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Home My WebLink About20519-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21149 Date NOVEMBER 18~ 1992 THIS CERTIFIES that the building Location of Property 535 MAJORS PATH SOUTHOLD~ N.Y. House No. Street County Tax Map No. 1000 Section 54 Block i Lot Subdivision Filed Map No. Lot No. ADDITION Hamlet 24 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 26, 1992 pursuant to which Building Permit No. 20519-Z dated APRIL 2~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to STANLEY B. GILSON & SHEILABAKERMAN-GILSON (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 FO~ NO. ~ TOWN OF S00THOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~-N,o 2051JZ Permission is hereby granted to: ..... , ,,~ ~.,...~..~.~.~. ........................................... ~~ ~ ~ ~, . .~~..~.,...~...,...~... ~ at premises I~ated at ..~......~~...~~--~ ................................................... ..................................................... ~~~ .......................................................... County Tax Map No. 1000 Section ....... ~,,~. ..... Block ......... ./,. .......... Lot No ........ ..?......~.... .... pursuant to application dated ..... ~...~...,-~. .................................. , 19..,~..er~ and approved by the Building Inspector. /~BuiI~ Inspector Rev. 6/30/80 me 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: i. Final survey of property wit'h 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 ~nd similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subm%t 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. 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 Occnpancy - $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 New Construction ........... Old Or Pre-existing Building ................. 535 ~AJORS PATH SOUTHOLD Location of Property .............. ,, House No. Street Hamlet ~ro . STANLEY B GILSON JR SHEILA B - Onwer or Owners of r per~y .......... AKER~AN GILSON County Tax Map No 1000, Section...,~?. .... ~- , Subdivision ' · Filed Map Lot 05 9-z Permit m ................. Date Of P ~mi~ e~ ................. Applicant ............................. Health Dept. Approval ......................... Underwriters ' Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate .... ~ ..... Fee Submitted: ~' ~ · · ........... APPLICANT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SHEILA BAKERIiAN-GILSON STANLEY B. GILSON, JR. 535 MAJORS PATH SOUTHOLD, NY 11971 O~TOBER 14, 1992 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) No Underwriters Certificate on file. The check is ~l~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 ~ 20519-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION ( 1 st ) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS k P I 765-].802 BUILDING DEPT. INSPECTION FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION FRAMING []FINAL REMARKS DATE ~__~NSPECTO~ 11992 Examined BLD.~. DEL,. TOWN ( iF SOU f'~'~OU,) ..., FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 .\pproved .... ~ 19/~ p t N ...... , ernl o ....... Disapproved a/c ..................................... . (l~,fiildin g jcCp¢c t or) APPLICATION FOR BUILDING PERMIT SURVEY ................... CHECK .................... SEPTIC FOR:t .............. ...... T INSTRUCTIONS · a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .'ts of plans, accurate plot plan to scale. Fee according to schedule. ( b. Plot plan showing location o£ lot and of buildings on premises, relationship to adjoining premises or public streets r~areas, and giving a detailed description of layout of property must be drawn on tbe diagram which is part of this appli- ation. c. The work covered by this application may not be cbmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit tall 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 tall 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 uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. he applicant agrees to comply with ali applicable laws, ordinances, building Code, housing code, and regulations, and to Imit authorized inspectors on premises and in building for necessary inspe~.~ -- · ........... .~ ........ 7..e: ' . .............. (Signature of applicant, or name, if a corporation) ....... et..v... (Mailing address of applicant) ! :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder2 ...... ,vr e c ame of owner of premises - ~1/~.~0 -+.. /~].,?)t ./:.~:q~ (as on the tztx roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) B dders L cense No.. l~ .t./.).~ ....... Plumber's License No ......................... Electrician,'s License No Other Trade's License No ...................... Location of land on which proposed work will be done. llouse Number Street Hamlet County Tax Map No. I000 Section ........ ~ ...... Block ........ t ........ Lot . ~ ~ Subdivision ..................................... Filed Map No .............................. (Name) Lot State existing Use and occupancy of premises and intended use and occupancy of proposed construction: .,,~ ~ ~ :.- ......... b. Intended use and occupancy ................... ~ z~ ~, . 3. Nature of~o (check which ap Repa/r ........... RemgvaI .............. Demolition'' Addition ..... UteraCmq,._.,; .... .............. Other Work .[~ w~..~./.~. 4. Estimated Cost ...... !. /,.(Descdption) Fe~ ................ 5. ~ (to be paid on filin~ this application) If dwelling, number of dwellin- ~nits ~]~ - - .If garage numberofcars . ~]~ /.' m~erofdwelhngumtsoncachfloor 6. Xr~si~,~omm~ ~ 7','' '" '" ......................................... ~"~ ........ 7. D'mo,o; .... ¢~... - ........ ,,ea~ occnpancy, specify nature and extent nf,,~h ~ ...... r. ~]~ ........ -~ .......... ~ u,ya~mg structure8' if an,,, Fro--' ~.r ........... ~ ~. dsc ..... ~;/e,. .......... H ' ' ........ Rea . ~ght.....~.~ ........ Num~erofStories, . I r ~ ........ Dcpth...~ ......... ~enslons oI same structure wi/h ~t,~ .. ' '...' ............................................. , --cranons or aaoltions: Front Depth . ~ ~ ....... ~ ' '"' ....... : ~e ,l~t ~g -, ' ........................... 8. vnnensions o[entire new c~.~,. ~, "~ ........ v" "cf' ........ mtn ~ber of StoNes ... Ee'gh[,...Cl~ ........ NumBer of Stories . j .~ .... i~ear ...... ~Z~ .... Depth .... -~/~ ....... 9. aize mlot: Front .... ~3'~ ¢ ¢ ..... ~Q.' ......................... 10. Date of Purchase ~ .......... Rear ...... ~,~ ~ ~ De-th /~Cl'~ ........ 11. Zone or use district in w ,:~'- I. '"'. .... ~ .... N~mgfFonnerOwner ~~.q{~...~8, 12. -,ua premmes are simatea ...... ~r.MO ............................... Does proposed Construction viol;de any zoning law, ordinance or regt at on' . .~O . . . 13. Will lot be regraded ...... ~ ........ ,,,. · .................... 14. Nme of Owner of n~;~,o ~i,,c~ '75~,~ ~ ..... wm excess fill,be3emoved f~m prem scs' Yes ~- ..........r.,i. .r~.~,~.....~S .~,7... Address ~o~- ~ ~,Phone No E~e oFContractor.~i. ;~ J .... Address ~&~d~ ~.~;~Vhone No ~al~t~-~ .. [5. xs thzs property within 300 of a tidal wetlandg' '~ ' ' l'~.. 'X/ ..... · If yes, Southold To~n Trustees Permit may be required. ....' ' PLOT DIAG~ Locate clearly and distinctly ~1 uddmgs, Whether existing or proposed, and, indicate ~I set-back d~ensions from prope~y fines. Give street ~d block number or desc~ptio~ accord~g to,deed, and show street n~es and ~dicate whether :ntedor or comer lot. [ ..... ~ ~x ApP~O~D AS ~OTED t ~ ~ 765-1802 9 AM ~ 4 PM~R THE ~ /~ . . '3° ~ FOLLOWING INSPECTIONS: - · /~ ~ 1. FOUNDATON - ~OREQUIRED L- , . Iqq,~ ~ . '~q*d~ ~ ~' ~es.gq ~. ROUGH - FRAMING & PLUMBING ' / · [ / r ~ 3. iNSULATION ~ 5% '~- ~1 sro.v ] ~ 4. FINAL .- CONSTRUCTION MUST -r ~ THE REQUIREMENTS OF THE N.Y. ' ...~ ~ STATE CONSTRUCTION & ENERGY 'ATE OF NEW Y, ORK,~ _ S S OU~y O ' · (Name of individual signing ce ntract) being duly sworn, deposes dad says that he is the applicant we named. ................. .... '... (Contractor ............................................... agent corporate officer etc) " ' said owner or owners, ~d is duly authorized to perform or have perforated the said work and to make and file this lication; that all statements contained i~} this application are true to the best of his knowledge and belief;and that the 'k will be perfo~ed in the manner set fo:rib iu the application filed therewith. )m to before me this i .... %/~' , ~ ..... ~ ......... d~v or. 2~, ~ ....... ~9 ~ ' . HE~NE D. HORN; ~''~'-'~ y ~ ~ ~ ' ~ N~W Publio, State of Nbw Y~ ...... _ , ..... .... · " Commission ~8 May ~, 19~