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Home My WebLink About19481-zFORM ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25126 Date JULY 9, 1997 THIS CERTIFIES that the building ADDITION Location of Property 305 pRIVATE ROAD ~3 House No. Street county Tax Map No. 1000 Section 70 Block 6 Subdivision Filed Map No. SOUTHOLD, N. ¥. Hamlet Lot 12 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1990 ~ursuant to which Building Permit No. 19481-Z dated OCTOBER 25, 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is iasued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MARION MARKS N/A N-359645 - AUGUST 2, 1995 NOV. 17, 1989-MATTITUCK PLUMBING & HEAT. Rev. 1/81 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) NM 1948~ Z Date ........... ,~-...: ....................................... , Permission is hereby g/anted to: ~.,~.4.~..x.: ............. ., .................................... ....... ..................... at premises I~('~ated at ....~..~...~.. ...... ' ..~(~. ~..... ~:,~....~.........-~.... ..................................... County Tox Mop No. 1000 Section ........ Z.~.. ......... Block ........ ~.. ......... Lot No ..... ../.,...~... .......... pursuant to application dated .... ~..~../~,..~ ............................. , 19.~..X~, and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Ao 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 c6mpleted siEe plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey ~f 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 w~iting to the applicant. ~ 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-existin~ Buildin~ - $100.00 3. Copy of Certificate of Occupancy - , .255~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Resideutial $15.00, Commercial $15.00 Date ........ . ................................ Location of Property ....................... :-~...--. .'J ......... Onwer or Owners of Property .... ~..~L~.~./~.. ....... /.~ ....................... eu=y 000, ge=ion.....O. & ...................... Subdivision ....................... ~Fi~ Map ............ Lot ............... · ...... ~ealth Oept. Approval ............ ~ .......... Hnde~riters Approval ......................... Planning Board Approval ............. : ....... : Request for: T~porary Certificate ........... Final Certicate ....... TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit Owner (please print) Plumber~ ~',~o ~ ~ L '' (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this ~fA//~/~ay of /~/~='~/~/~ , 19 ~ Notary Public,\~J//~-'~ Co~unty {plumbe~' s s~ Notary/V~blic THE NEW YORK BOARD OF FIRE UNDERWRITERS, ~(~3~ BUREAU OF ELECTRICITY ~ ' '~ [-- aS JOHN STREET, NEW YORK, NEW YoRK tOo~B '~ ,:~: ~.,~ AUGUST 92,1995 ~p~.~.,~.. ~...~il~ 97435195/~5 ~ ~ ~ N 359645 THIS CERTIfieS THAT ~ ED ~KS, PI~ R0~, SOUTHOLD, N, Y. ~ tt~s exam ined ot~ J~Y 2 6,199 5 and fottnd to be in compliance With the Naaona~l$ct~cal Coda. FIXTURE [ECEPTACLE'[ 'WI ..... L FIXTURES _ ] RANGE~ C~KING~ENS JDISHWASHERS EXHAUST ..... I OTHER APPA R~US= ~ --~ ~ ~ ' ' 2 ' G.F.C.I~-i T~CK LIGHTING, -6 ' [ 7355GOOD~IN~CTRICRo~ LIC. ~783~ ~; ?~; ' ~ GENERAL ~NAGER This certificate musl not be .altered i. any ma~ne~ tetur~ to th6 office 6f the Board ncor~ect. InSPeCtors ~a~ ~e' dent fed by he r credent Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD June 5, 1996 American Exteriors P.O. Box 667 Mattituck, NY 11952 Re: Lawrence Marks Prem: 305 Private Road, To Whom This May Concern: SCTM#1000-70-6-12 Southold We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is outdated. $25.00 No Health Department Approval on file. No final inspection has been made. xx No Plumber Solder Certificate on file.. (All permits involving plumbing bein~ issued after April 1, 1984). BUILDING PERMIT # 19481-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME~Z/ .?UUM~i~-~ INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS 765-1802 BUILDING DEPT, INSPECTION [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION REMARKS: [ ] FIREPLACE & CHIMNEY [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [~/] I~ULATION [ ] FRAMING [ c/] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] IN.~JL~ATION [/~INAL INSPECT~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [~NSULATION FRAMING FINAL REMARKS: DATE ~///~///~/ / 'I ,/ INSPECTOR 765.1802 BUILDING DEPT. INSPECTION ~ I=OUNDATION 1ST ~JROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION /FRAMING ~ ] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [~F~OUNDATION 1ST [ ] ROUGH PLBG. [~]~UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL REMA,I~S: ~~~? ~--~ DATE //~/~/// ~ ,NSPECTOR-~,~ YORK STATE ~EPARTME,~FF OF ENVIRO~MELrFA£ CO,~ISERYATION Regulatory Affa~ Un/e. Bldg. 40, SUNY--Room 219 Stony ~ook, NY 11794 (5~6) 751-7900 --~-cc LV, A ~¢view h~ been m~de of you~ proposal to: ~b-n~7'~'~e~ Daniel Regional Pe~ Ad~trator DJL:RNT:ez I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH SURVEY ......... CHECK ........ COUTHOLD, N.Y. 11971 NOTIFY .................. ' APPLICATIO~ FOR BUILDING PERMIT ................. ~ .. INStrUCTIONS ~s oF plans, accurate ~tot piton to scale. Fee ~ccord~$ to schedule. ~. ~lot pl~ showin~ Iocm~iou of lot ~d of build.ss on p~mis~s, relmfionsbJ~ ~o ar ~c~s, a~d ~J~$ a d~l~d d~sc~JptJ~n oF ]~you~ oF ~ropc~ty must be drown on tN~ dJasmm wbJcN ~s ~N o~ ~Ns ~U- c. ~Ne work come,ed by t~s application may no~ be commenced before issuance oF Buddies ~erm[t. d. ' Upo~ a~;oval oF this applJcafiom t~e BuHdin$ Inspector wQl issued shall be kep~ on ~e ~remises ~vmQ~ble For ~sp~ctJon throu~ou~ the work. e. ,No build~$ sb~ll be occupied or used j~ whole or ~ ~r~ for ~ny ~urpose whm~e~er uu~il a Ce~J~cmte o[ Occu~c7 shmH N~ve bcc~ $;a~tcd by ~e BuHd~ I~s~ecton ' BuHdJ~$ Zone O~dJ~ce oF tNe ~own of Southold, SuffoiN County, New R~$ul~tJons. ~or the co~st~ctJon oF buNd~$s, ~ddidom or ~R~rmdons. or For ~cmoval or demoHtJom ~s hem~ desc~bed. ~ue m~pIJcaat ~rces to compjy ~it~ ~]l applJcm~e I~ws, ordJ~mnces, buQd~$ code, NousJ~ code, a~d ~ulmtJo~s, ~ad ~o ~dmk ~utNodzed ~s~ccto~ o~ ~rcmJs~s ~nd ~ buJid~$ Fo~ ~c~ssm~ Jns~ctJon~ (Swn ' ' (MaHJn~ address o~ ap~Hc~t) (as on the ~x roll or ~a~cst deed) amc an o o ra officer) Plumber's License No ......................... Electrician's Liccnse No ....................... Other Tradc's License No ..................... . 'oc 'ionof'-'ndonw'tiChpropo,ed,vork,v,.b done... .O .? .m 7 Street, Hamlet ' ' Subdivision Eiled Map No (Name) ............ Lot ............. State · · exist ng t se and occupu~cy of premises and bltcndcd use mid occupanc~ of proposed construct/on: 3. Natureofwork . .'' ~ - (check ~nzch ~pphcable): New Iluilding .... · ..... Repair'. ............ Re,~oval ' -. ..... , ...,. ,.., ~ .... Alteration . ' '" .............. Demolition .......... 5. · ~ . i (to be paid on filing this application) Ifd~elhn=,nUmberofdwelbn~ units ... 6. lfgarage, numberofcars ...~ ........ ~ ...... ~'" Numberofdwcllingunitsoneachnoor ..... ' ~ss.c~m~efmI or m,x~d ~CCUpancy, specify nature and ex eat ' ' . ,,,.· . . . ,. men ~ons ol ex~stmg structures, ffanv: F n., t O~eacn type of us~ .......... same structure With nlteratmns or additions: Front .............................. ~?th .. ................. ,, ' ..... : L .... Rear ............... 8. osmens,ons of qntire ~n~'~o,. '~ · ' .................. ~umbcr ot Stories .......... '" H~'mht ,~ . -, I -:~?~nt ...... po.~ ~ · .......... 10. Dnr~rP...~.~ '~'"~"~,' ..... '.. Rear '~ ''_ ................. ll. Zone or ........ ' ................. Name or Fo=er Ow.~.~~ :. ' ........... use district in which pr~mises are situated -- .............. 12. Does proposed Construction rioi ....... ' .................. 13. Will lot be rearaded . . ' .................. ; ~ ~'~X:Z'_''' Will excess fill be removed from premfs~s:' ' 'y~ 14. N~eofO~v er~C, ;~..' ~"Yz°nmgla~v. ordinance or regulation: ......................... .... ~r~auuress ................... l'hone No .... ~ No N~e of Architect .._.~ ...... { ................. Address ........ ~ ........ Phone No .............. N~e of Contractor ~ .~... Addre - if.Is this property lo ,. a -: .... SS '~~'~..Phon~No.~ .... ~ t~aa~ wetiand? *YES .... NO .... · If yes, Southold Towr Trustees Permit may be required. PLOT DIAG ~M Locate cle~ly ~d dist~ctly MI bufld~gs, whether existing or proposed, ~d, indicate MI set-back d~ensions,from property Hnes. Give Street ~d block mmber or description according to deed, ~d show street n~es and ~dicate whether inte~or or Comer lot. ......... (Namc of md'v'dua s~gning ............. being duly sworn, deposes ~d says that he is the applicant :ore named. ~ontract} ~ is the ~ . . said ot gent, corporate officer, ere ) .................. all statements contained in this application are true to the best of his kno~vlcdge and belief; and that the ~I~c=tion: that n~th°~.rform or have performed tile said work and to m~e nnd file this will be perfo~ed in the m~ner set[forth in tho application filud therewith. om to before me this - ' ..... ....... ....... .... - ~ in 8~k ~; ~/) (Signature of applic~t)