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Home My WebLink About20136-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20356 Date NOVEMBER 19, 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Property 5645 PEQUASH AVENUE House No. Street County Tax Map No. 1000 Section 110 Block 6 Subdivision Filed Map No. CUTCHOGUE~ N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 5, 1991 pursuant to which Building Permit No. 20136-Z dated SEPTEMBER 11~ 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/~ UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MICHAEL & ALISON MULHERN Rev. 1/81 //B~ilding Inspector FI)uae NO, ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING DELIMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ~' NO_ 20136 Z .~..:.,... ......................................... , / Permission is hereby granted,to:// ~ ~ ~.;.~..~....~.....~.~....~.~ ...... ..... ~~.,...~; ........................ _ ........................................... at prem,., Io~oted at ...~..~..~.. ..... ~ ....... ~...~ ............................................ co..~ Tax Mo, No. ,000 Se~,,a. ..... Z/..q ......... B,~k ......... ~ ......... Lot No....~ ........... pursuant to application dated ........ ..~./~.../ .................................. , Building Inspector. Fee $...~....~..~ 19..?./.., end approved by the Rev. 6/30/80 Fort, No. 6 APPLICATION FOR CERTIFICATE OF ~OCCUp,\NCY This application must be filled in by typewriter OR ~nk 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, indqstrial building, multiple residences and similar buildings and installations, a certificate of Code C,~pliance from archiuect or engineer responsible for the building. 6. Submit Planning Board Approval of ~Omp]eced site plan requirements. ,;. For existing buildings (prior to April 9, 1957) uon-conforming uses or buildings and pre-existing' land uses: , 1. Accurate Survey of property shm~ing 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 - $I0.00 4. Updated Certificate of Occupancy $50.00 Temp°?~rtificate of Occupancy - Residential $15.00, Commercial $15.00 ....... one or Ftc-existing Building .......... ~ ...... °cation of .... ...................... ............. Street House No. Hamlet ~unty Tax Map No 1000, Sect ion.././.~. ....... Block ..... ~ ...... Lot bdivision ............................... Fil d M mit No .......... .... o Per i ....... Applica t... ............... App alth Dept. royal ................... ; ...... Underwriters roval ............ g B d ^~ ~ ...... i ..... ~ Submitted: $.~. ~.'. , ~ TOWN OF $OUTIIOLD OFFICE OF BUILDING IN~PECI'oK P.O. BOX 728 TO~VN IIALL ' SOUTItOL~), N.Y. 11971 OCIOBgR 15, 1991 TE~. 765-1802 MICHAEL MOLHERN 130 EAST 94th STREET, APT. 7E NEN' YORK, NY 10128 To Whom This May Co.ncern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /x_--/ An application for Certificate of Occupancy is not on file. (ENCLOSED) /~/ No Underwriters Certificate on file. /~/ The check is ,~,~not on file.) $25.00 /--/ No llealth Dept. Approval on file. /_--/ No final inspection has been made. Please con'tact our office on this matter. Thank you for your cooperation. Building Permit tt 2 0 l, 3 6 Z Buildin{t Dept. ***/--/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDA~TION (1st) FOUNDATION 2. f2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING ~DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ~OUNDATION 2ND [ ] I~SULATION ~?] FRAMINO ~ ~/FINAL REMARKS: _ INSPECTOR TEL No, Sep 5,91 9:~8 No.O01P.02 TEL No. Sep 5,9& 9:'t8 No.O01 P.O$ ~L r~o. ~ep ~,9i 9:18 No.O01 P.04 TOWN OF $OUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL: 765-IB02 pproved ................ , I9, .-. Pcrm=t No ............ isapproved o.[c ..................................... SUgvEY ................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to tbe Building Inspector, with 3 s of plans, accurate plot plan to scale· Fee according to schedule. b. Plot plan showing Iocatlon of lot and of buildings on premises, relationship to adjoining premises or public streets areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ar-pil- e. The work covered by tkis application may not be c~mmenced before issuance of Building Permit, d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit Il be kept on the premises available for inspection throughout the work. e. No building shaIl be occupied or used in who~e or in pazt for any purpose whatever until a Certdicate of Occupancy Il l~ave been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to tho Building Department for the issuance of a Building Permit pursuant to the lding Z~ne Ordinance of the ;fown of Southold. Suffolk County, New York. and other applicable Laws, Ordinances or :ulatinns. for the construction of buqdings, additions or alterations, or for removal or demolition, as hereto described. : applicant agrees, 1o comply with ali applicable laws, ordinances, building code. housing code, and regulatmns, and to ~itauthofized inspectom on premises and in building for necess~x~ -- -- (Signature of applicant, or name, if a corporanon) (Mailing address of applicant) te whether applicant i~ lessee, agent, architect, engineer, general contractor, electrician, plumber or budder. (as on the tz~t roll or latest deed) rplicant is a corporation, signature of duly authorized officer. ,' (Name and title of corporate ~fficer) nullder's ~ieanse No...C?.~..4e. C. ............ Plumber's License No ......................... Electrc art's License No ....................... O/bey Trade's License No ...................... .o~at,on o~,a.d on .h,ch proposed .ork wli, be done.....~ ~.¢¢Z.4. ~':..~ ................ louse Number Street flamlct ouutyTa.,,,',,apNo.,OO0Section .... //0 ......... B,oc~ ...... ~ ........... ~t ............... :bdlvlsion ..................................... Filed ;',lap No ....... (Name) ........ Lot ........... ate existing use and OCCupancy of prcmlses and intended use and occupancy of proposed construction: Existing use and occupancy ....... ~ ,/77h. ~f4~77~ ......... ,/:.?4 ............................. Intended usc and occupancy .... N ' check which applicable .3. ~ ature et work ( ): New Budding .......... Addition ...... \lteratmn .......... Repair .............. Removal .............. Demohtion .............. Other Work ............... 4. Estimated Cost .... . ..... cscnpt:on) (to be pald (in filing this application) 5. If dwelling, number of dwelling units ...... -'7' ........ Ntunber of dwelling umts on each floor. g=me, of c ra ....... ........................... 6. If business, commercial or mixed occupancy specify ~ha urn. nd extent of each t ~ Of tlxe ~... /' , , 7. °in~,ensions Oj'e,~li~ting structures, if any Fro lt... ~,.~.. ....... Rear . ~.. . Depth~:~.~.~.~.t~, Height ... ~..ff~... ....... Num her of Stories ....... (;~ .............. ;' ................. ~>" ......... Dimenslohs of spnle,atLuctur¢ xl, ith alterations or.adllilions: Front 2 ~ r ?th ... ....... Rea. ......... · ' ." ' ...................... Nun bet et Stories . ~--~ .. . 8. Dmmnsio. l~,of~?tlr,,e,.~.,e~V/~onstmcton Front ,,,,9~1~'2 ,, '%,~.*' .... ~.-~"z / Height O.. ~ ~r..~.. Numhero£St 'es ' ' '~'~ ....... ~xear ...~.u ......... Depth . · SI e of lot: Front ..... ~'t~/' Rear ~.Y ................... '")~5'/' ............ ' O. Datc ofP rchase ~'~';,~;~k:~ .......... ' .............. Depth .~ .. . ....... ~,,c ..................... Name of Former O:,, r~er . ~,~¢'~...~.i?~q . ~.~c]~..Y'~e'~ ' ' I. Zol.e or use ,d, isrrict in Wb, ich prelmses are situated ..................... i .... , ............ '~ Does proposed constructmn vie ate any zoning law, ordinance or regulation. ~.~.i ............. Ji Wi/ et be re,,raded ~.o ' ' ' ' Name of Ow .... e . 'J~',_'2: '] '~ ')~ ....... dl excess!dI betide, moved from premises. Yes N 4, Name of Architect ........................... Address ..... :i:i. :. ~.'d;: .t~.' one N~,/?~'4~'/~.'if.'4~,' .J~,* Name of Contractor .......................... Address · ' ....... Ph e No ..... i. I$ this property with£n 300 feet of a ¢£dal. wet:land'? ' '~'Yes ..... ~ ........... ~If yes, Southo~d Town Trustees Permit may be required. PLOT DrAG RAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block number or deseriptioh according to deed, and show street names and indicate whether .terSer or comer lot. ,TE OF NEW YORK, ]NTy OF S,S .............................................. bcing duly sworn, dcposes and says that he ~s ,, (Name of individual signing contract) named. (Contractor, agent, corporate officer, etc.) id OWner or owners, and is duly authorized to perform or have performed the said ~vork and to make cation; that all statements contdined in this application arc true to the best of his knowledge and be itt W/Il be performed in the manner set forth in/be applicatioo filed therewith, ' :1 to before me this' .... ' ................... day of ...................... 1 ,. ¥ Pubffc .................................. County I ×drained . .~..!/. .......... 19 .~./. pproved..Oh. ......... ,19q/.. P=,t No.. [sapproved a/d ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 3 SETS ~ PLaZaS ....... SU~Va¥ ......... c · ,r.c~ ............... SEPTIC FOR.q .............. HA IL ' APPLICATION FOR BUILDING PERMIT Date . ., I INSTRUCTIONS a. Ttds application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. % The work covered by this application may not be c~mmenced before issuance of Building Permit. d: Upon approval of this application, the Bt~ilding Inspector will issued a Building Permit to the applicant. Such permit 11 be kept on the premises available for inspection throughout the work. ~. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy II 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 Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :ulations, for the construction of buqdings, additions or alterations, or for removal or demolition, as hereto described. .' applicant agrees, to comply with all applicable laws, ordinances, budding code, housing code, and regulations, and to dt authorized inspectors on premises and in building for necessary../.ojgections. (Signature of applicant, or name, if a corporation) (Mailing address of' applicant) te whether applicant, i~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the t~t roll or latest deed) '~plicant is a corporation, signature of duly authorized officer. (N d titl .................. amc an e corporate officer) Builder's License No. ~.(-~.fl,,~../7'.. ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... .ocation ofland on wb,ch proposed work will be done.., .~.d.,~,~.7 h~..~ louse Nmn bcr Street Halulet ounty a.,M pNo.,00osect,on .... //0 ......... '~bdivision ' ................................. Flied Map No · (Nante) ............... Lot ............... 'ate exkting us~ and occupancy of premises and intended use and occupancy of proposed construction: Intended use and occupancy 3. Nature of work (ct:eck wh ch ,,. . --- applicable): New Budding ......... Add t on r~cpalr .............. Remoyal ..... Demolition ...... · '~ ........................ Fee ........ · : (to be p~ 5. Ifdwelhng, number of dwelling uflits~' . . .~. ....... Number of dwelling umts on each floor. . Ifgarage, numberofcars ..... ; .. ' ............... 6. If business, commercial o-~:- . ~ ..... -.,.xea 9CCUpancy, spec/fy ~tur~:md extent of cacti t p of use . ~ ........... 7. ~m~ensmns ~,)t~ng structures lifany: Front ... ~. ~ '~.ht ..... ~ ..... Nu lb~rofSt fie ~ ..... ~ear . ~ . Depth~ .. ~ns,ons o~e~t~s?r~it~ alterations or~d~igions' ~ront .... ~'~ ' ......... : ..... ~' ........ 8. Dlmenslo~s~f~nhLe~e~ ~Onstm~tlnn. ~,~,, O~ / ....... Number oilstones . . . ~ .... Hel~ht a..~..~... Nm~l,A,~cc,~, ~ ...... Rear ...~ ....... Depth .~ -- 9. al e ollor: Pront ..... ~.~ i .. Rear ' ' '~ ............................... . 0. Date of Pt rc rose ~~ ........ O~ .... De~th ~ .............. or . .... I.Zone or us. disa'ict ...... - ~ -, -*,uca premises are situated . 2. Does proposed construction vlo~.,~ ..... ' ' '. .................... ,-~. · ,'. · · .......... 3. Will lot be regraded ~ ..... ~ ~,y zomng aw, ordinance or regulation: ~ .',' .......... 4. or ' ....... wi, ..... .... k;' nme or architect ...., ~ · · ' u z~ ~'... ~.7[.~ZQ. Phone N{~Z~/.~ZS~, ~, Is th~s property within ~h~' ~2' k'd'''.'.','+ddress ................ Hi[ne No '-- '"' · I~ yes, Sourhotd IoOn ~--' 7~ a r~a~z ~arland? *res ...... '..' ~o2~.' ............... , rusrees Permit may be required. --..w .... .... i PLOT DIAGR~ . Locate clearly ~d distinctly ~I bu~ild~gs, whether existing or re osed ' ' . r~p~y fines. Gi~e street ~d block number or desch-tio; ..... ~: ~_ T . ' a~d;mciicate al set back d~ensions from ~mnor or comer lot. v - -~.umg re aeea, ana snow street nines and indicate whether ,~ppRQVED AS NOTED _ ~- ~ Nb~:lF~ I~rUlLQIN~3 Di/PARTMI~t' ~ 765-I802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION '~0 REQUIRED FOR POURED CONCRETE 2. ~OUGH - FRAMING · PLUMBING 3. ~NSU[.ATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CC, OES~ N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ~TE OF NEW YORK, mT¥ OF. Jq.~. %r{:. ...... S.S ........... i~[. ~. ~ .. O .............. being duly sworn, deposes and says that he is the applicant (Name of individual signing co~itract) e named. ;the ~.~E ' . (Contractor, agent, corporate officer, etc.) id OWner or owners, and is du y authorized to crform c~t.?n; that all statements contained i,~ this a~m~cstl~, ~[ have perfom, ed thc saki work and to me, and file this true to the best of his knowledge and beli~f~nd.that ,v,n be perfo~ed m the manner set Co'rth ia th~ ~ ,licXt[~; filed therewith. a to before mc this 1 .............. day o~.. ~ ) e~ ~.J Notary Public, State of ,ew York ..... ' .............. , 19 . NO. 31,4883~9 YPublic, .. ~ .~a~ , , qualified in New York County · ..~ ...... County /~,, .4 / ) ,, ,Commtssion,ExplresJafluary30,1993 (Signature ora l/cant pp )