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Home My WebLink About19893-zNo Z20166 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date AUGUST 23, 1991 THIS CERTIFIES that the building Location of Property 455 MC DONALDS RD. House No. County Tax Map No. 1000 Section 145 Subdivision ALTERATION LAUREL Street Hamlet Block 04 Lot 17 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 21, 1991 pursuant to which Building Permit No. 19893Z dated MAY 2~. ~99.1 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 INSTALL A WINDOW IN EXISTING GARAGE AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A. UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ELIZABETH C. JESSUP Rev. 1/81 '/JBuil/ding 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) N-o 1989~ Z Permission is hereby granted to: ........ ............... ..~.~y~...~~....O...: ..................... ....~..~......~..:~., ..................................... '~'~' '~'"'":":L' ........ ',:",;'~;"~' ........... ':'",,'";'"';:; ............ :~ ......... 7 .......................... :' at premises located at ..~...~.~..[.~.......~[..[.I ....... J.~.~T~..c~.........~ ....... ,.(~.~L .......................... /~&'~ co..~ Tox mop No. ,000 Sec,o. B,ock O ~ Lo, No..../...7. ............... pursuant to application doted ........... .~......C~......g~..) ................. , 19.~..J.., and approv~ by ~e Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDINc DEPARTHENT TOWN RALL 765-1802 DLOG. DEPT, APPLICATION FOR CERTIFICATE OF/occUPANCY ~- [ TOWN OF $OUTHOLD This application must be filled in hy typewriter OR ~nk and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property x¢ith accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-~isposal(S_9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/t0 of 1% lead.' 5. Con~ercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code C~pliance from archiuect or engineer responsible for the building. 6..$ubmid Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) sOn-conforming uses, or buildings and pre-e×zstzng land uses: i, Accurate survey of property sbo~ing 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. 1. Certificate of OccupancY~2 New d~eliing ~25.00, Additions to dwelling $25.00, Alterations to dwelling ~ 5.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre~existing Buildfng - $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 $~5.00, Commmrcial $15.00 '. Date .. .. ~.. . Uouse No. S~reet ............. ~ ...... · ~wer or Owners of Property·..~ ' ~unty Ta~ Hap No I000, Section. 7z-/~Z ~ ~ · ' ..................... Hap ............ Lot ................... .... Filed alth Dept· Approval ................... . ...... Underwriters Approval ......... .. :nning Beard Approval iucst for: Temporary Certificate .... Final Certicatc ........... "- '. TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PEC-q'OR P.O. BOX 728 TOWN fIALL SOUTItOLD, N.Y. 11971 TEL,~ 765-1802 To Whom This May Co~cern, We arc unable Lo complete your Certificate of Occupancy because.of the following reasons. An application for Certificate of Occupancy is not on file. ~~-- /--/ No Underwriters Certificate on file. /~ The check is(~/not on file.) ~ ~ /5/ No }Iealtl] Dept. Approval on file. /5/ No final inspection has been made. Please co~tact our office on this matter. Thank you for your cooperation. Building Permit II / L '-_~'~_ Z. Buildinq Dept, No Plumber solder Certificate on file. ( all permits involving plumbing being .issucd after April 1,1984 ) /. FOU~__~DATION { ls t) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITYONAL COMMENTS: 765-180~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I/~ULATION / REMARKS: ~"'~/~'~' QO DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1802 19 %\. ([}uiJdin8 Inspector) APPLICATION FOR BUILDING PERMIT llOAaO OF HEA. L'rII 3 £ETS OF PLANS CH£CK INSTRUCTIONS a. Tlds application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 s 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 pubIJc streets ar'cas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. c; The work covered by this application may not be c'bmmenced before issuance of Building Permit~ d. Upon approval of this application, fl~e Building Inspector will issued a Building Permit to the applicant. Such permit ]i 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 Cerdfioate of Occupancy 11 have been granted by the Building Inspector. APPLICATION tS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the lding Zone Ordinance of the Town of.Southold, Suffolk County, New York, and other applicable Laws, Ordinances or :ulations, for the construction of buqdings, additions or alterations, or for removal or demolitiom as herein described. : applicant agrees, to comply with all app icable laws, ordinances, buil~ling code, housing code, and regulations, and to ~it author/zed inspectors on premises and in building for necessary in(pec~ons./9 ( '~ .~dre of applicaut, or ntC;q~e, if a corporation) (Mailing address of applicant) [('~/<~? ~e whether applicant is owner, lesse'e~'agent, architect, engineer, general contractor, electrician, plumber or builder. ~e of owner of premises S' C/ (as on H~¢.trrt'rolI or latest deed) ~plicant is a corporation, signature of duly authorized officer. *' ' (N d titl ' i ......... amc an e of corporate officer ,B 'ldo ' ,L' N m r s ~cense o .......................... Plumber's License No. , Electrician's License No ....................... Other Trade's License No ...................... .o~ation of land on which proposed work will be done .............. ouse Number Street T= M0p No. IOOO Section ..... ......... . Hamlet bdivision ..................................... Filcd Map No. (Name) .............. Lot ............ te existing use and occupancy of premises and intended use Ixisting use and °ccupancy . ~. ~ ........... and °ccu~ancy of proposed constrnction: ~tended use and occupancy .................. ., .......... ~.~ ,., ~';: .',.:~. ~ .... ... ,,~ 3. Nature of work (check which applicable): Repair .............. Removal .... 4, Estimated Cost ....... .7.. ........ New Building .......... Addition .......... Alteration ~ Demolition .......... ....... - ............. Other ',York ............... (Description) (to be paid on .............. filing this application) 5. If dwelling, number of dwelling units .. Number of dwelling units on each floor .... ,. If garage, number of ' .......... · cars .............. 7 r~: ......: ...... ._.. ~'.CI,,, ~,~,,~aco occnpancy~ specify lature and extent of~mch tv,,,, ~,r ,,¢,, " ................ ~.clgtll ............... Number o 'Stfnri('~ ...................... weptn ............ r~.,. ~,~.u w.a alterations or additions Front .- ' ............ 8. Dlmensmns of entire new .... ~_ .. .~ . ' ........ ~ ..... Number el Stones ........... .... ~rucuon. ,vront ............ .,. · Rear ............... Depth Height , S{ories ........ , .............. Number of ......... '. '.0. Date of Purchase i .... Rea? ................... Depth ' Name of Former O 1, Zone or use district in which ....... ~ ............ wner ........... premises are situated .................. " Does proposed construction viol ~te any ~oning law .................................... 3 Will lot be regraded , ordinance or re,relation .... ': ' '" .............. 4 Name of Owner of~remiscsit/-t,,z'Ae'e!Fll. ,,fi3 .9~ s~o' ~ ' Wall cx_c_.ess jt]l.l.be removed from premtses- Yes ~r ' Address/.f/.?~ rtcc.f. Jo#&z.o*5 C- P__. ' '->o5~ ,,o Name of Architect ' '" .............. .W, .......... Address ................... Phone No ................ Nanm of Contractor ........ ,' ~. Is this property within ouu zest o~ a tidal wetland? ~v'ff~ ......... Phone No · If yes, SonChold Town Trustees Permit may be req~g~tj ..... No ......... ' .... ,,-. i PLOT DIAGRAM Locate clearly and distinctly all uddmgs, whether existing or proposed, and, indicate all set-bask dimensions from roperty lines· Give street and block number' or descriptioh according to deed, and show street names and Indicate whether ~terior or comer tot. ,TE OF NEV¢ YORK, '/ , JNTY OF ' S,S (Name of malay:dual signing contract) 'e named. being dtdy sworn, NOBFY ¢~U~{..DING O~-¥~AR'f>VlEN~ AT 765-1802 9 A~/~ ]7) g ~M Ft)F~ ')HE FOLt. OVVIN(:i IN;5* 'ECl ~( 1. FOIJNDATIOI~ TWO fqEOtJlR~}:) FOR POURED CONCRETE 2, ROrJGH .. FRAMING & PLUMBING 3, INSU~TION 4, FINAL CONSTRUCTION MUST 8E COMPt. ETE FOR ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y~ STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS deposes and says that he is the applicant : the .......................... iJ ............... I (Contractor, agent, corporate officer, etc.) · · id owner or owners, and is dtdy authorized to perform or have perfom)ed the said work and to make anti file this cation; that all statements contained,i in this application are trne to the best of his knowledge and belief; and that the will be perfo~ed in the manner set ]'forth in the application filed therewith, n to before me this .......... ...... ,' ,. . '/'P"(Y ......... ; ' County "~ ~982246, 9u~k ~n~ ~ U 'S i ......... T~rm Explre~ June 12, 19~ · t gnamre of applicant)