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Home My WebLink About19996-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20225 Date SEPTEMBER 18'~ 1991 THIS CERTIFIES that the building Location of Property 1275 FIRST STREET House No. County Tax Map No. 1000 Section 117 ACCESSORY Street Block 7 NEW SUFFOLK~ N.Y. Hamlet Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1991 pursuant to which Building Permit No. i9996-Z dated JULY 2¢ 1991 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY SHED IN THE REAR YARD AS APPLIED FOR. The certificate is issued to PAUL FINNICAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · /y Bu~ldin~ Inspector ~vomv~ NO, 0 TOWM OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PEIUG. IT (THIS PEI~v~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK: AUTHORIZED} Permission is hereby granted l~-x ...£.....~...~' a I.~,,,~. ~'l '-'~l' . ..~.,.~ ...... ~.:~.:.~.L.L.~.~J ........ ~,, ................. ~~...:~.....= .................... ~ ............. ~.....~....~; ..................... a~premises I~.t~ at ..~.~...~.~....~ ........ ~.~.....~~~ .............. ..... ~7'"'~ ....... '~ ....... ~'"" ........ ; .................................................................................................. ........ z~ ..... ~.~ ....... .~~ ........................................................................................ C~n~ Tax Mop No. 1000 Section ....... ~.~ .........Bilk .....~.~ .......... Lot No..~.~. ............... pumuant to application dat~ ....... ~.~...~ .................. , 19.~.J..., and apprev~ by the Building In~ctar. Building Insl~ctor 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 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, 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 dwelling $25.00, Swimming pool $25.00, Accessory buildin§ $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 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... .?~ 1. ~ .~..I.5. % .................... ~:ew Construction .... ~. ..... Old Or Pre-existing Buildin ........ Location of Property .... l.~.~.~. ....................................................... House No. Street Hamlet Onwer or Owners of Pron~ ,, County Tax Map No 1000, Section .............. Block ................ Lot .................... . . Subdivision .................................... Filed Map ............ Lot ...................... Permit No...I .~..~. ~ .... Date Of Permit..~. 1~./.~./. .... ~> ~%t,~'> ~ .~. ~.~%..~.~.~...~ ........ appAzcann .................... Health Dept. Approval .......................... Underwriters Approval ................... ... .. . Planoing Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ......................... .... CO -~L 0~0~707.~ APPLICANT INSPECTORS Victor Lessard Principal 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 SCOTT L. HARRIS, Supervis~ Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD September 6, 1991 Mr. Paul Finnican P.O. Box 126 New Suffolk, N.Y. 11958 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file) $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 19996-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION FERN. STATE ENERGY CODE ADDITIONA'L COMMENTS: FINAL -j ApPROYED AS NOTI~D FEE' ~ N~IFy BLJILU~ 76~-1802 9 A~ TO FOLLOWING INbPECTIO~ 1. FoUNDAT'ON FOR POURED p, U~BING 2, RouGH' FRA~'NG 3. INSULATION L " cONSTRUCTiON MUST 4 FINA ' EcOMPLETEFOR~: ~¢ET THE STRU¢Iffi STATE CON --~1 ~ FOR S. N~ RES cODE ~RORS DESIGN OR cONSTR~ ' OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE ~ OF OCCUPANCY FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 Examined . ~...'~..., 19 .~.l. Approved. .~4~ ~..., 19 .~.~. Permit No.I .~. ~.c].~0..~.. Disapproved a/c .... . ................................ APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. HAIL TO: Date ~o [ ~r-~ 19~ ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. 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 s~nall 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 -jhall 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 Building 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 for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necess~xy-inspe~e ~276'~/ -- (S~g~~me, lf~;orporatlon) ' /.;.7.7. 7~~. . .~. 8.a-~.. ?~.o....4 ?~..,.~. ~. ?~' .~.. ~...'.~'~ (Mailing address of applicant) ~(~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ....................................................... . ........................ Name of owner of premises ....... ' .................................................... (as on the t,wA roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No..~...o~.~...~'.~ ~ Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ... 5T .... ...... ................................. House Number Street Hamlet County Tax Map No. 1000 Section ....... [.f. :'~ ....... Block ...... f.~.. ......... Lot. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. 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 ........ ~ ...... ~.3.t~..~...~'. ~_~. ~t~ '~ .'~ i~ * .~. . 3. Nature of work (check which aplplicable): New Building .......... Addition .......... Alteration .......... Repair .............. Rem?al. .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost .......... ~ ......................... Fee ...................................... , (to be paid on filing this application) 5. If dwelling, number of dwelling hnits ............... Number of dwelling units on each floor . ......... If garage number of cars 6. If business, commercial or mixec~ occupancy, specify nature and extent of each type of use .... , ..... , ............ 7 D' ' ore ' ting structure§ 'fany: Front R D pth · lmenslons XlS ,1 .............. ;. ear ........ ...... , e ............... Height Number of Stories Dimensions of same structure wgh alterations or additions: Front ................. Rear .................. Depth i Height Number of Stories 8. Dimensions of entire new constrcction: Front ............... Rear ............... Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... i .......' .... Rear ...................... Depth ...................... 10. Date of Purchase ........... ! .................. Name of Former Owner ............................. 11. Zone or use district in which premises are situated · 'lh 'gl 12. Does proposed construction we te any zomn aw, ordinance or regulation: .... .., ............ ............... 13. Will lot be regraded ......... i. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . · ' r ................ Address ................... Phone No ................. Name of Architect ........................... Address ....... : ........... Phone No ................ Name of Contractor . Address Phone No 15. Is this property within 3D0 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all ~uildmgs, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.~ COUNTY OF ................. ...... .C....~.; .... ~ .............. being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) above named. He is the ........................ ! ................................................................. ,i (Contractor, agent, corporate officer, etc.) of said owner or. owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained m this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this : Notary Public, HELEN IL ~ VOE NOTARY PUBLIC, State of New Yed( . N0..4707878, $uifelk CamCo/v'~'q .~ Ten~ tx~ires I~lareh ~0,19 . . .da~ of ........... 19 ?J. (Signature of applicant)