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Home My WebLink About21159-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southeld, N.Y. OERTIFICATE OF OCCD-PANOY NO Z-23029 Date JUNE 7, 1994 THIS CERTIFIES that the buildin~ i%LTERATION Location of Property. 3630 NORTH SEA DRIVE House NO. Street County Tax Map No. 1000 Section 15 Block 1 Subdivision Filed Map No. ORIE~FT, NETW YORK Hamlet Lot Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 1992 ~ursuant to which Building Permit No. 21159-Z dated DECEMBER 18, 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 ENCLOSE EXISTING MASONRY A~O~ ROOF OF ONE FAMILY DNELLING ~ APPLIED FOR. The certificate is issued to JOHN A. McGUIP~ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A iingInspector Rev. 1/81 l~O~v~ NO. :~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°-N? 2115~ Z Permission is hereby granted to: / ,,~ __ __ .~..:~....: .~..,,~...~.~.~ ........ i ......... - .................................. at premi,~ located at ....... .... ~,":'"T~:'7'"'~' ....... ~'~ ........ '~' ......... ~_ ~..~o~2~ ' County Tax Mop No. lO00 Section ....... ..~(...'~... ........ Block ......... ~ ......... Lot pursuant to application dated .... ..-~.....~...~ .,~"-. ............. ~ ............ , 19.~.....~r:C, and approved by the Building Inspector. Fee $.. ' .~.~..~ Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD~-'~ BUILDING DEPARTMENT 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 inst~llation 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. ,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 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 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-existinR Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ...... ~,.-J~.f ...... Location of Proper ....................... % .................. House No. Street Hamlet Onwer Owners of Property '~-'-~f-~f~ ~.~.z~..~ County Tax Map No 1000, Section ......... Block ............... Lot .... .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No..~./..g . ..Date Of Permit.. V.~..~.*~.~.~...Applicant ...... -~uw-~.x-~.' ..... ~,.-~.-+,-~... Health Dept. Approval.' ...... ~...~ ......... Underwriters Approval...~. ,, ./.~. ............... Planning Board Approval.il...~.~ ........ ii. Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ......................... % ........... - ........ Co ..~9~ 3 04:~ ~ ~ , APPLICANT INSPECTORS Victor Lessard P~incipal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wieezorek 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 ~outhold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD JUNE 30, 1993 ECHO HOME I14PROVEMR/~S 662 ROUTE 25 A ROCKY POINT, 1~ 11778 RE: JO~N A. McG~IRE To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx 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 inspectio~ has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ 21159-Z Please contact our office on this matter. cooperation. CC: Thank you for SOUTHOLD TOWN BUILDING DEPT. JOHN A. McGUIRE' ~OUNDATION__ (1st) ~OUGH FRAME & -PLUMBING !1 [NSULATION PER N. Y. STATE ENERGY CODE FI;;AL ;%uUITiON~L COMMENTS: 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~]~INAL 'FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined /.~...~.~./Oc~ .., 19 ~.e9- ., 192~. Permit Disapproved a/c ..................................... ./(Build~ inspector) APPLICATION FOR BUILDING PERMIT Received ........... ~19.. Date ................... 19.. INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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 preml{~s.'}'.¥~i~'ti~fi~?,f~th0~jiOih.~hgkgt~ra~ses or public streets or areas and g~vmg a detmled descnphon of layout of property mus~. be dLa~n on~t~ih~wtlmh4~s part of th~s apph- c. The work covered by th~s apphcat~on may not be commenced, before ~ssuanpe of gBilam~ Perm,*. d. Upon approval of this application, the Building Inspector will issued a' Buiid~ ?e it tb"th6 a~plic~t. Such pemit shall 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 whatevgr until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the BuildNg Dep~tment for the issuance of a B~lding PermR pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, Ne~ ,York, and other applicable Laws, Ord~ces or Regulations for the construction of bulldogs additions or alterat[gns 0f for removal or demolition as herein described. The a licant agrees to comply with all apphcable laws ordin~q~S"hh~l'~N~ ~do]~musln'~ &~de :an~ regulations, and to admit authorized inspectors on premises and in bmldmg for necessa~ms~.-~- ~ ~ - ~ .{:J~.'..~ . / ~ ~ :~~, or name,~~) (Mailing address of applicant) State whether applicant is owner lessee, agent ~chitect engineer, ge~p[al .9~ntractor, electrician, plumber or buil~ ............... ..... ..................................... ~ Name of owner of premises ........ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authohzed officer. (Name and title of corporate officer) Builder's License No... ~(l~O.'t..~"~' .~. · ..... Plumber's License No ......................... Electrician's License No ....................... Trade's License No ......................~ Other ~ 1. Location of laud on which proposed work will be do ... . . .. . . ~~ ................ ~ ltouse NuLn_ber_~..-~ ~ Street Hamlet ~ County Tax Map No. 1000 Section ..../.-~.. .......... Block .... ?. ............ Lot..~.~../ ...... i~'Subdivision ................ (iq'a~4) ................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... _~.~.__~~,-,---- ..... i~_ ..~.~ ..................... b. Intended use and occupancy ........................ M'~~:.'~. ......................................... 3. Nature of work (check which applicable): New Building ' Addition... ....... Alteration / Repair .... ~ ........ Removal .............. Demolition ............ i.. Other Work ............... (Description) 4. Estimated Cost ......... ~.~.~.~!.~. D .............. Fee...~...~...~...: ........................... (to be phid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unit~ on each floor ................ If garage, number of cars ............................................. i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ................ ', .... 7. Dimensions of existing structures, if any: Front ............... Rear ........ 1 ...... Depth ............... Height ............... Number of Stories ............................. i ........................... Dimensions of same structure with alterations or additions: Front ............. i .... Rear .................. Depth ...................... Height ...................... Number of Stories ....... . ............... 8. Dimensions of entire new construction: Front ............... Rear ......... ! ...... Depth ............... Height ............... Number of Stories ............................. i ........................... 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner . .i ........................... 11. Zone or use district in which premises are situated .......................... ~ ........................... 12. Does proposed construction violate~any, zoning law, ordinance or regulation: .... . 13. Will lot be regraded ......... /x~/0.~...~. ........... Will excess fill be removed:from premises: Yes ~ 14. Name of Owner of premises ............ ........ Address ................ ~... Phone No .............. '~] Name of Architect . . ~;]2~ ..................... i ~ ~.' ~.' ~:c~f~. ] ] ' · ~/~.~ ~./q( . Address .Phone No ........ ~); ..... Name of Contractor .... !.fl~D'F~ .... Address . Phone No../)qq-t/ ~ PLOT DIAGRAM Locate clearly and distinctly all buildings, 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 mdmate whether interior or corner lot. APPROVED AS NOTED DATE: , , ,! FEE: _ ....... j, BY: - , -" NOTIFY RUILDINGI DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION i- TWO REQUIRED FOR POURED CONCRETE 2. ROUGH o FRAMING & PLUMBING 3, INSULATION & FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW Y_OR.[c~ . ' S S · -. · · · , .v~~'.. . ......... being duly sworn, deposes and says that he is the.applfcant (Name of individual signing contract) a~ove namea. ae is the ~f said owner or owne~, ~d is duly autho~zed to perform or have perfo~ed the said work and to m~e and file this application; that all ~tatements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfom~d in the m~ner set forth ~ the application filed therewith. Cwom to before me this ~ ......... 1~,../~.day~ ~.. ~.~ ..... 19~.~ qota~ Public, ... ~~.: ....... Cou o. 4725~[ Su~ ~u~ ',