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HomeMy WebLinkAbout19608-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20245 Date SEPTEMBER 25r 1991 THIS CERTIFIES that the building. ADDITION Location of Property 125 LIGHTEOUSE ROAD SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 26.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 4~ 1990 pursuant to which Building Permit No, 19608-Z dated DECEMBER 2~ 1990 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 ON AN EXISTING DECK & FINISHED ROOM OVER EXISTING ATTACHED GA~AGE~ & SPA AS APPLIED FOR. The certificate is issued to JOVAN & JOAN CALr. AHAN (owners) of the aforesaid building. SUFFOI~ COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/'81 N-193037 - JUNE 21r 1991 · /~ JBuilding Inspector /? l~it~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FUII COMPLETION OF THE WORK AUTHORIZED) N-e 19608 Z ~t, .....,~..~.../...~... .................................... , 19 ....... Permission Is hereby gmnt~d~to: · ..~~. ~ .,,,~<~,..~,......,:..~.~?.z/ ~'.,,~ ,. ,,,.~"~.,~......~.. ~ .~~. ,.,~. 4,~-~.....,~......~~.~,~.~ · ~,m.,--..~---..~--- ~t ~.mi., ~ ~ ..... ~~~~ ....... ~ .................................... County Tax Mop No. I000 Section .... · .~-..../... ....... Block ......... ~ ..... Lot "o ....... · .~....,,'~,..~.....-~ pursuant to application dated ....... ../...~....~.... .............................. , 19.~ and approved by the Building inspector. R~. 6/30/80 TOWN or SOUT, OLD .' BUILDING DEPARTMENT TOWN I~%LL 765-1802 ~PLICATION 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. Appreval 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 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: 1. ,\ccur~te survey of property showing all property lines, streets, bnilding and unusuul 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 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 cf 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 ...................................... Construction ........... Old ~r Pre-existing Building ........... . oc a t i o n of P ? e r t y . . . . . .'% L :] . .T. . 4 d . . . House No. j Stree~ Hamlet or O ners of ............ ................. -- ....... ;oun~y Tax ~ap No 1000, Section .... .~...- .... Block ...... ' ;ubd lvision .................................... Filed Map ............ Lot .................... . . 'erm£t NO./../. ..Date Of Permit ................ Applicant. .. :f;k ..... ] .... ' ....... !ealth Dept. Approval .......................... Underwriters Approval...t~.~ '!arming Board Approval .. . Final Certicate...~ .... equest for: Tempora~ Certificate .... ee Submitted: S ............................. 765-1~02 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: DATE INSPECTOR FOUNDATION FOUNDATION 2. ROUGH FRAME & (1st) (2nd) PSUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: r i ~v, 6k¢,6 ¢ fb I TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tIALL SOUTIIOL~), N.Y. 11971 SRPTgl~ER 16, 1991 TEL. 765- 802 JOHN & JOAI'I CALl.SlAt; 125 LIGHTHOUSE ROAD SOUTHOLD, NY 11971 To Whom This May Co~ncern, 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(~/not on file.) $25.00 /_-/ No Health Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ I 9 6 ' 0 Building; Dept. ***/~/ 8 Z NO Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) tl~ ~[[[~ ,~'ll~lI~ !/1 ,/ TOWN OF SOUTHOLD u u~ TOWN HALL ~0~ o~ ~O~OLO · ~OUTHQ~. ~_ ' ' .............. TEL: BOARD OF HEALTH .......... ..3 SETS OF PLANS SURVEY SEPTIC FORH ;:3 ..... To, ... Oal,ilding~,,r'sp e ~ t o r ) APPLICATION FOR BUILDING PERIVIIT INSTRUCTIONS ~ a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihxpeetor, witl sets of plans, accurate plot plan to scale· F~ a~offiing to schedule. b. Plot pl~ showing location of lot and of bulldogs on premises, relationship to adjoining premises or pubic stre~ or areas, and givNg a det~led description of layout of property must be drawn on the diagram which is pa~ of tNs apF cation. c. The work covered b~ tNs applicatmn mat npt be commenced .before issuance of BuBdNg Pe~it. g. Upon approval of this application, the Building Inspector will issued a Building Pc~it ~o the app~c~t. shall be kept on the premises avaUable for ~spcctio~ throu~out the work. Such pe~ e. No bulldog shall be occupied or used in whole or ~n part for aUy purpose whatever Until Ce~ifiCate of Occup~t shall have been granted by ~e Build~g Inspector. a APPLICATION IS HEREBY MADE to the BuildNg Depmment far the issu~ee of a B~Iding Pemit pumuant to t~ Building Zone Ordinance of tke Town of Southold, Suffolk County, New York, ~d other applicable ~ws, Ord~ces Regulations, for the construction of bufld~gs, additions or alterations, or for ~emoval or demolition, as here~ describer The applicant agrees to comply wit~ all applicagle laws, ordin=n' ·.. ' .1'~ '"~t ~ /'~/ '- ~ ~, _ ~ uu~nmg a~aress oI app~c~t State whether applicant is owner, lessee, agent, ~chitect, engineer, general co~traotor, electrician, plumber or builder ................. ............. (as on thc t~x roll or ~atest deed) ......... ~¢ applican[ ~s a corporation, s~turc o[ duly author zed oF~csr. (Name and title o~o~Orate'officer) ' ~lumbcr's L~ccnse ~o ..... .... Other Trade% License No 1. Location of land on which proposed work will be done, ousc umber ~ ~lreet .... Hamlet ................................. F, iled Map No. St (Name) .............. Lot...~ ' 2re existing use and occupancy of premises and intended t,~e and occupancy nf proposed Construction- A. Ex~stxng use and occupancy ....... · . B. Intended use and occupancy ........ ... : /~ Nature of work (check which a0plicable): New Building .......... Addition .... .L~. .... Alteration ......... Repair ............. R~moval Demolition ........ Tennis Court ......... Accessory Building .......... Fence ......... {ts he paid ~n' qling thix applica~mn} If dwelling, nu nbcr of dwelling units ............... Number ~f dwelling units on each floor ............... If garage, number of cars ...................................................................... . If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... Dimensions ofexi~ttng structures, if any: Front ....... ~-~... Rear ............... Depth ...~.~ ...... Hcieht Number of Stories ~ ............. Dimensions of same structure with alterations or additlonx: Front ... j~~ . Rear ................. Dcp~h ...................... }lei~t .................... Number of Stories .............. Dimensions of entire new construction: Font .... ,~~. Rear ............... Depth .............. He g ~t .............. Number of Stohes ..... Date of Purchase -~'./-~- · · Z ~. r. ............ Name of Fo~,cr Owner /~m,Z ~-~,d'- ~",q i-~.. Zone or use district in which premises are situated., t~ ~. 1 ~ ~.,v .~ ~ ~ ~ .............................. Docs pcopc.~ed construction vi~iate any zom{ng law, ordinance or regulation: .. F% S~- .................... ;..- - WNI lot be regr~ded ........ ~N) ~2...$ ....... ... WilLexces~ ~I1 be rqmoved from proem: ~ Nme of Architect .... ~'~ ' ...... x .......... A~dr~ ....... ~< .......... Phone No..& ~-~ ~- .............. ;. ................................ . · Id_La [ki~ 9roperty located within· ]00 feet ~f a tidal wetland7 ~ES .... ~If yes, Southold Town Irustees Permit may be required. PLOT DIAG ~M Locate ele~ly md d~tMctly ~I buHdMgs, whether existing or proposed, ~d. indicate ~l set-back d~enz{~r.'. :: prop~y Eries. Give street ~d block number or description accord~g to deed, ~d show street ~mes and ~6ic:te intehor *r comer lot. 7e;5~. ~8.q2 9 AM TO I F'M FOR FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL CONSTRUCTION MUST ~E COMPL~E ~R C.O. ALL CONS~UCTION 8N~ THE REOUIR~EN~ OF ~ N.~ STATE ~NS~u~N & CODES. N~ ~S~NSl~ DES;GN OR C~S~U~N STATE OF NEW COUNTY OF. ¢~.~.E¢.q ·K. ..... S.$ ... :5 .c.c. 8.. n ................. (Name of individual signiug contract) above named. being duly sworn, deposes ;md says that he is the appliee:. J-'re i$ the ........................................... d ....................... ~ .................... (Contractor, agent, corporate officer, cfc.) of said owner or owners. :md is duly author/zed to perform or havc performed thc said work and to make and filc th application: that all statcmcnt~ contamed in this application arc true to thc best of his knowledge and belief; and that lC: Work will be perfom'~ed in the re:tuner set forth in thc application filed therewith. Stvom to before me this · .. flay ...................... 19, ~ otary Pubhc, ./ ...... ~. County RAn[N W.' T