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Home My WebLink About19832-zFOP, It 1,10. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20510 Date JANUARY 30, 1992 THIS CERTIFIES that the ~lilding Location of Property 1475 HOMEPIKE ROAD House No. County Tax Map No. 1000 Section 114 Subdivision NEW DhrELL ING Street Block 1 Filed Map No. MATTITUCK~ N.Y. Hamlet Lot 5.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 26e 1991 . pursuant to which Building Permit No. 19832-Z dated MAY 1~ 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 ONE FAMILY DWELLING WITH ATTACHED PORCH & WOOD DECK The certificate is issued to JOHN P. DUMBLIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 90-SO~ll4-JAN. 9¢ 1992 UNDERWRITERS CERTIFICATE NO. N-221879 - JANUARY 27, 1992 PLUMBERS CERTIFICATION DATED SEPT. 17¢ 1991 - TRT PLUMBING & HEATING [Building Inspector Rev. 1/81 TOWH OF SOUTHOLD BUILDIHG DEPARTMEHT TO. bi HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CONIPLETION OF THE WORK ^UTHORIZED) N~_ 19832 Z Permission is hereby granted to: ..... .................... ...... ......... ~.,~J.....~....C~ ....... ...... ...~.~..~....~.:..~..:...u.~..~..~.. .~,~v..~.~.~./, ...... ~'"'~'"'"~f~'"'~~ ............................................................. ~ , , , n~ ............................ at premises located at ...U/.~.~..*7...~......~......~....~..:. ....... ..~..~.~ Coun Tox Ma No 1000 Se t' / ~ p . c,o~-~...i....~ ......... Block ..... .O..]. .......... Lot No....~.:..~ ........ · ...~.~ ....... C~..~ ............. , 19..~..J.., and approved by the pursuant to application dated Building Inspector. Building Inspector Rev. 6/30/80 J N30 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN UALL 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: 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 Uoard 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 Compliance from architect or engineer responsible for the building· 6.Submit Planning Board Approval of completed site plan requirements· 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and prc-exzstzng 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. J · Fees 1. 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .... ~-- 7 .... ~' ........ · .......... · ........ ::~w Construction.. ~ Old Or Fro-existing Building ................. !.ocat ion of Property. /~/7~ //~'g::,~t~/,~'g=: ~Zo~;b .... ~..~...;~././-~/~7~ H~use No. Street Ramle t · ;nwer or Owners of Property...[~.o.~/.~f .~.~3~.~ County Tax Map No 1000, Section .... //.~. .... Block .... ~9/ · · ........... Lot .... ......................... ....... ot. Permit ::o..../.~..~.~.~....~...Date Of Permit.. . .... Applicant..~/.~'.c~/ //o.,~.~ qealth Dept. Approval ........................... Underwriter3 Approval ......................... · '!4nning l;oard Approval .................... · cquest for: Temporary Certificate ........... Final Certicate ........... Yee Submitted: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 CERTIFICATION TEL. 765-1802 Building Permit No. / ~ ~ ~Z- ~__ Owner '~5-oH~ ~Ou ~D~3' {please print) Plumber (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) SWorn to before me this ~;~ day of ~,. No. 607890~ Public COMM£NT£ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL A~ COMMENTS: 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 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telepbone (516) 765-1800 JANUARY 3, 1992 LYNCH HOMES, INC. 321 COUNTY ROAD 39-A SOI/TIL4MPTON, NY 11968 RE: JOHN P. DUHBLIS To Whom This May Concern: We are unable to complete your because of the following reasons: BUILDING PERMIT Certificate of Occupancy An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is ~not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). 19832-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: JOHH P. DUMBLIS THE NEW YORK BOARD OF FIRE UNDERWRITERS PA~ 11~5084 BUREAU OF ELECTRICITY ~- 85 JOHN STREET, NEW YORK, NEW~Y~ORK I(~038 O, te JANUARY 2~,1992 ApplicatlonMo. onfile 7435~6191~9! THIS CERTIFIES THAT o~y the olectrlcal ~uipment ~ ~seribed be~ a~ intr~uced by t~ ~ppllcant ~med on the a~ve applicat~n number in t~ prem~es of DU~BbIS, HO~E PIKE, ~ATTITUCK~ N.Y. i. lhefollowlnglocatlon; ~ B~,ement ~ IstFL ~ 2nd FI. OUT Section ms examined on JANUARY 16,19 9 2 r and found to be i. compliance u'ith the requirements of this Board. · ' ,-. 2o ~ ~o ~o.~ DRYERS ~RNACE ~TORS . FUTURE A~LIANCI ~E~RS ~PECIALREC'PT TIMECL~KS ELEC. WATER HEATERS: :1-4.5 K~'. G.F.C.I:-5 SMOKE DETECTOR :-1 SCHARADIN ELECTRIC BOX 1077 MAIN ROAD CUTCHOGUE, NY, 11935 LIC.#3540E GENERAL MANAGER Per J$/ 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. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] IN__SUCTION FRAMING [~J FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION XST [ ] ROUGH PLBG. ] FOUNDATION :;ND [ ]INSULATION ] FRAMING [ ~'~AL 765-~.802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST []ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION [ ] FRAMING []FINAL REMARKS, 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: FINAL DATE INSPECTOR~/~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST ~ ~ROUGH PLBG. [ ] ~NDATION ~)ND [ I INSULATION [ ~FRAMING [ ] FINAL /1 .~.., 1. INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION [ F~MING [ ]FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] R~PLBG. FOUNDATION AND [//]~INSULATION [ ] FRAMING [ ] FINAL REMARKS: ,INSPECTOR ~/~~~ jl76S'1802 LDING DEPT. INSPEI TION [~FOUNDATION 1ST []ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION [ ] FRAMING []FINAL REMARKS: q---.. DATE FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y, 11071 NOTIFY · ~ TEL.: 755.1802 CALL Exam:ned ..... )..., I9 ,~. / HAIL Approved...B4. ¢~-~. J .... ~99/. ~, ~o..~.~.~ ........... ....... ....... . ' ' (Building Inspects) ' - - ~ ~PPLICATION FOH BUILDING PERMIT Date ......... INSTRUCTIONS a. Tl~s application must be completely filled in by typewrker orin ink and submitted to the Building Inspector~ with sets of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, reI,(tionship to adjoining '" or areas, and -' · - prom:scs or public strce . :at. ion. ozvm= a detailed description of layout of property must be drawn on the diagram which is part of this c. The work covered by this application may not be Commenced before issuance of Buildin~ Permi . · d. Upon approval of the apphcation, the Bmldmg Inspector wi/l ~ssued a Building Permit to the aptplicant. Such perm: shall be kept on the premises available for inspection throu~out the work. .. ' e. No building shall be occupied or used in whole Oran part for any purpose whatever until a Certificate of Occupanc. shall have been granted by tho Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th: Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable Laws, OrdLnances o 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 admit authorized inspectors on premises and in building for necessary · 'o PP' , rn n~e:ifa'c'oi'l~or.t,on) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, umber or bu ct. Nameofownerofpremises ................ /;4g / .. OOC_~ ~-. ... (as on thc tax roil or latest deed) Other Trade's License No Location of land on which proposed work will bc done ....... ' ..... · ....................... !!'--:::::: ..... : ..... tlouse Number ' S~ect, ' ' Hamlet ' ' ' County Tax Map So. IO00Section .... 1!.5/. ........ : Block ..0 l~.ot ;.~.., &..... ' ~.&.~ ..~... Pa/,u r P~ ~/~s~ ................. · .... Subdivision .............. .~ ......... IRlled Map No. (Name) · . ...... Lot ........ State existing usc and occupancy of premises and intended use and .occt Panty o£proposed constrnction: a. Existing use ant! ncr-, A///'~ ..... pancy ...¢:/ ............................. .............................. 3. Nature of work (check whic ap,p. licablc): New Building '..,. . , Repot .............. Removal ........ . Add,t,.on ..... ,'dlerat,on ......... oht,on ...... ..... ::::::' ' ' ~ ~I ................... ~ ~ - ........... 1'~ ...... ~,. -- ~usmess. commercal or m~xed occunancv ,~]~ .................... ~ ........... ' ........... 7. Dimensions ....... -~-Y nature and extent ofeadh tw .~ .... ~'" ........ ' Height ol emstmg st~Ctures, if any: Front... ............... Number of Stories .... ~ .... Rear .... ~. ' '~ ~ ' ...... ~ ...... , .......... Depth ..... ' ..... Dimensionsofsamest~cture with alte ' Depth ....... . ,, .ration. arndelxtiOnS: r n* '~..~; .... '.' ............ ~m~t .... F.o .......... + ........ Rear 8. ~,~7..f,~.~renewconstmction: w.~.J '~>;q'; ........... Nun b0rofStoh,, ................ 9. o~ze orlot: Front ~ ~ -~-ownes , .~ ..... . , · · "~ .......... uepm .~,~,', 10, DateofPurehase ............ Rear,. ~ ~ ''' l'"L ...... :.~"~ ........ '~. zo,~o~u~,,~i=i~;:~;~h;~'41~;&':,zz:,....: ......... .~,. ..... ,.. ~m .~z.'. ' .... .... Name of Fomer Own{r ........... -,~ ~aUatea ....... ...................... ~ ......... 12.~.ocs proposed construc~on violate an-, zon: · 13. %%ill lot be regradcd .~/ ~'~nmg mw. ordinance or regulation. ~ ~4. ~ o~ ow=~ o~ r~i~'~ .~i'i; z: :~_'.'2:~ .... w', ~;n11 ~'Zm~' kU.; LL' ...... . ................ N~ofArc ~ .... [/J.. d ~ . ~es. e~ . hitect . ~ - A dress .~ /0 t err ......... ~. ~...~..~2~ ~6 , · - ~=, =outhold Town Wruuce-o ~ .-~ o, a txdal lwetland? I'LOT DIAG~M -~uu~r¢u. Locate cie=fy md distNetly fl bu~d~gs, whether existing or proposed, ~d md/cate El set-back d5menXion~ fron property Eries. Give Street md block number or deschption according to deed, ~d Show street nines and &di:ate whuthe interior or corner lot. . ......... c) ore nam ,/ .mt: ofmd,,;dual szgnmg contract) ' ' ' being duly sWOrn, depoles and says that he iS, t~he applicant (Con tra ct ',n~,],];;' '_'l ......... . ........ l ...... said o~ ...... ~ . . , . '"~'~u""~e. orporate office,' .tn ~ I . ' .................... ~.-,ur~. ~u ~s amy authorized to perform or have -erfor---'~' 7'"' ~, ;l~c~zion: zha~ all statemeRts conzained in ti,is application are th,u ,o fl,e be~t of his kno,,,led~7d to m~e and file this , ~ ,,,~. me sam Work w~l be pertbm~ed in the m'~mer set' ~ortb in the application filud thcrmvith. om Io before me Ibis and belief;and that the ......... .. . .... gq.J ~1~8 L ~ .... - ...... ~ .~... N~ ~bll~ State ~ N~ ~ No. 4879~E Quallfl~ln 8uffdk~u~ ~ ~ ~ (Signatur= of applic~t) ~0' a LYNCH-HMS-RND P,Oi/O1 IZ .J Z 4. I 3 6 / / FAMILY ~ beea:,bsp ",-.Chi~;i. of I ~r Of v OF HEALTH SERVICES · 'fa~lliiies ~r"th[s art~ent and/ar ' HOME. /'~//~,'~ ~ R = 80.00' r- o .--,I o~ c.) 0 rq