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Home My WebLink About19149-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20022 Date J~NE.21~ 199~ THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Propert~I50 KING ST & 1075 4TH ST. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 08 Lot 04 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19, 1990 pursuant to which Building Permit No. 19149Z dated JUNE 22~ 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is REPLACE DOORS, WINDOWS AND ADD A DECK, issued is TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED SUSAN AND DAVID NOONAN N191931 JUNE I7~ 1991 PERFECTION PLUMBING & HEATING 3/8/91 / ~ Bu~'lding Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N*_ I714~' Z Permission is hereby granted to: ...~.~: .................. ~.....J....~...~ .............. ,o at premises located at ...[.~,,......~....-~..q~..~...~..~,..J..0.?.~ ........... .'~/...'...../~..~...- .~....~ ........ County Tox Mop No. 1000 Section ......... ~...J.,~. ....... Block ...... ..C~.....~. ....... Lot No.....~....~ .............. pursuant to application dated ..... ...~, .,~:~,~,...,~...c/. ...................... , 19..~..O..., and approved by the Building inspector. Bl:/Irdlng Inspector ~' Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY , LDo. DE~ Y. YOWl'~ OF SOUTNOt D 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 completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. Accurate survey of 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 writing to the applicant. C. 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 of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0Q, Commercial $15.00 Date ...~/~ .~%../~! New Construction ........... Old Or,re-existing Buildigg .... ~,......_..... o ation Property .... ...... .................... ' ............ House No. Street Hamlet Onwer or Owners of Property...~...~..P..~.k.0...~.~.~.~-~.. County Tax Map No 1000, Section .... 1.1.7 ...... Block ....... ~. ................. Lot ............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No .... I.~,, J.,~.~ ............................................ Date Of Permit Applicant .... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ~ Request for: Temporary Certificate ........... Final ../ Fee Submitted: $ ..... .~.~ ............... ~cate ......... Zl_~l~. . ~'~''~-"~ ..... ~/ ..... ~'~-~'~'~'-'~ ................. , THE NEW YORK BOARD OF FIRE UNDERWRITERS 't ~ q,~l,~ 2 BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dat~ ,'~[y~; ?, I ~)~ Application Na. THiS GERTIFIES THAT only the electrical equipment ~ ~scrlbed below and int~uced by the applicant ~med on the a~ve application number i~ the premises of in the following locatlon; ~ Basen~nt ~ I st Ft. ~ 2~d Ft. OUT Section Bilk Lot was examined on t'J[J}q)'~ 06 , 'i 99 ~, and found to be in compliance with the requirements qf this Board. FIXTURE OUTLETS SWITCHES RXTURES RANGES OVENS DISH WASHERS EXHAUST FANS ¸[4 DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET R V I C A,W G NO OF HI-LEO A W G, NO, OF NEUTRAtS A. W G, PER ~ OF CC, COND OF HbLEG OF NEUTRAL OTHER APPARATUS: G,F.C SOUT~IO[,P, I[qY GENERAL MANAGER Pet:__ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TI'IlS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTOR P.O.-BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 CERTIFICATION Date Building Permit No... /~/~/~ (please print} Plumber ~w ,.-j~,e,$d~w (please prin~ I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this _? da , of ,. tIOtary Public, .~-~-~' County Notary Public HELEN K. DE VOE NOTARY PUBLIC, StYe of New Yo~k , No. 4707878, SuffoikCounty,,,~ ~ Jetta Expires March 30.19-.-..~-~*'.'.~ FOU~__~DA_TIO__N__ FOONDATION (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITI~L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~OUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~F~MING [ ] FINAL INSPECTOR ~..~~ × BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING REMARKS: [ ] ROUGH PLBG. [ ] INSULATION DATE ~/~//~/ INSPECTOR TOWN OF SOUTtIOi, D OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOUTIIOLD, N.Y. 11971 Hatch 13, 1991 TEL. 765-1802 Hunt Development Corp. Box 158 Southold, N.Y. 11971 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_//An application for Certificate of Occupancy 5__/ is not on file. (ENCLOSED) No Underwriters Certificate on file. 'f'hc check i:; (~txc~not on file. ) $25. O0 /~/ No llealth Dept. Approval on file. /~/ No final inspection has{:been made.. David & Susan PJea'.;e contact our office on this matter. Thank you for your cooperation. lluilding PerlaJ. t Ii 1 9 I 4 9 Z Building Dept. **~/~/ Ho Plumber Solder Certificate on file. ( all permits involve, nE plumbing being issued after April 1,1984 ) : BLDG, DEPT, 'OWN OF SOUTHOLD Exaufincd ... dd,'~g...~'..~..., IPSO. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH 3 SETS O~ PLANS SURVEY ..................... CHECK ...................... SEPT[C tORN ................ HAIL TO: Disapproved a/c ... ..... (g ildi ) '' I i u ng Inspector [ I: APPLICATION FOR BUILDING PERMIT · i INSTRUCTIONS Street, ~ , Hamlet ,ty Ta ecu x Map No 1000 Section ....... .'. .... . /' Subdivision .................. ~ ...... ' ............. Kilcd Map No :' (Nai'ne) ........... Lot State existing use and occupancy of;premises'find intended use and O~cnpancy of proposed constrnctlon: a. Existing use and occupancy.'. . .......... b. Intended Use and occupancg .. _ a. Tiffs apphcatmn must be comPletely filled m by typewriter or in ink and submitted to the Building Ihspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location df lei and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed descrlption of l,~yout of property must be drawn on the diagram which is part of this appLi- cation. . ¢. , The work covereri by 'this application mhy not be commencedbefor¢ issuance of BuUding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit ihail be kept on the premises available.for inspection throughout the work. e. No building shall be occupie[l or used in whole or in part for any purpose whatever until a Certificate of Occupancy ;l~a!l have been gran[~d by the Build'?g Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances er ~,egulations, for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described· '?he applicant agrees to 'comply with all applicable laws~ ordinances, buil[ling code, housing code, and regulations, and to dmit authorized inspectors on premises and in build~g for necessary · . "~ ~ ~.. ppllC..,br~t, or name, if a corporanon) .tare whether applicant is owner, 1 '.ssee, agent, architect, engineer, general contractor, electrician, pinmber or builder. tame of ownerorpremises . · , . · .. ~).~ 0 acor on(~ature[ o[~d~ly authorized officer. and title of corporaie officer) ' Builder's License No ./. Electrician's LiCense No .... Oilier I hdc' Eieense No oca'tion orland o,.whicJ, pr0p'oscJ work ,vi, e':done: 3. Nature of work (check ~yh~c~t apphFab[¢): New Building .......... Addition ....... ~.. Alteration .~ ..... ~,~ Tennis Court ........ Ac'cess~ry Building ..... ~ · .Fehc~e . . .~... '.O~her ~k . .'~'~ J 5. If dwelling, number of dxvelIing u~lta~ .... :.. ~:;.. Number of dwelhng unds on ca. eh floor., f ......... I .... lfgara~e numberofcars ..... ' ~ ' ~ 6. If business, commercial or mixed Occupancy, specify nature and extant or,each ty~ of a~e . , ..... 7. Dimen$ OhS of ex sting structures, If any: Front..~ ........ Rear . .;~, ~ ........ ~.'."; .'. Dimensions of~am~ structure with alterations or adflitions: Front , · · "~ ' Depth ~ HeiSt Number of Stories 8 ' ' ~ ' Front Rear Depth , D~mens OhS of entire new cogst~lctlon: Height ...............Number of StoNes , .. .......... ; ..... ,... 2.. ..... ...... ~... ........ : ..... 9. Siz;oflot:Front .... Lg. 0... ~. ..... 'Rea- . .0.0 ......... :.. Depth...~.~.[ .............. i0.Date of Purchase ............ , ................ Nam~ofFo~er Owner .' ..................... 11.Zone or use district in which premises are situated .. ~.; .... ; ....... : ........ ~ ............. · ~ ·. · i · . ~ ..... 12. Does proposed Construction v~la~e any zoning taw, ordinance or regulaaon. . .~ ~, ........................ 13. WHI lot be regraded ; .... .~,}] .................. W il ~xeess fill be removod from prgmises: _. Yes... N~e'of Architect .... . ...... & ........... , ....Address ....... .. ..... ~ .... Phono No ........ ~..~m · 15.Is this property locat,ed within 100 feet of a ,txdal wetland~ *YES .... N0.~-- · If yes, Southold Town fTruatees Permit ma~ be requlred~. .~ . , Locate cle~ly =d distMctly fll bu~dMgs, whether existing or proposed, ~d, mdieate fll set-back d~ensions from prope~y H~es. Give street =d block ncmber or description accordMg to deed, ~d show street nines and ~dieate whether intedor or comer lot. ~" "~ [~ N~" 5T~ STATE OF NEIV YORK, COUNTY OF ...... . .~ .......... $.S ............................. being dnly s~vom, deposes and says that he is the applican (Name of individual sign tg contract) above named. He is tile ................... e .............. of sa!d owner or owners, and is dui9 a~thorized to pe,rform or have performed the said work and t9 make and fil0 thi application; that all statelnants cont~iocd in this application are 'true to the best of his knowledge an~ belief; and that th work will be performed in the manne? set forth in tile application filed there~vith. ' '; ' I ~" Sworn to before me this i ' ' I . .I :.da ,05 .... NO, 470787&~dfoICmdm'/. ' ' 7 k ' ' t . ! l Z 16'-3"' 14'-6" 12'-3" I se*ii 16'-3"' L'~ 0 14'-6" I01;00 m B