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Home My WebLink About19640-zNo Z-19700 FoRM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date JANUARY 31~ 1991 THIS CERTIFIES that the building Location of Property 825 PECONICLANE House No. County Tax Map No. 1000 Section 75 Subdivision ~DDITION PECONIC~ NEW YORK Street Hamlet Block 5 Lot 2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 17, 1991 pursuant to which Building Permit No. 19640-Z dated JANUARY 28~ 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 GREENHOUSE ADDITION TO EXISTING ONE FAMILY DWELLING AS BUILT The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 THOMAS & JOANN PERRY -- ~~n~g-~Inspector TOWN OF SOUTHOLD BUILDING DEPARTMEHT TOWN HALL SOUTHOLD, N. Y. (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL, FULL COMPLETION OF THE WORK AUTHORIZED) 19640 County Tax Mop No. 1000 Section ........... ~...~'T~.... Block~......~ .... Lot No .....~ ....... pursuont to application dated ........... ~, .................................... , Building Inspector. Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN 2 2199i 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: I. 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 ~rm). 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, indus, trial building, multiple residences and similar buddings 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 bulldogs and "pre-existing" land uses: 1. Accurate survey of property shewing all property lines, streets, building unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant· If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelliug $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 - $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 Date .... ¢~ .17,..1.9. $ ~ .................... New Construction ........... Old Or Pre-existing Building ................. Loc~tion of Property 85.~ A~.~O~J~ I~D.~ ' ltouse No. Street Hamlet Onwer or Owners of Pronert,, THOMAS & JO~tNN PERRY County Tax Map No 1000, Section .... .7.5. ....... Block .... ~ .......... Lot ..... ~ ................ SubdiVision Filed Map Lot Permit No ................ Date Of Permit ................ Applicant ............................. Realth Oept Approval Underwriters Approval " Planning Board Approval Request for: Temporary Certificate ......... Final Certicate ......... Fee Submitted: $ ..... 25.00 ....... . ........... ' 7G5-'~802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING REMARKS: [~'F~AL DATE ½o//?/ INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y. 11971 /.~.¢ TEL.: 765-1802 Examined .......... , 19~:~. · Approved · ·/./~ ..... , 1~.. Permit No../f..~...~.~.. ~ Disapproved a/c ..................................... Received ........... ,19... ~,~ B u ifl~fn g Inspector) APPLICATION FOR BUILDING PERMIT Date ~/.7 ......... , 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 commenced before issuance of Building Permit. ' d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicm]t. Such permit ._ st}all 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 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 four, moral or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildig~ !lode, hous. s.s~de, and regulations, and to admit authorized inspectors on premises and in building for necessary~s~//"-~~2~f'T~. ~___.~ ;~f,/'7,~-~, ~gnat e ,orn fe, if'a'~.~t.i!!).'j.'f (j,..e.qqn..i.e..$..a.n.e.,..P. ............... (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder. Name of owner of premises . TH.O. MA$..& .JOAIXlN. PERRY ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · · · ~ ...... Pecon~:c..Lane.,..Peco ........................................................... House Num bet nStreet Hamlet ± County Tax Map No. I000 Section ... 75 .... .c ........ Block .... ~ ............ Lot ......... 2 ......... 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 ..................................................................... b. Intended use and occupancy . .e.x. ! .s.tfi. n..g..9.r.e.e..n.h.o.u..s .e..1.2...x..2.6...a.d.d.e.d...t.o..~..e.a.r..o..f..§.a.r.ag.a ...... 3. Nature of work (check which applicable): New Building .......... Addition I// Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..... $.1.., .0.0.0....0.0 ....................... Fee ......... ~ ..................... (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ...... .1.2..f.t.... Rear .............. Depth . . .2 .6..f.t. ....... Height ............... Number of Stories ........................................................ Dimensions of same structure with 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 n'fifin 'C'fe'ffi~h ........... 10. Date of Purchase ........ d.a. n....1.7. ,...1.9.9. 1. ...... Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated .......... .R.-.4.0. ...................................... 12. Does 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. Is this property located withint~00 feet of a tidal wetland? * Yes ..... No .X.... · If yes, Southold Town Trustees Permit may be required. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. see survey attached -- per mit for existing greenhouse ARPRO D AS NOTED NOTIFY~ BUIE~NG O~PART~ 765-1802 9 AM ~ 4 PM FOR THE FOLLOWING iNSPECTIONS: 1 FOUNDATION ~0 REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3 ~NSULATION 4 FiNaL CONSTRUCTION MUST BE COMPLETE FOR ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUC~ON & ENERGY CODES. N~ RESPONSIB~ FOR DESI~N OR CONSTRUC~ON ~RRORS STATE OF NEW YORK, COUNTY OFS. U 17 .F.O.L.K. ......... S.S · · ' THOMAS· '&' 'JOANN ' P~RRY ...................... being duly sworn, deposes and says that he is the applicant (Name cf individual signing contract) above named. He is the .... .o.w.n..e.r.s. ............................................................................. (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 in 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 /7 Notary Public, . ~ .... ~ ...... ~ounty / ...... -'m?.. ............ / ~l°tarv "uNb:.c~i~l~,~ ~)~ New York ~ i$~ai~re of applicant) Commission Ex,;res June 30, 19..~ 0 0 MAP OF PROPERTY SITUATE - ~__~...~O~..J J~'" . .. DONALD J. TASE, L.S. -- SUCCESSOR TO RICHARD WILHELM