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Home My WebLink About19691-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20068 Date JULY 11{ 1991 THIS CERTIFIES that the building. Location of Property 2435 CEDAR LAi~E House No. County Tax Map No. 1000 Section 37 Subdivision ADDITION & ALTERATION EAST MARION~ N.Y. Street Hamlet Block 4 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 25~ 1991 pursuant to which Building Permit No. 19691-Z dated MARCH 5~ 1991 was issued, and conforms to ali of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & ALTERATION TO EXISTING ONE FAMILY DW~J.TNG AS APPLIED FOR. The certificate is issued to WILLIAM~ AIT~RN & JOHN PARROTT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. H-022332 - MAY 29~ 1991 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ]l~~tl~' NO. · TOWN OF $OUTHOLD IUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 19691 Z Permission is hereby granted to: .~..~~ ................ .~...~.~..y~?.~...../.~/./~ . ~o ............... ...... ........ ........... ...... _~~~....~~ ...... ~._~ ............................. o,~,~i~,,~,,~o, ........... ~...~..~..4.~..~.~.'....~...~. ............................. ............................................... ~.~.....~.~ ..................................................... .................................................... .~.,....~_ :....~../..~..~.~. .......................................................... Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ILALL 765-1802 ~LPPLICATION 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 i% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect or engineer responsible for the building. 6. Submifl 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. ~- Fees 1. Certificate or,Occupancy - New dwoliing $25.00, Additions to dweiiieg $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 - $10o00 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Constr ctio ~// Date ....~.~.~..~..~./. ..................... ........ Pre-existing Building ............. ocation of Property ............. .~-.-~.--~. ~_.,..~..~. House No. ' ......... Street ''' ' .......... ~unty Ta~ Nap No 1000, Section...~.7 ....... Block ..... ~ ......... Lot... Z.. :bdivision. .............. Fzled Nap ........... ~rmit No ........... oate Of Permit ....... Applicant...~..~.~./-.~.~7~Q. alth Dept. Approval. . . .............. ......... Underwriters Approval ......... . ....... arming Board Approval ........................ quest for: Temporary Certificate. ~ .......... Final Certicate... .. Submitted: S. ~O . ................................. 20 APP CANZ ~-~ ~BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION ZND [ ] INSULATION []FRAMING [ F~INAL /~ REMARKS: DATE INSPECTOR~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'~"?' n [] Basement [] Ist FI. [] 2nd Fl, Section Block Lot FIXTURE FIXTURES RANGES COOKING DECKS OVENS DiSH WASHERS EXHAUST FANS OUTLETS EWITCHEE FLUORESCENT OTHER DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI*OUTLET DIMMERS SYSTEMS NO, OF FEET SERVtC~ DISCONNECT S E . R V I C ERCC~COND OF CC, COND OF HI-LEO ? OTHER APPARATUS: OF NEUTRAL GENERAL MANAGER {his 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. THI~ COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANHER. THIS CE~IFIES THAT IC"F ~ ~ T ~g' ~ ( , ~ ~examin~on ,1 ~II~RY ~, 1~] andfoundtobelncompliancewlththerequi~.aentnqfthlsB~rd. .X~ ~,mS[ ~ [ n~U.~ ~ ~A~a IC~K,~ ~KSI OVmS I m~H WASHERS J E~HAUST 'ASS ~WA~ ~T~ mTU~ A~A~E ~1~ ~IAL RK'~ TIM C~KS ~R ~ MULTISTAT DIMME~ ~R~ ~T ~. M S E R ~ ~ V I C E STREET APT. 1{~ ~~ ~h ~ ~ W ~ M in a~ ~n~r; ~urn to t~ office of ~e brd if iKor~, In~Ktors ~y M i~nt~ by t~r c~k. TE MUST NOT BE ALTERED IN ANY MANNER. -- THE NEW YORK BOARD OF FIRE UNDERWRITERS 8024319 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK. NEW YORK 10038 THIS CE~IFIES THAT ~y ~ e~t~ ~uipme~ ~ ~d~ be~w ~ i~ by t~ ~n~ ~ o~ the a~e ap~i~tion ~u~r in the prem~s of ~ ~' ~AY 06, ] 991 FIXTURES RANGES OVENS DISH WASHERS EXHAUST UNIT HEATERS MULTI-OUTLET DIMMERS S¥STF. MS OTHER AF~AR~US: ~NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical eq~pmeat in the preaises indicated." "No obvious unsatisfactory condition was found. S E R V I C E JOHN b. PARROTT 18-75 CPL. KINNZDY ST. AP BAYSIDE, NY, 11360 This certifi~ato must nm be a#ered in any manner; return to the office of the Board if incorrect. Inspectors rnQy be identified by their credentials. ~' COPY FOR BUILDING DEPARTMEHT. THIS COPY OF CERTIFICATE/f~JST NOT BE ALTERED IN ANY MATHER. FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & FLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COb o-% 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] INSULATION FRAMING [/~FI NAL DATE iNSPECTOR ~ ~'--~/ GARAGE ROOF AND FACADE NEW ROOF TO THE GARAGE TO BE BUILT ACCORDING TO ATTACHED PLANS & SPECIFICATIONS IN MARCH OF '91. THE FACADE WILL CHANGE THE APPEARANCE OF THE STREET SIDE OF THE HOUSE & PROVIDE SCREENING FOR THE OUTDOOR SHOWER. PRICE : :: FEB 2 5 1991 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ,,cOUTH QL.D.. bi.Y_ VU't7 t TEL.: 705-1802 Examined ............... 19... Oisapprovcd a/c ...................................... ~uild[n~ mspcctor; APPLICATION FOR BUILDING PERMIT BOARD OF HEALTh{ ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FO[tH .............. CALL ................... J'IA ][ L TO: , INSTRUCTIONS a. Tlds application must be completely filled in by typewriter or in ink find submitted to the Building sets of pln~% .-Wcurate' plot plan to scale. 1::~ aCCOrding to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or publ/c stre: or areas, and giving a dora/led description of layout of property must be draxvn on the diagram which is par~ of tkis ap.r cat/on. · c. The work covered by tkis application may not be commenced before issuance of Building Permit. 'tl. Upon approval of this application, the Building Inspector will issued a Building Permit to the appiicant. Such perrr shall be kept on the premises available for inspection throuehout the Work· e. No building shall be occupied or used in whole or ~n part for a.ny purpose xvhatever until a Certificate cf Occup~'~: shall have been granted by the Building Inspector. APPLICATION' IS HEREBy MADE to the Building Depm'tment for the issuance of a Bu. ilding Building Zone Ordinance o£ th.e Town of Southold, Suffolk County, New York, and other applicable Laws', Ordinances Regulations, for the Construction of buildings, additions or alterations, or for ~emovat or demolition, r..; hereto descr/be: The .apptican.t ag[ecs to comply with all applicable la~vs, ordinan s ' ' ,- - . adm:t authorized mspector~ on premmes and in buildin- f ........ _c_es.,. buildm~ codc,/k0~usm~ code. ano regu!at:ons, and =- ......... axy Lnspec~aons. / ~ -- ....... · (Signature of applicant, or name. if a corporanon) State whether applicant ~s owner, lessee, agent, architect, eno~ncer, general contractor, electrician, plumber or builder · (as on the tax roll or latest'~e'd')' '' ' ' Il'applicant k a corporation, signature of duly authorizcd officer. a n teo e c r) Buildcr'a License No ..... ~..: . Plumber's Liccnse No ' -- FIcctrician's License No ....... Other Tradc's Licenxe No Location of land on which proposed work xvill be done: · Slreet. ..... Hamlet ............. qlztc exisdng nsc and (Name) .............. Lo! ............... occupancy of premises and ;,,tended me and ' oCcup.ancy of proposed construction: A. Existing usc and occupancy .... ~ -&v~ t B. 'Incended use. and qccupancy.% ....... .v~. f ......................................... ... /alteration .4~. ...... 3. Nature of work (check which applicable): New Building .......... Additic. n ....... ... ' .... Demolition _ S,ai.'nrain~ pool..., ......... .... Rlemoval ........................ , , Repair ....... ~ Othelr;~rk '. Tennis Court ......... Accessory Building .......... re,rice ..~.v ........... .-.-- 4. st matedCost. g; -. ............. Fee ................ (m, be paid on filing this aophcauon} 5. If dwelling, number of dwelling units . ......-...~/'°& .... Number of dwelling units on each floor .............. If garage, number of cars ...... Q.~...~.O.t~.~l/.r .............................................. If business, commercial or mixed occupancy, spdcify natnre and extent of cacix type Bi' use .............. 6. . . . . , t. /' ~7." Depth . .-~..~... 7. Dm~ensmns~ofcxtsttngstructurcs, tfanY: Front..,3.~.~- ....... Rear .,7. ........... . · Height . ~.~'.~. fl.~g~t. ¢.'~. Number of Stories ..... [.~. 9,, ...................................... Dimensions o£ same structure with alterations or additions: Front .... .$' ~.,7.e ...... Rear ....5 .~.*.D i?. ...... Depth ......... $ .,1 ..~ ! ....... Height .... ~ .9.."D .<'; .......... Number of Stories .... 4'-~. ~ ! ........... 8. Dimensions of entire ncxv construction: Front ........ .. . . ... Rear ............... Depth .............. Hei'z_ht ............. Number of Stories .............. ; ................... ,. ,iEee: ............... . ................. I I. c s r~'s 12. Does proposed construction violate any zoning law, ordinance or regulation:..-.-~d/Tc' .... .........- ............ 13. Will lot be regraded ~ ~,,. .... .r).o....L ............. Will excess fill be removed from ?.~m,..q&s: .., . Ye:. ,.. Name of' Architect .. ''L7 ......... ~,, ........... Addres~ ................... Phone No .... : .......... Name of Contractor .. w-c& r.g'..~ .... )~..~. ~ ........ Address ................... phone No .... ,;,c'. ..... t.5.-][-a th. ia property l. oe~ted ~.-ithin'3O0 feet of a tidal ttet. l. aud? ~:If yes, Southold To,an Trustees Permit may be required. PLOT DIAG P, AM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dirnen:ior.'... property lines. Give street and block number or description according to deed, and show street names and indicate wa'.'.'::. interior or comer lot. (Name orindividual signing contract) '_ Bye nnmcd. ~ is the ~ ~ O 0~ ....... (Contractor, agent, corporate officer, etc.) ff said owner or owners. ~d is duly authorized to perform o, have perfumed the said work and to m~e and file th pplica~ion: that all statements contained in ibis application are true to the best of his knowledge and belief; =nd that york will be peri'ore, ed in the m~ner set forth in th~ application filed therewith. ~wom to bel'ore me thi~ .ota~. Public ..... ... Count~ (Signature of applican'