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Home My WebLink About21040-z l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22474 Date JULY 26, 1993 THIS CERTIFIES that the building ADDITION Location of Property_1010 JACKSON STREET NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 10 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 18, 1992 pursuant to which Building Permit No. 21040-Z dated OCTOBER 22 1992 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JAMES & RUTH ANN CONNOR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. PENDING - JULY 6, 1993 PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 FORK No. a 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) 19 NOW? 21040 Z Date /P/A .wl-z , Permission is hereby granted to`~ ,e O .....cm.....?...... at premises 16cated at ....4...~............ . County Tax Map No. 1000 Section 11.x".... Block ......141......... Lot No. pursuant to application dated .............../i tee...................., 19. e , and approved by the Building Inspector. / Fee $..1.~. . . 4 . .Il Build Inspecto Rev. 6/30/80 1Form No. .6.~~~a`p` 7p~(>L ry~ TOIM OF SOUTHOLD ` BUILDING DEPARTMENT TOWN HALL ' 765-1802; APPLICATION FOR-CERTIFICATE OF OCCUPANCY A. 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 psed in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences ancT 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. 1i For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: v 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .......41 w Construction..,,,, Old Or Pre-existing Building...k 'yt/ p ;4 cation of Property:.. /a!Q Ne House No. Streetu~GGt...... -er or Owners of Hamlet Property 1lTM 5...4.IZAQ.. ~ N...C, inty ax Map No 1000, Section.... A I • , , , ,Block... IQ, , , .......Lot... division........ ~ Lr .............:....:.......9..Filed Map..... .Lot.. mlt No..G%I ....Date Of Permit. .I~.C~~/9 ~ . .~~,CUJ2/~L / .Applicant. 1th Dept. Approval....... /v 1* • . , G~Ollf/UQ~~ 1. ..Underwriters Approval.... .•,,d,U,{ab• nning Board Approval..... N./0 Jest for: Temporary Certificate...... • Final Certicate........... Submitted: . WF INSPECTORS Victor Lessard „ IfFD(g Principal Building Inspector L'Q :v Curtis Horton SCOTT L. HARRIS, Supervisor Senior Building Inspector n Southold Town Hall Thomas Fisher Y • L: )"s.. v P.O. Box 1179, 53095 Main Road Building Inspector " k, z ' Southold, New York 11971 ButGar I tpetor Fax (516) 765-1823 x Vincent R. Wieczorek Telephone (516) 765-1800 Ordinance Inspector Robert Fisher Assistant Fire Inspector OFFICE OF BUILDING INSPECTOR Telephone (516) 765-1802 TOWN OF SOUTHOLD JUNE 21, 1993 PECONIC DEVELOPMENT CORP P. O. BOX 1010, WEST LANE AQUEBoCUE, NY 11931 RE: JAMES H. CONNOR s ORS 1010 JACKSON STREET, NEW SUFFOLK To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) XXX No Underwriters Certificate on file. The check is (outdated/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 # 21040-Z Please contact our office on this matter. Thank you for cooperation. CC: SOUTHOLD TOWN BUILDING DEPT. JAMES H. CONNOR 4i m t`J FOUIIDATIOq (1st) ~(y~ • c ti FOUNDATION (2nd) m o ROUGH FRAIKE & I \ Q .PLUMBING y H . I ~ m m INSULATION PER N. Y. I y STATE ENERGY CODE I T W/ IC /(2 er<r 3 FINAL ADDITIONAL COMMENTS: \v m -e - H 'ol 16 ~f o ~ c n ~ a,ty `7 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 (~1189077 BUREAU OF ELECTRICITY 83 JOHN STREET. NEW YORK, NEW YORK 10038 13059 1.93/53 N 2$2J19 Dore itrLY 18'1.991 ApplicationNo.onfile THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in thepremises of JAMES CONNOR, 1019 JACKSON `.iTRIIST, NEW SUFFOLK, N.Y. in thefollowinglocation; ? Basement ? 1st Ft. ? 2nd FT. "R/OUT Section Block Lot ans examined on J U G Y 9 2 , 1. 9 9 3 and found to be in compliance with the National Electrical Code. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K W. AMT. K. W. AMT K W. AMT. K W AMT. H. P. 3 l 3 3 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GA$ H. P. AMT. NO A W. G. AMT. AMP WT. AMps. TRANS. AMT H P SYSTEMS AMT WATTS NO. OF FEET SERVICE DISCONNECT NO.OF S E R V 1 C E Ami. AMP, WIRE METER ]W 3W 8,e' 3W 3,e' 4W NO. OF CC. COND A W G. NO OF HbLE A W. G. . W. G. EQUIP. 1 PER d OF CC. COND G OF HI L NO OF NFUTgnI$ EG OFANEUTRAL OTHER APPARATUS: &.F,r.til 1 i P,O.B{ EIFICTRIC' GIC,g3577 g G!~~ ax 164 CUTCHOBUE, NY, 11935 GENERAL MANAGER Per 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. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ NAL REMARKS: C i i i G i r~ DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ INAL REMARKS: e~z DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. oooe [ ] FOU ATION 2ND [ ] INSULATION [ RAMING [ ] FINAL REMARKS: --~2. DATE r Y INSPECTOR AA" M-1802 BUILDING DEPT. INSPECTION [ FO DATION 1ST f ] ROUGH PLBG. [ FOUNDATION 2ND [ } INSULATION [ ] FRAMING [ ] FINAL REMARKS: I DATE / -L z~INSPECTOR t BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY . BUILDING DEPARTMENT CiIECK TOWN HALL SEPTIC FORtl SOUTHOLD, N.Y. 11971 TEL.: 765-1802 t:oCA FY ; /0=.° Examined qr, , , , 194.11-• CALL . • ? MAIL T0: Approved 0.~ _ . Disapproved a/c ( ilding Spector) APPLICATION FOR BUILDING PERMIT Date ...rd.l/ 19Y4 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 set's 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 inspections. (Signature of applicant, or name, if a corporation) (Mailing addresstff applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . Name of owner ofpremisesy;. :J !!1?£S.". ¢ ~7t1 .1 / ecwl E~ (as on the tax roll or latest deed) If p cant is a or iori; s'gnatiire of duly authorized officer. . . (Name and title of corporate officer) Builder's License No. .1~,1.~ -7 Plumber's License No . Electrician's License No . Other Trade's License No . 1. Location of land on which proposed work will be done . 1.Q / . ..............!7 YSaN.~ST...... /j~~iJ .cSt/Fal House Number Street Hamlet County Tax Map No. 1000 Section ~.1........... Block } P........... Lot . _7~ . 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 er?, J 4 S ~f! ki'y,~ ~ JUG . • , b. Intended use and occupancy .............°i!? / c................ . 3. Nature of work (check which applicable): / New Building Addition , Alteration Repair . Removal , Demolition . . . . . . . . . . . Other Work (Description) 4. Estimated Cost `dyr! JOI Fee...................................... (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 :~,Gg4;l.,............................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type use . Dg structurs" if any: Front ...Z-9.' Rear . Depth 1`!....... . Height 8..... . . • imensions of existin of Stories ! . • Dimensions of same structure with alterations or additions: Front Rear . Depth ----:.........II ..Height Number of tones . 8. Di mensions of entire new c nstruction: Front 2r,9, -,e°. , , . , Rear Z.~1' Depth . Q, , , , , , , Height ie....... u!ber of Stories e... . 9. Size of lot: Front Rear.... ..............Depth........,.............. 10. Date of Purchase , , , , Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: !`~9 13. Will lot be regraded , VL S , , , , , , , , , , , , , , , , Will excess fill be removed fro Remises: Yes No 14. Name of Owner of premises' ,S OMS.. Address 4*,k-.3q,N ll •..A.4-! e No Name of Architect Address Phone No... , . Name of Contractor . . Address . . Phone No. 15. Is this property within 300 feet of a tidal wetland? *Yes, No.. *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 from property lines. Give street and block dumber or description according to deed, and show street names and indicate whether interior or corner lot. APP V D AS NOTED O DATE: B.P. # FEE~ Y _ NOTIFY BUIL ING DEPA A 765-1802 9 AM TO 4 P FOR THE FOLLOWING INSPECTIOh!S- 1. FOUNDATION - 'SIIV(. R! (?i1t : 'rl FOR POURED CONCRCTE. 2. ROUGH - FRAMING & PLUM1311I 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REOUIREMENTS OF THE N.Y. STATE CONSTRUCTION B ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW O , COUNTY OF S ' ' ' ' • .~KT`Iark_ • s ~ •L Mv~• , being duly sworn, deposes and says that he is the applicant (Name of individual signm contract) above named. He is the 1 l°av v ae~w (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements containd in this application are true,to the best of his knowledge and belief; and that the .vork will be performed in the n sgt forth in the application filed therewith. iworn to before me this ~Q ay ..3 19q2 Votary Public, 1 Cou ROBERT I. SM. (Signature of applicant) NOTARY PUBLIC S t'e NX No. 4725089, Suffo Coutrt~ty Term Expires Mar 31.199 + .x r y =s AT4'D 6xiNJI, V. s, ,?J6A3A?JnS (INV-I'Dri -LII-Cc)(31 'Lv'1 ddw XVI'DD 3jns yr o I. 8 i SZ AoN 773A~/tUnS V a~ ~ b '0 ISM dqW Z~ 03GOb S?JnQLNO]. - V25 NN~W~Wf11V(1 'J.'3/~21f1S '7yf?13H 15V39\ WOZId M~~IV, SJrO!N00 . _ :110N ' l-,"J3d {r.~'aTuF~~„ .LN~WnNOW I7 r do+ tidA )I °ta~>a~~ 7Vr 80't 'f/3ZiV u p~J nn~y I',CG-D1dJS a'te' (Jl pIi.VQ, L. j S WaL 6 1I yl~' ~ IS~~ 11 ~ ~ 11"lJ~~NNAATT ~~J1 I 1 1 3 a s ! ~ YY ) a .1.. . 't 1v, 'v n,uf u¢,.ea cm m.Ornl ~ .~l , L,I vuv-.nw sarna. n-l a p 'N 0"101'11f10S d0 NMOi 8 sa ?JONND °E i 1-1 J 3W yr A V 1?J 1 Cl?" 2101 O:J,I~:Jr1?Jnrr. ~ ~ ~ .n I 1~1?.,I~dC71~1 ~C ~~~'W t. I 1.J11 2tE l'. SZ' n be- ' .':L'S >L o. 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