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Home My WebLink About19321-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19422 Date OCTOBER 4~ 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 2980 GRATPIWO~L RD. & 45 OAK RD. NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section il0 Block 8 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 10, 1990 pursuant to which Building Permit No. 19321-Z dated AUGUST 14, i990 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 GEORGETTE GOLFINOS N/A FOBM NO. ~ TOWN OF SOUTI'IOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD. M. Y_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) NO_ '~ ~32~ Z pursuant to application dated ........ ~../~'.~. ............................... , Building Inspector. 19.~.~2., and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 l- A~PLICATION FOR CERTIFICATE OF OCCUPANCY 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: 1. Accurate survey of property showing all property lines, streets, building amd 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. i. 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 - $i00.00 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 .... .~.~/~./.~..~ .... ii] .................... New Construction ....... Old Or Pre-existing Building .............. Location of Property..~.~.~.Q ~F~/+~~a~ ~. /~ ~O~O/~ House No. Street Hamlet On Ow of P operty .~. ~.O. ~ ~..~ .~. ~ ~.~/?? ~ ~ County Tax Map No 1000, Section .... /fO ...... Block.....~... ........ Lot....? ............ .. ... Subdivision ................................ ... . Filed Map ............ Lot .................. .... Permit No..../.9.~.~../. .... Date Of Permit. Health Dept. Approval ............. .............Underwriters Approval ................... ... ... Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate.....~...... Fee Submitted: $ .... ~O .... ..... ~ O~19~. APPLICANT TOWN OF SOUTLIOLD OFPlCE OF BUILDING INSPECTOR ILO. BOX I179 TOWN IIALL SOUTIIOLD, N,Y. 11971 October 3, 1990 TEL. 765-18o,2 Matthew G. Hallock Box 200, Wells Road Peconic, N.Y. 11958 RE: GEORGETTE GOLFINOS To Whom This May Concern, We are unable co complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is llot on file. (ENCLOSED) /_--/ ~,~lo underwriters Ce. rtificnte on file. /--~" '"'fhc check i:;(~[/not ou file.) $25.00 /_-/ No Ilealth Dept. Approval on file. /~/ No final inspection has been made. chzs matter. Please contact our office on T!lank you for your cooperation. lhiil(]it;g PermJ. t tt I 9 3 2 I Z Building Dept. ***/_--/ Ho Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG., FOUNDATION 2ND [] INSULATION FRAMING * ~r~L DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [~FOUNDATION 1ST I- ] ROUGH PLBG. [. J FOUNDATION 2ND[ ] INSULATION [ ] FRAMING ~r ] FINAL DATE * INSPEcToR~.,~.~ ~ FOUNDATION {1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING I~;SULATION PER N. Y. STATE ENERGY CODE FI:;AL ADDITIONA'L COMMENTS: Z ~3¥0~ -I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 Examined .~Z/..~", ......... 19f~ TEL.: 765-1802/ Disapproved a/c ..................................... ......................... .. . /(B ui~'fig Ihspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH .,,~... ....... 3 SETS OF PLANS.~t'...' ........ SURVEY ./. ................... CHECK ...................... SEFTIC FORH ................ NOTIFY ....... MAlL TO. Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram which is parr of this appli- cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit s,t~all be kept on the premises available for inspection throughout the work. r,t"e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy strJll have been gr-~nted by the Building Inspector ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bu/Iding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laxvs, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housina code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber, or builder. Name of owner of premises ....................................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co.orate officer) Builder's License No... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done. q.~ ........ ' .. ? ................................ [louse Number Street, Hamlet ' ' ' County Tax Map No. 1000 Section ..... /../~ ......... Block ...... ~. ......... Lot....7. ............. Subdivision ..................................... Eiled Map No ............... Lot ............... (Name) 2, State existing use and occupancy of premises and intended usc and occupancy of proposed construction.' a. ExiSting use and occupancy ............................................................. ... b. Intended use and occupancy . .' · .~- -°'.rT. · .......... ~n~2, ~*~l~g ,.~tqt~';~:~.:.a '~5~..~ ............. 3. Nature of work (checkwhich applicable): New. Building ......... Addition .......... Alteration ......... Re r ....... Rem vel ........... Demolition .... Other Work .. 4. Estimate'd Cost .~?.j ..~'.epl .~.1~. (Description) · ' ' ...................... Fee ......... $ If dwelling number of dwelhngiumts Number filing this application) · , . (to be paid on · Ifgara~e ' ' .............. of dwelling units on each floor ' , number of Cars .... .~ .................... · .............. 6 Ir'business Commercial or mixe{t occupancy .................................. · ' specify nan and extent of each 7 Dimensions of existing structures il'any: Front I type of use ' Rear Depth Height Nun)l~er of Stories ............................................. Dunensmns of same structure with alterations or additions: Front ..................... ................. Rear ...... · 8. D~mensmns o,1[ eBtkQ~new construct on' ~r,,,. ./z../.,' ........ , · . 9. Size oflot: Front '( ' -,' .................. ~ .................... '' ' ' 10. Date of Purchalle' Rear .... ' ............ , ................ Depth ................ ...... · ........ i .................. Name of Former Owner ..... 1 I. Zone or use district in which pr~mises are situated ......... ' ............................ 12. Does proposed ConstructionvioJ~tea ..... . . ,. ' ....................................... ~o. wdl lot be regraded ...... ,/?.~. .... , ......... · ................... r v j ~u=u~teu w~tn~nSO0 feet of a tidal wetland? *YES .... NO .... '' · If yes~ Southold Tow Trustee~ Permit may be required. '" i PLOT DIAGRAM Locate clearly and distinctly all ibul/dings; whether existing or proposed, and, indicate ali set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK COUNTY OF .. ! ........... sworn, deposes and says that he is the applicant (Name of individual signi~ g contract) being duly above named. ti'e is the .......... -- Contractor, .~,gtJnt, corporate of ............... I ( ricer, etc.) ....... ~f said owner or owners, and is dulYlauthorized to perform or have performed the said work and to make and file this -PPhcat~on: that all statements contained in this application are true to tine best of his knowledge and belief; and that the ?rk will be performed in the manner ~et forth in the application filed therewith. nVom to before mc this ~ Jla~ I~ 18.¢~ (Signature of applicant) ;i' o~o