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Home My WebLink About19884-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20372 Date NOYEMBER 22, 1991 THIS CERTIFIES that the building. Location of Property 2845 HOBART ROAD House No. County Tax Map No. 1000 Section 65 Subdivision ADDITION MOUTHOLD, N.Y. Street Hamlet Block 1 Lot 14 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, I991 pursuant to which Building Permit No. 19884-Z dated MAY 24, 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 SCREEN ENCLOSED DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED THOMAS & MAUREEN OLLEN N/A B6ilding Inspector Rev. 1/81 i~OUM NO. it 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) N~ 19884 Z / Date ~..~'~/,'~" .................... Permission is h,~,reby granted to: ._ ,~ ,, ..... ~, ...................................... .~. .......... ,,,--'~--'~ ...~.,.~.~.....~...,~.,. ..................... ,o ~....~.~....~ .:..~.~ ........ ~.~.....~... ., ...=~..~. ............................ o, ,,,.,m,,.., ,,~,.t.,~ o, .....~~.......~.....~.~~...~ ............................... ......................................................... ;~~ ........................................................................... Co~n,y Tax Map No. ,000 S,c,,on ......... .~...~...... B,oc~ ........... /.. ...... Lot No ......... .../..~ ..... pursuant to application dated ...... .~--~'~: ............. ~ ..................... , 19.~./..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEP~TMENT TOWN HALL 765-1802 J~PPLICATION 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 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: 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 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 - $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 $15.00 Date ....... ~ .............................. New Construction ........ Old Or Pre-existing Building . Location of Property ................................................................. ... . . . o. House No. Street Hamlet Onwer or Owners of Property .... .~.~...~,~..~....~%.. ?.¥.~'.~.. ...................................... . . County Tax Map No 1000, Section .............. Block .............. Lot ................... Subdivision .................................... Filed Map .......... .. Lot ................. .. . . . Permit No./~ .Date Of Permit..~.~. ?.~..~! .Applicant ~o~$ Health Dept. Approval .......................... Underwriters Approval ...................... Planning Board Approval .................. .... .. ~equest for: Temporary Certificate ........... Final Certicate ........... ?ce Submitted: $ ............................. C 0 203 APPliCAnT INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Bui/di~g Inspector Vincent R. Wleezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 SCOTT L. HARRIS, Supe~vis0~ 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 November 25, 1991 Thomas V. Ollen 53-26 Bell Blvd. Bayside, N.Y. 11364 Re: Building Permit 919884-Z - CO Z-20372 Premises: 2845 Hobart Road, Southold, N.Y. Dear Mr. Ollen: Please be advised that the Certificate of Occupancy for the above building permit was mailed to Peter Ekstrom on November 22, 1991, therefore, we are returning your check 9852 dated November 17, 1991. Kindly contact Mr. Ekstrom for your CO. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Georgia Rudder, Secretary Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN ttALL 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). 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, ~ cer~4on~ ~c ~ ...... :hitect or engineer THOMAS V. OLLEN 13 5 2 MAUREEN P. OLLEN , I *~- 53-26 BELL BLVD. ~0-852 uses, or buildings and ets, building and ~gned by the applicant. :tor shall state the MEMO dwelling $25.00, building $25.00, --,., ..... ot Occupancy - s.oo o er 5 earJ-i'j .O0 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,~ ~ 'C Date ..... .. w Constructzon ........... Old Or Pre-existing Building .............. - ~' .................. ,t.k~ %~%~ - j ~ \~c~.~ House No. Street Hamlet Owne f Pr ty "' O IoO ic Ooo County Tax Nap ~o t000, Sec~o~.~ ...... 8Zock ..... ' · · · .......... Lot..~ .............. Subd/vtston .................................... Fried Nap ............ LoC ...................... Permit No ....... Date Of Permit ....... Applicant .......................... Ueal[l~ Dept. Approval .......................... Underwriters Approval ......................... ?[anning Board Approval .......... , ............. Request for: Temporary Certificate ........... Final Certicate...~] .... ..... ~PLICANT 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 Telephone (516) 765-1800 NOVEI~gR 20,1991 PETER EKSTROM Il VIOLET ROAD ROCKY POINT, NY 11778 RE: Thomas Ollen & Wife TO Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed} No Underwriters Certificate on file. The check is (outdated/not oh 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 9 19884-Z Please contact our office cooperation. on this matter. Thank you for SOUTHOLD TOWN BUILDING DEPT. CC: THOMAS OLLEN & WF 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 Telephone (516) 765-1800 NOVI~BBR 13, 1991 J,.OSS CONTROLL ASSOCIATION 1070 BAY AVBNUE MA~II~JCK ~ NY I 1952 RE: Thomas Ollen & Wife To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) Xxx No Underwriters Certificate on file. The check is (outdated/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 $ 19884-Z Please contact our office on this matter. cooperation. CC: THOMAS OLLEN & WIFE Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATION ( ls t) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATZON PER N. STATE ENERGY CODE FINAL AD~ZTION~L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ '/j/FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [,~RAMING ~ ] FINAL DATE INSPECTOR ~~/~ /~o 6 ~¥ AU~ 7ss.18o- INSPECTION ~UN.~IONIST [ ] ~H~LBG. REMARKS: Y~'~ , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~xaminc( lpproved...~ ., 1~. Pe~it No. ~ )isapproved a~ ..................................... APPLICATION FOR BUILDING PERMIT BOARD 02' HEAL, TIt ......... SETS' OF' PLAN~ .......... SURVEY ................... CH£CK ...... .... : .... :... SEPTIC . · · / To: Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ts 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 · areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- tion. ¢. 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 ail 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 all 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 zilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or .'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr/bed. ze applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to mit aut~r/zed inspectors on premises and in buildin, gfor necessary .... ~~._~.. ;..inspecti°ns' · ~ ............. ( '~ app 'c~¢I,, or name, if a corporation) (Mailing address of applicant) ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~me of owner of premises ~-.4,~ ~'~X.* V. (as on the t .rrrt roll or latest deed) applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ....... PI tuber s Lmense No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................... ,~,~, ,~,~, , ?./o,~.~,~:~-/~.,~ .5'0 ............................. o ~-, ,~. ~-.~ qouse Number Street Hamlet .~ounty Tax Map No. lO00 Section ..~.~... g~'~ Block I . Lot ..... ;ubdivision ..................................... Filed Map No ............ L (Name) ... ot ............... tare existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy ';*:;;"'¢ '~ ,,,',,0;'-'~ ,,~ ~'/, Intended use and occupancy ................. ~"'.~- 3. Nature ofwTrk (check which appli}able): New Bu'ilding .......... Addition .......... Alteration . '.~i '$,O' · Repair ............. Remove! .......... Demolition ......... Other Work ~'?.,~--4'~.-~ 4 E ~? ~ ti!{, J (Description) . stimated Cost ....... · , . ,- ~ ....................... Fee . /~ (to be paid on filing this application) 5. If dwelling, number of dwelling, unlts .............. Number of dwelling units on each floor ............. · If garage, number of cars .. .' ....... . ...... 6, If business, commercial or mi u o~cupancy, specny nature and extent of each type of use .................. ,7. Dunens~ons et e ~st~ng structures, i:fany: Front ............... Rear .............. Depth.. Height . .,/.."2.. ......... Number of Stories ...... ! ......... ' ............ Dimensions of same structure with Iterations or additions: Front jH ................. Rear .................. Depth ...................... eight ........... / .......... Number of Stories . , 8. Dimensions of entire new construction: Front . ./p Rear .... 4' .......... Depth .~..g. · igh i ' · · He t .............. Number of Stories ......... '-- ...... .... 9. Size of lot: Front /o .............. ..... Rear. ... De .......... Date of Purchase ...... 11. Zone or use dmtnct in wliich premike's arl situ;t~d .... Name of Former Owner ............................. 13. '' ' "'. .,.",.',./ ' . . ' ~: ............ ... tN e .. ....Y. s. of Architect I' · ...... ........................... Address ... Name of Contractor 4.os~ ~o.~.rrtoz ~./~n< ................ Plione No ................ ....... : .... ; . Address ~.p2o rJ.o~ .,~,,- .,p...,/?.~. Phone No. ~.~. UF.~.~.~ .... t5. Is this property within 3001 feet of a tidal wetland? *Yes ........ No.~ ' · If yes, Southold Town Trustees Permit may be required. ' .... .... [ PLOT DIAGRAM Locate clearly and distinctly all bu)ldings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and {how street names and indicate whether interior or comer lot. ,~ I r 'tl' / ~ i (Name of individual signing iontract) Ore named. being duly sworn, deposes and says that he is the applicant C, ~ .,,~ v-,r-e..~ ¢ ::r~ .,..~ ;' is the ... (Contractor agent corporate officer etc ) said Owner or owners, and is duly a~thorized to perform or have perfommd the said work and to make and file this plication; that all statements containe~ in this application are trne to the best of his knowledge and belief; and that tho >rk will be perfo~ed in the manner se{ forth in the application filed therewitli. 'Om to before me this ,' / ~ day of · . 19 ..... ~ ~ ~ffi~ ...................................... ~a~ Publto~e of NeW Yo~ (Signatu~ of applicant) Term ~re; O~o~r 31, 79 .-. .,.