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Home My WebLink About18194-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219034 Date MAY 9, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 4545 PECONIC BAY BLVD. LAUREL House No. Street Hamlet County Tax Map. No. 1000 Section 128 Block 003 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2989 pursuant to which Building Permit No. 181942 dated JUNE 9, 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 ALTERATION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to FLOYD E. & LOTTIE F. JONES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 rosat No. s TOWN OF SOUTNOLD 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~ ~$~~Q Z Date 19. Permission is hereby granted to: at premises locoted at ....~~1 .~...~.er!i~LQYjL.,G,;.......,~~~~..... ....i.. ............................................~~~F~.4%4.S.t..G............................................................................................. ............................................................................D................................................................................... Caunty Tax Map No. 1000 Section Block ~.....ccLot No......?..~~........... pursuant to application doted ...,u~..~y,l~ 19.q.,~, and approved by the Building Inspector. Fee $.~.!i. B Iding for Rev. 6/30/80 Form No. 6 pta"""TM°„,,,a, TOWN OF SOUTHOLD ,~1fifi~ BUILDING DEPARTMENT !1 ~ ~ MAY - TOWN HALL j d e y; E ~~~U 765-1802 APPLICATION POR 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 17 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. B. 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, ii 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. Update d,Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ~~l.'• New Construction...... Old O,/~r Pre-existQing..//BuOil'ding~~,T4~a,~Q'~/Q/vs Location of Property. ~~~s ,,,reCO~JIC ~1A7,.+P4V~........ (~(,~;IZ~.C,~ Hawse Ne.// ~ /Street ~H/amle*_ Onwer or Owners of Property.` ~ Y Q„~Q~,,, G. ~ d TT~~ F .~Q /V~q. . County Tax Map No 1000, Section.. ~ ~ti"'•.,,,glock....y~.........Lot...../. 1 , Subdivision Filed Map.. .Lot.. Permit No. .7,~„Date Of Permit. ~.Applicant!,.~.•O E/ O~GJ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Tempora~r'y Certificate........... Final Certicate...Y Fee Submitted: $,~J G'Q S ~9/8,~ APPLICANT r 1ELD II:SY C::U:; ~~UAiE i;OtKMLNT° ~ 1 . f ~ m °``S1 H y rOUtlDATION (1st) ~ N ?OUNDATION (2nd) ~ _ C z o f, ROUGH FRAME & -PLUMBING In . H 3. x~~wVJ ra V` ca IiJSULATIOt! PER N. Y. • • STATE ENERGY CORE 3 4. ~ a H r FI;JAL z ADDITIOPIAL COMMENTS: x rn N ro \ ~ ~ 9 H \ O d b • r \ ~ \ - ~ o m -o H a 1~~~ ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSU TION [ ]FRAMING FINAL REMARKS: ~/f-///'~Z- L~ DATE ~ (7 INSPECTOR 765-1802 y ~~~ec., BUILDING DEPT. ~~INS~ECTI N O [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ]FOUNDATION 2ND [~]TNSULATION [`1" FRAMING [ ]FINAL REMARKS: ~~~^'-c~"~ DATE ~ INSPECTOR / ~"~t, .w,. ~~1-~n7r~~ TEL. 7C+5-i 807. ~44EFUtk ~ ; ~~o~~~rr cr~ sovl~uo~.~ ~ ~ !?r~2J4~,:~t.~i~Li OP( iCli OP I3UILUING ItJSPE~TOR r~ :~;g"~r ~~r~"~Y i'.O. UOX 728 , 45w~~c^a~° r+'~~~ "('044 [JIfALL SOU"I'IIOI,U,N.Y.1197i April 17, 1990 ~j" ' _ f~ Floyd 6 Lottie Jones 'F~ Boa Ifs ~~t~Y g I:f~tl Mattituck, A.Y- 11952 '!f~l~, To PJltom Thin May Concern, t•ir_ arc unable to complote your Certificate of~Occupancy because ,of the folloo-~ing reason:,. An application for Certificate of Occupancy is not on file. CENCLOSED) / / `!o Under:ariters Certificate on file. /_~'I'hc cl:cck .is ;ut nn file.) $25.00 Cto Health P,ept. Approval on file. I:o final inspection ha> been made. i Plen:;e contact our office on this matter. Thank yor.5 for your cooperation. 3uildinry Pormit II 1 8 1 9 4 Z IIuilctinq pop L-. tin P.li:mbcr Solder Certificate on file. ( all permits involving plumbinci being isaued zftcr April 1,19fl4 ) BOdRD OF HEALTH FORM N0.1 3 SETS OF PL.1NS SURVEY TOWN OFSOUTHOLD CFIECK BUILDING DEPARTMENT SEPTIC Foart TOWN HALL SOUTHOLD, N.Y. 11D71 NOTIFY ~~~.nn~ ~ Q°X S ' TEL.: 705-1F302 CALL ......I:II'k-L1..~Y.~~`~S,•? Examined .G /~gpp........., 19f!~~.9~ MAIL TO: ) Approved 1~X!, Permit No.. ~ Disapproved a/c ~q~~~,m ~ . U~4UlRFgiC+4TE. ~q' ~ ( uildi nspector) , ~ Rl APPLICATION FOR BUILDING PERMIT ~ MAY ~ f 1 E9~9 f i j, Data 15 . - . ~Law..~.a..w-., ' ~ ,~„TO~vNtUFSOU INSTRUCTIONS ~.~,•M a. Tltis application miisf°b-e° ompletely 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 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 Bui]ding Inspector will issued a Building Permtt 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 MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding Zone Ordinance of the 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. Tile applic s it applicable laws, ordinances, building code, housing code, and regulations, and to admit auth e s nd in building for necessary inspectio s 1 -USE pS UNLAWFUL A . . . ign~a~tur~_ot applicao~ rr,~,T~,tion) , W~TUOT CERT~F~CATE JnD Tye-( F (Matlmg ddress of applicant) I ~Q State whetf a tU~ ~ee, agent, architect, engineer, general contractor,xl ~pl,uml~erJor builder. Q't~.T .tic9~ ...DATES AP~~L~ S III//I.D~~ 5, ~ Y.RN~ `q y ~at- ~ p`(`~, E ~ ~o F7 ~ c o Name of owner of premises ~ ~ ~ . . , , • FEE: gy; (as on the tax roll or lat ~ U T a!" ~ • ' ~ 9 AM TD 4 PM FOR THE lC applicant is a corporation, signature of duly authorized officer. FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) 2. ROUGH -FRAMING & PLUMBING C~/%'••••••.•••••• B. INSULATION - Buildcr's License No. IK-! 4. FINAL - CONSTRUCTION MU57 • BE COMPLETE FOR C-O. Plumber's License No . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N Y Electrician's License No . STATE CONSTRUCTION & ENERGv CODES. NOT RESPONSIBLE FOR Outer Trade's License No . DESIGN OR CON TRUCTIUN ERRORS Lo anon of la don which proposed work will be done. L I ~ ' ~ " . House Number Streetpp Hamlet County Tax Map No. 1000 Section ~ L7..... Block , , , • , • • • _ , , Lot ...i , , , , , , - , , . - • Subdivision Filed t\tap No. (Name) Lot............... • State existing use and occupancy of((premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Y~ ~~1 ~.a .1`~.~- , . , . , ~ ArV',' R. Sts b. Intended use and occupancy • • • • / ~ ~ • • - - • . • . • - . sty 'f~ t........... . 3. Aaturc of wort. check which ~ p ' ( R` applicable); Ncw t3uilding Addition rVtcraUOn Re air moval • . • Demolition .Other 15'ork. 4. EstimatcdCos~•,7UtsO, (Description), i' Fee 5. If dwelling ~ (to be paid on filing this application) number oC dwcilin~ units Number oC dwellin units on each floor........ . If garacc, number of cars g 6. If business, commercial or mixied occupancy, s ecil' • ~ • • ~ • ~ • • " " " " " " • • • • • • • • • • 7. Dimensions of existing p Y nature and extent of each type of use o structures, if any: Front . ,Rcar Haight . Nuptbcr of Stotics , • ' . Depth Dimensions of same structure with alterations or additions: Front • ~ • • • Depth . . Ileight . . . ' 8. DimensionsoCentir n " Rcar ~}YI~ nsdruction: Front , • Number of Stories . Hcig~~~j•b4.'.;i3-;tyi' fir:`':.. Number of Stories Rcar Depth............... . 9. Size ot: I~rb`ri f~~;) • . 10. DateoPPurchase ......::,....'.......Rcar Depth "•'••••••••...NamcofFormcrOwner l 1. Zone or use district in which premises are situated , , , , ' ' ' ' ' ' 12. Does proposed construction v#olatc any zoning law, ordinance or regulation: ~ • ~ ~ • • • • ' ' ' • l3. \Vill lot be re,raded ~ _ 14. Name of Owner of remises~l~p a~ • \Vill excess hl be removed from premises: y I~ • P ' ..~rn~~~~~ Address ~51~.~,(~y1~._~~ Phone No.d.J.~:~~~,j; ; No Name of Architect ~ / Name of Contractor . • ~ • • ~ • ~ ~ ~ • • ' ' ' ' ' • • • Address Phonr, No.. • 15.Is this propertq locaited within ' • • • • • • • • Phone No.. If yes, Southold Tow ,.Address • • * 300 feet of a tidal wetland? *YES...,NO. q Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all, buildings, whether existing or proposed, and. indicate all set-back dimensions fro~n property lines. Give street and blockpumber or description according to deed, and show street names and indicate whether interior or corner lot. I ~I - C~-~~~-, c~'-~•~ . GXf ST-t N~ J ~ o c-#~*~ G~ ~ - ' n `yyP9~ ~ ~ `~'~'~-Q-~-l I r~Q~~ th-ern-k--- , -v<a - ~'~~Z# ,p 6'X~ ~ },,.£~~~:~st~,s.-,f~ ~~actsr`ast~`v~p` ~~,y.f~ ~I ~`a' 13'K ~ . Paz «t,~f R9 ${.b?~~~;j'#`l~^-~"' ~ it c :S~~rt[€3{44 .i3':v" ~ -,~•i FRSt?9#i«_H~.¢` _ .pFp. 11 ~.~".i t ~ 7 , T,ITEOF\EIVY'OI(K s=, ';j~ OUti Y'OR:. ~ ~ .-,,t Sri= G~J't • " ' ' ' ' • • • • • • • • • being duly sworn, deposes and says that he is the applicant (AamL•~of~i`ndiviilual sig nglcontract) - ~ovc named. . .is the • • .(Contractor, agent, corporate officer, etc.), ~ ~ • • ~ • ~ ~ • • ~ • • • said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ;#lication; that all statements contained in this application arc true to the best of his knowledge and belief; and that the uk will be performed in the manner set, forth in the application Glcd tttcrewith. orn to bcfom me this Q :ark Public, ~p~ ~ ~ n • ..•#•::"'t`•'.,ll;, kJ.~~~,-....... County HELEN K OE VOE • • • . ,n,~ ~~7t7&$~uHalk ~NM~ . Tena~~Much~1 (Si,nature of applicant) I