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Home My WebLink About18128-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218064 Date MAY 30, 1989 THIS CERTIFIES that the building STRUCTURAL REPAIR Location of Property 25 NAVY ST. ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 26 Block O1 LOT 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1989 pursuant to which Building Permit No. 181282 dated MAY 22, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy far which this certificate is issued i.s REPLACE EXISTING PORCH (STRUCTURAL REPAIR) The certificate is issued to DR. GERALD DORMAN (owner, xxxxxxxxxxxxxxxxa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 Fosa~ Na s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. 1 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ° ~ $ O Z Date .~.,1.?'..:~r 19. Permission is hereb granted to: 7P.. ~ to at premises located at ...Q~.~:~~..~.~..~C.~~..4~..... ~ ...............................................Q : •~.:5rr7~ Caunty Tox Map No. 1000 Section .........cG....~.... Block ........~/..........gLot Na.. ~ pursuant to appllcatlon dated ..........`~/Ct 19~/..., and approved by the Building Inspector. O~ Fee io uild~lnspector Rev. 6/30/80 ,~.;~~~i F',~ ~ ~j TOWN OF SOUTHOLD BUILDING DEPART?LENT ~ MAY 191989 _ TOWN HALL YOVV_f~d t?~n QJ~w~I~°° SOUTHOLD, NEW YORK 1 197 1 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.... ; . NEW CONSTRUCTION OR PRE-E%ISTING BUILDING.._...VACANT LAND....._.. c- Location of Property............:.,.,,,~VR^~:'~j,~`'"___...._SfLGV/~ HOUSE N0. S REET HAMLET Owner or Owners of Property... G County Taa Map No. 1000 Section Bloclc Lot Subdivision Filed Map ........Lot.......... Permit No. ..........Date of Permit ..........Applicant Health Dept. Approval Underwriters Approval.............. M arming Boatd Approval Request for Temporary Certificate ~7 Final Certificate Fee Submitted: $,.,,,,/^7 j_~.._ APPLICANT..... L!'/,~, ; - l/ . ~ ~~i ~,o ~ reV• 10/14/88 1 i I Li. V'. FORM NO. 6 TOWN OF SOUTHOLD I BIIILDING DEPARTMENT ~ TOWN HAL, ~!i i 765 - 1802 APPLICATION FOR IERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must by filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 of Health Dept. of water supply and sewerage-disposal(S-9 form). 3, Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement froml,plumber certifying that solder used in system contains less than 2/10 of 1Z lead: 5. Commercial buildings; industrial buildings, multiple residences and similar. buildings and instal)<ations, a certificate of code compliance from the Architect or Engineer responsiljle for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings ('Prior to April 9, 1957] non-conforming uses, or buildings and "pre-existing" landluses: I. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed ',application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information; required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: I. An application for vacant land Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single and separate ownership of, the entire lot prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certi€icate of Occupancy - $20.00 5. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Cosvnercial APPLICATION ON BACK rev;.. 10/ 14 /S8 1 L 17 I v. u;i U c ,;TE i;OeYMENT.. ~ ~ (p~q~ ~OUIIDATION^ (1st) _ .p1 'OUNDATIOtJ ( 2nd ) o TOUGH FRAME &~1 PLUMBING C\;i;_ ~ 't2i, l~ H 3. ~ c~ m CIJSULATIOPI PER N. Y. STATE ENERGY CODE x r 1, y FI;JAL ADDITIONAL COMMENTS: m x ~ X \ ro• H e,~ 7y 7J 9 H \ H O b A r H Z b m -o H . ~I9M~•o~a C~`~~~ y 765-1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [~RAMING [ )FINAL REMARKS: r DATE ' ~ ~ INSPECTOR ~ BOARD OF HEALTH i I FORMNO.1 3 SETS OF PL.1NS SURVEY . !I TOWN OF SOUTHOLD CHECK . ` BUILDING DEPARTMENT SEPTIC PORPf .1'S.^-.._.^-. °^°-s.xoa``'''i TOWN HALL r1L'at fIEF'1-. ~ Tt1W(+f Or Sc1U~~i~xit.f7 a SOUTHOLD, N.Y. 11~J71 NOTIFY ....a._.,. .W... ~ TEL.: 7t55~ 1802 ) ? ; / CALL . Y.. . y Examined . P2.`....., 19 MAIL T 0 : . ' , • - Approved ~z...., 19~SPcrmit No. a . Disapproved a/c/// ..OCCUPANCY ~OR ~ ~ ~ ,..~~~o.. . ~Bu' tng Inspector) USE IS UNLAWFUL APPLICATION FOR BUILDING PERMIT WITH(O(UT CE(R~T/IFICATE Date ~~~5 . , , , Iy . ®F ®VVUI7ANV i INSTRUCTIONS ' a. Tltis 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 ]ocation 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 appli- 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 Petmit to the applicant. Such permit shall be 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 h1ADE to the Bui]ding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions ar 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. (Signature of applicant, or name, ' a corporatton) ' (Mailing address of applicant) - State whether applicant is owner, lessee, agent, architect, enginee ,general contractor, lectrician, plumber or builder. AP ROV '1451( Name of owner of premises ~.:...!o~.... d~- .....DATE:• BP. (as on the tax roll or latest d~~~)^_"8~4LDM1 BY: If applicant is a corporation, signature of duly authorized officer. NOTIFY UI G DEPA E qT 'I 786-7802 8 AM TO 4 PM FOR THE ••••••••••i•••••••••.....~ FOLLOWING INSPECTIONS: (Name and title of co orate officer) i. FOUNDATION - TINOREOUIRED FOR POURED CONCRETE Builder's License No. I..~ S~1.L~. ~T... 2. ROUGH - FRAMING ~ W.tlMBING 3. INSULATION Plumber's License No . Q. FINAL - CONSTAUCTFONMU$T BE COMPLETE FOR C.O. Electrician's License No . ALL CONSTRUCTION SHAi.t MEET THE REQUIREMENTS OF THE N.Y. Outer Trade's License No . STATE CONSTRUCTION at y CODES. NOi RESPONStFOR I, Location of land on which proposed work will be done . , , DESIGN OR CONSTRUCTION ERRORS ~ s~ a-~~..,x . . House Number tree[.// ........Hamlet County Tax Map No. 1000 Suction ..........~.f:..... Block , , , , , , , , , , , , Lot . , , , , , , , , , , Subdivision Filed (\tap No. Lot . (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ........../.t .G~ •.••.•G~~ff..... / A i 3, A'ature of work (check which Applicable): New [3uilding Addition .Vteration Repair Removal Demolition Of ~rk . . (Description) 4. Estimated Cost ~lC}s........... Fee .......:?Z~" / (to be paid on Lling this application) 5. If dwelling, number of dwellin If ~ara~c, number of cars , . 6 units Number of dwelling units on each floor.............. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use , . 7. Dimensions of existing structutes, if any: Front ,Rcar ~ • ' ' ' ' ' Height Number of Stones ..'r~. , Depth . Dimensions of same structure with alterations or .:Iditions: Front ~ • ~ • ~ ~ " " ' Depth . IIcight . Rcar . ' 8. Dimensions of entire new cons(ruction: Front ' ' ' ' ' ' • • • • Number of Stones , , , . • • . Height , , , Number of Stories Rear ...........:';r. ~De~'th >,a. ,5 . . 9. Size of lot: Front ' Rear • • , -Depth a ~ a . 10. Date of Purchase ~ ....Name of Former Owner - ~ i k ~ ~ ~ • ` 11. Zone or use district in wtticlt premises are situated • , ~ • ' ' ' ' ' ' ' 12. Does proposed construction vrq(ate any zoning law, ordinance or regulatron_ ' ° ~ ~ • • l3. 7Vi11 lot be regradedp • , 7Vi11 excess fill be removed frot)t pr,~r~ts~~ 7 Yes Poo l4. Name of Owner of remises , ~ • Name of Architect • ~ ~ ~ ' ' ' ' ' ' ' • • • • • Address .Phone-No: t , , , , : 5 , Name of Contractor ................Address , ........PhoneNo.:.. . . .....Address . .Phone No.. IS.Is this property looted within 300 feet of a tidal wetland? *YES.. .NO.. *If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all setback dimensions from property lines. Give street and blocknumber or description according to deed, and show street names and indicate whether interior or corner lot. "TGo ~ ~s~t~'~$ Sii r~tl~z~• • .-_w ~ -I ~ . - ~~~6'~ ~~lfi~~~~p.31at~N,t„t ~s;~rs a `r$~f~t~ttr7.l~ '3a$ ~9~t!~ifi.Y'" i-i ~tr.i4-:" v' (1~~m~t~Rfin' ~iy{~TuYy l ~i&n,iii ' ' ' ' ' ' ' • • • being duly sworn, deposes and says that he is the applicant ` ~ ~•tY ~ contract) abod'33i d 54tzt~a°.Ir:~,_ 1Ie ~~ft~~~ IIf01^4'`':: ! (Contractor, agent, corporate officer, etc.) ~ ~ ~ • ~ • ~f said owner or owners, and is duly,authorizcd to perform or have performed the said work and to make and 61e this -Pplication; that all statements contairScd in this application arc true to the best of his knowledge and belief; and that the •vork will be performed in the manner set forth in [!tc application filed therewith. ~ivom to before me this /:ice,. ~ day of . , ...?~'~-Q~~.........., 19 c rotary Public, J~Q~P~cv, . 11:..'AJL!/Q-~..... County HELEN K DE VOE - . NOTARY PUBLIC, State at New York ~ • ~ ' No.4707S70,SuHolkCpunty (S" ture•ofapplicant) Term Expires March 30,19.~.~ I