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Home My WebLink About20199-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20435 Date DECEMBER 30~ 1991 THIS CERTIFIES that the building Location of Property 450 House No. Street County Tax Map No. 1000 Section 57 Block 1 Subdivision Filed Map No. ADDITION/ALTERATION BLUE MARLIN DRIVE GP~ENPORT Lot Lot No. Hamlet 26 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 7~ 1991 .pursuant to which Building Permit No. 20t99-Z dated OCTOBER 9, 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 ENCLOSE EXISTING ATTACHED PATIO (UNHEATED) AS APPLIED FOR. The certificate is issued to owner of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N 216250 PLUMBERS CERTIFICATION DATED WARREN G. DONNELLY DECEMBER 10g 1991 N/A Rev. 1/81 // ~uilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 20199 Z Permission ls hereby granted to: // / "~~"'"'~ ............... .. ~-//... (~ ./.x ~-~.'J~'; ........ ; ........... "-' ........................................................ County Tax Map No. 1000 Section ..... ~..~.. ....... Block ...... ../.. ............ Lot No. pursuant to application dated ........ ./.~... .............................. , 19..~..., and approved by the / Building Inspector. Rev. 6/30/80 INSPECTORS Victor Lessard P~incipal 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 NOI/EMBER 20, 1991 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 GREGHUNT HUI~ DEVELOPMENT CORPORATION P. O. BOX 158 SOUTHOLD, ~ 11971 RE: WARREN G. DONNELLY 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) ~x No Underwriters Certificate on file. The check is (outdated/not on file.)$25.00 No Health Department Approval on file.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 ~ ~o199-z Please contact our office cooperation. on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ '[ '~!~ J ~ ~ BUREAU OF ELECTRICITY V 85 JOHN STREET, NEW YORK, NEW YORK'lO038 Date L P~( ~ J'~L A~ '[ O ~ ]?) ~ J Application No. on file ? ~ ~ 0 0~¥ ~ /',~ J ~ ',~ ~ THIS CERTIFIES THAT only the electrical equipment ~ ~scribed be~w a~ int~duced by the applicant ~med on the above application number in the prem~es of in the following location: ~ Basement ~ Ist FI. ~ 2nd FL 0~]'[' Se~tlan Bilk Lot was exatnlned on {)'*'."'~;']~,~ 07~ ~Ct'~ andfou~dtobei~compllanceu'iththerequirementsqf~hlsBoard. FIXTURE OUTLETS ECEPTACLES SWITCHES FIXTURES RANGES OVENS DISH WASHERS FANS DRYERS SYSTEMS DIMMERS NO. OF FEET E R 'V I C OF NEUTRAt OTHER APPARATUS: GENE~A/ MANAG~R/ This certificate must not be altered in any manner; return to the office of the Board i{ incorrect. Inspectors may be identified by their~credenfiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST'NOT BE ALTERED IN ANY MANNER. 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 engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, I957) 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 I. 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 - $I00.00 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 Date .... I.~. \~. ............................. New Construction ............ Old Or Pre-existing ~uilding ............ Locat ion of Property .... ..~.~D ..... ~ .~..~. ~..'.~.....~fl~....~.. J~..~.. [' .' [. [ .C,~fl~..~. ......... House No. ~ Street~ Hamlet or Owners of Property .... Onwer County Tax Map No I000, Section .... .~: .~ ..... Block ...... '. ''i .... 'I'~''''i'~ .............. - ubd~vis~on .................................... Filed Map ............ Lot ................. Permit No ............ .- ate Of Permit ......... Applidant ...... ~.....~. ..... !lealtb Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ .,eqsest for: Temporary Certificate. .......... Final r 'cate ........... ,'ce Submitted: $. ..... . .~....' ................. FOU~;DATION ( ls t) FOU~$DA TIO~U 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE Fi;;AL ADDITION^L COMME~;TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ].~UNDATION 2ND [ ] INSULATION / FRAMING [ ] FINAL E'LEVA'r7 765-1802 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 i~'~ ~" f' TEL.: 765-1802 /o Exanlined ..... , 19 ~/'/ Approved ......... I . Permit No. Disapproved a/c ..................................... ...................... " INSTRUCTIONS BOARD OF HEALTI1 ......... 3 SETS OF PLANS .......... SURVEY ............ - ....... CllECK ........ MAIL TO: Date ................. 19... , a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .ets of plans, accur0te 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 )ir areas, and giving a deta/led description of layout of property must be drawn on the diagram which is part of this appli- :ation. c. The work covered by tiffs 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 .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 }uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or regulations, for the construction of buildings, additions or alterations, or f~ r,e"/noval or demd'fition, as herein described. ['lie applicant agrees to comply with all applicable laws, ordinances, buildil{g///c~d~, housing c~de, and[egulations and to :dmit authorized inspectors on premises and in building for necess~~ State w~tt~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... ......................................... , ..... : ........................ Nameofown,rofpremises '"~"~'/~" '~' '~"'~J ['~' '~'Jkl' '~'o~'~'r'-'X ts nthe~hx ............ · ............................. (as the tO'/: roll or latest deed) if applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...[.~. 7~L¢~ ~ Plu nber s License No ........ : ................ Electrician's License No ....................... Other Trade's License No ...................... · Location of land on which proposed work will be done..' ......................................' .. ...... ....... . . ldn /. . .......... T. . . . . . llouse Number Street Hamlet County Tax Map No. 1000 Section ...... '",'%~.7 ........ Block ..... / ............ Lot....~...~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intend,~ed use and occup:/ncy of proposed construction: a. Existing use and occupancy .' b. Intended use and occupancy .......................... 3. Nature of work (check which applicab e): New Building .......... Addition .......... Alteration ~ ...... Repair .............. Rembval .. 0 Demolition Other Worli, ~, ~ i i,, ...... 4 d C {'~ '(~'~' ~ v~.'~. ~ ' (Deschption) . Estimate sst ........... } ................. Fee .... (to be paid on filing this application) 5. If dwelling, number of dwelling ]units ...... lfg~rage, number of c~s ~ ......... Number of dwelling units on each ~oor ................ 6. If business, commercial or mixe occupancy, specify nature and extent of each type of use ..... 7. Dimensions of existing stmctur s, if any: Front ......... Rear .............. Depth '. ........... ~ight Nm~ber of Stofi~bs O~ensmns of same structure w~th alterations or additions: Front ................ Depth HeiSt ................ Rear .................. 8 .................... ~ .............. Number of Stories · Dimensions of entire new construction: Front ' ' ' ' ' ' ..................... ............... Rear ............... Depth ............... Hei-ht .......... ~. ~ ~. · · · Num~berofStodes ..... 9. ~ze mtot Front ~ ~ ' .................... D ........... ~ ........... ttear .............................. ~ Name of Fo'mcr Owner' Depth ................. 10. ate of Purchase ........... i. . .. . ..... 1 I. Zone or use district in which pre,raises are situated . . ....... ~. . . 12. Does proposed construction violg¢ any zoning law, or&nance or regulatmn [0. ~ ....... 13. Will lot be regraded .. al~ ' ' : ...~ . ". J ....... . .... 14. Nme of Owner of premises ' ~~' ' ~};t~)~ill excess Ollpe ~emoved from premises: ' 'Yel ' '' Nd Nme of Architect .. ~" i~ , ~ .... ~ ...... ~No ................ of Cont ,o ................ ................... ............. · ' '.' . ' ' ~ ................ Aaaress ........... Phone N · ~5. Is th~s proper~y wxth~n 3.00 feet of a exdal wetland? *Yes..~.. No ..... Y~.. ' ............ · If yes, Southold T:own Trustees Permit ma be required. ~ --~ 3 PLOT DIAG~ Locate clearly and distinctly ~1 buildNgs, whether existing or proposed, ~d. indlcate ~1 set-back d~ensions from prope~y ~nes. Give street ~d block qumber or descfiptioh accordNg to deed, and show street nines and indicate whether interior or comer lot. ~P~OVJD ~S ~OTED J ~ ~ NOTIFY ~UI~]~ D~R RT~N? AT 7fi~-1802 9 AM TO 4 M FOR TH~ FOr,LOWING INSPECT~OI S: 1. FOUNDATION : '~ )REQUIRED FOR POURED CONCR ~TE 2, ROUGN - FRAMIN~ ~ PLUMBING 3, INSULATION I 4. FINAL - CONSTRI ~TION MUST ._~ BE COMPLETE FOR C O. ~ ~ ' ~ ALL CONSTRUCT ON HALL ME~ ~/~~~ HE REQUIREMENTS }F THE, ..Z .~-~, ~ STATE CONSTRUCTIO~ & ENERGY ~ / CODES. NOT RESPOIJSIBLE i FOR ~t~ ~ ~ ~-~ ' rATEOF N~RK~ J~ ,[ .... ~ _1, ' ........ ~ ......................... being duly sworn, deposes and says that he is the applicant' (Nam~ individual signin~ contract) aove named. e is the J ' ' i gent, corporate officer, etc ) ' said owner or owners, ~d is duly ahthor~orm or have perfo~ed the said work and to ~n~e and file this ,plication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that.the ork will be perfo~ed in the m~ner set forth in the application filed therewith. yom to before me this ~ NO, 4879~ /, ] ~' ~ .... /' · ................ QuM~ In 8u~k Coun~ ~ ' / ~n ~ ~ ~ ~ ~ / (Sign a ture o f applicant )