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Home My WebLink About20755-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22501 Date AUGUST 6, 1993 THIS CERTIFIES that the building. Location of Property 380 KNOLL CIRCLE House No. County Tax Map No. 1000 Section 37 subdivision ADDITION EAST MARION~ N.Y. Street Hamlet Block 5 Lot 11 Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23{ 1992 pursuant to which Building Permit No. 20755-Z dated JUNE 23, 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 DORMER ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MYI~S SCHNEDIER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-284600 - JULY 30~ 1993 PLUMBERS CERTIFICATION DATED NOV. 22~ 1992 - VANETTEN PLUMB. & HEAT. Rev. 1/81 I~OR.H NO, O 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) N-°N9 2075~Z Permission is hereby granted to: .... ~.~ ..... .~;~ .... d!~.. ~/~ .............. _ .... ~ ...... ~ ...... /.. .... :~..e.:.~' ........ ~ ...................................... &') A%'o/, C~/~ .... ~t premises Iocoted ~t ......~..' ........................... //. ........ ': ...... ~ ................................................................. .................................................. .~ ....... ..~.~.~:z ....... ~ei~...,. .................................................... County Tax Map No. 1000 Section ..... ,.~..~... ........... Block ...... .(~..~.. ........ Lot No ....... ./, ./. ............. pursuant to application dated .............. ,~/..~.: ................................. , 19.~.....z~.., and approved by the Building Inspector. Fee $...~...o~.. ......... Building Inspector Rev. 6/30/80 Form No. 6 . G. DEPTAPPT.ICAT TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 )N FORCERTIFICATE 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, 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 ~md similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Subm%t 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. 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 $15.00, Commercial $15.00 ' .... ;ew Construction ........... Old Or Pre-ex%sting Buildin~ ..... .~... L~cation of Property ..... .~..~..0...' ....... ., House No. Street Hamlet .......... Onwer or Owners of Property ..... . ................................ S- County Tax Ma~~...~.S~ec.~.i;I .... ~..~.....Block ................ Lot ................... ..... . .Filed Map ............ Lot ...................... o ~5~ .Date Permit N .~.. ........... Of Permit...~./~...~/.~?-..Applicant .~...~..~. llealth Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate....~.. .... Fee Submitted: ~ ~-~.OO ' .................. TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION (please prznt) (p ease print) 'Z certify tha~ the solder used in the water supply contains,less than 2/10 of 1% lead. system 19~_~. [;Otary Public--County (plumbe~r's signature) Ncarf;ubli~ JANET E, STAPLE8 Notary Public, ~m~ of New y~ ~ 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 Michael J. Verity P.O. Box 476 Greenport, N.Y. 11944 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 April 27, 1993 2nd NOTIFICATION Re: Myles Schneider 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 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 9 20755Z-(DORMER ADD) 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 ¥incent R. Wieczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Ro~d Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 NO~gMBER 9, 1992 HICttAgL VgRITY P. O. BOX 476 GREENPORT, NY 11944 RE: MYI,ES SCt:hNEIDER To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xxx An application for Certificat~ 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 ~ 20755-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: MYLES SCHNEIDER FOUNDATION ( ls t) FOUNDATION 2. ( 2nd ) ROUGH FRAME & -PLUMBING INSULATION FERN. STATE ENERGY CODE FI;IAL ADDITIO~;A'L COMMENTS t 765-1802 BUILDING DEPT. INSPECTION [ '1 FOUNDATION $.ST F ] ROUGH PLBG. FOUNDATION ZND [ ] ~It~_ATION FRAMING [~J FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~r'I~OUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [~l,~~ [~] FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND ~fl~'~TION [ ] FRAMING REMARKS: FINAL THE NEW YORK BOARD OF FIRE UNDERWRITERS ~.9q~9 BUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~[[~,g ~(,~ ~ [~t9~ ApplicationNo. onfile ']93~9~/~ ~] ~ o~y the el~trical equipment ~ ~scrlbed bs~w a~ int~uc~ by t~ applicant ~med on the a~e applic~tlon number in the prem~es of in the~olbwlng locatlon; ~ Basement ~ Ist 3~. ~ 2nd ~. ,Section Bilk Lot ~s examlned on ~ II h Y 2 7 , ] 9 ~) 3 and found to be in compliance with the Na~onal Elect~cal Code. FIXTURE OUTLETS ECEPTACLES SWITCHES INCANDE$CE 2 ? DRYERS ] FURNACE MOTORS FIXTURES FUTURE APPLIANCE FEEDERS SERVICE DISCONNECT NO. OF S R V OTHER APPARATUS: OVENS I DISH WASHERS T KW, ,MT KW UNIT HEATERS MULTI-OUFLET SYSTEMS HO. OE EEET C EXHAUST FANS DIMMERS AMT. WATTS NO OF NEUT~AL$ A-W G OF NEUTRAL P.O, BO'8 38 GENERAL MANAGER This certificote must not be altered in an>' 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 MANNER. TO.' G. ¢' A'/A~GARZ~7' t~ VALeNTINe: HARTFORD FUAIDING LTL2. /IV FRA CO A S TA L ~7 ~S 7-~A 0 7- ~OR~. LO T 25 .~' Z~ - Ad,4P OF S£CTIOIV SITLIAT£~ w7£ £~ST Ad~RIOtV TOI'VIV OF SOUTHOLD, SUFFOLK FILED'SEPK Z~, IR2?-MIAP IV-~. ZTE D/ST lO00 S£C ~7 ~Zt~ 5 LOT l/ BLDG. DEPT. TOWN OF SOUTHOLD Examined ..... ~./?.-:~ 197.22. Approved ............ 19~/.~. Permit No .~...~'.ff-..O~.~.':. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971' TEL.: 765-1802 (B/2(il~lir~ g Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK ...; ................ SEPTIC FORH .............. t,O,~ s. PY , c^,.L . .Y??.: ZXLZ ...... HAIL TO: 1. Location of land on which proposed work will be'done .................................................. A ..0 .......... .............................................. House Number Street Hamlet 7 County Tax Map No. 1000 Section ..... ~. ............ Block .... ,,5'- Lot Snbdivision Filed Map No ............... Lot ............... (Name) L State existin~ use and occupancy of premises and intended use antt occupancy of proposed construction: a. Existing use and occupancy Z. ~.~..~ b. Intended use and occupancy .......... . Other Trade's License No ...................... · (Name and title of corporate officer) Builder's License No..~. Plumber's License No .... ~..O.B.. ~. ........... Electri~ian's License No....~..~.,~ .~..~ ......... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE[FOR C.O, ALL CONSTR(JC¥~ON SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CO~ES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS · I INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 acts 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 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 w~rk. e. No building shall be occupied or used in whole orin 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 necessary inspecti9gs.... ~¢ ,/ (Mailing address of applic~ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ..................................................... O, ,oy O.AS .mD ...... Name of owner ofprem scs ]~ y/~:~ ..~ .~., i1~' U ~'j ,D,~ J~, DATE: ~B.E # ...... / ............ (~s ;n t'h'e t'ax' ~o'11 o; ia't::( '' ''-'mc ,,~-v u iLO Nt.i 'l~_Y_'.'~"~'..q~ '--r EPAFrrMENT AT If applicant is a corporation, signature of. duly authorized officer. 765-1802 9 AM TO 4 PM FOR THE 3. Nature of work (check which applicable): New Budding Addition .... z. .... Alteration ... Repair .............. ' .... ; ..... ' ' Removal .............. Demolition 4. Estimated Cost ,~' .~,~.O, pC). , ~ (to be pai~l q[[filing this application) . 5 If dwelling number of dwelling Cnits ' Number of dwelling units on each · ' ............... l~oor If garage number of cars ~ ....... . .......... 6. If business, commercial or mixed occupancy; specify nature and extent of each type of use ........ · ,e~g,[ ... q ........... Num[ber of Stories ................ . ' ' a e'structure " · ' ............................ with alteratmns or additions. Front rr Rea~ e'~ t/Dim pth . . .~..~ll,. ........... ~. · Height ..... 7 ............... Number of Stories .......... '~ . 8. Dimensions of entire new onstructmn: Front ............... Rear ............... Depth ............... Height .............. .~Number of Stories ............ }' ....... ' ..... 10. '" · 1 I. zone or use aistrict in which premises are situated ~K~ 5 t ~'~;~[,~ t, ............. Does proposed constructiort violate any zonin,, law orain ....... o ~ ,' I/~, ' .................... ~ .......................... Will excess Iln De removed from premises: Yes 14. Name of Owner of premises ..,; ........ Address ..... Phone No. Name of Architect . .fi,~ ..................... Address ................ Phone No....~... Name of Contractor ~lL~iat..~ 07. ff~'t~n'l~ . Address ~..q:qq.o.~..~.76....C~..~ne No..~..7* ~.q(.7. 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ..... .... ' · If yes, Southold Tbwn Trustees Permit may be required. 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 n~mber or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW YOaR,K~ · _ :ou ¥ OF., .... ~1~ ~ ~ ~ & t ~'.~ ........... being duly sworn, deposes ana says that he is the applicant (Name of individual signing icontract) bore named. ~ [ (Contractor agent corporate officer etc ) ................ f said owner or owners, ~d is duly a~thorized to perfo~ or have perfo~ed the said work and to m~e ~d file this pplication; that all statements containea ~ this application are true to the best of his knowledge and belief; and that the 'ork w~l be perfo~ed in the~a~ sci forth in the application filed therewith. ~ to e o. ........... ~.t~ .~~.. 0 .... ~ .... ,19 ~ . ' f ........ ............ ~ 472~, ~i~ . (Si~ature of applicant)