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Home My WebLink About20150-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20282 Date OCTOBER 16~ 1991 THIS CERTIFIES that the building. ALTERATION Location of Property 650 BLUE MARLIN DRIVE House No. Street County Tax Map No. 1000 Section 57 Block 1 Subdivision Filed Map No. GREENPORT~ N.Y. Hamlet Lot 28 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9~ 1991 pursuant to which Building Permit No. 20150-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 INSTALL WINDOWS & DOOR IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LOUIS RAMUNNI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A /~ild{ng Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALt $OUTHOLD, N, Y. NO_ BUILDIHG I' E~tlT ¢o~1o~ o~ ~ wo~ ^u~.~ 2 01 5 0 Z oat, ...y. ................... Permission is hereby gronte~ ~ ,0 ~.....~....,~.,~...~. ....... ~.~ ........ ~-~...~ ...... ~:,~. .................... .... 7 ----/' ~ -- ./~ ///'/ C..A' ~'. ,/? , ~ , ........ c~t premises located at ........ ~.~~--/-(~""/**'/~ ........................ ':"7 ............ ,:~~o0o Sec,o, ....... ~...~:..' B,o~k ........... Z. ...... Lot No ............ ~.. and approved by the Rev. 6130/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~kLL 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 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. :½. 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 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 dwellihg $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~5f00, Commercial $15.00 Date.. ~.~/...~./.. ~../.' ........................... LOCation of Property .... House No. ! Street Hamlet Onwer or Owners of Property .... ~..%.... County Tax Map No 1000, Section .... ~..7. ..... Block ...... [ ......... Lot .... ~..g .............. Subdivision ...... _. ............................ Filed Map ............ Lot ................. i~ermit N°'~O.!'~.-.0~..Date Of Permit...~/f~/.~.A..Applicant.~.~...~.~..~, ..... ilealth Dept. Approval ................ Underwriters .~.~ .......... Approval ................ 21arming Board Approval ........ ~..& ........ · "equest for: Temporary Certificate.[[i[ili.[i~cate.~~.. ' ..................... 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: DATE ~ INSPECTOR ~OU~;DATION (1st) 'OUNDATION (2nd) ~OUGH FRAME & -PLUMBING ~NSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-J.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND Il INSULATION ~'~RAMING [] FINAL~~ REMARKS: DATE ~;~//~ ~'~///~// INSPECT~/____~~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF' PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. C^LL ....... HAIL TO: 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:l The work covered by this applicai{on may not be cbmmenced before issuance of Building Permit. 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 ;hail 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 ~egulafions, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspections. ~ /~ ../). 7..rE... c. . . 5 .R. ?. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engine~;~ general contractor, electrician, plumber or builder. Name of owner of premises ......... LplA . . . ~ qw.'t ................................................. (as on the t.a~x roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bu'lder s License No. I 0 "~7-~? Plumber's License No .......... f...~ .......... / Electrician's License No .......... .(,(. .......... Ot mr Trade's License No ......... .~,. .......... · Location of land on which proposed work will be done. , ............................... , .................. ................ i... ......... IIouse Number Street Hamlet County Tax Map No. 1000 Section ~' ~ Block .! Lot .... ?..~.. Subdivision .......... ..~..t:..~. ,~l'~='-~' 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 .... .~.~,/~,./~..g~v//~.~f . ~ .W .~z-~--t. rd....(5...~,./~:'~ i'~;/U.~'C;vI'U ~-:'.:;'?:~d4~/'~' ;,,'' .b.O.x,g. . ..... q' .M. t T~ 3. Nature of work (check which icable): New Building .......... Addition ............ Repair .............. Removal .............. Demolition ~J~' ~'ork ...... ~. ,/),fl..JZ Cnptmll i; 4, Estimated Cost ........... Fee ~'"~:" (to be pal ) 5. If dwelling, number of dwelling units ............... Number of dwelling units o IIZ . If garage number of cars i - - '~ 6 If business commercial or mixed occupancy specify nature and extent of each type of use .............. 7. Dimensions of existing stmcture~ if any: Front Rear .............................. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure wiih alterations or additions: Front ................. Rear .................. Depth Height Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................ 9 Size of lot: Front ................................ · · ..................... Rear ...................... Depth ...................... I0. Date of Purchase ........... ~ ................. Name of Former Owner ............................. I 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed c · · ' · onstructlon v~ol~te any zomng law, ordinance or regulation: .................. , ............... 13. Will lot be regraded ......... ; .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ... i ................ Address ............... Phone No ............... Nme of Architect .......... ~ ................ Address ................... Phone No ................ Name of Contractor ' .......................... Address ................... Phone No ............... Is th±s property w±th±n 300 feet of a t±dal wetland? *Yes ........ No ......... · If yes, Southdld T~wn Trustees Permit may be required. · .. I PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n:mfiber or descriptioh according to deed, and show street names and indicate whetyr interior or comer Iot. AP, PROVED AS NOTED ., 76~-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~OREQUIRED FOR POURED CONCRETE 2, BOUGH - FRAMING & PLUMBING 3. iNSULATION 4. FINAL OONST~UOTIO~ MUST BE COMPLETE FO~ ALL CONSTRUCTION SHALL MEET 'TH~ REQUIREMENTS OF THE N.Y. ~'['E CONSTRUCTION ~ ENERGY CCDES. NOT RESPONSIBLE FOR t~[B;t(~N OR CONSTRUCTION ERRORS ;TATE OF NEW :OUNTY OF...-b9.~.~\.~. ...... s.S (Name of individual signing contract) ...... being duly sworn, deposes and says that he is the applicant b'ove nanled. is the , (Contractor, agent, corporate officer, etc.) said owner or owners, ~d is duly ~uthorized to perform or have perfo~ed the said work and to m~e and file this ,*pi cat on; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the .'ork will be perfomed in the m~ner s~t forth in the application filed therewith. worn to befgre me this ................ ta~Public' ''~'~~