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Home My WebLink About18496-z _ _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19501 Date NOVEMBER 13, 1990 THIS CERTIFIES that the building ADDITION Location of Property 10850 MAIN ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 11 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1989 pursuant to which Building Permit No. 18496-Z dated SEPTEMBER 15, 1989 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 issued to BETTY BILLMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N-152047 - SEPTEMBER 27, 1990 PLUMBERS CERTIFICATION DATED N/A L/ ilding Inspector Rev. 1/81 ' ItO1SM NO. f 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) N°- 18496 Z Date ...1.~.~}~ 19:.`••'•(. Permission is hereby` ran d~to~: ~s, l~f.~SO....,Y.lyl..... ~i'C.r F f/ ~ ....R!~~K^~~~~ ct premises locatard at ......~i~.{~.... ~a'r!'~.. County Tax Map No. 1000 Section/y.../....~3-~.f...... Block ...........fl.~..... Lot No.........1..~,:.. pursuant to application dated ....~/..J,,l 19~, and approved by the Building Inspector. Fee s..~.`a.... r Bui! ' Iruflector Rev. 6/30/80 _ _ _ _ Farm No. 6 ~ r( Lcc-Q_. ~ TOWN OF SOUTHOLD ~,,A BUILDING DEPARTMENT £ ~'i ~ ~1 j 3' TOWN HALL - 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 Imes, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disgosal(S-9 Eorm). ' 3. Approval of electrical installation from Soard of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains i less than 2/10 of 1z 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. S. 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 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. Z. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10,00 4 L'gdatnci Cercificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ::ew Construction........ 01d Or Pre-existing Building .................c., Location of Property...~.~~5:~ ................~.LC1.Ga.,...~...........5-Ft~:.~`':4~1:-~aC House No./~ ~ ~ Street ~,,`///i~~,,Q~ ,~Ham~lDet~ Onwer ar Owners of Property, l f.ClYY3~.. ~ ...t~ . U V Yh4.~-....... , County Tax Map No 1000, Section..~.f. ...-.-.Block.... ~G...... .Lot...? Subdivision ....................................Filed Map............Lot...................... Permit No ................Date Of Permit,...............Applicant............................. Fiealth Dept. Approval ..........................Underwriters Approval......................... i Planning Board Approval Request for: .Temporary Certificate.......,... Final Certicate........... Fee Submitted: $ „ ~ ogay ~:~::,.1:~..~.:Q:........._:.....:. ~•QC-, y ~ APPLICANT • ~ ' . t' ~9 J9Sn1 INSPECTORS (516) 765-1802 ~~SUFFO(,~-c VICTOR LESSARD, Principal ~O ~G SCOTTL HARRIS,Supervisor CURTIS NORTON, Senior ~ y~ Southold Town Hall VINCENT R. WIEC7AREK, Ordinance o P.O. Box 1179, 53095 Main Road ROBERT FISHER, Assistant Fire W ~ Southold, New York 11971 Building Inspec[ors G ~ ~ Fax (516) 765.1823 GARY FISH SHER Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 14, 1990 Mrs. Betty Billman 10850 Main Road RR #1 East Marion, New York 11939 Re: Building Permit #18495-Z (Accy Shed} Building Permit #18496-Z CO Z-19501 Suffolk Co. Tax Map #1000-31-11-12 Dear Mrs. Billman: Enclosed please find Certificate of Occupancy #Z-19501 for the addition to your dwelling. Please be advised that Building Permit #18495-Z for the accessory shed has expired since you did not start construction within a twelve month period. Please resubmit your application when you are ready to build the shed. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Victor Lessard, Principal Building Inspector VL:gar encl. THE NEW YORK BOARD OF FIRE UNDERWRITERS ~,Af ;1 103501!) BUREAU OF ELECTRICITY 85 JOHN STREET, NEW YORK, NEW YORK 10036 Date SEP't F.MBCR :7, 19)0 APPlicotion No. on file OOh)5990/90 N 15'L 4141 THIS CERTIFIES THAT only the electr7ca/equipment as dascrihed 6elom and introduced 6y the applicant named on the ahooe epplicratton number to the premiaas of JOHN RILIMAN, 1095Q NAIN ROAp, l.Al. IIU74, E'ASi MARION, N.Y. Ixt Fl. ? Pnd FI. .Sertion Block Lot in thefolbwinp location; ? Basement (~lil wax examined on SF: F'IF:MBFR 18,1990 andfoundto 6e in complioncr with the reyuirementx of this Board. RXTIIRE RXTURlS RANOlS COOKING DICKS OVENS qSN WASNNS lXMAUST BANS ~~yS ACUiS SWITCHES INCANOESCENi ~ FleptESCEM OTNEiI NAT. K. W. AMT. K. W. NAT. K.W. MIT. K. W. AMT. N. P. > [ 2 S DRYERS FURNACE MOTORS RITURE AMIIANC! INDERS SMCIAI RECFT TIA1E CLOCKS EFLL UN1t INAIlRS MU111.OUitR gMMERS ~ AMT. K. W, pl N. P. GAS N. P. AMT. NO. A. W. G. AMT. AMP. NAT. AAVS. 7RAN5. AMT. X. P. ~ Di R/T AMT. WATTS - 1 50 5lRVKE gSCONNKT NO.Of S E R V 1 C E AMT. AIM, TYPE [~P. 11IYI 1 R3W ]/3W ]/xW ffMCeCOND. ~ CC CONa. NO. OF N4LEG OF~IP~I G NO.OF NEVfRAlS pi ~ EN UTGMAI OTHER AMARATUS: WIRING FOR FikTf:NSION TO tkI,FARFD ~t ~A~?E fLECTRIC INC. LCC.gL058-E 9.41 NORTH FERHr RUAD SNF.LTFR 1:51.AND, NT, 11404. Or/1RAlINANAOER 71 Psr E ` ' • ~1 This certificaM moat not bs alMred in any manner, return To the office of the Board if incorrect. Inspactorsmay be idaMifiad by their credanfials. COPY FOR lUILDING DEPARTMENT. TNIS COPY OF CERTIFIGTE MUST NOT BE ALTERED IN ANY MANNER. ' TEL. 7G5-1802 S~FF~CICC' Q~p r~ Opy~ TOWN • OF SOUTIIOLD GY,~'~.;.~.~ ._c Ot'1'ICE Ot: BUILDING INSPECTOR ~ = F.O. BOX 728 J 3k4'fi rn v' ~ TOWN HALL ~ ~ SOUTIiOLp, N.Y. 11971 ~Q~ ~ r~0 August 3, 1990 JOHN H. BILLMAN 10850 MAIN ROAD EAST MARION, N.Y. 11935 To 4lhom This:. May Concern, We are unable to comglete your Certificate of~ Occupancy because of the following reasons. /i~/ An application for Certificate of Occupancy ' ~1.5 not on file. (ENCLOSED) /i// No Underwriters Certificate on file. ' The check is (cAfRt7tl~'~~1/not on file. ) 525.00 % / No ilcaltti Dept. T:pproval on file. % / No final inspection has been made. t'leace contact our office on this matter. Thank you for your cooperation. Building Permit i 8 4 9 6 Z Building Dept. ***j_/ No Plumber Solcicr Certificate on file. ( all permits involving plumbing being i~sucd after npril 1,19134 ) 1 _ . ~ ~ H H FOU27DATI0".J (1St) ~ c N FOU7IDATI0;7 (2nd) m z. ~L - z o POUCH FRkifE .PLUMBING H 3, y r~ I27SULATIOP7 PER N. Y. STATE EilERGY CODE } - ~ 4 . - y 3 F=;7AL • _ . AD TIOPIAL C0:'!MENTS: ~ cn x ro~ H A . H\ H O r . ~ • r ~ H • b m -v H iw7' _Cf ~ f i r YAs7 i+'F= A%~n.I~,^./% 119`6 S 1'tA1N I~C!~g i _ _ so~ Wit. ~ ~~C~ r : a ~ '~~T t~~R~~ ~E ~~„ICY a o' 1~.,~ ~ a. - - y~' ~ ' U i • ~ I ~ 3f~ ~ Lj~y ~ rT c . • ~ c.~ o.~.c 4 j } I w' ~ ' - - - - ~2 - - - f -E-`,~ ~ _ j Sz.~,.nJ~ ' s~~<3. . ~ : ~ w F 1-1-tn cast _ ~y ry 3~y u f D k j~-~.wo-~r1 ~-n-~ ~^E.,, .,1;-~,.r G..~,. 3 i I N ` f .,r .w~.j.. ' S. if ~-y ~ ~ r i i` ~ V k J~~y~ i- v 1 ~ _ ~ r t +r ~inn~WC! p~-1 L~ _ ~ l ~ C F. t~C Tc S ~pp ~'R~ .y ~Ay v n~, f 1 ~ I a ~ ~ r ~ ~ z e 3 i z° "v - i N ~ ~ ~ o y v~ ~ ~ ~ ~ Z y o ~N ~ ~ ~ ~ y = O 2 r t n _ / -f - ~ ~ ~ ~ k ~'~/...-,~-9,.,,.;7t,~ / "C..-.-.btu I""'1 G 11~ ~ ~I f 1 ~ ~ f 0 _ ~ ~ ~ I f~ ~ l E ~ G - G ~ ~ ~ ~ ~ I I ! t€ ~ t _ ~ ~r,~r _ _ f 7 y" k e - - - 4 s-1 ~~-t-'i 1~.+-7 " i4.i iy~ j`~G.- ~ C i {h t ~ y~~ j ' Lam. ?`"~(Y`~~ I % ! G 1~_ 1. ~ \ ~ 4 C~ i ~'~~Y ~ 4 i ~ ; I ~ ~ , ~ i ~ . , J _f < ~ ,x > } 3 _ BOARD OF HEALTH 3 SETS OF PLANS ~FORMN0.1 SURVEY TOWN OF SOUTHOLD CHECK • - • - - • - - - - BUILDING DEPARTMENT SEPTIC FORM - „ • TDWN HALL NOTIFY SOUTHOLD,N.Y.11971 CALL -y?~_•°23q-7, - TEL.: 765-1802 QQ ~ MAIL T0: Examined .`..:r........., 19.~ j~ Approved . 9~ a" . , 19~ Permit No. ~u.~~O. ~ 2 nn RR LS 11 L5 _.im.v Disapproveda c SER - 1198.9 C%~~d~!. OLDG. DEPT. / (Building Inspector) TOWN OF SOUTHOLD APPLICATION FOR BUILDING PERMIT Date ~3-(~>fi! 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stre~ or azeas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apI cation. c. The work covered by this 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 perm shall be Dept 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 Occupan shall have been granted by the Building Inspector. + A±ry~J~~'~f+tR APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Build~g P'ermrt ptirsuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applfksi9ble_Laws, Ordt~Yah~es Regulations, for the construction of buildings, additions or alterations, or for removal or demolii~on, as herein de~rib: The applicant agrees to comply with all applicable laws, ordinances, building code, housing code; az}cb,r~,g`µI,ationg, and admit authorized inspectors on premises and in building for necessa inspections. f • • 1,,;~ (Signature of applicant, or name, if~a cbtp~i•~tion} (Mailing address of applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnrnlie~{1gr 1luild Name of owner of remises -~~yy---- l/ ~ ~+P ~ Is rr,~~ (as on the tax roll or latest deed) " If applicant is a corporation, signature of duly authorized officer. . (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License Iv'o . . Plumber's License No . . Electrician's License No. peciw- .C.G74-?..'G~~t~O Other Trade's License No . . 1. Location of land on which proposed w,,o/r~k will be dgne . .........................n.,.~............... , . House Number Street Hamlet County Tax Map No. 1000 Section Block Lot Subdivision Filed Alap No. Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: (r~, a. Existing use and occupancy .........~!`~:e:...tc~ rM ~ 1 . ~!Q ~l1/^!~ b.lntended use and occupancy ~~.e.....1'.~r.. a.~C~!~!b~' wax 3. Nature of work (check which applicable): New Building Addition y . - • • Alteration . Repair Removal Demolition Other Nork , , . (Descrip2i. `7GIt=c^•'n,`,":".'..!?c'.° Fee ..gsv 4. Estimated Cost ' (to be paid on filing this application) S. If dwelling, number of dwelling units , , , , , Number of dwelling units on each floor ^ , . If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . /7. Dimensions of existing structures, if any: Front Rear , Depth Hefgitt Number of Stories , . Dunensionsbf same structure with alterations or additions: Front Rear , ? Depth ......................Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth , , , . Height .Num~ierofStories 9. Size of lot: Front ....~.~'t 6 b Rear ....~.'~,,bf7............ Depth . 1 A.Y,3, . 10. Date of Purchase .....1.96./ . . . ....Name of Former Owner .~V.E R,E ?.T.. Y~G-..E . 1 1. Zone or use district in which premises are situated Ra4. . 12. Does proposed construction violate any zoning ]aw, ordinance or regulation: . N.6 . 13. Will lot be regraded . . . : Nill excess fill be removed from premises: Yes 14. Name of Owner of.premises Y:. w.~ , .Address lo,FSrJ iv}w.,~,~ Phone No. ~f) 3 F7.. , £w>~ ~m . Name of Architect ....R.•.~. . ........::.........Address ...................Phone No. • • • • , s.3y7 , , Name of Contractor v"'•!• 11. ..Address . ~ec.,;,.~............ Phone No..x7).:...... . i5. Is this property located within 300 feet of a tidal wetland? *Yes No *If yes, Southold Town Trustees Permit may be re uired. PLOfi DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions fry property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. ~ n fr Sn ~ ~fy+-~o'"`~"`U" ' ~f ~-Q~. rr ~"1 L i ' ~f'':.r~/ S71 ' A A5~ oaTt:: ~`a ~8t ~ ~ ~ E' ut ~ ~ r~ 76fi• 18Q2 9 AM 1sJ 4 ''IyYt #'dl! tMt ~F--- ~ or ~ 5'c FOLLOWIdG tNSPECTtCIi1!S: ' ~ ! 1 J 1. FDUNbATiON' TU+IO'RffI"~1NRL0 FOR POURED CbNCt~ r 2. ROUGH - FRAMtNC.,li iT.INABNIB r 3. INSULATION 4,,.fINAL CON9iRtlG'f10MtMU8f ~ 6~yt ~ BE COMPLETc FOR' Cant ~ j j jy ~ y r ~.r ALL Cf7NSTfri}C7TON EIALL - - THE REOUIREMENT$ Qf TIE ~i. ~ /~f - STATE CONSTRUC`flfill - CODES. NOT ~ " Z VEStGN OR CONSTt`QJ t ~c ro'xri~ ' t' --t' ro' STATE OF NESS' YORK, ~ ~ b ~ . . . being duly sworn, deposes and says that he is the appIfcar (Name of individual signing contract) ibove named. icisthe (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th application; that all statements contained in this application are true to the best of his knowledge and belief; and that tt vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this .............j~.J.~.....dyay of 14~~.~ :otaryPublic, n.r.,~~,~-,~~......... County : ~~:.1~ ~..~m . fiE{.ENKDEVOE (Signature of applican ~Ha~+q~0)8~& S~ulfolk C unty~-,/ Term Expires Marsh 30,19_..-~