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Home My WebLink About20570-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22239 Date APRIL 5~ 1993 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 350 BLUE MARLIN DRIVE House No. Street County Tax Map No. 1000 Section 57 Block 1 Subdivision Filed Map No. GREENPORT, N.Y. Hamlet Lot 25 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20~ 1992 pursuant to which Building Permit No. 20570-Z dated APRIL 21~ 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 GERTRUDE DAVIS N-255155 - OCTOBER 29~ 1992 //ild~ng Inspector FOB. M NO. 9 TOWN OF SOUTHOLD SUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-~N.° 20570Z Permission is hereby granted to: ~ ~: ..~.~....~..~.~......~.~..: .............. ...~......~.~.........m~..~..~ ......... ,o...~......~..~......~..~~...~...~...9.. ...... a.~ .... .~ ..... ~ ' ...... L.. ........... .~. .......... at premises Iocoted ct .....~....~...~.....~.~.~....J~..g.,. ...... ~ ................ County Tax Map No. 1000 Section .... ~..~..~ ......... Block ......~...J. ............ Lot No......~....~'~.. ........... ...... · ~-.......~----~.. ................. , 19..~'....~;., and approved by the pursuant to application dated Building Inspector. Rev. 6/30/80 lvO~ NO. ~ TOWN OF $OUTHOLO 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~-N°., 2056~Z Permission is hereby granted to: .......... ........ ...r~.~....t~...:.~. .... ...... .I.L..CI..T. ..I ........... at premises located at ....~...~..~..... County Tax Mop No. 1000 Secti~l~....C~..~. ..... Block ...... ..~...,J ......... Lot No....~...~.. ............. pursuant to application doted ..~......~.~). .................. , 19.~J...~.., and approved by the Building Inspector. Fee $.. J.~..,......'~... ..... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEP~TMENT ~65-~802 ~FLICATION FOR CERTIFICATE 0F OCCUPANCY This application must be filled in by fypewriter 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 ~f 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. 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 i. C~rtificate 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 , New Construction .......... Old Or Pre-existing Bu~ilding ...... ~ .... Location of Property.. [ .~r~.~.0 ...... ~]~....~. ~.~. !l.Y)., '~.~.: i i [. [ii.~'.~J~.~.~.~.' !~/...~i/./' ...... House No. Street Hamlet Onwer or Owners of Property .... ~J~..~.~..~4.~.'../~..~.i~ ....................................· · · County Tax No 1000, ec ion.. ?q7 ........ Bloc ...l ............ .................... "~ Filed Map Lot S bdivis ................................ Permit No Date Of Permit . Applicant .............. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .~?.~. ~' ..................... Y$o I ..... ¢ o ?' ' INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTt L. HARRIS, Supervisor Southold Town HalI 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 MARCH 23, 1993 GERTRUDE McLEAN 350 BLUE lO/LIN DRIVE SOIITHOLD, NY 11971 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) No Underwriters Certificate on file. 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 $ 20510-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~) FORM NO. 1 TOWN OF SOUTHOLD ' BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . .'~.! .... 19 ~..~. ~\pproved . .~.1 , 19 ~ .~. Permit No..~.. ?..~-.7.0. ~ Disapproved a/c ..................................... · .......................... (Building Inspector) APPLICATION FOR .BUILDING PERMIT BOARD OF HEALTlt ......... 3 SETS OF PLA~S .......... SURVEY ................... CIIECK .................... SEPTIC PORH .............. CALL tlAfL TO: Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 gts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. c. The work covered by tiffs application may not be c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appl/cant. Such permit roll 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 mil have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~,'znit pursuant to the .uilding Zone Ordinance or, the Town of Southold, Suffolk County, New York, and other applicable ~_aws, Ordinances or iegulations, for the consmlction of buddings, additions or alterations, or for removal or demolition,/~ herein described. .'he ap¢l/c~nt agrees to co~ply with all applicable laws, ordinances, bnilding-code, housing code, and regulations, and to dmit authorized inspectors'on premises and in building for necessary inspecti~,ns,,_~4q (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~ame of owner of premises ~.~e'r-'/'nr'cz~e '<~O-~x)' (as on the tax roll or latest deed) f applicant is a corporation, signature of duiy authorized officer. B riders License No .... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................. ~ .................... ~.' ......... ltouse Numbir' ............... ~, ir;;; .......... ' ............ 15t}~n',;;'' '"~ ...... '"' County Tax Map,4N'o. lO00 Section .................. Block ,, ~ Lot .6. 3. /.¢. ................................... St bd v s on O727~_5Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy X ~C~ ~ ~/~/ ' , .~ . ~" ~.7.~,,;K..:...~,x>,~. ....... [" b-Intendeduseandoccupancv ~¢/ [~ Cl ~(~Ct ~ ~ ~ [~"~:~.'.'[5~','?'J~ 3. Nature of work. (check which applicable): New Building .......... Addition .......... Alteration .......... Repair ............. Remoyal ............. Demolition .............. Other Work ............... esc tion) 4. Estimated Cost .............. ~ Fee .............. (to be paid on filing this application) [[ ' .m r~ 'ng~ts ............. Number of dwelling units on each floor .... ' ............ 5. dwelling, nu be of dwelh · garage, numoer otc~ .. ~~ ............. . . , 6. If bumness, commercml or mixed ~occupancy, specify nature and extent of each ty~ ~f use' .... ' ........... 7. Dimensions of existing ... e structures, ff any: Front ......... ..: · Rear .............. Depth ............... Height ............... Number of Sto~es ...~. ................................................... D~ensions of same st~cture with alterations or additions: Front ................. Rear .................. Depth ............ ~. ne~gn[ ..................... Number of Sto~es .......... 8. Dimensions of entire new construction: Front ............... R Depth .... ' ' ' ' Height ............... Numb:er of Stories.. ear; .............. .. 9. Size of lot: Front ..... ~ .... ' ...................................... 10. Date cf Purchase ......... 'l ..... Rear Depth ............. · · . ................ Name of Former Owner .......................... 1 I. Zone or use district in which prmpises are situated ................... 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ' ................................ .......... 1 .................. Will excess fill be removed from premises: Yes No 14. Nme of Owner of premises .... 1 ............... Address ................... Phone No ................ Nme of Architect ........... ~ ................ Address ................... Phone No ................ Nme of Contractor ........ ~b ................ Address ................... Ph~e No ................ [5. Is this property within .0 feet of a tidal wetland? *Yes ........ No.~ ...... · If yes, Southold To:wn Trustees Permit may be required. PLOT DIAG~ Locate clearly and distinctly ~I bhild~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Hnes. Give street ~d block n~mber or descdptioh accord~g to deed, and show street nines and indicate whether inte~or o] comer lot. rATE OF NEW j~Obg~, , S S' OUNTY OF....~p~ .~,kV-. · : ~ ................... .......... f-m-.-.-.-.-.-.-.-.3~~....u:3 ~ . bein-dul-sworn I~.T~-~../ ~' :_ _,..., , . , . · .. · ....... o y , ueposes anti says that, ne is the applicant ~.l~ain~: ut mO. lVlUUal signing :contract) Dove named. is the ................... i (Contractor, agent, corporate officer, etc.) · said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained itt this application are true to the best of his knowledge and belief; and that the )rk will be performed in the ~4ner se! forth in the application filed therewith. · ~'Om to before me this // i . ' ................ · ~/¢<<.da~, of(h.l.'~ .~..~J.,.~ ....... ,u 19 ?..~- )taw Pubic .~..~.~..~.. ~-~-~l.~'_./ ' r,_S~.e~\~-'- /~ · // ................. T .......za--- ...... 2__~ · NOTARY PUBLIC, 8t~t~ of N.Y. /' .r-r ................................... !~. 47~,~8~, 8uff0~ ~/_/ (Signature of applicant) Te~FA Ex,res Miy ~], 19 r,~ , TOW' . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 £xamined..~¢'. ~.....~. t.., 19 .~.~. &pproved .~....~J .... 19 ~ Pe~it No.~. ~ 'Disapproved a/c ..................................... ~ ~¢..~ .................................. ........ , ...~~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII 3 SETS OF' PLANS .......... SURVEY ................... CIIECK ................. ~.. SEPTIC F 0 R,'-I .............. HAlL TO: Date ................... 19... INSTRUCTIONS a~. Tiffs application must be completely filled in by Wpewriter orin ink and submitted to the Building Inspector, with 3 its 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 r areas, and giving a detailed description of layout of property must be drawn on the 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 mil be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in p~t 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 all applicable laws, ordinances, building code, housing code, and regulations, and to lmit authorized inspectors on premises and in building for nece~s_ary/?spections. · ,,, .... ...... -- (Signature of applicant, or name, if a, corp.o~ation) (Mailing 2dcires}.;}'appii~r~t)" tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ,tame of owner of premises ~ · ~* ".. ' , . (as on the t.Tx roll or latest deed) ~ applicant is a.¢orporation, sig~atur~ of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~1} o~.~:~7}.~..~...t~l|.lJ..~.. Plumber's License No ......................... lectnc an s L~cense No ........................ Other Trade's License No ...................... Location of land on which proposed work will be done ........................................ ' ......... ..... ....... .......... House Uulnber ,Street Ha~n'l~ Y "ff-- Coun,y Ta× M~4o. lO00 Sec,,on ....... "%"7' ...... ~loc~ ../ ........... Lot..~..T. .. Subdivision ..................................... Filed Map No ........ iiii... I~21 i. '.~. '.. i i i i i i i.." (Name) State existing use and occupancy~°f~remises and intended use and occupancy of pr/~,osed construction: b. Intended use and ., : , , .: occupancy ............................................... ,~ .- ............... 3. Nature of work (check winch apphcable): New Building ....... Additio,, R ' ~ ............ Alteration .......... epzur .............. Removal .............. Demolition Work ............... 4. Estimated Cost..~..~.0°~ ! '"'"~ ~, , ----- (Description) ............ ~ ........................ Fee ././/. ................................ (to be paid on filing this application) 5. If dwelling, number of dwelling qnits ............... Number of dwelling units on each floor ........ ........ If gar mb of · age, nu er cars ..... ~ .................................... '... . 6 Ifb i il mi di ncy sp cify an4ext }'ore ch typ Of ........................ 7' Di2s ness, commerc a or xe occupa , e nature en a e use ........... , .......... · ensions of existing structures:, if any: Front ............... . Rear .............. Depth ..... Height ............... ~umber of Stories ........................................................ Dimensions of same structur,, wit,h alterations or additions: Front Rear Depth 'Height ........................... ..................... ' ...... Number of Stories 8. Dimensions of entire new construlction: Front Height ............... Number of Stories .............. Rear ............... Depth ............... 9. Size of lot Front .................. '. Rear ........ i ........... i. Depth .i ...... ' ............ 10. D . ate of Purc rose ., 1 1. · ........ ................. Name et rennet Owner ............................. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction viola? any zoning law, ordinance or regulation: ....................... 13. Will lot be regraded 'r ' .... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... i ................ Address ................... Phone No ................ Name of Architect ' ............................ Address ................... Phone No ................ Name of Contractor .......... , ................ Address ................... Phone No ..... [5. Is this property within 3 0 feet of a tidal wetland? *Yes ........ No..~. ...... · If yes, Southold T~wn Trustees Permit may be required· PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether interior or comer lot. TATE OF NEW YPt~:,~ OUNTy .... .94c (Name of individual signing rove named. :ontract) APPROVED AS NOTED OATE:~ B.R # ~.~I,~' ~ ~.._~ NOTIFY BUILDING DEPARTMENT AT 7~-1802 9 A~ TO 4 PM FOR THE FOLLOWING INSPECTIONS, 1, FOUNDATION ~O REQUIRED FOR POURED CONCRETE -~. ROUGH- FRAMING & PLUMBING 3. INSULATION 4. FINAl. CONSTRUCTION ~UST BE COMPLETE FOR C,O, being duly sworn, de.es ~~ ~~t THE REQUIREMENTO STATE CONSTRUCTION & ENERGY O~ ' CODES. NOT RESPONSIBLE FOR ~ is the .............. ~Jv.~ ~. .D. E~I.G.N OR CONSTRUCTION ERRORS (Contractor, agent, corporate officer, etc.) ........... · said owner or owners, and is duly au!thorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the rk wtll be performed m the manner>s, ak.forth m the apphcation filed therewith. - . yom to before me this / // . ' ............ >tary Pu!lic ...... ,/~,~~.~~i._~¢ o u~:t y~ ¢L-~ .~/.j__~`., ,~ C~~X~ v . 7.7.' ........... '~):'~;~89 S{d}~ C~ n~, (Signature of applicant) i"~/n/F, xpims May a,. Au ~ ' THE NEW YORK BOARD OF FIRE UNDERWRITERS [00fgl. 21 BUREAU OF ELECTRICITY ~' 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date O~?OB["~I{ 29,[9~ AppticationNo. onfile 03738492/92 ~1 2~i5t55 THIS CERTIFIES THAT o~y the ,lectrical equipment ~ ~scrlbed below and intr~uced by t~ appl~ant ~m~ on the a~ve application number in the premises of in the following location; ~ Base~nt ~ Ist Fl. ~ 2nd }~. ~A~ / 0~*~ .Section Bilk Lot was examlned on OC ~0]~ ~ 2~, 1.992 andfoundtobeinco~ttpllancewiththereqt~irements~fthlsBoard. RXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS: S E R C NO. OF HI-LEG NO, OF NEUTRALS GKI~RAL MAI4AG~R 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. ?OU~DA'TION ( ls t) ~OUNDATIO~'! ( 2nd ) ~OUGH FRAME & -PLUMBING [I~SULATION FER N. Y. STATE ENERGY CODE FI~/AL ADDITIONA'L COMMENTS: