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Home My WebLink About20431-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20702 Date MAY 6~ 1992. THIS CERTIFIES that the building Location of Property 29535 MAIN ROAD House No. Street County Tax Map No. 1000 Section 14 Block i Subdivision Filed Map No. ACCESSORY ORIF~NT, N.Y. Lot 1.1 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 4¢ 1992. pursuant to which Building Permit No. 20431-Z dated FEBRUARY 14~ 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 BUILDING AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A HARRISON & FRANCES DEMAREST~ JR. Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, FI, Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Ne- 20431 Z Permission is hereby gm. nted to: / ............... :~ .......................... ~ ................... .~.~.~.~....~:......~ .................. ......~....,....~.~ .......... ~/.~¥.z. ........... // ~ . ,o . .~~./. . . . .~ ........ ~. .. . .~.~ . . . . .,. ~ ~. . . . . ~.~ ...~ .......................... ~,~..~.~.... ............ .~ ........................... ~ ................................................... at premis~' es located at .....~..~....~ ..................................................... co..~ Tox Mop No. ,000 S~c,on ........... ./...../.... B,ock ............. ./. ..... Lot No ........ Z../...: ..... pursuant to application dated ...... .~../.,,~... ................................... , 19..~..'...'~, and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTNENT · ~PLICATION 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, prophrty 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 i% lead. 5. Comercial 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. B~. 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 lihes, streets, building and unusual natural or ~opographic features. 21 A ~roperly 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. C. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, AlteraCions to dwelling $25.00, Swiping 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, Co~ercial $15.00 S~cet Hamlet ....... Block ............ Lot .... . ... Subdivision ..................... Filed ........... Nnp .......... Lot ...................... N ~ ~ .... " ' ..... :. · .. Health Dept. Approval ................. Underwriters '' ' Approval Planning Board Approval ........................ Request for: Temporary Certificate ........ Final Certicate ........... ....... .................. 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. I-I~RRIS, 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 APRIL 27, 1992 HARRISON DEMAREST & WF 34415 MAIN ROAD ORIENT, NY 11957 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. XXX The check is~rr~K~fnot 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 ~ 20431-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~OUNDATION (1st) ~OUNDATION .~. ~,OUGH FRAME & ADDITION ~'b COMMENTS (2nd) .PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FI~;AL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] I~LLLATION FRAMING [ ~FINAL INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined /. ¢. · ........ ,19 Disapproved 3/c ..................................... . . (B~ding ~ect~r) I 2 APPLICATION FOR BUILDING PERMIT BOAED OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPIIC FORH .............. NOTI FY ~ C^L HAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 ~iving 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 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 shall be kept on the premises availabl~ 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 necessaT)inspections..,~ (~ .... ~ ¢ · -- (Signature of applicant, or name, if a corpora{lbiaSn) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .......................................................................... (as on the tLrA roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No ......................... Electmclan s L~cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done. House Number Street Hamlet County Tax Map No. 1000 Section CD\~v'°(~ Block (D\ .c.~> Lot 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 b. Intended use and occupancy 3. Nature of work (check which applicable): New Building ...'~. ...... Addition .......... Alteration Repair .............. Removal ............ Demolition .............. Other Work .... -~ ~ (Description) ~ (to be paid on filing this application) 5. If dwelling, number of dwelling t~nits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed! occupancy, specify nature and extent of each type of use ..................... .7. Dimensions of existing structurei, if any: Front ............... Rear ............ Depth . . Dimensions of same structure with alterations or additions: Front ................. Rear ................. ~Depth ..... ;. .............. I · Height ....... : ' i ............ Number of Stories .......... 8. uimensions ct entire new construction. Front .\O mm, \ot n ,~ kk~" ....... freight .... V¥ ......... N~u ,mber of Stories ..... ~ .... Size of lot: Front ~ ... I Rear "z_~ 10. Date of Purchase ........ '3.°~..~ ................ Name of Former Owner ............................. 11. Zone or use district in which premises are situated 12. Does proposed construction violalte any zonim, law ordinance or re"-'~*;~,-. ~ o 13. Will lot be regraded ...... ,.,. I.°. :~ .c~, ............ Will excess fill be reoaov~d from premises: Y.es, Name of Architect ....... ~ Add Ph N Name of Contractor ........ i · .~ ................ Address ................... Ph No. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ O~ ............... · If yes, Southold T~wn Trustees Permit may be required. Locate clearly and distinctly all buildings, property lines. Give street and block ntamber or interior or comer lot. PLOT DIAGRAM whether existing or proposed, and, indicate all set-back dimensions from descriptio~ according to deed, and show street names and indicate whether ! O APPROVED AS NOTED BY' NOTIFY BUILDING O[bART~T AT 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - '~0 REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRUCTION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW V~RK I COUNTY OF...~-"..'~.'~.~. ...... S.~ . y.~..l~r-,o,-- 3..~e.~.'~ra~-~'~ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) tbove named. i i (Contractor, agent, corporate officer, etc.) ~!d ev.'ncr ~- c, wncr~ a~d is duly i ~, ~uthonzed to perform or have perfo~ed the said work and to m~e ~d file this pplication; that all statements contaln{d ~ this application are true to the best of his knowledge and belief; and that the york will be perfo~ed in the m~ner s6t forth in the application filed therewith· ;worn to before me this ~,o ........... ~ ..h'- ~ V ~(Signatur6 of applicant)