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Home My WebLink About21129-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22027 Date DECEMBER 15~ 1992 THIS CERTIFIES that the buildin~ ADDITION Location of Property 2300 PINE NECK ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 8~ 1992 pursuant to which Building Permit No. 21129-Z dated DECEMBER 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 UNHEATED ADDITION FOR STORAGE ONLY TO EXISTING ONE FAMILY DWELLING. The certificate is issued to GEORGE L. & GERALDINE SCHWAB (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-032423 - DECEMBER 8, 1992 / ~/ Building Inspector Rev. 1/81 ~vOEM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Date. : ./...'~., ...?... N-oN? :~112SZ .... ~ ....................................... ~.?.~ Permission is hereby g~anted to: ..., ., at premises I~ated at .~.~.~~~~.~. .......................................... c~.~ ~ ~ .o. ~0o0 ~,,o~ ....... z~ .......... ~,~ ....... ~... ~o~.o....Z ................ ~..~on, ,o o~,,~t,o, dot~ ......... ~/~ .............................. , ,~.~,~ o~p~o~e ~ ,,~ Building Inspector. Rev. 6/30/80 BUILDING DEPARTMENT TO~ ~LL 765-1802 A~FLICATION FOR CERTIFZCAT~ OF 0CCHPANC¥ Ac 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 '~pre-existingTM 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. 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 - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.90, Commercial $15.00 at ~ ~ New Construction ........... Old Dr Pre-existing Building ...... Location of Property ;'~..~.0. ~.., .~.7/. ~/~.~. ~.~.~_.~.~., ~.~.,. ~. ~ ~ .~; ] ./.y.~.%/./. ~. 2 ./ ..... House No. Street Harmlet Onwer or Owners of Property .... ; .... ~.. County Tax Map No 1000, Section .............. Block ............... . Lot ...................... Subdivision .................................. . . Filed Map ............ Lot ...................... Permit No. ~ll~.~[.~.. ..Date Of Permit ................ Applicant ..... Dept. Approval ....... ~../..~. ........... '.Underwriters Approval.i ..... ' .... ;'''i'''~'~ Health ...... ....... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ce,.rti~t~....~.. ...... .... ................. C ~'~0~'q j ~ ~ APPLICANT OU~;D ION ( 1 s t ) 'OUNDAT!O|! (2nd) ;OUGH FRAHE & -PLUMBING :~;SULATION PER N. Y. STATE CODE FI;;AL E~IERGY ADDITIO~[A'L COMME~;TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION /ND [ ] IN~LATIoN~' / [ ] FRAMING [ ~ FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS ~03'/20~ BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date D~ C [~[[~ ~{ 0~ ~ ~.9[)~ Application No, onfile 03~9~392/97 1'I THIS CERTIFIES THAT only the electrical ~ulpment ~ ~scrlbed below and int~uced by the applicant ~med on the a~e applic~tlon number in the premises of in lhe following location; ~ Oasem.nt ~ Ist FI. ~ 2nd f'l. Ol~? Secth,n Bilk was exa~nined on [~,L ~J~ R 04,1992 andfoundtobelnconpliancewlthlhereq~dren~enlsqfthlsBoard. Lot FIXTURE OUTLETS SWITCHES FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS FEET E R V I C NO, OF CC COND PER OF Hi-LEG NO, OF NEUYRALS OF NEUTRAL OTHER APPARATUS= electrical equtpme[it in the u~sati~factory cor~dition was [{>utld, 2300 PINE NF~Ct~ RD. · ~;O ff~HOLI), NY, 1 ~ 97 ] GENERAL MANAGER Per This certificate must not ~ ~Jlered {n any m~nner; r~u~n to the office of the Board if ~ncorrect. )nspectors may be ~denfified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' ' ,:,~,<~-'--,~ -~ ' TOWN OF SOUTHO~.L BUILDING DEPARTN~Eh NOV 2 7 199~ TOWN HALL SOUTHOLD, N.Y. 11971 Examined.~~[?.,, '"~,/ , 19 .,~."r'7 ,TEL.: 765-1802 Approved . . ./.~../~. ...... 19/~Pennit No. Disapproved a/c ..................................... (,g'uild inl~In spec t or) APPLICATION FOR BUILDLt~( INSTRUCTIgNS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... ~URVEY ................... CHECK .................... SEPTIC FORH .............. ~TO: PERMIT Date ......... 19 ~ a. This application must be completely filled in by W~)ewriter 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, relation~ship to adjoining premises or public streets 6,~ 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 shall be kept on the premises available for inspection throughout the w4rk. 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 Bu~tding 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 demolitjgn, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, bufldu~g)..~de, hogsi4rg-j~o~X'and r~gulations, and to admit authorized inspectors on premises and in building for necessary i~n~,~ns. ~ ///~/ /, -- /~e- if a e'nrJ~SigfiatlJ;i~ of applicant, or name, if a corporation) . ' .......... i~4~ilin~ ~c~d;e~; ;~'~ppli~a~t>'~,7' ~;~'~ / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ane of owner ofpremises~2~O.~. ~'-~' . ..... ~ ,..~.fl.~....~.~c[4)9..L...~.)' ,~...~-7-... .................../-'-, :.~. '~'~/~z///J..~.. (as on the tax roll or latest deed) applicant is a corporation, signature of duly authvorized officer. (Name and title of corporate officer) Builder's License No .... Plumber's License No ......................... Electrician's License No - Other Trade's License No ...................... Locatio..n of land on which proposed work will be done ............................................... . . g. .3. e.q ...... .P. c. . ¢._.c. .;!. .... .......... .c. .... . / l. / House NumberStreet Hamlet County Tax Map No. 1000 Section .... '.'7.~. .......... Block '....~ ............ Lot.. ~ ............. Subdivision ................. ' .................... Filed Mkp No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancY: 3. Nature of work (check which applicable): New Building .......... Addition -~:- .-:./~. · Alteration ............ Repair .............. Rem?al .............. Demolition .............. ~her Work~.. 4. Estimated Cost tS-hq-J,. (Description) ~ (to be paid on filing this application) $ If dwelling number of dwelling Onits Number of dwelling units on · ' ............... each floor If garage, number of cars ~ ....... · ......... 6 ' If business ..... I .... ' ......... ...................................................... . , commercial or mixed occupancy, spec/fy nature and extent of each type of use 7 Dimensions of existing structure~, if any: Front ...................... Rear - Depth Height Num bet of Stories ............................................ Dimensions of same structure with alterations or additions: Front Rear Depth 'Height .......................... .................... , ....................... Number of Stories . 8 Dimensions of entire new const~ction: Front ............... : ...... · Rear Depth Height Number of Stories .............................. 9 Sizeofl~: ............. I ........................... ~ ............................ · . '. Rear Depth · Front ........................................ I0 Date of Purchase ~ ...................... ' Name of Former Owner 1 I. Zone or use district in which premises are situated ..... ; ....... :E; ............................. 12. Doea p~oposed construction violate any zoning law, ordinance or reghlation: ........................... 13. Will lot be regraded .......... ; .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... ! ........... Address ... Phone No .......... Name of Architect ........... I ................ Address .......... ; ........ Phone No ................ Name of Contractor ........ ~.. ~ ............ ~ Address ...... . ........ .~apne No .......... 15. Is thio property within ~0 eet of a tidal wetland? *Yes.~ ...... ~o~. ...... ~ · If yes, Southold Tqwn Trustees Permit may be required. ~ ........ PLOT DIAGRAM Locate clearly and distinctly all b~ildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicite whether interior or comer lot. APPROV AS NOTED ' FOLLOWING INSPECTIONS: t. ~OU~D~rlO~ ~O FO~ FOUREO CO~CRETE 2. ~OUGH ~ FRAMING & ~LU~BI~G ~. INSULATION FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION & ENERGY CODES, N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~¢ ~ .......... being duly sworn, deposes and says that lie is the applicant name .~ is the ............ ~ .................................. ; ....... i (C ) ..................... Ontractor, agent, corporate officer, etc. said owner or owners ~d Is duly authorized to perfoma or have perfomed the said work and to m~e and file this ~plication; that all statements contained [~ this application are true to the best of his knowledge and belief; and that the ork wNl be perfo~ed in the m~ner set (orth in the application filed therewith· ~om to before me this i ..... ........ ct . '/ , ..., .... / ~m~$$lonn ...... ~.~gnature ofappl~c~~~* .... e'--"--n ) ~-00.0 F > Z