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Home My WebLink About18932-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19403 Date OCTOBER 1, 1990 THIS CERTIFIES that the buildin~ ALTERATION Location of Property 300 MARION PLACE EAST MARION House No. Street County Tax Map No. 1000 Section 31 Block 08 Lot 12.10 Subdivision Filed Map No. Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 2, 1990 pursuant to which Building Permit No. 18932Z dated APRIL 2, 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 CONSTRUCT ROOF OVER AN EXISTING DECK (PORCH). The certificate is issued to HENRY & DOROTHY ST. GEORGE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A Buiidinq Inspector · 0~ 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) 18932 Z Date ......... ~ ................. , 19.~..o.. Permission is hereby granted to: ..~...~.~.....F...~..~. .................. .~.,~-,,~..~,~..,,~,,,~.,,,,~,~,,,~,,~,, at premises located at ..~...~~.....~..%.. ........ ......~....c~... ......... ~..~ ....... pursuant to appllcation datt~i ..~......~w.. ........... 19..~..0..., and approvod by the Building Inspector. Fee $..~..~...:...., ,~,,. .... ~i~ "'~"Bu?rding Inspector Rev. 6/30/80 · ,- ~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 " ' APPLICATION FOR CERTIFICATE OF OCCUPANCY a, · '%' 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, indus, trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect responsible for the building. ~ ~;. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildin s ~' ,, . . ,, g (P zor to April 9, 19~_7) non-conforming uses, 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. Fees Alterations to ~ 0~2 d tions to ~welllng $25.00, Additions to accessory building $25.00. - , Accessory building $25.00, 2. CertificAte of Occupancy on Pre-existing Businesses $50.00. Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 U~uat=u C~r~ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy _ Residential $15.,0,0, Commercial $15.00 " Date 7 ocatienof . Street -- . ,lanni.~ , -.-Underwriters Approval .... . ~ ooard Approval .... . .................... ~ .. ~equest for: Temporary " · Certificate ........... Final ergicate ........... C · ' ~. I.S,~,~0N ?~iELD " FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE Ye ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] IN/,StJLATION FRAMING [,/] FINAL DATE "2~ iI/~ TOWN OFSOUTHOLD TOWN HALL DG $OUTHOLD, N.Y. 11971 TOWN '~F ~OUT~OLD ~ .... TEL.: 765-1802 Exa lncd.~F~']0 ~-. I - Disapproved a/c .................................. (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ? .... i ii" - CHECK . . . .... SEPTIC FORM ................ NOTIFY~ CALL .... MAlL TO: INSTRUCTIONS · ~ Tins apphcahon 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 part of this appU- cation. ¢. The work covered by this application may not be commenced before issuance of Bui/ding Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. shall be kept on the premises available for inspection throughout the work. Such permit e. No building shall be occupied or used in whole or in part for aoy purpose whatever until a Certificate of Occupancy shall have been granted by thc Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, and other applicable Laws, 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. lgn t apphcant, o name, acor or I n (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ,vnerofpre ise .. .~.'/. q.e.p.*.~k.y , (as on the tax roll or latest deed) ' ' If applicant is a corporation, signature of duly authorized officer. ~l~age'~nd title of corporate officer) .... Builder's License No. ~way~.o...-z.~ Plumber's License No ......................... Electrician's License No ....................... O/bet T_rade's License No ...................... Location of land on which proposed work will be done; .............. :... ~ tlouse Number Street .... g ................................... Hamlet County Tax Mu o. I000 Section ............ Block .... · . · .......... Subdivision ..................................... Eilcd Map No. (Name) .............. Lot ............... . b. Intena.a.. a ~ '''~ ..... ' .............................. -'" "'~ ,,~ o,,,pan,y ........... ~..~ Fe~.: ~ , 5 ' 3. Nature of work (check which app igab[e): New Buildin~ .......... Addition ~.0.~ .~.. 0 ~"eration ........... Rep:fir ............ .. R~moval ......... : .... Demolition ..,............Sw[m~oo[~...~ .......... Tennis Court: ......... AcCessory Butldlng .......... Fence ....... Ot~l~rk ............ 4. Co t .. . ...... ....... ... ............ ......................... " ~ (to be paid on ~ling thi~ application) ~ un~ts Number of dwelling units on each floor 5. If dwetling~ nmnber of dwetling ............................. If garage number of cars ' 6. If business, commercial or mixed occupancy specify nature and extent of each type of use ................... 7. Dimensionsofexi~ngstmctures, ffany: Front ........ Rear ............ Depth ............. Hmg ~t ..... t~ ........ Numbe,r of Stones ...I. ·. · ....... Rear .. ~ ........... Dimensions of same structure with alterations or additions: Front .... .~.~ ~ r Depth ...................... ; He ~t ..................... Number of StoNes . .[ ........... ~ .... 8. Dimensions of entire new constmdtion: Front . .~a~.~ ..... Rear ............... Depth ............. Height ............... ~umbdr of stories ........... (..: ......................... $-~ ...... . ~2~ 9. Size oflot: Front .... ~.~.:9~ ..... Rear..(~/~ .............. Depth .~}~ .......... 10. Date of Purchase ~ .. ~ .... ~ g.. ~ ................ Name of Foyer Owner . ~ ~ & [ ~.g.. ~.~..~d~fl~ 1 Zone or use district in which premises are situated ............................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ~ .............................. 13. W~I lot be regraded .; .... ~ ~. p ................. Will excess fill be removed from premises: Yes .... No. 14. Nme of Owner of premises ~.~p~. ~,~*~.~,~ddress ~.Q .~}~ .~,. · · Phone No.~.7.~ff./.~ ..... N~e'of Architect ........... i ......... { ..... Address .... ~ .............. Phone No ............ ~ .... N~e of Contractor .......... + ...... i ........ Address ................... Phone No ..... .¢' .... ~.~ .... 15.Is this property located within [ O0 feet of a tidal wagland? *XES .... HO.~ · If yes, Sou~hold lorn ~Irus~ees Permit may be required. PLOT DIAG~M Locate cle~ly md dist~ctly ~1 ~ufld~gs, whether existing or proposed, ~d. indicate ~1 set-back d~ensions from property ~nes. Give street ~d block n~mber or description according to deed, ~d show street nines and ~dica/e whether interior or corner lot. STATE OF NEW YORK, S,S COUNTY OF ................. ....... : .... .~,{7 ........... being duly sworn, deposes and says that he is the applicant (Name of mdtwdual s gnn)g contract) above named. : He is the ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyI authorized to pe,rform or have performed the said work and to make and file this application: that all statements contai)md in this application are true to the best of his knowledge and belief; and that the work will be performed in the manneriset forth in thc application filed therewith. . Sworn to before me this . · ..: ...... . .....q~ ........ day of · ...~ ......... , 19~.~.. HELEN tL DE VOE ~' ' ' t NOTARY PUBLIC, S~ate of New York ~ (S~gnature ~b f apphcan. ) No. 4707878, Suffolk Term Expires M&mh ~0,19..,,.~ ~ · NOVAg MYLES P..IGI.4 T O~ 0 BAY m? c o