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Home My WebLink About20424-zFORM NO. 4 TOWN OF SOUTROLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23577 Date F~%RCH 30, 1995 THIS CERTIFIES that the buildin~ Location of Property 7945 F~%IN ROAD House No. County Tax Map No. 1000 Section 31 Subdivision ALTERATION EAST MARION NY Street Hamlet Block 2 Lot 28 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 7, 1992 pursuant to which Building Permit No. 20424-Z dated FEBRUARY 7, 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 ALTERATION TO ENCLOSE EXISTING PORCH AND REMODEL KITCHEN OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RAYMOND & JUDITH JACOBS of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N251524 PLUMBERS CERTIFICATION DATED Rev. 1/81 SEPTEMBER 24, 1994 N/A / Building Inspector ~0~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREA~ISES UNTIL FULL COMPLETION OF THE WORK, AUTHORIZED) Ne 20424 Z Permission is hereby granted to: ....................... at premises located at .2.~..~..~ ........ ..~.t..~.....~.., ......... .~.~..~........~...~ ................... County Tox Map No. 1000 Section ..... ..(~...~....I ....... Block .....(~t ............. Lot No.....~..~.. ............... pursuant to oppllcation dated ...~...~,~a.q~....~. ...................... , 19.~...~..., and approved 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 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 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 Upre-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. 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 $15.00 Date .... ~b~¥.~,..~9~ .................. New Construction ........... Old Or Pre-existing Building .... ~ ........... Location of Property... ~ ................ M~Ag.8o~ ................ ~m~.Mm~io0 ......... House No. Street Hamlet Onwer Owners of Property County Tax Map No 1000, Section .... ~$...' ..... Block ...... ~ ......... Lot ..... ~ ............... Subdivision .................................... Filed Map ............ Lot ...................... Permit No ................ Date Of Permit ............... :Applicant ............................. Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted THE NEW YORK BOARD OF FIRE UNDERWRITERS 1, J. 9~%~ BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date THI~ CERTIFIES THAT ~,~~ IstFI. ~ 2nd FI, Section Bilk Lot FIXTURE OUTLETS ~ECEPTACLES SWITCHES [MCANDESCENT DRYERS FURNACE MOTORS AMT K, W. OiL H.P. GAS H, P FIXTURES UTURE APPLIANCE FEEDERS RANGES ,MT, K, W, ~PECIAL KEC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET SYSTEMS AMT, AMPS TRANS, NO. OF FEET NO. OF ! S SERVICE DISCONNECT OTHER APPARATUS: ~.~O~l'OR~ ~.~F H, I C E NO O~ Hr-LEG EXHAUST FANS DIMMERS GENERAL MANAGER 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 NIANNEE. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT o~ly the eJec ~rica~ ~uipment ~ ~acHbed below and i~t~uced by t~e applicant ~med on ~he a~e applic~tlon number in the premises of in the flolmwing location; ~ Basement ~ Ist FI. ~ 2nd ~. Oll? Section Bilk Lot ~sexat, laedott J[]N~ ~.5 ,199~ andfoundtobeinco,tplla.tceu'iththerequlre.nentsofthlsBoard. FIXTURE FIXTURES RANGES :OOKING DECKS ~ OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER 6 ~2 6 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS [JNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO OF CC. COND. PER ~' OF CC, COND~ OF HI-LEG OF NEUTRAL GENERAL MANAGRR 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 (:OPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 23, 1995 Mr. Raymond Jacobs P.O. Box 255 7945 Main Road East Marion, NY 11939 **** 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. 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 # 20424-Z Please contact our office on this matter. cooperation. Thank you for $OUTHOLD TOWN BUILDING DEPT. 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 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 .lilLY 27, 1992 RAYMOND & 31JDY JACOBS 7945 HAIN ROAD ~ST I~RIO, lfl 11939 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 ~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 ~ 204~-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ·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 SCOTI' 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 MAY 15, 1992 RAI"MOND & JIJDY JACOBS 7945 MAIN ROAD EAST MARION, NY i 1939 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. xxx 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 ~ 20424-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUIIDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE ~'-~ ~'//-~2~*~ I N $ P ECTO R~-**~ ?~/ FORM NO. 1 TOWN OF SOUTHOLD 'BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 pproved . ~..~,M~.~.."~.., I9~.~w. Permit No..~..~. 9..~.~...'~ isapproved a/c .... ......... ~ ..................... ............................... ' ..... (Building Inspector) BOARD OF HEALTII ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK . .. CALL ................... HAIL TO:, a. This application must be completely filied in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ of plans, accurate plot plan to scale. Fee according Jo schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining'premises or public stree{s areas, and giving a detailed description of layout of property must be drawn on the diagram, which is part of this appli- ion. · ¢. 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. th~ applldmit. Such p~rrhit 11 be kept on the premises available for inspection throughout the. work. ' e. No building shall be occupied or used in whole or ih part'for ~ny purpose whatever until a Cer'tificate of Occupancy' 11 have been granted by the Building Inspector. ' ' . ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building P~rmit pursuant to the lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ; applicant agrees to comply with all applicable laws, ordinances, buflding, oO~le, housing code, and regulations, and to lit authorized inspectors on premises and in building for necessary inspe,of'~. (Mailing address of applicant) N.Y. 11939 te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder2 ne of owner of pre~nises ..... F{/~ Y~ID.R[1 . {~..d. tl~ I .TH..J.O¢OBS. . (as on the tax roll or latest deed) pplicant is a corporation, signature of duly authorized officer. ~l~k~l~yl~/413 ~l~t .(Namb and title of corporate offiqer) ..... Builde'r's License No ............. $ [ L F ......... ' L' N PENDING Plumber s lcense o .... 'PENDING i an's Li Electrci . censeNo ................... ~ .... . . . :'.. . Other Trade s License ..............ti,,. -ocatmn of land on WttiiJl4k~ one. ' '~ - ~,':*.' ,"O~ ~7~,iq .................................. ~ ~ ~ · ~ ............ ' ' .' 7945 '~:',~f& ~a~'. ' EAST MARION ......... , ..... ............. Fp .............................. -~ouse Number ,'-~ - ~ ~i'a-~t~ ~ : " ....... Jounty Tax Map No. I000 t~ ~O~ Block 2 ' Lot 28 tfiirloa .................. .... ,ubd~vmmn ~o~ Filed Map No ......... Lot (Name) :tate ~xisting use and occupancy of premises and intended use and occupancy o~ proposed construction: Existin use andoccupancy ...... oNE'FAMIL'Y DWEELiNG'"" ' · Intended use and occupancy S~E .......................~,, .... ~, , · ; .............. .~; ;4~ .' ... 3. Nature of wot check winch applicable): New Building ...... Addition , Alteration X Repair Remova'l Demolition .............. ............................ Other Work ............... I~ i .... ~_.~ (Description) 4 Estimated Cost ~}~, ~' . ~ I (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 ~ ................ 6 If business commercial or mixed o~eupancy ........................................................ 7' Dimension's of existing structures , specify nature.and extent of each type of use ..................... · if any: Front Rear Depth Height .......... Nulnhor nr Dmaenmons of same structure with alterations or additions: Front ......................................... Depth 'Height ................. Rear .................. ............................................ Nmnber of Stories ...................... 8. Dimensions ofentire new construction: Front Rear Depth Height Number of Stories ............................................ 9. Size of lot' Front ' ,, ........ ...... · ..... .* ............... Name of Former Owner ..................... 1. Lone or use ulstnct in wluch premises are situated .......... ..... ' ...... 2. Does proposed construction violate~ ............. i'i"i'i ....... ny zoning law ordinance or regulat on' . .... . '. 3. Will lot bereeraded ! -,. ~ ' '":L ................... ......... ................ Will excess lnl De removea zrom premises: Yes No 4 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 300[feet of a tidal wetland? *Yes ........ No ......... ·If yes, Southold Tow~ Trustees Permit may be required· PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or descriptio~ according to deed, and show street names and indicate whether ~tedor or comer lot. REMODEL EXISTING! KITCHEN AS PART OF KITCHEN. TO INCLUDE EXISTING BACK PORCH JACK-UP PORCH INSTALL FOUNDATION UNDER sAME, AND'iNSTALL NEW WINDOWS· ' OCCUPANCY APPROVED AS NOTED DATE:~ B.R # ~''~ FEE: ~ BY: ~ NOTIFY BI,flLD~NG DEPARTMENT /,1' FOLLOWING INSPEC'HONS. 1. FOUND~hON ~O REQUIRED FOR POURED CONCRETE 2. ROUGH · FRAMING & 3. INSD[ATION 4. FINAL CONSTRDCTtON OE' COMPLETE FOR C.O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, ~TATE CONSTRUCTION ~ ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONff[RUCTION ERRORS ATE OF NE)~tCORI_I_I~..~.~/~/ S S ,.U. NTy 0£..'-~.W'/?.. L .~.. · , .... ~~.~ · ~..3~ .~ ~ .......... being duly sworn, deposes and says , is the applicant (Na~e of individual signing cc ntract) that ~ t,.... :, .................. ~ ~ 2~.~ .................... 'k w~l be perfo~ed in the m~er set forth in tho application filed therowith~ ............ ~. ~ ...... a~or ..... i. ,_ c,v. ....... ~ .. NOt~ ~ubfic, State bf NOw York Qualified in Suffolk C~unty ~ ~mi~ion Expires December 8, 19 ~