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Home My WebLink About21368-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. CERTIFICATE OF OCCUPANCY No Z-22296 Date APRIL 29~ 1993 THIS CERTIFIES that the building. Location of Property 1330 GILLETTE DRIVE House No. County Tax Map No. 1000 Section 38 Block 2 Subdivision Filed Map No. ADDITION EAST MARION~ N.Y. Street Hamlet Lot 14 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1993 pursuant to which Building Permit No. 21368-Z dated APRIL 27, 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 SUN ROOM ADDITION TO EXISTING ONE FAMILY DWELLING RICHARD McGARRY & ORS. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 //~ Building 7nspector FO~,M NO. ~ 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~T.o 21368Z Permission is hereby granted to: -- ......................... ~.~..~~:~.~ ......................................................................................................... ~,,,.,,,.,,=,.~, ........... z~....~. ...... ~~...~ .................................................... County Tax Mop No. 1000 Section ........ ~..~... ...... Block ...~ .............. Lot No.../....~.. ............... pursuant to application dated ...... ?~../~.~.~. ................................. ,19 ......... and approved by the Build in, Inspector. ~ ///~//~'~ ,...~..~/~. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLTCATION FOR CERTIFICATE OF OCCUPANC~ ......... A. This application must be filled in by ~ypewriter 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-~onforming uses, or buildings and , ,"pre-existing" land uses: . 1. Accurate survey of property showing all property lines, streets, buildimg 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 dw~iling $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 $I5.O0 New Construction ........... Old Or Pre-existing Building..~..~.~.~-~.~.~p.~x~ Location of °~o~er+' ~ ~ ....... House No. ~ ~* Street Hamlet Onwer or Owners of Property...~W~4~. ~.L'R~..~ County Tax Map No 1000, Section...~ ...... Block...~ ......... Lot .... Subdivision .................................... Filed Map ........ Lot ............... Permit No..~.~..Date Of PermSt ................ Applicant ................. . ............ Health Dept. Approval .......................... Underwriters Approval ........................ . Planning Board Approval ........................ Request for: Temporary Certificate ......... Final Certica~e~_~ Fee Submitted: $ ...................... ii ..... ,~ ~ co P3 'OUNDATIO:; (2nd) ~UGH FRAME & -PLUMBING ~SULATIO~; PER N. Y. STATE EHERGY CODE FINAL ADDITIO}~A'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~ILATION FRAMING [~/] FINAL REMARKS: DATE INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ' . ........ ~ '' . (Build, nE Insf~dtor) . APPLICATION FOR BUILDING PERMIT , BOARD 0F HEALTH ......... .3 SETS OF PL,.%NS ......... SURVEY .................. CIIECK ................... SEPTIC F 0 R,~I ............. NOT I PY: CALL I~IAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Bililding 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 nsed 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.,Tp.~q..pf,~p~t.hold, Suffolk County, New. York, and other applicable Laws, Ordinances or Regulations, for the consti'actidh' o'f'buildM~s;¢additions or alterations, or for ren~gw¢-xor,4emolitio2k..a~erein described. The applicant agrees to com, pJy: wigh a!!.appl!cabl¢ 4aWs, ordinances, bujJAing c~o)fff,/fio~int~, aqdfi~ulations, and to admit authorized inspectors on premises and in building for nece~/.( ,f ¢ .,~d~ . - -- ; ' ' t~ 4-5~natur~.or na~L"7~f a c~orporation) · . ~...~,~ .rs .,q~.~q .~.t ............. . ' (Mailing address ofllpplicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner ofprem scs ~.t~..'¢.C~ .~. I;.'~,* .~.4¢~dt~,..O&:. ~;.~,V~ .~.~..c4..A:..~.~,.~ .o,.q~..¥ (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 .... .M%..%..~-D~...¥,~%.. .......... Plumber's License No ......................... Electrician's License No. ~' Other Trade's License No. ~ OCCUPANCY OR WiT 4OUT CEM F CATE 0F OCCt ?;¢lCV 1 Location of land on which proposed work will be'done ..[ ...........~. % . .~ .O.~_~ ........................ ~. ~..w--_.. ............. House Number . Street Hamlet ..... O I .~J'_,~ O .. County Tax Mat, No. 1000 Section .. O.~..~..~ .OLD. Block .~.~O..e,.~ ...... Lot ......... .~.~... Subdivision....~..O:-..V.tg.~.....~.~t"'7. ............. Filed Map No. ~.(~.~...~ ..... Lot... ~.~..~.' ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: I ~ w,:t 1- ' ' ' '' ' ~' ' '.''":: ' "" 3 .... I .......... ~Q¥ $- b. ,tended use and oscupancy .k..c237xO.?-3-~'...%'7...4~..~.%.~..~c~,:q.~ .~,1%.~ ...~...'.~.~&...~4...I>,.~ND.t..?~ ..... k ( ~Ppl' ) B~ildi ,..'. ,~dditi ~ " · 3. Nature of wot check which mable: New ng ....... on .......... Alteration . . .' ..... Repair .............. Removal .............. Demolition ' ' Other ork... ' W .~.,q,. k~,~ . .c~.' 4.~?..o~.. (Description) 4. Estimated Cost .. " · .............. Fee .. ; (to be?E*~ t ',.' ',:' ,~ .............. i ~)d ~n filing this application) Ifd fd lli g .~. ' 5. welling, number o we n units Number of dwelling units on each floor. · arage, hum ber of cars .......... · .............. If business, commercial or mi,,x~d occupancy, specify n,ature and extent of each type of use ......... 7. Dimensionsofexistingstructures, ifany: Front. .... (0.~ ....... Rear . .(~ ......... Depth. ;:~ i~i ...... Height ............... Nulhber of Stories . .. ( .:gt,o.~.,,~ Dtmenmons of same structure w~th alterations ,-~ ,.,,u,~_fi.~, . ~. ' ................ 8. D ..... '~- ................ pmmver of Stones .... 's/~,.~ .~ ....... ~menmons of entire new construction: Front ................ ', Rear ............... Depth .............. H' mght ............... Nmgber of Stories ....... . . 9. Size of lot: Front I OO ' r, ..... ;~:-< ........... : ......... 11 ...... ,~* ,,~ ms[ncr m wmcn premises are mtuated....~w.~. ~%.~.~,,>.k ....... ' ......... '7' ' · 12. D.o. es proposed construction violate any zoning law, ordinance or r~-.)',~*;,,,', i~'~ ........................... 13. Will lot be regraded ....... b¢C3 ....... ,,,,... °;;~'7 .........~"- .... . .....J,a ...... 14. Name of Owner of t~remises ~q:~:'m~'e,*q ~ ~,,'~' ' ..;~m excess au oe removed Irom premmes: " ~ ' '" ....... ' ~ "~' "*'~ · ' '°'aaress .......... Phone N~, marne of Architect ........ .~.[ ~ ....... a.~ .... ' ..... _ " ............. '... NameofContractor ..~u:y~..~ : · ","~'~ ............... ' ........ rnoneNo ........... ;L . ....................... · ,~uo,ress .............. Phone No .. ....... 15. ' Is this property within 300 feet of a tidal Wetland?' *~es .... -,~ ' .... "' · If yes, Southold Town Trustees Permit may be require~] ..... ~ ......... PLOT DIAGRAM Locate clearly and distinctly all ibuildings, Wiaethe~- existing or proposed, and, indicate ail ~et-back dimensions from property lines. Give street and block number or description according to deed, and show stLeet names and indicate interior or corner lot. . ' UNDERWRITERS CERllFICAI ~ whether REqUlttED N~I~I:IFY BLIILI~I~JG Oi/PAP2~I{T AT 765-1802 9 AM TO 4 PM' FOR'THE FOLLOW;NG ;NSPECT~ONS: ~. FOUNDAnON - TWO REQUmE'D FOR. POURED CONCRETE 2. ROOGH - FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ;TATE OF NEW Y~, , (Name of individual signin~ contr~ ...... being duly Sworn, deposes and says that he is the applicant bore named. I agent, corporate officer, etc.) f said owner or owners, ~d is duly aptborized to perfom or have perfo~ed the said work and to m~e and file this pplication; that all statements conta n~d in this application are true to the best of his knowledge and belief; and that the 'ork w~l be perfo~ed in the manner se~t forth in the application filed therewith. worn to before me this , ~etm Expiro~ Se~ 22, :6