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Home My WebLink About20638-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25767 Date: 06/09/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 705 FIRST STREET NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 8 Lot 14.2 Subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1992 pursuant to which Building Permit No. 20638-Z dated MAY 20, 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 SECOND STORY ADDITION AND ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM C FISHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 027952 04/03/92 PLUMBERS CERTIFICATION DATED 06/05/98 M2M LABS INC. // ~uilding Inspector Rev. 1/81 I~OIY. H NO. ~ TO~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP, JXlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby gr~nted to: ....... .~.~...~/~ .................................. ..... .~.:.~...,../..~. ................................... .......... ~..~.~.~...,,~..~ ............................ ot premises ,ocoted ot ~~./~'-.~-~ ............ /'...~/..~...~'(-:~...........~...~,~37~--~ .................................. ~././~.~ ............ ~.:.....~;~.~ .......................................................... County Tax Map No. 1000 Section ....... ./../...~.. ....... Block.............,........~ Lot No ...... ./,..?..:...~.~.,.. purSuont to application doted .............. . .~'.././.~., ......................... , 19..~...~.~ ond opproved by the Building Inspector. Rev. 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 ail 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. 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 hy the applicant. If a Certificate of Occupancy is denied, the B~ilding Inspector shall state the reasons therefor in writing to the applicant. C. 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 - $10o00 4...Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ............... gB ' New Construction ........... Old Or Pre-existin uilding .............. Location of Propertv ......... . House No. Street Hamlet 0nwer or Owners of Property ................... ~ .... ~ounty Tax Map No 1000, Section ....... Block.. ~ ...... Lot.. ~ubdivisi°n' i'~]?ermit No .... ~.~ ~.. .............................. ~/ ~ ''''''''Filed Map ............ Lot... ~.~i .... .... Date Of Permit .... t..~.~.i.~.~pplicant..~...,~,~...~y.-----.-- {ealth Dept. Approval .......................... Underwriters Approval ........................ . 'lanning Board Approval ........................ , '.equest for: Temporary Certificate ......... ~ Final Certicate ~ · · s" "'"' ' 7'1 "'7" -34, 'ee ~ubmitted. $ .... .~. ................ I /// / / s'% \q .......... APPLICANT ' LAIRS, INC. HARRY GOLDMAN WATER TESTING (516) 298-4540 MAIN ROAD MATTITIICK, N~ 11952 LAB NO: 9816162 TYPE METHOD .... MISCELLANEOUS SOLID ROUTINE GRAB DATE COLLECTED. 05/27/98 TIME COLLECTED. 1400 HRS. DATE RECEIVED.. 05/28/98 COLLECTED BY... D99 PROJECT NO ..... 25 POINT NO: LOCATION: WILLIAM FISHER 705 1ST STREET,NEW SUFFOLK REMARKS: SOURCE(CW LINE) PER.20638-Z SOLDER SCRAPING pARAMETER (S) RESULTS UNITS LEAD 0.03 % RESULT REPORTED MEETS USEPA AND NY STATE LIMIT FOR LEAD IN SOLDER OF 0.2% COPIES TO: ORIGINAL DATE ISSUED 06/05/98 Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 F~,x (516) 765-1823 Te{ephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 29, 1998 William Fisher 705 First Street New Suffolk, New York 11956 *****THIRD NOTICE***** 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 outdated. $25.00 No Health Department Approval on file. XX No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT % 20638-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fa~((516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 27, 1995 Mr. William Fisher 705 First Street New Suffolk, NY 11956 **** SECOND NOTICE **** 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 xx 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. (Ail permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 20638-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ** - ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. INSPECTORS Victor Lessard P~incipal 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 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 JAhqJARY 13, 1993 GREG HUNT HOHB IHPROVE14El~S P. O. BOX 158 SOUTHOLD , NY I 1971 RE: WILLIAM C. FISHER 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 (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 # 20638-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CCC: WILLIAM C. FISHER Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 29, 1998 William Fisher 705 First Street New Suffolk, New York 11956 *****THIRD NOTICE***** Fax (516) 765-1823 Telephone (516) 765-1802 TOWN OF SOUTH. OLD 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) XX XX XX No Underwriters Certificate on file. The check is outdated. $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 % 20638-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. ACCORDING TO THE CODE OF THE TOWN OF SOUTHOLD, IT IS UNLAWFUL TO OCCUPY OR USE SAID STRUCTURE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED. 7G5-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FINAL FOUND^TION Ilst) FOUNDATION 2. ROUGH FRAME & .PLUMBING (2nd) INSULATION PER N. STATE ENERGY CODE FINAL ADDITIO~AL COMMENTS: MAY ! ;3 1992 ' TOWN OF SOUTHOLD ,' ~ BUILDING DEPARTMENT ~J~;; ........, - : '~/: TOWN HALL [_ ~WMO~S¢:W,~O~;,~ ¢ SOUTHOLD, N.Y. 11971 ................... --~ TEL.: 765-1803 Examined .... ~/~ ....... , t9 ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH 3 ETs oF SURVEY ................... CllgC~ .................... SEPTIC FORH .............. CALL ................... MAIL TO: Date ..--¢'/(>..: ........ a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ets 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- 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 ;hail be kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ;hall l{ave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uildi~g 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..femoval or demolition, as herein described. the applicant agrees to comply with all applicable laws, ordinances, buildin~r¢C]le, housing~ode, al~d regulations, and to ~dmit authorized inspectors on premises and in building for necess~?~. ~,~% ............... ~,,~Sig~naturf~)Iicant, or name, if a corporation) . I (Mailing address of applicant) State ~ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. 5fame of owner ofpremises' ' '~"~'~' I~'k ~' ' ' '~' ''' ' ' '~ '~'~'~' '~'(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 .............. P umber's License No .... .~..~c~. · · ............ EIectrican's License No....~...~..W~. <~-_-_-_-_-_-_-_-_~... .... Other Trade's License No ...................... · Location of land on which proposed work will be done .................................................. .......... 7. 0 rt, [louse Number Street Hamlet County Tax Map No. IO00 Section .... [ !7 .......... Block....~. ......... .... Lot .... ~.~. ~ ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E ist,n -use and occupancy ............................................. b Intended use and occupancy ~..,~ interior or corner lot. 3. Nature of work,(check which applicable): New Building .......... Addition ...... '.~'..".'-Alteration .......... Repair .............. Remdval .............. Demolition Oth I .............. . er Work ............... ~// 0.~. (Description, 4. Estimated Cost J (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... ~ ..... Number of dwelling units on each floor ................ · Ifgarage, numberofcars .. i '""' 6. If business, commercial or mixe occupancy, specify natuFe and extent of eachtype of use ....,.'r:-. ............... 7. Dimensions of existing structure~, if any: Front..· ,.~.O. ........ Rear ~.0. ......... Depth·./. Height .....].~t ....... Number of Stories .... /. ....... . 'i ....... .................. Dimension, s~of same structure with alterations or a/l.d,itions Front . i,,,~i~ ....' ' ' ..... 1.~ ight ~-'~' . bl 2~;,~ 2 $-' .......... Depth .................. He Num · ' ' ' ' t '~0 i ......... '-~ ............ ~ ....... ' ...... 8. D~menmons of enlir~ new construction. Fron Rear ,, .... I I, ' freight ..... ~..~. ...... Number of Stories . ~ .......... ' .......... 9 Size of lot: Front ' Rear ...... ' ...... ~ ....................... Depth 10. Date of Purchase ........... i ........ ' ......... Name of Former Owner ............... I 1. Zone or use district in which premises are situated .............. 12. Do s proposed constructma wol~te any zoning law, ordinance or regulation: . .~J~} ...... 13. Will lot be regraded .~ 2 ' ' ........ ..... ~. , .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of pre~nises ~ A.~,~ N me Architect ( ......... ^ddre s _.... ............... Phone NiT~t~If°n!oraCetr°f.. ~.,,. ,~..~,........,. ,Address ~,.~.~. } ~.~.. ~.03&"~/l~one, N'~o~.~.~/.~.'T.~. ~.~.' ~ 15. pr p uy w~nnzn ~o reec or a czaa± wetland? *Yes .... *If yes, Southold T6wn Trustees Permit may be required~ .............. -., [ PLOT DIAGRAM Locate clearly and distinctly all ~uildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or description accord/ng to deed, and show street names and indicate whether STATE OF NEW Y~hRIi~, .......... "'~'~--~.. ~.~..[ .................. being duly sworn, deposes and says that he is the applicant (Name of in~al signing con~act) ~ ~ · ~ ~ (Contractor, agent, corporate officer, etc.) ................. )f said owner or owners, ~is duly ~uthorized to perform or have perfo~ed the said work and to m~e and file this ~pplication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the .york will be perfo~ed in the m~ner set forth in the application filed therewith. ;worn to before me this ~ PO~IY~,, 0i' ~.i. [ ~ / (S,gnature of applicant) . Z25pSO,.Suffolk ~U~r /. ' I D~JCN ORITEBIA ~.000 De~r~e ~y~ (rO~ ~ON~EI,EOT~I~ ~IEAT.) ' O.A. lO°r I.A. 70°r