~J~.~.~/.L$ ..... Address .... ,$.~ ....... Phone No....q.. ii. i~, ' ' Name of Contractor .... ~ '/ ............ Address ........ /.t ....... .~Ehone No '( ' 15. I,s this property within 300~ feet' ;'f' ~' tidal wetland? *Yes .... '.'..~N~)~. ' ............... · 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 fr0m~ property tines. Give street and block number or description acc*ord~g t~ indicate whether interior or corner lot. ..... ........ (Name of individual signing contract) above named. Heis the ..,.... .................... .... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perfom or have perfo~ed the said work and to m~e ~d file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~ork will be perfomed in the manner set forth in the application filed therewith. ' Sworn to before me this~ E L GL~ ' ' .... . ...... ~W ~bllo, 8tme of New Y~ . (Signature o f applicant ). · Qualified tn Suffdk CounW ~mi~lon ~ims D~mb~ 8, ~9~ . being he is the applicant Exanlined Approved Disapproved a/c ............. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ., . Permit No..~./. ~.~.~..-~ (Building Inspector) APPLICATION FOR BUILDING' PERM IT B~ARD OF HEALTH ......... 3 SETS OF PLANS SURVEY ................... CHECK ..--- .... ~ ........... SEPTIC CALL HAlL TO: 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 6uildings on premises, relationship to adjoining premises or pubLic sfi'eets 9r areas, and giving a detmled description of layout of property mint be drawn on the diagram which is part of this appli- ,cation. c. The work cOvere~l by'this agpiic~tion%na'y ndt bg coi~meneed before issuance of Building Permit. . d. Upon apprt~val of this appLication, the Building Inspector will Jgsued a Building Permit to the applicant. Such permit shall be kept on the~premises availabl~ for inspection throughout the work. e. No building,shall be occupied or used in whole or in i)art for .any pprpose whatever until a Cdrtificate 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 Southbld, Suffolk ~ounty, New York, and other appLicable Laws, Ordinances or Regulations, for th% construction of ibuildings, additions or ~lterations, or for removal or demolition, as herein described. The applicant agrees to comply witl3 all applicabl~ laws, ordinances, building code, housing code, and regulations, and to dmlt authorized inspectors on premises and in bmldmg for necessary inspections. , . , (Slgnat r~ of apphcan(,~o~ name, if a corporation) · i . .................... x ........ 'v .......... 'i'll" ' ' i ' I (Mailing address of applicant) State whether appIic~ant is owner, lessee, agent, architect, e~gineer, generai 'contractor, electrician, plumber or builder. Name of .owner of premises .... ,I1 or latest deed) If applicant ]sa c~l~l~tion, signature of duly authoriied ~,~il~nd title of corporate officer) Builder's License No ...... ~.~~... ..... p , . ... i. ~ ........... lumber s Lmense No ...... ' .... Electrician's License No, Other Trade's License No . , · 1. Location of land on which proposed wc,tk will h~';4,~n~ '.. .... ...... .. ............... . . ./l..q.¢...¢. ...... ........ .. House Nunlber -/ " . Sir;et ' ' Hamer Cou'nty Tax Map No. 1000 Sectio~ ...: ...... Block ... ' Lot...' ........ ~ .... St bdivislon ........ . ...... ......................'.~ Filed Map No ............... Lot ............... (Name) . 2: S ate exmtmg use and occupancy ~f preml~and intended use and o¢cupan?~f proposed construction: a. Existing use and occupancy ...'. , , . C~' ...... b. Intended use and occupancy : ' . . f~-qp! J t