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Home My WebLink About20263-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTi~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22702 Date NOVEMBER 4, 1993 THIS CERTIFIES that the buildin~ Location of Property 600 HARBOR LANE House No. County Tax Map No. 1000 Section 97 Subdivision ADDITION CUTCHOGUE. N.Y. Street Hamlet Block 6 Lot 16 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 1991 pursuant to which Building Permit No. 20263-Z dated NOVEMBER 7~ 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to HENRY RIENECKER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-028323 - APRIL 21, 1992 N/A -~~Buil~ing Inspector Rev. 1/81 lvOB~ NO. ~J TOWN OF SOUTHOLD BUILDIHG DEI'ARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 20265 Z Permission is hereby granted to: ....~.~.~.~.....~./..~-.. ............................................ .... .~.~.~.~:~.,..J..:.~.. .......... . ,o....~~......~..~..~.~ ....... ~.~.~.....~....~ .......... · ~'.~.~...~:.'.,=~ ...~..~........,...~.~ .............................................................~ ~ ! ......... County Tox N~ap No. 1000 Section ....... .,.~?..~....~. ..... Bl~c~ ...... ..C~...~. ....... lot No ......~...(~ ............ pursuant to application dated ...~..~.~.....~ ................. , 19..~../.., and approved by the Building Inspector. Fee $...~ ................ Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~t~(;~ ], 8(')3 ~./J~,~; BUREALI OF: ELECTI=itICI'TY ~ 85 JOHN STREET, NEW YORK, NEW YORK t0038 THI~ CERTIFIES THAT only the eJectrical equipment ~ ~scribed be~w and i~troduced by t~ applicant ~med on the a~ve application n~ mb~r in the premises of Lot '] 6 6 ~ DRYERS SYSTEMS NO. OF FEET OTHER APPARATUS~ E R V I C NO OF HI-LEG ,,o. oF ,~EO,~,sj2 /o^' w G. OF NEUTRAL 600 tthBBOR LAI~B 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. TNIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTHENT A. This application must be fille4 in by typewriter OR ink and submitted to the building inspector with the following: for new building or ~ew 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 1% lead. 5. Commercial building, industrial bu%lding, multiple residences and similar bui%dings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6.Submit Plaaning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: , i. 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 House No. ' Street Hamlet Onwer or Owners of Property .... ' . 'County Tax Map No i000, Section ..... ZTi ..... Block ...... .~. ........ Lot .... ~.-~. .............. ........... iiljili .ji iiiiill ...... ............ ............... ' Permit No. z?;"..e..2'"..~, ..-~. .... Applicant.. ~ Z !Health Dept. Approval .................... Underwriters Approval... ... Planning Board Approval ....... .~.f.~.. .......... Request for: Temporary Certificate ........... Final Certicate...~.. .... Fee Submitted: $. ~. ~?fi~ .~. ' 765-1802 ~PLICATION FOR CERTIFICATE OF OCCUPANCY, 765-1802 BUILDING DEPT. INSPECTION ,,[ 1ST [ ]~ ROUGH PLBG.' ' ,~oUNDATION 2ND [ ]INSULATION INSPECTO~ ?'iELD ?OUND~TION ~lst) FOUNDATION { 2nd 2. ROUGH FRAME & .PLUMBING ® INSULATION PER N. STATE ENERGY CODE FINAL ADDITIOMA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] I~ULATION / FRAMING [./] FINAL DATE INSPEG'~TOR FORM NO, 1 3 SETS '~OF PLANS TOWN OF SOUTHOLD SURVEY ................... BUILDING DEPARTMENT CI1ECK .................... TOWN HALL SEt'TIC FOR,"t .............. SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E.,amined.~.~.l .... 19~.!. APt, roved ./9....0"?~....~.., ."}.. ,, 19~JJ Vernit No.~..~...~k .~..'~. Oisapproveda/c .... . ...................... .~ ........ .................... (Building Insp'ector) APPLICATION FOR BUILDING PERMIT tl OT I F Y: CALL ................... HAIL TO: INSTRUCTIONS 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 rnust be drawn on the diagram which is part of this appli- :ation. c. The work covered by this 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 ,hall have been grauted 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 applicabIe Laws, Ordinances or ~egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ['lie applicant agrees to comply with ail applicable laws, ordinances, buildinK'Z-6~-~[Ii,~u~ng code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary lnspection~ . . ........... ~".,;i,....~-~... 7...:..-~... ........ (Signature of applicant, or name, if a corporation) .?~.'.~.o?.. ?c.o7~..<?..r~.d.o.c..D.a... it ~ .~.-~.. ....... (Mailing address of applicant) gtate whetl~er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pretnises . . . ~. ~ (as on the t,TA roll or latest deed) It' applicant is a corporation, signature of duly authorized officer. (Name and title of corl~orate officer) Bu Ider s License No .......................... Plumber's License No ~ Electrician's License No ....................... Other Trade's License No ...................... Location of land on .which proposed work will be done ......................................... ' ......... · ; .... L ......................................... '~ ............................................ house cqumber Street Hamlet q~ ~ e,..~. . County Tax Map No. I000 Section ...... Block Lot Subdivision ..................................... 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 ,2.~$ [bt:/j .rr_ .~.; ........ b. Intended use and occupancy g-O-~ r' ~ ~--.,~,,~. · 3. N of ork (check.which Pplic bi ) N Butldi Additi stare w a a e ew ng ......... on ........... Alters on .......... R pa/r Remb al ' ti e .............. v .............. Demolition ... ' Otb W k I ........... er or ............... 4 Estimated Cost ~. ~ t2rO ' (Description) .................... Fee $. welhng, number of dwellin s .............. Number of dwelling unils on eec ocr ....... · garage, number of cars ..... ]/. ........ )~ fl ......... 6. If business, co,mmercial or mixed occupancy, specify nature and,extent of each t e of us 7. Dimensions et existing structured ir ~ .... ]~rrmf ~":~ ? ~ R__~.pJ 6 ~H.e,,ht /z:.. / ,, y ..... ~'-~ ...... ','"'.~' ........ l<.ear ...,~.dC: . Dc '0---. .............. r~um0er of Stones ,.. ! ..... pth ................ ilh ~r ~ ....... ~ "~'" ........ ,~ ........ ~ ~.2,~'! ........ utmenmons of same structure w alterations or additions, o · . .....r. ,~ ......... l~ear .................. Depth ..... 2~'7. ,~ .......... Hei,ht . /.d r ,, 8. Dimensions of ~nfirt~ ,~.--- · , . ~'Z ......... . .......... r~ulnoer of Stories. . .~ ....... -:-.- ..... w C01]SHIIC[IOi3; Pront, ,, z o. · ' ,-, , -, ....... :.., ....... He,ght .... /.g: ....... Number of Star/e~ / .......... ltear ..... A-..o. ....... Depth ....~. ~?..' ....... 9. Sizeoflot: Front .. /..,$~..t ..... ,~'_ ....... ;'Z_:..''! ........................... , ...... n.o~ ^~n..--~ ~ZZ I'~'.. ....... zxuar ...... ~.-A Y , n,,,~th ,~ e, '7 ' ,~. ........ .z.. ......... acme of Former Owner ~ c~ D,~/re. I I. z, one or use OlSlrlC£ in Which premises are situated...~L~:l ~ ~ e-,o x'/~ ................... '" .......... 12, Does proposed construction violate any zoning law, ordinance or re,ulation. 13. Will lot be regraded ...c/~.. ..... o .................................. x, ...... ' . ''Z~; J,'..' "~'2..' ', .......... WlU excess fill be removed from premises: y 14. c~mne muwner o~prem~ses o:.tc.~.~ '~-(~.'Y..~.~'..~.~.~Address .~.~T.~.h~.~:y.~ ...... Phc No. Name ne 7..~' .~..7.~'.~...6 of Architect ... !. .... ....................... Address ................... Phone No ................ Name of Contractor ........ 0[0 'f ........... Address · ' · .................. Phone No ......... . ...... 15. Is this property within '3TM eet of a tidal wetland? *Yes ........ No...%~. .... ' mIf yes,, Southold To~n Trustees Perrd~;t may be required· '"' i PLOT DIAGRAM Locate clearly and distinctly all bBildings, whether existing or proposed, and, ifidicate all set-back dimensions from property llnes. Give street and block nffmber or deseriptioi~ according to deed, and show street names and indicate whether interior or comer lot. TATE OF NEW YORK, OUNTY OF ................. SiS ......................... being duly sworn, deposes and says that he is tile applicant' (Name of individual signing cointract) )ore named. (Contractor, agent, corporate officer, etc.). ' said owner or owners, and is duly auth!orized to perform or have performed the said work and to make and file this plication; that all statements contained i~ this application are true to the best of his knowledge and belief; and that .the )rk will be performed in the manner set forth in the application flied therewith. /om to before me this ~tary Public ' County