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Home My WebLink About21189-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22125 Date JANUARY 26, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 4030 PECONIC BAY BLVD. House No. Street County Tax Map No. 1000 Section 128 Block 6 Subdivision Filed Map No. LAUREL~ N.Y. Hamlet Lot 1 Lo~ No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1993 pursuant to which Building Permit No. 21~9-Z dated JANUARY 15~ 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 TO AN RWlSTING NON-HABITABLE ACCESSORY GARAGE "AS BUILT" The certificate is issued to of the aforesaid building. LEON L. MUNIER (owner) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JAN. 25~ 1993 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FOB. H NO. O TOV~N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~T°. :~118J 7.. Permission is hereby granted to: .Z~..../..,....~~ ............................... · '~-~'~"~?...,~......~.~"7.._,...... __ ~ ..,..._. ............................ at premises located at ...... .~...~.~....~.....~.~Z.~'...~ld....~.....~:;~...~ ............................. County Tax Map No. lO00 Section ...... ../~...~.. ..... Block ........ d ......... Eot No. ,Z .................. pursuant to application dated ........... /..//...~z. .............................. , 19~., Building Inspector. and approved by the Re~ 6/30/80 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 end'similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. Submit Planning Board Approval of completed site plan requirements. '6. 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 - $i0.00 4...Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15~00, Commercial $15.00 ~ Date ...... .~..~.~/~.> .................. House No. Street Ha~et )nwer Owners of Property ~0~ ~. .~.~~ ~ounty Tax Map No 1000, Section ........ Block ............. Lot .... / .............. ;ubdivision .................................... Filed Map ............ Lot ...................... 'ermit No Date Of Pe~it ................................ Applicant ............................. [ealth Dept. Approval ......................... · Underwriters Approval ......................... 'lanning Board Approval ........................ ~equest for: Temporary Certificate ........ ee Submitted: ~...~ ...................... .. . -- , , ............. CO d R t '. ., INSPECTORS (516) 765.1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT 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 January 19, 1993 Mr. Leon L. Munier 4030 Peconic Bay Blvd. Laurel, N.Y. 11948 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 file. XX 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. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21189-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Enclosed is Pre CO Z-22111. As soon as we receive the underwriters, application and check we will issue the CO for the alterations to the garage. THE NEW YORK BOARD OF FIRE UNDERWRITERS [~£ft ~8 BUREAU OF ELECTRICITY ~ 65 JOHN STREET, NEW YORK, NEW YORK 10038 Date i~/'~:~[I~[~¥' ~,~[~,j~t)~ ~ppllcationNo. onfile 04~64.393193 t~ 83M:I~ THIS CERTIFIES THAT o~y ~he electrical ~uip~en~ ~ ~scrlb~ be~w and int~duced by t~ applicant ~d on the a~ve appllcat~on number i~ the prem~es of inthefoliott, inglocation; ~ B~,~ment ~ I.irt. [] 2.d FI. ,q~'Jil}JO Sec~ion~.2~ BI~ ~ I t ~' ~ ~ '~ and found to be in con,pilaf*ce u'ith the req~ire.tentz qf this Board. Lot ) FIXTURE OUTLETS DRYERS FIXTURES RANGES OVENS DISH WASHERS FANS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARAIUS: ele(:t, rical erI~Jp,le~lh J. the 6030 PBCO}I[C BRY BLVD, - 1Jr This certificate must not be altered in any manner; return to the office of the Board if i0correct. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUS? NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOAKD OF HEAL1-H ......... 3 SETS OF PLA~i'$ .......... SURVEY ................... CIIECK .................... SEPTIC r'oRN .............. 19 .~Permit ...... Disapproved a/c ..................................... -- . J.~uildin I~.~ector) . APPLICATION FOR BUILDING PERMIT / ~U/~ I L TO: Date ................... 19... INSTRUCTIONS · a. This application must be completely filled in by typewriter orin 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 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 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 Building 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 described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and. regulations, and to admit authorized inspectors on premises and in building for necessary in p ions. l ions ' ' -- (Signature of applicafit, br name, if a corporation) (Mailing address ~5~ applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... .......................................................................... Name or owner of premises ,]~ ~. Q.C~. 's/' (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 No ......................... ; Electri,cian's License No .... ' - . 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 Mhp No Lot ' (Name) State existing use and occupancy of premises and intended Use and occupancy of proposed construction: Existi g use and occupancy ~J~C~ /ffq~ ~~. ' b. Intended use and occupancy ............. ~[~., ~. ~~ ........ 3. Nature ofwork (check which a~plicable): New Building .......... Addition .... '6(h' ' Alteration .~.. Repair ....... '~i'' Remi°val ..... "'" ...... Demolition ............ er Work ....... 15:::::: ~ (to be paid on filing this application) 5. If dwelling, number of dwellingiunits ............... Number of dwelling units on each floor · If garage, num her of cars .... i .' .)ST'.(.~/.? ..... ~ .......... If bu' i I ix d s,ness, commerc a or m e occupancy, specify nature and extent of each t of use . . nnens~ re w era ns or additions: Front~'~' # 'r~..' ~ ......... 8 Dit~ nsio of ............ · · ,,elgin .... ~,-..o. ............. Number of Stories .. !.. ~ ' · e ns entire new construction: Front .......... Rear D pth ........... Hight N ~be fSt ri ' · .................. e ........ 9. Size of lot: Front .......... i. · .. ....... Rear.. I0. Date of Purchase . .d./].~. /.~d' 7 ..................... Depth ............. .... ~. ....... ' ......... Name of Former Owner A;O-&g..g'.'~ded//~Z'.'& S'./~. ' '" ]' ' I I. Zone or use district in which pr~mises are situated.. · / ~ ,r~/2~>/~ ........ 12. Does proposed construction violate any zoning law, ordinance or regulation: .................. marne ct owner or premises ! :tM/yl'.~til..~..q~6/. . Addraqq .... i .............. :.. *touress ................... Phone No ............... Name of Contractor ......... [ ................. Address ................... Phone No ................ 15. Is t:his property within 3,00 £eer of a tidal wetland? *Yes: ....... No ........ · If yea, Scut:hold ~own Truseees Permit: may be required. ' PLOT DIAGRAM Locate clearly and distinctly all Ibuildings, whether existing or proposed, and. indicate all set-back diraensions from property lines. Give street and block number or description according to deed, and show street · · interior or comer lot. I ~.~..~ . names and indicate whether FOR POURED CONCRETE --- 2. ROUGH ~ 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 0 F,/q~w YORK,~ . f " .,ame ........ ore named. ~ . .: OCCUPANCY OR USE IS UNLAWFUL OF OCCUPANCY e ~s the i . . ' (Contractor agent, corporate officer otc ) .................... ,~.a~d owner or owners, and ~s duly aCthorized to perform or have performed the said work and to make and file this p~mation; that all statements contained in this application are true to the best of his knowled e and be ' 'and ork will be performed in the manner selt forth in the application filed therewith, g lief, that the yOm to before me this. J · ... /3 , .., ................ ..day of...; ~tary Pubhc ........ .. \ ...... ..County Nawy PaRe, ~a~ of k~w y~ · .~,.~ ,-, ....,...-. No. ~-4741154 . Quelled in Nassau I SuffdlgCountl~,., re of applicant) N ,/ SURVEY FOR L EON L, MU/VIeR, JR AT LAUREL TOWN oF $OUfHOLO SUFFOLK COUNTY, NY SCALE; I~ qO' NOV 13. /984 A REA· ~4,622 $0 FT OR 102,~4 ACRES