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Home My WebLink About19227-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19483 Date OCTOBER 31, 1990 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 760 PECONIC BAY BLVD. LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1990 ~ursuant to which Building Permit No. i9227-Z dated JULY 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 & ALTERATION TO EXISTING ACCESSORY GARAGE The certificate is issued to EILEEN FARRELL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-154824 - OCTOBER 11, 1990 Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No_ BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 'i ~ 2 2 ~/ Z Oote ... ~ ............................................ , Permission is hereby grant, ed .,~...~,...~ .............................................. ....... ,o ............................... Ot premises located at ...Z~..~. ....... ..~.;~.'.-~....~.:~.~...~.~,.. ...... ~.;..,~,~.;.....~.. ............................... County Tox Mop No. 1.000 Section ...... ./., ..~..~,. Block ............ .~..,... Lot No ........... .~.... ....... pursuant to application dated ........ .~.//..,~: ................................. , 19..~.., and approved by the Building Inspector. Fee $.~....~' Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ' APPLICATION FOR.CERTiFiCATE OF SEP I? BLDG. OEP'T, 'fOWN OF: $OUTHOLD This applicatio~'must be f±lled in by ~ypewriter OR ink inspector with the following: 1. for new building or new use: submitted to the building 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 ferm). 3. Approval of 'electrical installation from Board of Fire Underwriters. 4, Sworn statement from plumber certifying that the solder used in system centana ~ less than 2/10 of 1% lead. 5. Commercial building, indus, trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Subm/t Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 19~_7) non-conforming use~, or buildings and pre-exzstzng" land uses: 1. 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'.. ~es ' . , 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 ~ertificate of Occupancy $5.00 over 5 years - $i0.00 ~ua~eu C~r~ificate of Occupancy - $50.00 $. Temporary Certificate of Occupancy - Reaidential~ $15.0~0, Commercial $15.00 ,. _' ,.. -' .,ew Uonstruction .... : .... '~'~;'; .... ., .......................... " ~"7,'~' ...... g :~m~..¥.~A...~...~....~..vo, oo~er or O-ners of ~ropert~...&~St~k.' ~o.nty Tax ~'p .o ~000, gectioa..l~...~.. .... Bloc~ ................ ~ot ..................... ~.bdi~ision....'~.~ 2.~...~...' ~oz oo ~ . jff. z..z. 7. ~ ....~ ..... Filed ,ap .... ...,.or.. ' .kt, ..... ................. · · ..... Date Of Permit. . .-.-Applicant ........................... fealth Dept. Approval .......................... Underwriters Approval ............. ,, ' arming Board Approval ......... equest for: .Temporary Certificate ........... Final Certicate. .e Submitted: , ....... Z~. ...... ~P~e.~ .... -.-.~ .... ..... ' ' ...::' C 0 ~ I ~ YES " THE NEW YORK BOARD OF FIRE UNDERWRITERS 1[ :~'[0'[ BUREAU OF ELECTRICITY ~- 8S JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT only the electrical equipment ~ ~scrlbed below and introduced by t~ applicant ~med on the a~ve application nu tuber in the prem~es of (rO~;PH .F~RI.,hh,' ' ;~ P~N~O~{IC B~,Y BI,VI). ~ Poh~; ~qS~ .{o~R{,~l,~ in thefolloK, ing location; ~ Basement ~ /st Fl. ~ 2nd FL ~R Section Bilk Lo~ ~s examined on 0~ ~ 0}] ~ ~ [) 3 ~ } 990 and found to be in compliance u'ith the reqt~irements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS EWITCHES FLUORESCENT OTHER DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS TIME CLOCKS ~INIT HEATERS MULTI-OUTLET SYSIEMS NO, OF FEET DIMMERS SERVICE DISCONNECT S E R V I C NO OF CC COND PER ~ NO. OF HI-LEG AWG, NEUTRAL OTHER APPARATUS: GENERAL MANAGER Per 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. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWbl OF $OUTLIOLD OFVICF. OF I1UILDING INSPECTOR iLO. BOX 728 TOWN IIALL SOUI'IIO!.D, N.Y. 11971 September 13, 1990 TEL. 765-1802 PECONIC DEVELOPMENT CORP.. BOX 594 MATTITUCK, N.Y. 11952 To Whom This May Concern, RE: EILEEN FARRELL We are unable to complete your Certificate of Occupancy because ,of the following reasons. / /~//An application for Certificate of Occupancy /~s not on fil~. (ENCLOSED) /Z/// .'o !/nderwriters Certificate on file. /;~//-'"lhe check .[s(~RX~/not on file.) $25.00 /~/ tls llealth Dept. Approval on file. /Z/ rlo final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Buildinq Permit tl I 9 2 -2 7 Z Buildin[f [)opt. ***/? HO Plumber solder Certificate on file. ( all permits involving plumbing being .ts,,ued after April 1,1984 ) '765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND //]~RAMING ROUGH PLBG. INSULATION *~INAL REMARKS: DATE ~/~.~ - INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [,~FOUNDATION 1ST [ ] FOUNDATION ZND FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL INSPECTOR .~/~/ FOUI~DATION FOUNDATION ROUGH FRAME & (lst) ~( 2nd ) .PLUMBING IHSULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONAL COMMENTS: NOTE: e = MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON SEPT. 17~ 192:8 ,AS MAP NO. SUFFOLK CO. TAX MAP DIST IOq9 SEC"F 145 B L.p_~[ L.OT ~RVEY FOR JOSEPH E. FARRELL LOT NO. '3 .: SOUT O SUFF. CO., N.Y. Home SCALE= I": 40' TI~[ M~. ~, 1985 RIVERHEAD~ 18' 0" 14' 0" 6'10" 20' 0" 5'10" OCCUPANCy OR USE tS UNLAWFUL V~' ITHOIJT CErTiFICATE OF OCCUPANCy AP~RGV'ED AS NOTED DATE:~.._B.R # /~,,"Q~-"7,.~" NOTIFY ~t~ING DEPA~ ~T 765-1802 9 AM ~ 4 ~ FOR ~E FOLLOWING INSPECTIONS: 1. FOUNDATION - ~0 R~UIREO FOR POURED CONCR~ 2. ROUGH - ~AMING & ~UMBING 3. INSU~TION 4. FINAL CONSTRUCTION MUST BE COMP~TE FOR C.O. ALL CONSTRUCTION SHA~ ME~ THE REQUIREMEN~ OF T~ N.Y. STATE CONSTRU~ION & ~ERGY CODES. NOT RESPONSIBLE FOR ~ESIGN OR CONSTRUC~ON ERRORS Asphalt shingles "'-~a~ 2 x 10 ridge 15# felt RR 16" OC 1/2" plywood sheathing 15# felt i x 6 TNG siding termite--m shield 2 x 8 ceiling beam 16" OC 2 x 4 wall studs 16" 0C 2 x 4 shoe 2 x 6 CCA -~---8" thick 3' min concrete ell 23' O" ~ 20' 0" .2'4" ~2'4 ,... ~ .2' 4" ,.~ 8'0 .... ~" 8'0" Ii- BLDG. DEPT, ,~ TOWN O,F,,S~0U'rHOLD,_.~.~= approved .... ff/~. ,~.~. ......1 ~ Pe~it No ....... ~i~mv~ ~/c ..................................... 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 ....... ~ ....... c. EcK .;g~..~ .......... ~''' SEPTIC . .. · · · CALL ............... MAIL TO: (Bt, lid'ding/[~pe( t r) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tt~ii ~/pplication must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, with 3 sets of plans, accurate plot plan t6~cale Fee according to schedule , b. Plot plan showing ocation of lot and of buildings on premises, relationship to adjoining premises or public streets oi' areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of this appii- %tion. c. The work covered by thi~ application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wfl! issued a Building Permit to the applicant. Such permit shall he kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of S~uthold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for i:emoval or demolition, as herein described. The applicant agrees to comply with all applicabJe laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (S~nature ot applicant, or name, if a corporauon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. N ow er ofpremise ........ . .~.,.. . .............. (as on the tax roll or latest deed) I, apphcant Is a corporabon, signature of duly authorized officer· (Name and title of corporate officer) n.ilder's License No. ~.(~:- (o7 z Plumber's License No ......................... ~,, Electrician's License No ..................... Other Tradc's License No ...................... · Location of land on which proposed work will be done: 7go -, .... .~....~... ~g~...,c -~.~l. -e:c~, L.~.~Z~L_ ' ,ouse ~umber"'--'il/e;; ............ Hamlet CO~nV Ta., ,~lap No. 1000 S~ction .../.t/~. .......... : mock ..giO.g .......... ~.ot ..... 09..7 . . S~bdi,ision..'~Cgel .... .'~..~.~ ............. ~il=d ~ap ~o. (Name) .............. Lot . ...~. ......... State existing use and occupancy of premises and intended use and occupancy of proposed construction: B. 'rntended use and occupancy ................................ "'"i '~ '" .......... ~Jter t on ........... 3. N~ture'ofwork (c~k which appiiqable): New Building .......... Addition / a i ~epair ...... .~ ....... R~moval] ......... .. .... Demolitmn .......... ~...Swimrain~i~l [ . ;~ ........ liennis Court ......... AcCessory Buzlding .......... Fehce .... Other Work ............ t E!timated Cost ..~.~.0/0.O..O.~ i Fee ', [ i (to be paid on filing this application) $ I~d elf b fd Il' '[ N b fd Iii it hH · w lng. nmn er o we lng Unl S ............... tim er o we ng un s on eec ocr ........... . I~ garage, num her o f cars .............................................................. S. If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... '7. D, imensonsofe~xstingstructurcs, if any' Front ..~.~., .Rear ~'.'~. .... De,,th D mens ons of same.structure w~th alteratmns or ad&tmns: Ftront . ..~· .... Rear D'coth ' ' · ......... ~ ...... ' ~ ....... ~. ........... Height . i.~.' ....... Number of Stories · ./ .~...~.q .'~-7.... '8. Dr~mensmns of,en..tl[e new constructimn: Front ..... ~. ..... ~... Rear ...~. .......... Depth ...,~O ....... H'~eight ..... /.c~?. ....... ,Number of Stories ..../. ,'~...4'¢..('~-: ..................................... 9. S~ze of lot: Front .~.~....$.~.~.~.~ ....... Rear ................. Depth .......... ' 0. Date of Purchase .... · ......... ? ............... Name of Former Owner ......................... 1. Z~one or use district in whic ~ premiOes are situated .... ; ........................... 2. Dpes proposed Construction violatejany zoning law, ordinance or regulation ................................ 3. W~il[ lot be regraded ..... /V~..., ............... Will excess fill be removed from ,)remises: Yes .... No.. '4. N~ame of Owner of premises .'~h~'~...~-~...lg/~... Address ................... Phone No ............... , ............ I ............... Address ............... Phone No. ,~,.~ ',.'~'7'~p',: ] .. , ~ame of ArchitectName of Contractor~'~z~-..(~.~.~..~...O~..1~>.'. Address' ... Phone No. 7 ............... 15.I!s this property loe.~.te!d within 300 feet of a tidal wetland.'/' ~¥ES .... Rd .... ' *~f yes, Southold Town irustees Permit may be required. ~ [ PLOT DIAGRAM Ldfiate clearly and distinctly,all bqildings, whether existing or proposed, and, indicate all set-back dimensions from ~rope~ty lines. Give street and block number or description according to deed, and show street names and indicate whether aterior or corner lot. ;TATE OF NEW YORK, ~ 2OU~TY OF . S,$ i ly ppli .... · ~ ........................................... being du sworn, deposes and says that he is the a cant · I (Name of individual signm contract) tbove ina~ed. fe is tJm . .I , · (toni[actor, agent, corporate officer, etc.) >f said owner or owners, and is duly uthorized to pe,rform or have performed the said work and to make and file this ipplicfition; that alt statements contain :d in this application are 'true to the best of his knowledge and belief; and that the york '~vill be perforator in tim manner sot forth in the application qlud therewith. ;Wom~ to before me this ' I ..... ; ......... /.~. ...... day of. 'i ............. 19 .~... ~otary Public, . NOTARY PUBLIO, Stile of }h'w Yedc .......... No. 4707878, Suffolk _~_ nty~,.. (Signature of applicant) T~m I~piees March ~0,19_2l/