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Home My WebLink About19440-zPORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20564 Date MARCH 4~ 1992 TBIE CERTIFIES that the building ALTERATION Location of Property 725 ISLAND VIEW LANE House No. Street County Tax Map No. 1000 Section 57 Block 2 Subdivision Filed Map No. GREENPORT~ N.Y. Hamlet Lot 24 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27~ 1990 pursuant to which Building Permit No. 19440-Z dated OCTOBER 5~ 1990 was issued, and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate is issued is INSTALL WINDOWS & P~EBUILD EXISTING FRAMED BINS AS APPLIED FOR The certificate is issued to JOHN MULHOLLAND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-181163 - MARCH 29, 1991 Rev. 1/81 //' ~ uilding Inspector FOB~ NO, I~ 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~ 19440 Z ~...~.z .~.......~.....&J~../~ · , . ...z~~....~...~..,...~.:.z../..~.~, , ~' . Coun~ Tax Mop No. 1000 Section ........ ~.Z .... Bilk .......... ~ ...... Lot No .......... ~. Building Inspector, Fee $...~-.-~.~ Rev, 6/30/80 , , 765-1802 L~,,,~ ~'i',7,;:',L'~~/~-t'~, , ~PLICATION FOR CERTIFICATE OF OCCUPANCY TOWN t,~ .... ~ %. '"'~i~is application must be filled in by typewriter OR ink and submitted to the build inspector with the fo~-~ ..... lng ..... ~u~: ne~, uu&lding or new usa: ~. ~znaz sur~ey o,~ property w~th accurate iocati0n of ~li buildings, prope'rEy lines, , streets, and unusual natural or top6gr'aphfc fdature~. - 2. ~inal 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 i% lead. 5. Co~ercial 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 ~r buildings and pre-existing land uses: ~. Accurate survey of property showing ali property lines, streets, building and unusual naturnl 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 ~. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swiping pool $25.00, Accessory building $25.00, · . Additions to accessory building $25.00. Businesses $50.00. 2. C~rtificate of Occupancy on Pre-existing Building - $100.O0 " 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 ~. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ercial $15.00 ~/~v/~ Date ...... ,. ........................· ........ · .ww Construction ........... Old Or Pre-existing Building ............. Huuse No. Street Hamlet .,,,w,, o, 0~,~ o, ,,o,~y.:~..~.~.~l~ ................ ,:o,,,~ ~,~:, ~ ~o ~000, ~c~o,...f.~ ...... ~oc~ ...... g ........ ~o~.. ~ .... .:uhd ~visto. .......................... Filed Map Lot 9~ M ..... ~.. Ue4lth Dept. Approval ...................... Underwriters Approval.. · ".,,n,,~,, ,,o~ *,*~o,a*.~.~ ................. · '.eq,est for: Temporary Certificate ........... Final Ccrticate. .. 765-180:;' BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION DATE ~,,' "' THE NEW YORK 'BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ~ [~.[~(~i:[ ?.9, 1.~)~ 8S JOHN STREET. NEW YORK, N~ YORK ~OO38 Do~e Application No, THIS CERTIFIES THAT o~y the electrical equipment as ~scrlbed be~w a~ int~duced by the ap~icant ~med on the a~e application number in the premises of Section Bilk Lot was examined on and found to be in cotnpliance w th the requirements qf this Board, FIXTURE OUTLETS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIMECLOCKS UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE S E R V I C OTHER APPARATUS: NO.O~ CC. COND OF CC COND. NO, OF HI-LEG A W, G. NO OF NEUTRALS A W G OF HI.LEO OF NEUTRAL 1 ,~'~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING e INSULATION PER N. STATE ENERGY CODE FINAL ~DDITION~L COMMENTS: Environment East, Inc. R. R. No. 3 -- 3075 Indian Neck Lane Peconic, New York 11958 516-734-7474 ,1~ ii 0 d 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION XST [ ] ROUGH PLBG. ] FOUNDATION 2ND [,~II~LATION [/.~R~MING [ ]FINAL ~REMARKS. DATE //'~/'~ INSPECTOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 sapproved a/c ' (.(.(~dld '~/lnspectm$) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF ttEALTH ............ 3 SETS OF PLANS . . .......... SURVEY ..................... CHECK ................ NOTIFY CALL MAIL TO: a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s of plans, accurate plot plan to scale. Fe0 a~cording to schedule. b. Plot plrm 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 tile diagram which is part of tMs appli- c. The work covered by tMs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Bulldog Pe~it to the appfic~t. Such pe~it dl be kept on the premises available for inspection throu~out the work. e~ No buildMg shaft be occupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occup~ dl hfive been granted by ~e BuilflMg Inspector. . APPLICATION IS HEREBY MA~ ~ ......... . ..... ~ ~. tau ~uumno ~ep~men[ mr the [issuance of a B~lding Pemit pursuant to the ildin~ Zone Ordinance of the Town of Southold, Suffolk County, New ~rk ' . gulatmns, for the construction of bufld~-s ..~a ,; .......... ' , ~d other apphcable Laws, Ordm~ces or ..... , .... ~ , -~ .......... mteratmns, or tO~ removal or demolition as here~ desc~bed. e appncan[ agrees to comply w~tn ail applicable laws, ordinances, builtlin~code, housin- cod~ a ' mt authorized mspectom on prenuses and m bmldmg lot necessa~ mspect~s. ~ ., nd regular:cna, and to (s C ppi ....... ifa'cor lgnature o a leant, or name, or ...... ........ (Mailing: address of applio~t) [U ~{ [ ( Q' ~. ~te whether appliCant is owner, lessee, agent, ~chitect, engineer, general contra6tor;: eleotPiciun, plumber or build,r. m~ of owner of re nises ~....; ..... ~p ..... ........ f4......,...: .. ~pph~ is~o~ff~, s~nature of duly authorized officer, . , OCCUPANCY OR '- USE IS UND WFUL Builder's License No ~ S ~ ~ ~ Plumber's License No ....... .¢..'~. ?'. ........... Electrician's License No ...... ~.. 5.77 ........... Other Trade's License No .~, W THOUT CER, kA E OF OCCUPANCY Location of land on which p~'oposed work xvill be done ' ' ' }louse Number ' ' 'Strect~ ..... ' Hamlet County Tax Map No. 1000 Section ..... Q.~. ~ ...... ck Lot ..... Subdivision ..................................... Fxited Map No (Name) ¢ ............... Lot ............... State e ' ' · resting t .se and occupancy of premises and intended use and ~ ~,,pancy of proposed construction: a' Existing use and occuuancv O~ ~.~t(~ ~e{(/~ . b, Intended use and occupancy., .~,0.~, ,~,~ · , . 3. Nature of work (check wtHch apphcable): Ne~v But d ng ..... ', Add t c~,~ , · ..................... Alteration ......... Repair ...... Rt;moval · ~ .......... Delnohtlon ............... Other Wor~ ...... ' 4. st~mated Cost ~ .... E ' ' ~ (Description i [ (to be paid on filing this application) If dwelling ' ' ' ., . number of dwellmg:umts ............... Number of dwelling units on each ' If garage number of cars~ , floor ................ If business, commercial or mixeO occupancy, specil~ nature hud extent of each tyne of use .... D' sionsof xisli ~,~mct res ifany Fro [~ ' ... Haiti ' '~] ~; 'NUl~b~r ' .~ ........ ; ear ~. , D,pth ' Dnnensmns of sam0 structure with alterations or additio--, ~ .... ~. ~, . ' ............ .., ' .................... ~ ......... N b rofSt D' 'ohs of entir v c0nstmcti n: Front ............. um ~ ofi~s .......... ............ Rear ............... Depth ............. tleight ...~ .... ~ ...... Ngmber of Stories ......... · "~¥ t .......... S~9., ........ Siz~ of lot: Front .... ~7...; ........... Rear ~ ~ ~- ' ......... Date of Purchase ~ .... · .... Depth ..... ~ ............. .... , ...................... N me of F ~ Zone or us~ d' ' ' ~ ch'pr~mis a om ........... ;strict m wh: es are situatc,~ ........ ' ' · D edt lat ..... es propos onstroctloll vio e any zoning law, ordinance or regulation: ... . .... .. ~..... W~I lot be regraded ....... : ~ ..... . N~ae of 0'-- ' ;' d~'~ ~] '1~ ~ 'l}' ' '', .... Will e~%ess, fill be rcm~ from premises: WAYes ' No .............. s. ...... N ' I ~e of ArclHtect ..... . . ..... - ................. ';'~ .... ~.-~ · ~'.~.~'. · Address .. ~.~m a~/ ~- . p p ty loeaeed ~xthxn~O0 feet of a tzdal ~etland? · If yes, Southold Tow~ Trustees Permit may be required. PLOT DIAG~M Locate cle~ly ~d distMctly ~l;bu~dMgs, whether existing or'proposed. ~d~indicate MI set-back d~ensions from rope~y ~nes. Give street ~d block humber or description according to deed, ~d show street n~es and Mdicato whether ~tefior or comer lot. · . APPROVEOAS~OTED (~) ' "' ' '~ ,. , 3, INSULATION BE COMPLETE FOR C,O. ~ ALE CONSTRUCTION SHALL ME~ , THE REQUIREMENTS, OF THE] N.Y. CODES, NOT RESPONSIBLE ~FOR DESIGN OR CONSTRUCTION E~ORS ............... ' '~ ~ .............. being ~[dy sworn, dcposcs =d says that he is the applicant (Namc of individual sign~g contract) ,vcnamcd. iS file ................. , i tnt. corporate officer, etc.) ............... ;aid owner or owners, and Is dulyiantl~orized to pe,rform or have performed the said work and to make and file this ticaiion; that all statements contaii:ed in this applic;~tion are true to the best of his knowledge and belief; and that the k will be performed in the manner ~et forth in thc application l]lcd therewith. m to before me this ..... ' '?" ..... day of, ~..~.~. _._~_ .~l, __{~.-' ~,/ (Signature of applicant)