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Home My WebLink About20149-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22127 Date JANUARY 2'7, 1993 THIS CERTIFIES that the building Location of Property 680 MIDWAY ROAD House No. County Tax Map No. 1000 Section 90 subdivision Filed Map No. RENOVATION soUTHOLD, N.Y. Street HamleL Block 2 Lot 9.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 1991 ~ursuant to which Building Permit No. 20149-Z dated SEPTEMBER 17, 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 RENOVATE & REPLACE ~ISTING PORCH ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR, The certificate is issued to of the aforesaid building. ARNOLD & KAREN RT.ATR (owners) SUFFOLK COUNTY DEPARTMENT OF HFALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-252160 - SEPT. 30~ 1992 N/A /~ BuilZding Inspector Rev. 1/81 F~e NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PER~IT (THIS PEEMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) N~- 20149 Z .~~......~..:~.;.....u...~.~ ............. ...... ~ ...... ~..;~...~ ........... ~ .......................................................................... County Tax Map No. 1000 Section ..... .~.~.~. ........ Block ...... .~....~.... ...... Lot No ..... .~...,..[ ............ pursuant ,o application dated .....~'.c~.....,~....L.~.. ........... , 19.~.1..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD 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 enginee~ 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 properly completed applicatkon 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, Commercial $15.00 New Construction ........... Old Or Pre-existing Building ................. Location of Property ..... 680 MIDWAY RD. SOUTHOLD, NEW YORK ' House No. Street Hamlet ARNOLD & KARBI~ BLAIR Dnwer or Owners of PropErty ........................................ ~ ~ounty Tax Map No I000, Section ....... .9.0 ..... Block ..... 2 9. l. ........... Lot... '. .... · ............ ~ubdivision .................................... Filed Map ............ Lot ...................... ~ermit No. 20149-Z SEPT. 17,1991, ~ ANG]~LO RODRIGBZ ............... Date Of Permit ................ appiicant ............................. {ealth Dept. Approval .......................... Underwriters Approval ......................... ~lanning Board Approval ........................ lequest for: Temporary Certificate .......... f Final Certicate ........... ~ee Submitted: $ 25.00 ~ qSq~l* "--/' , ARNOLD BLAIR ~0 ~ ~1 2q APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS ~N ~ ].19[-~099 EUREAU OF ELECTRICITY ~ 85 JOHN STREET, NEW YORK, NEW YORK 10038 Date ~N~E}~B~R ~[~ ~pplicationNo, onfile (~:~6~5~2/9~ ~ 25~.~0 THIS CERTIFIES THAT only t~ olectricaJ equipment ~ ~scHbed below a~d intr~uc~ by the applicant ~med on the a~e application number in the prorates of AR}~OLD BI, AIR, 68~ in thefollowlng location; ~ Basement ~ Ist FI. ~ 2nd FL OU9~ Section Bilk ~sexamlnedon ~B~[[ 28,%992 andfoundtobeincompltanceuqththereqtdrementsq~thisBoard. Lot FIXTURE FIXTURES OVENS DISH WASHERS EXHAUST FANS DRYERS SYSTEMS NO. OF FEET V I C OTHER APPARATUS: P.O~BO~ 38 GREENPOBT, NY, 11944 GENERAL MANAGER Per This certificate must not be altered in any 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 IH Ally MANNER. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [~L REMARKS: DATE INSPECTOR FOU~$DATION ( 1 s t) FOUNDATIOn4 f2nd) 2. ROUGH FRAME & .PLUMBING INSULATION ?ER N. STATE ENERGY ~ CODE FINAL ADDITIO~;A'L COMMENTS ~65-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH pLBG. FOUNDATION 2ND [~'II~LATION [ ] FRAMING FINAL DATE /~ , INSPECTOR 76~-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL DATE /~ */ INSPECTOR~ ,, CINNABAR CiNNAI~.R TR.,%D~.R$ LtM~T~D 'f460 BROADWAY NY NY ~0035 PHONE F~ 2t2 '- ~02-3969 ~LX 238,276 CNBR UR ]tX 824269 CNBAR U F AL~ER~T~ F~ ff [O BE USeD AFTER 5:30 P,M,, NY TIME: 2~2-302 ~404 FROM: TO: ATI'N: Cecile FAX# 5]6 765 1823 ~outhold Town Building D~pt. DATE: January 2i, 1993 PAG~ OF2 Georgia 1 Dear Georgia: Per our conversation, attached ~s a copy of the U:qder~riter~ Certlficat~. which you requ~r.a to do an Inspeetion Should you require, any additional. _nformat~on, please do not hesitate, to contact me. Thank you for your help Jn this matte~. Very truly yours, Cecile FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1802 Exanlined . .%.~.lp~...~.,/. ], 19 .~ J. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC EORH .............. CALL ................... HAIL TO: a. This application must be completely filled in by Wpewriter 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. The work covered by th/s 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 thro'ughout 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 herein described. i'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit author/zed inspectors on premises and in building for necessary inspection. /~ ./~/~ ..... < .......... - ' (Sig4nature~--*,,~ ~c ~.,"of applicant, or fi~me, i~ a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the t,.~x roll or latest deed) It' applicant is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) .,,der's L cense No... (.¢ :. Plumbe>r's License No ......................... Elcctrc an s License No .................... ... Other Trade's License No ...................... on which proposed work will be done....c~...~.?~~..') .,~..~/...;[-fi/ .................. Loc~tion o~ ]~nd llouse Number Street ~ Hamlet County Tax Map No. I000 Section .................. Block .................. Lot .... [ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intend99 use and occupancy of proposed construction: a. Existing use and occupancy b. lntended use and occupancy '..,. ~ 5~,'~.,,~: ~ . ,- · 3. Nature of work (check which applicable): New Building .......... Addition .. ~ ..... Alteration .......... Repair ...~. ........ Removal .............. Demolition ..... ~' ....... Other Work ............... 4. Estimated Cost LC/t~.f_J (~. (Description) · ~ ~ (to be paid on filing this application) git 5 If dwelling, number of dwelling u s ............... Number of dwelling units on each floor .... · If garage, number of cars .... ,~ ...... · ........... If bus~ness, commercial or mixed loccu,,anc,, s-~:e · . i t. ~, wuuy nature and extent ol eacn type of use .............. 7. Dimensionsotexistin/gstmctures;ifany: Front..~'~'?.,.~t:7...." Rear . ..CO, .~,.'~. s~ n of turew,t r onsorad ts: Front .... $.--~....~O. .... Rear. ,,D,,.8.,~.c?. ..... ~" '. ' ' ~-' · ........ i gn ........... e} .......... Nundaer of Stories .......... 8. Lamens~ons ot. eCtire new construction: Front.. ,9~_..'~. .... '... Rear .' .'~..'7] ~.' ..... Height .. [ ~ ..... ~umb'erofSt,,,q,~ ! ............ Depth ............ Z .... :. · .......... Nae off rmer Qwner ............ ' ....... .11. one or use district ~n wtuch prermses are situated a~.~,, ??~/.f.~ A-'/ .......... 12. Does proposed construction violafe any zoning law, ordinance or regulation: ..... ~ ................. i.. 13. Wiillot be regraded ....... .~L~/~., . .' ............ Will excess fill be removed from e 'scs' · If yes, Southold To,~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all biuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or descriptio/t according to deed, and show street names and indicate whether interior or comer lot. . FATE OF NEW YORK- -- i (N me o~nd wdual s~gmng~tract) ,ore named, i s (Contractor agent, corporate officer, etc.) ....... aid owner or owners ~d is duly aqthor zed to perform or have perfo~ed the said wor . plication; that all statements contained M this ann lo,ti ............ k and to make and file this ~ ~ ..... ~,, arc trHe totneoes~olnlSK~ow]ed card ' · ~,~w)ll ?,perfo~s~ m the m=ner set] forth :n the application hied therewith g behef, and that the ~~$~15~ . ~ (SignOre of applicant) being duly sworn, deposes and says that he is the applicant