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Home My WebLink About20295-zFORM NO. 4 TOW/g OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20567 Date MARCH 5, 1992~ THIS CERTIFIES that the buildin~ Location of Property 330 SOUTH LANE House No. Street County Tax Map No. 1000 Section 38 Block 6 Subdivision Filed Map No. ADDITION EAST MdlRION~ N.Y. Lot Lot No. Hamlet 14 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVW~BER 19, 1991 pursuant to which Building Permit No. 20295-Z dated NOVEMBIKR 25, I991 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED EDWARD FLANNIGAN H-026484 - JAM~ARY 14~ 1992 Rev. 1/81 Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 0295 Z Date ..... /Z.~.~.~..>...: ................................. / Permission is hereby graRted,to: ,/~ / ///~-, ~ ...... .............................. .~.~,~r,.,~......e~ ....... ~ ......... ~..(~r-~..~ ,//~r/ ........ '~:~'~"-~' .................................................... at premises located at ..... ~...~,~g~.. ........ C~...{~--~.....~. ,~.. ............................................................. County Tox Map No. 1000 Section ....... ~...~.. .....Block ..... ~ ............ Lot No ......i .~.... ........... pursuant to application dated ........... ./;'.~..2~. ;.~... ........................ , 19..?./..., and approved by the Building Inspector. ~ '/////~,/~// ' Rev. 6130/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 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 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-existing" land uses: i. 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-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, Conm~ercial $15.00 New Construction ..... Old Or Pre-existin~ Building ........ Location of Property ................. . ........ . House No, ' Street Hamlet Onwer or Owners of Property ...................................... County Tax Map No 1000, Section....~...~f ..... Block .... .6 .......... Lot ..... /..Z--f. ............ Subdivision . .. Filed Map Lot Permit No. ~'~'~'-- ~ .~.f...~.~ ............... Date Of Permit ................ Applicant ............ Health Dept. Approval ..................... · .. .. Underwriters Approval ..................... . . . . Planning Board Approval ......... Request for: Temporary Certificate ...... Final Certicate. ~ Fee Submitted: ................. ....... .................. kO ~05 ~ ~ ' APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~r;0'?,g~h i BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT in the following location; ~ B~eme~t ~ Ist FI. ~ 2t, d ~'1. O[~'J Saetia. Bl~,k Lot EIXTURE OUTLETS SWITCHES DRYERS FURNACE MOTORS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS FUTURE APPLIANCE FEROERS TIMECt. OCI(S UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT S E NO OF CC. COND PER ~' R V I C E O~ CC, COHD,__ ?./0 NO OF HI,LEG AW, G, OF HI-tEG This ce~ificate must not be altered in any manner> return to the office o~ the Board if incorrect. Inspectors may be identified by their credentlals~ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIF!~TE MU~T NOT BE A~TERED IN AN¥~NNER. FOUNDATIO|I (2nd) 2. ROUGH FRAME & -PLUMBING 'INSULATIOd PER N. Y. STATE ENERGY CODE ADDITIONA'L COMME~;TS: FI;IAL 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 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 HARCH 4, 1992 CI~RLE S TItORP 4 16 HAIN STREET gRRElVPORT, 1~ 11944 RE: EBWARD & RACBEL FLA~NIGAN 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. The check is ~_~]~xmr~not 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 ~ 20295-z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DElft. CC: EBWARB & RACREL FLANNIGAN 765-S802 BUILDING DEPT. INSPECTION FOUNDATION SST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN~J~TION FRAMING ' ['~F~NAL /I INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~F~MING [ ] FINAL · ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOAKD OF REALTIt 3 SETS OF PLA~S SURVEY CIIECK SEPTZC FORH Disapproved a/c ..................................... . ~g~lm~lngpector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 areas, and giving a detziled description of layout of property must be drawn on tlie 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 ,hall 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 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 luilding 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 here/n described. File applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and to idmit author/zed inspectors on premises and in building for necessary inspects,ions; i~i~ture of applic'a;}j (~r nan'S, if a ~;;l~t}iai[o'n') .... ...... ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~,~ general contractor, ician, plumber or builder. /:7 ' Name of owner of premises (as on the t.w.x roil 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 ........ '~ ................ Electrician's License No ....................... Other Trade s L cense No ...................... Location of land on which proposed work will be done ...................................... ' ......... Ilouse Number Street Hamlet County Tax Map No. 1000 Section ,..~.-~..~.'. ......... Block .... 3.. Lot ...... ./..~...C Subdivision......~.....//.~-./..~..~..~../. ~..~t/Lq.. ......... Filed Map No ............... Lot ............... (Name) 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 a~plicable): New Bu//ding .......... Addition J Alteration ....... Repmr .............. R I .............. Demolition ''' ~ .............. Other Work ............ .~... ~ (Description) 4. Estimated Cost .... / ...... [ .......................... Fee · · ~..~r 5. ~ (to be prod on filing this application) If dwelhn=, number of dwelhng umts ..... . If garage, number of c~s ...... Number of dwelling units on each floor .............. 6. If business, commercial or mixe¢ ................................... ~ .... occupancy, specify nature and extent of each't ............ 7. Dimensions of existing structures, if any. Front . ype of use ..................... He ght . . x~_.2~ .5 ................. ~qear . . Depth ............. D~ensmns of same st~cture with ' ' ' ......... alterations or additions: Front ................. D pth ~ .............. ~.... · Rear ........ e .................... i.. Height ........ · ......... 8 Di f t~ .............. Number of St~es ...... · mensions o entire new cons ~ction: Front ................ H igt ~b fSt ............... Rear ........ Depth e it ............... Nu er o ohes ...... ' ..................... 9 Si fl .................... . ze o et: Front ......... I Rear .......... ' ............................. · fP ............ Depth .. ................ 10 Date o urchase ........... i .............. NameofFo~er Owner . I Z r~ '.'' ' '' ''' I . one or use district in which p qm~ses are situated ....... ' ........................... 12 Do 1~ ' ' ' . es proposed construction vie ate any zonin~ Inw n ~' ' 13. Will lot h ......a~a i ...... , ~r~mance or regulation: ........ ~ ............. : .................. 11 fill b ........................ I4 Nme fO fp . W~ excess e removed from premises: Yes No · o wrier o remises N f A ' ·" .............. Address . · "2" .... N ' .... · · ~ ....... Phone o ......... me o rchitect .......... [ ................. Address ......... ' ' ' ' Nme of Contractor ......... ~ ................. Add .......... Phone No ................ ~5. Zs thls property wlthln ~00 feel: of ress ....... ' ...... PhoneNo ................ . a tSdal wetland? *Yes...~.. ~o ......... ~I~ yes, Souchold ~own Trustees Permit may be required. ... j PLOTDIAG~ Locate clearly and distinctly ~I [buildNgs, whether existing or proposed, ~d. indicate fll set-back d~ensions fromt ion property ~nes. Give street ~d block ~umber or descfip~ accordNg to deed, and show street nines and indicate whether interior or comer lot. j .5, TATE OF NEW y..ORK..o . t l ov v OF ..- s.S . . ................. ' ........... ' ................. being duly sworn, deposes and says that he is the applicant (Name of individual signin contract) )owe nalIled. ~' is the ........................... ' (Contractor agent corporate officer ) ........................... , , , etc. said owner or owners, and is duly .utborized to perform or have performed the said work ~nd to make and file this pt/cation; that all s ' ' tatements contained in this application are true to the best of his knowledge and belief; and that the ~rk w~ll be performed in the rammer S~t forth in the application filed therewith. 'om to before me this l day or ' '7/ ry P bli ~ ' ta u C~ ...... · ....... OLIn ........ ty I~ CounW ( /gnatur&oT applicant) Term Expires December 31, 1 ~ ~--