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Home My WebLink About20309-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEFA!RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20721 Date MAY 12, 1992 THIS CERTIFIES that the buildin~ ALTERATION Location of Propert~ 10435 PECONIC BAY BLVD. LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 1 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVemBER 29, 1991 pursuant to which Building Permit No. 20309-Z dated DECEMBER 3~ 1991 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 ALTERATION TO REPLACE WINDOWS & DOOR TO AN EXISTING ONE The certificate is issued to FAMILY DWELLING AS APPLIED FOR. RICHARD &MARIE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-027865 - MARCH 31, 1992 N/A Building Inspector · o~,z~ ~TOo ~1 TOWN OF SOUTHOLD BUILDING DEPAKTMENT TOWN HALL SOUTHOLD, No Y. BUILDING PERA41T CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 20309 Z ...... ~~~...~.:~...~.~..~.. ~ ~ . ,o ~.~ To~ ~ No. ,000 ~,,o. ...... ~ ..... ~,~ ...... ~ ............ ~o, No ...... ~ ...... punuant to application dat~ ... ~ .................................. , ~9~ and approv~ by the Building Inspector. Fee Rev. 6/30/80 · "' Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 A~PLICATION 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. 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 i% 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: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ~roperly 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 ....... New Construction ........... Old Or Pre-ex,~sting Building ..... ~..~[..' ................ Location of Property ............. House No.~ Street Hamlet Onwer or Owners of Property. . ............... County Tax Map No 1000, Section..Z~.~.~ ..... Block ..... ~. ......... Lot...~.. ~.. .............. S u b d iv i s ion ~. ~. < J.~..c/:. ~{ .~..~ ............... ~P ............ Lot ...................... · Filed Permit No.~..~.~...~....Date Of Permit .......... Applicant Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Ccrticate ........... q7, o / PLIC T . .............. Co THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF Et.,ECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT o~l~ the electrical equipment ~ ~serlb~ belo~ a~ introd~ by t~ appllca~t ~d on the a~ve application number in the pre~es of in the followlng tocation; ~ Basement ~ Ist Ft. ~ 2nd FL S~tlon Bilk Lot ~RC~I 26 1992 ~s exao Jned on ' ' and found to be Jn compliance o'ith the req ~iretnent s qf th s Board. FIXTURE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS EWITCHES FLUORESCENT OTHER 3 9 3 DRYERS FURNACE MOTORS APPLIANCE F~EDERS TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS NO. OR FEET SERVICE DISCONNECT S E R OTHER APPARATUS: NO. Olde RCC~CON D. OF CC COND I C E A W, G, NO OF NEUTRALS A W, G. NO OF HI-LEG OF HI-LEG OF NEUTRAL HA??IT1/CK~ NY, GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the 8oard if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IH AblY/vlANblER. INSPECTORS Victor Lessard Principal 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD M~¥ 6, 1992 SCO'rf L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Tetephone (516) 765-1800 RICHARD SCHULKEN & NF 2388 BEECH STREET_ WAIfIA(iIt, 1~ 11793 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 ~/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 ~ 20309-Z Pleasecontact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOU~DAT!ON (1st) FOUNDATIOn,! 2. f2nd) ROUGH FRAME & -PLUMBING II;SULATION PER N. STATE ENERGY . II CODE FI~;AL II ADDITIONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ '~RAMING FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL REMARKS: INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [_ ] FOUNDATION AND [ ] INSULATION [ ] FRAMING [~INAL REMARKS: ~/~'~ '-~ DATE ~ ........ ?'j,?.'; '~:: "/ ,, '~ TEL.: 765-1802 E×a,nined/~./~.? ......... Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 BOARD OF HEALTIt ......... ~'3 SETS OF PLANS .......... ..~SURV EY ................... SEPTIC FORH .............. ,,O~IPY 2 CALL ................... HAIL TO: · ,~.~ ~'..~..-,~.... INSTRUCTIONS D'~te .~/.J.~.~. ,~.'. 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 detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. Tile work covered by this application may not be cbmmenced before issuance of Building Permit. c~. 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 · hal.1 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 3uilding 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. [be applicant agrees to comply w~th all applicable laws, ordinances building code, housir~cojte, and regulations, and :dmit authorized inspectors on premises and in building for neceS~'~Pe"~i°ns' 'd_t .f // --~,~ _,,~... ~,eCC~,///"/~ "~'~..,,.,__ to -- ~of applicant, or name, if a corporation) J..4.~.?.. ~.~.z.-.q(...<~..a,/d.,/.<~?../4....,~.,..7.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~/.(.-./¢.~..a~.e/)...~..d~../.~/~/S- ~/.Zt~.~..~..~..9?. i . (as on the tq¢ roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........ ; ................. PlumbeFs License No ........ '. ................ Electrician's License No ....................... Other Trade's License No ...................... OOCU?,ANO¥ OR USE IS UN[AWFUL W{THOUT CEMIRCATE OF OOOU?ANOY Location of land on which proposed work will be done ........... ~--'-af~ .~ . ...[ ............... ' ......... ./e ¢30 '.,~c~,~,,c ~,: y Zz-z/z~x ....... llouse hum ber I t4 g Street Hamlej Cotmty Tax Map No, 1000 Section/*e7'??74 .~.A<~. Block ~ .4/7Ov'Y · Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. E×Jstin~ use and occupancy ..... ' b. Intended use and occupancy 3 Nature of work (check which a~plicable): New Building Addition Repair Remloval .......... ' ......... Alteration .............. Demolition ' ' ............. · ............. Other Work ........... 5. If dwelling, number of dwellinglunits .,q-/~/..~'p; (to be paid on filing this application) · If garage, number of cars .... -,/Y/l~. ' ........ Number of dwelling units on each floor ................ 6. Ifbumness, commercml or m~xe~ specify nature and extent of each type of use ...T. ................ occupancy, 7. tmenmons ot existing structures, if any: Front ............ Re r ~ight ............... Nm6ber of Stories ........ · a .............. Depth ............... ~ensions of same structure w th alterations or additions Fro~lt' ' ~ '~/~ .... ~ .................... Depth ...... · ........... Rear . . 8. ~mlenmons of entire new const~ction: Front ~ .... ~. · ~nmoer ot ~tones...~... ................. , .......... ~ear ............... Depth .............. ~eight ............ ~. · · Number of Sto~es .... 10. Date of Purchase ~0~ ~ . ............ , ......... .... '. · · Name of Foyer Owner ~J~ ~70 ........... I I. Zone or use district in which pr~mises are situated. . . 12. Does proposed construction violate any ~;, ~ '~ ........ ~ ........................................ ~ : ....... g ,aw, ordinance or re~ulatio · excess ~11 be removed from premises. Yes No Nme of Contractor . ~ i ..... · .................. Phone No ................ ....................... Address ... ~ .............. Phone No ......... ... 15. Is this property within 3~0 feet of a tidal wetland?~' *Yes ........ No.~O .... ' .... · If yes, Southoid T, own Trustees Permit may b~ required. ~ .... [ PLOT DIAG~ Locate clearly and distinctly ~I :build~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from prope~y Hnes Give street ~d bl ~umhmr ~ · ock -1 ......... descfiptioh accord~g to deed, and show street nines and indicate whether in tenor or comer lot. 765-1B02 9 AM ~ 4 PM FOR THE [ ~ ~¢. ~ ¢1 FOLLOWING INSPECTIONS: , ~ 1, FOUNDATION ~0 REQUIRED ~ FOR POURED CONCRETE ~ 2, ROUGH FRAMING & PLUMBING ~ 3. INSULATION I ~ 4. FINAL CONSTRUCTION MUST ~'~C~/c ~ ~ ALL CONSTRUCTION SHALL MEET I T~E REQUIREMENTS OF THE N.~ , SlaTE CONSTRUCTION& ENERGY FATE OF NEW YORK, ~ CODES, NOT RESPONSIBLE FOR 3~Y OF .... S'.S DESIGN OR CONSTRUCTION ERRORS ,ovc ~amcd. ~ r fi ) .................. ontractor, agent, corporate o cer, etc. said owner or owners, and is duly aCthoriz'ed to perform or have perforated the said work and to m~e and file this >lication; that all statements containe't in t~is application are true to the best of his knowledge and belief; and ,rk will be perfo~ed in the m~ner se~ forth ~in the application filed therewith, that the om to before me this ~ . ~ MNOAJ. COO E Nota~ Public, State ~f N~ York ........... No. 4822563, Suffqlk Coun~ ~ ~ (Signature of a~plicant) . Term Expires December 31, 19~ ~