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Home My WebLink About20778-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21020 Date SEPTEMBER 15~ 199~. THIS CERTIFIES that the building Location of Property 260 SUNSET WAY House No. County Tax Map No. 1000 Section 91 Subdivision ADDITION SOUTHOLD~ NEW ~YORK Street Hamlet Block 1 Lot 6 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1992 pursuant to which Building Permit No. 20778-Z dated JUNE 29, 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 NON-HABITABLE STORAGE AREA ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PAUL & ROSEMARIE BIRMAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N-246019 - AUGUST 24~ 1992 uilding Inspector Rev. 1/81 FOILM[ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION'OF THE WORK AUTHORIZED) N~N? 20778Z Date ............ ~. .......................... , i~.~.~. Permission is hereby granted to: ....... ....................................... ...... ......... .......... __~:~:""'":"':: ....... ~ ~o P--~/ ~/~ / .4/.1 / ,4- ,.~,,,."~: ............ ~.~.~.... .4........~'T,~,c.~ ........... .~4~..a ....... ~...~..zz~.... ...~.... ............................... . . . .~. . ..~. . . .;.~.; .~..-- ...... ?~.~ ~.~ ~. ~ ~. . ......... ~ ~ ....... . . .~. . . .~ ~. ~. . . . .~. . . .~. : ............................................. at prem,ses located ot .......~ ................................................... .~ .~. ...................................................... _ ~-/~ ~ u'. .................. County Tax Mop No. 1000 Section ...... ~../.. ........... Block ....... ~../.. ........ Lot No .......... ~..~ ........ pursuant ,o application dated .................. ~./.~..~.. ....................... , I9..~,..%~., and approved by the Building Inspector. Fee s....~..~.~ ...... Building Inspector Rev. 6/30/80 SEP I ~ D,g2 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ': APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildifig inspector with the following: for new building or new use: 1. Final survey of property with accurate location of ail 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 f~om 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 an~>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~gses: 1. .Accurate survey of property showing all property lines, streets, building and 'unusual natural or topographic features. ; 2. A properly completed application an~'~ 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, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Cer.tificate 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. T~mporary Certificate of Occupancy - Residential $1~.00, Commercial $15.00 " ~/' ~ · ocation of Property .................................. ~ , ~ ...... .... House No. Street Hamlet nwer or Owners of Property ............ ~ ~4~ · . oust~ ~ax Map No 1OO0, Section ...... ~ ..... Bloc~ ..... ~/ ........ ~ot ..... ~ .............. ubdiviaion .. · .................................... Filed Map ............ Lot ..................... ' O rermit... .... ~ .... ~ ..... . ...... ....Underwriters Approval .... ~.~..~. ........... lansing Board Approval ..... ~./~ ............... ~quest for: Temporary Certificate ........... Final Certicate. / ~e Submitted: $ ..... ' ................... INSPECTORS Victor Lessard Principal Building Ir~pector 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD 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 SEPTEMBER 14, 1992 JOH~ BORN 1675 CEDAR BEACH ROAD SOUTHOLD, NY 11971 RE." PAUL BIRMAN 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 ~x~X/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 $ 20778-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: PAUL i IRI//~ FOUNDA'TION (1st) FOUND^TIO~~ (2n_d). ., ROUGH FRAME INSULATION .PLUMBING PER N. Y. STATE ENERGY CODE FI;IAL ~DDITIONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL REMARKS: DATE ~///~/~,./ INSPECT 765-180Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION ZND [ ] [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION DATE 765.t802 BUILDING DEPT. INSPECTION ! OUNDATION 1ST[]ROUGH PLBG. OUNDATION 2ND[]INSULATION RAMING []FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND []/INSULATION / FRAMING [v~ FINAL REMARKS: DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS ~c~, ~, [~)~}~J,~,[ BUREAU OF ELECTRICITY ]~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scr~b~ be~ and int~duced by t~ applicant ~m~ on the above application number in the premises of Lot FIXTURE FIXTURES RANGES OVENS DISH WASHERS OUTLETS SWITCHES FLUORESCENT OTHER 1 2 DRYERS SYSTRMS E OTHER APPARATUS: R V I C NO OF Hi-tEG OF Hi-LEG OF NEUTRAL e~NfnAt MAN~En This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by thei~ ~:redentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 76!5-1802 ., ./(~Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTII ......... 3 SETS 0F ?LAN5 .......... SURVEY ................... CI1ECK ....... HAIL TO: Date ........... 19 · J 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 ~r ~reas, 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 coverdd by this application may not be commenced before issuance ;f Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit :hall be,kept on the premises available for inspection throughout the w6rk. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy ,hall 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 3uil~ling Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ~.egulations, for the Construction of buildings, additions or alterations, or for removal or demolition, as herein described.' ['he,applicant agrees to comply with ail appLicable laws, ordinances, building code, housing code, and regulations, and to .dmit authorized inspectors on premises and in building for necessary inspections. _ . .... : .... ..... (Sionature o~' applicant, or name, if a corporat[o'n') "' .................... .... (Mailing address of applicant) 3tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ i ........................ .~.~...~?.~.... ~:c~g~ ..... AP~ROVED AS NOTED xame oIownerotpremises . ,/7'~L .D. tc.~n.~ .......... ~; ................. · , ( n the tax roll or latest ~y BUILDING D~PART~ENT AT f applicant is a corporation, signature of duly auth~orized officer. 765-1802 9 AM TO 4 PM FOR THE (Name a d tle ofco ora e officer) OCCUPANCY 0~ Builder'I License No ........ L~' ~.-~-*-i~ ........ USE IS U/tLAWFUL Plumbers License No .... d/~. . WUHOUT CERTIFICATE Electrician's License No '~......... OF OCCUPANCY Other Trade's License No . Location of land on which proposed work will he'done House Number Street Hamlet Cou,t~,~x u,p ~o. ~000 s~io, .... '.. ~ ( ......... ~lo~ .. / .....~ ........ Lot .......... Subdivision ...... ~:~&{~ ~e~i~ Filed Map No ......... Lot (Name) .............. State existing use and occupancy of premises and intended Use anU occupancy of proposed construction: a. Existing use and occupancy ............................................................... b. Intended use and occupancy ..... ~.- &~)...~t~7>.'. ~,~~ ~ ~a~ ,fo ................. FOLLOW~NG INSPECTIONS: 1. FOUNDATION - 'lIMO REQUIRED FOIl POURED CONCRETE 2, ROUGH., FRAMING & PLUMBING 3. INSULATION ' 4, FINAL . CONSTRUCTION MUST BE CO~,PLETE, FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS .OF THE N,Y. STATE CONSTRUCTION & ENERGY CODES. NOT 'RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 3 Nature of work (check which &pplicable) · ' New Building .......... Addition Alteration Repair Removal Demolition ................ ............ ' ............. · ............. Other Work .............. '~.f~ ~....t~. '" (Description) 4 Estimated Cost ' . ;'... ........... Fee ................................. (to be paid on filing this application) $. If dwelling, number of dwelling units .. .............. Number of dwelling nnits on each floor·. It' garage, number of cars .... ! .......... 6. It' business,'eommercial or mixid occupancy, spec t`y nature and extent of each tv e of use 7. Dimensions of existing structures, i£an,,. Fr.--* ,- -P ..................... Height ........ Nmlnber o.~' . ................... ~ear .............. Depth .............. Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth 8 Dimensions ~fen~ire Height Ntnnber of Stories new const:ruction: Front... (~.~ .... · ' De'pt~ Height ' Nulnber of Stories ......... Rear ............... 9 Size of lot: Frdnt " .......... ' .......... Rear ' ' ' 10 Date of Purchase -, · ....................... Depth .................... · ' .... Name of Former Owner ' ' 11. · ........ Z .... hp~ one or use d~strlct In whm remises are situated ....... 'let' ' ' 12. Does proposed construction v~o e any zoning law, ordmanc gula ion: ...... bJ.O. ............. 13. Will lot be regraded ..... i ................... Will excess fill be removed from Yes ' No 14.. Name of Owner ofpr;m'i;es .~F:u.q.. ~'tg. u0,:.hq. Address ~; .-- , premises: Name of Architect .......... ! Name of Contractor ...2J~,'tqq. i../~orOo ...... Address ...... Phone No ....... · If yes, Southold Town Trustees Permit may be required· ... I PLOT DIAGRAM' Locate clearly and distinctly all lbuildings, whether existing or proposed, and. indicate all sea-back dimensions from property lines. Give street and block mmber or descripiion according to deed, and show street names and indicate whether interior or corner lot. TATE OF NEW YORK,c'~ ~ S ~ ........... c .............................. being duly sworn, deposes and says hat he ~s the apphcant (Name ot'individual signing contract) .... t ' · ,ore named. ' corporat; (Contractor agent .............................. '' said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication: that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will be performed in the manner sei forth in the application filed therewith. 'om to before me tills ...... .%./Q. :! · · ..... ./.~/,'~:~aay ~...fi-). .... .~.~. Y0'g. ...... , 19 .c~.~ tary Public . ' .... 7' ' "~~' '-:~' '~?-'-'~ · · county ROBERT I. S~, JR. NOTARY PUeLIC~fe of N.Y. ......... ~ ~" ................... ' ............. _~0. 4Z .[wo.two.two.two.t~,t,~!~ .~.llli~, (Signature of applicant) ~m'm t.qmsMa¥ 31, l~q.~ O: