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Home My WebLink About19714-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP~2RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20445 Date JANUARY 3~ 1992 THIS CERTIFIES that the buildin~ Location of Property 2695 COX NECK ROAD House No. County Tax Map No. 1000 Section 113 ALTERATION Street Block 7 MA~TITUCK~ N.Y. Hamlet Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MJ%RCH 5, 1991 pursuant to which Building Permit No. t9714-Z dated MARCH 15, 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 ALTERATION IN CELLAR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM LINDMAY, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED H-025794 - NO%~MBER 26, 1991 N/A Rev. 1/81 ing 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) No. 19714 Z Permission Is hereby granted to: ~~.,.~..~....~..~. ........................ ~.~...e..~.....~.f~ ___.. . .;,,~.-. :,~,,,,r,,,~. ........ /,,;,.'~.~.; ....... .~~~.., ..:~..~ .... ,o.~~:.~~....~ ....... ~~ ........ ~....~~. _ --,,. . _~ ..~ . ~.... ~......~ ......... ~....~.~.....~~ ....... ~ ..... ~.,~ ...... d/ ~ ,, ,,m,,,, ,,ated ,t ...~..~ ............ ~....~~~-;~ ................................... .... -. ...................................... ~~~....'. ............................... - ............................ ~,~ Tox ~., ~o. ~00o ~,o....ZZ~. ......... ~ ..... Z ............ Lo, ,o. ,..~. ............... Building Inspector, Re~ 6/30/80 .r'-~ ~..~,~r~ r\J/ ~l,,~, Form No. 6 :;I~ ~ !~1'I TOWN OF SOUTHOLD h: ~ ! ,~,, ,. ~ ~ ~ I. BUILDING DEPARTMENT ~. ~t~ ~ i~: ,.! TOWN HALL ~. ~ ..... 765-1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. S. 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 io Certificate of Occupancy - New dweiling $25.00, Additiohs to dwelling $25.00, Alterations to dwelling $25.00, Swinging 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 ' Pat 2/ ,/ e ..... ......................... · w Constructmon ...........Old Or Pre-exis ' ' · tmng Building ..... us mo. Street ~amlet ~awer or O~aers of Property ...... ~ ............. .~. COunty Tax Map No i000, Section. · //3 .Block .... ubdzvzszon .................................. Filed Map ............ Lot .............. Permit No.~.Tj.~i.~ .... Date Of Permit ................ Applicant ..... Health Dept. Approval .......................... Underwriters Approval ........................ Planning Board Approval ........................ lequest for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ............................ ~~~ ..... THE NEW YORK BOARD OF FIRE UNDERWRITERS ~:'~'<~'"' ! BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK T0038 THIS CERTIFIES THAT o~ly t~e e~ectrJcaJ equipment ~ ~scribed beJo~ a~ int~duc~ by the ap~icaat ~med o~ the above application n~ ~ber in the premises of ~()%/.~;~ .~, }~;~ ' Section Bilk Lot ~,as examined on and found to be in compliance with the reqtdrements of this Board. FIXTURE FIXTURES OVENS EXHAUST FANS OUTLETS SWITCHES NCANDE$¢ENT FLUORESCENT OTHER DRYERS SYSTEMS OTHER APPARATUS: C NO, OF HI-LEG OF HI-LEG NO, OF NEUTRALS OF NEUTRAL GENERAL MANAGER Per 4 , This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FO BUILDING DEPARTMENT. THIS COPY OF CI:RT IFICA~E M~$T-NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX II79 TOWN IIALL SOUTIIOI.D, N,Y. 11971 HARCH 27, 1991 TEL. 765-180,2 WILLIAM LINDSAY, JR. COX NECK ROAD MATTITUCK, N.Y. 11952 TO Whom This May Concern, %;e are unable v.o complete your Certificate of Occupancy because .of the following reasons. /-/ _/is not on £ile. /~/f/ Phc: cbc'ok ~:;(c~L~k~l/not on file.) /'~/ No Ileal. th Dept. Approval on file. /-~/ No final inspection has~been made. An application for Certificate of Occupancy $25.00 Please contact ()ur office on Thank you for your cooperation. lh~ilding Peru~i.t t! I 9 7 I 4 Z Build [nc.~ Dept. ·,, !_- this matter. tie Plumber :3older Certificate on file. all permits involving plumbing being issued after AprJ. 1 1,1984 ) FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT I I ; TOWN HALL , SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~p~ ....... , l~ ,~Pe~mit No ........ Disapproved a/c ..................................... INSTRUCTIONS BOARD OF HEALIH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. CALL ................. HAIL TO: , 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 commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit sha/l 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 shall have been granted by the Building Inspe'ctor. 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 necessary inspections.). /2 /'7 . . .......... ........... -- (Signature of applican{, or n~amoceif ~corporation) .... . .h .... '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 ........ . .~..~ [[ j .15...o~ ...... ./--? t .~.~. ..r. (4: .c/ .................................... (as on the tax rdll or latest deed) If applicant is a corpora~ion.;,signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...~.. ('¢.~.. ................ Plumber's License No ......................... Electrician's License No ....................... 1. Location of land on which proposed work will be done ............ ~ .... ~..~..~...~. .... ......................................... ./.,'. ..... ....... ......... House Nmnber Street Hamlet County Tax Map No. 1000 Section ..... /./~. ......... Block ..... ~'? ........... 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 nsc and occupancy ........... . ........ '~ ........ .. .. .. b I ......~?.~.¢~.~. ' d d d p cy ' . nten e use an occu an ~. ...... , 3. Natureofwork (check which applicable): New Building .......... Addition .......... Alteration .......... Repair. ..... ........ Removal ........ Demolition ............. Other Work ........ .~..~...d~..: ........ i~) ripti'~) ' ' 4. Estimated Cost ..... . ..... F · · .............. ee ....................... : (to be paid on fihng this application) 5. If dwelling, number of dwelling Units. · ............. Number of dwelling units on each floor .............. · If garage, number of cars ...... i .............. 6. If business, commercial or mixed ioccupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures~ if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ..................... i. Height .................... Number of Stories 8 Dimensions of entire new construction Front ........................ · ' Rear Depth Height Numb!er of'Stories ............................................. 9 Size of lot: Front ~' Rear ............. ~ ................................ Depth ...................... I0. Date of Purchase ............ i ........ . ......... Name of Former Owner ............................. 1 I. Zone or use district in which premises, are situated ..................................................... 12. D°es proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded ................................ .......... ' .................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises" Address · ' ...................................... Phone No ................ Name of Architect ........... : ................. Address ................... Phone No ................ Name of Contractor ........... , ............... Address ................... Phone No ................ 15. Ia chela property w±thJ_n 30,0 feet: of a t:±dal wet:land? ~¢¥es ........ No ......... VClf yes, Sout:hold Town Trust:ecs Parm±t may be requ±red. PLOT DIAGRAM Locate clearly and distinctly all b~ildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. N~3~I~Y SU ~ D~PARTlyf:,~dT 765-',802. 9 AM ~ 4 PM FORr'THE FOLLOWING INSPECTIONS: 1. FOUNDATION - ~0 REQUIRED FOR POURED CONCR~E 2. ROUGH * FRAMING& pLUMffiNG 3. INSULATION , 4. FINAL - CONSTRUCTION'MUST BE COMPLETE FOR ALL CONSTRUCTION SHALl., ME~ THE REQUIREMENTS OF~ THE N.Y. STATE CONSTRU~ON & ENERGY CODES· N~ RESPONSIB~',~ FOR DESIGN OR CONSTRUCTION ERRORS ~TATE OF NEW YORK, 2OUNTY OF ........... S.S (Name of mdw~dual mgnmg ?ntract) tbove named· ~ · being duly sworn, deposes and says that he is the applicant said owner or owners, and is duly m pplication; that all statements contalne /ork will be performed in the manner se~ .worn to before me this te is the ......................... ! ............... (Contractor, agent, corporate officer, etc.) thorized to perform or have performed the said work and to make and file this in this application are true to the best of his knowledge and belief and that the forth in the application filed therewith.