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Home My WebLink About18456-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18436 Date OCTOBER 2, 1989 THIS CERTIFIES that the building ALTERATION TO ACCESSORY Location of Property 4170 INDIAN NECK LANE PECQNIC, N.Y. House No. Street Hamlet • County Tax Map No. 1000 Section 98 Block 1 Lot a1•~ Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1989 pursuant to which Building Permit No. 18456-Z dated SEPTEMBER 7, 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 DETaCHi?n GARAGE AS APPLIED FOR. The certificate is issued to PATRICLA PHILLIPS MARCO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - SEPTEMBER 29, 1989 PLUMBERS CERTIFICATION DATED N/A ~~i Buildinq Inspector Rev. 1/81 rosai xa s 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) Date 19!'J./... Permission is hereby gronte o: ~ ~ ..~3~..~'~~e~ . ct pL~locoted of ......1~?I~.... rr~G;t:"[.••••.:~' County Tox Map No. 1000 Section Block ............~.....yy.~~Lot No........~s.. ~...J?...... pursuant to opplication dote 19k'..f:., and approved by the Building Inspector. ~~j Z/~~ Fee g.. ild n I for Rev. 6/30/80 p • TOWN OF SOUTUOLD R fi BUILDING D1:PARTMENT p l5 l5 TOWN HALL ~ S~P ~g 19~Q SOUTHOLD, NEW YORK 11971" 765 - 1802 6LD~.DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~3^~., Q DATE.... i4~~'.1~~ ~ . . NEW CONSTRUCTION ._....,OLD OR PRE-E%ISTING BUILDING.Y VACANT LtIIAND.....__. 1 Location of Property ~1~, ,4,~, , 1~C.~~.. ~~/'~~~C.~~_~ . OU O. T HAMLET Owner or Owners of Property......, Q~+ County Taz Map No. 1000 Section v, Block .....J. Lot Subdivision.. Filed Map t,,,,,,,.__ Permit No. y,~f, ,Date of Permit ~~~~,pry_Applicant Health Dept. Approval Underwriters Approval..._.......... Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: APPLICA ~ ' rev. 10/14/88 Qec.• 3 $ 3 8 0 Co -~1~y3~ ~.I ~ ~ I , FORM NO. 6 r.. , , ~ F SO »q...w TOWN 0 UTHOLD BIIILDING DEPARTMENT C ~ TOWN AALL 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must b~ 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 unusuallnatural 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 from 'plumber certifying that solder used in system contains less than 2/10 of lE lead.! 5. Commercial buildings; industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the 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, buildings and unusual natural or to',pographic features. 2. A properly completed !application, a consent to inspect signed by the applicant and a certified abstrjact of title issued by a title company which shall show single and separiate 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 o£ any housing Goode or safety inspection of buildings or premises, or other pertinent informationlrequired to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vaunt land Certificate of Occupancy shall be submitted, and a certified abstrpct of title issued by a title company showing single and separate ownership of''the entire lot prior to April 9, 1957 shall also accompanq the application. If ~ Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OC~IIPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Owe ),ling $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 I $50.00 Commercial ' ' I rev: 10/14/S8 ~ - l 765-1802 C~~ ~ • BUILDING DEPT. INSPECTION [ } FOUNDAT{ON 1ST [ } ROUGH PLBG. [ ) FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: ~S~L/C ~/IMJI~v ~ c DATE INSPECTOR ,,.d~~~„`'rr TEL.7C,5-(8B1 c,~ TO~irN Ur 50UTIIOI,II : ~~;y ~ .c OFFICE OP BUILDING INSPECTOR ~ c~ ~ ~ TOWN HALL ' Off, SOUTIlOLD, N.Y. 1 1971 -.,y~~. . September 21, 1989 Philip Marco fi Nife 4170 Indian Neck Lane Peconic, N.Y. 11958 To LJhom Tltis May Concern, 47e arC unable to complete your CertificatC of Occupancy because of the follot•ring reasons. /~An application for Certificate of Occupancy is riot qri fll.c. (ENCLOSED) No IJndCrcoritcrs Certificate on file. 'Chc checF: ir: (nut on file $25.00 (POOL HOUSE) ho Flcal.L'71 Dept. Approval on file. $25.00 (ALT.TO GARAGE) I`'o final insl~ect:ion hay been made. Please contact our office on this matter. Thank you for your cooperation. Ihtilclinq PCrm.it; 1 7 6 4 0 Z (POOL ROUSE) 1 8 4 5 6 2 (ALT. TO GARAGE) IIuilc7in<{ DCpI'. t '.4 ~k/-/ tlo i'lumbcr ;;alder Certificate on file. ( al.l pnrmits involving plumbing beiny 1ssL'CC] after April 1,198A ) BOARD OF HEALTH 3 SETS O~~F// PLANS FORM NO. 1 SURVEY V~t.. , . TOWN OF SOUTHOLD CHECK ..~1`..~.`~~.~........... . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N. Y. 11971 NOTIFY ( q~~y~; 99/ ` TEL.: 765-1802 CALL ..~s-d.l.:.~4.t/. d . Examincd.lf-.'•..........,19~~ MAIL T0: '1 lJ i Approved . .U 19~/~. Permit No. l RT..v.~~? Q ~ ~ L? .n..~..'t ; , Disapproved a/c AUG i 21989~~~ DAif>'s: • . .~N..~ r BLDG. DEPT. '('OWN OF SUUTMOLO w FEE: B dM ....r !4 ••.'~~.'..l.• .~i~.... N QEIl~ (Bu' din nspector) 768-1@02 8 AM TO 4 PM FOR 1MEAPPLICATION F R BUILDING PERMIT FOLLOWING IN' ECTIONS: \ i. fOUNOATION - TWO REQUIRED Date 1.~ 15~" fOR POURED CONCRETE 2. ROUGW -FRAMING $ PWM8ING INSTRUCTIONS 3. INSULATION 4. FOALS ~ i'ONSTRUCT~ON MUSiT a. 8 ~1 t~r e comp etely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets~fLp ~~t~~t~lto~ Fee according to schedule. CIE P~ ~E @~~g at~p~ ,(ot and of buildings on premises, relationship to adjoining premises or public streets or ?:rg~TFa '~ui~~~~Poile~ c~~,~.on of layout of property must be drawn on the diagram which is part of this appli- cationc,~1S nlA9PRQY~A$INQE~oR rc. to tlp~"£>RP}`f~Jl; ~j ~}gation may not be commenced before issuance of Building Permit. d. ~~ppreaai~efl~Is~ Ehe Building Inspector will issued a Building Permit to the applicant. Such permit shall bed[ on the nremi~q:available for inspection throughout the work. e. IIfZ~~lYtl$it1(I.BIMAK6 Ii9F,w610tR1j1i~1VT'rt0lBed in whole or in part for any purpose whatever until a Certificate of Occupancy shall ItaY65~9eBOgr~ttlL~IAbjOtltlr LN1p160$ 1r19Eector. Fn OWIN ; ~ T 6p~ the Building Department for the issuance of a Building Permit pursuant to the Build-n~L~~cLe~' own~of"Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulat~or~''''~~-Ht_~Aa~~ct~},oP~~gs, additions or alterations, or for removal or demolition, as herein described. The ap~li~~ r~~to comply wt a applicable laws, ordinances, building code, housing code, and regulations, and to admit a~tt}~t~g~tnsp~~~~~~~~ in building for necessary inspections. 8E COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET (Signature of applicant, or name, if a corporatton) THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION $ ENERGY CODES. NOT RESPONSIB FOR (Mailing address of applicant) , DESIGN OR CONSTRUCTION ERRORS State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premise ~Gf"~~, . (as bn the tax r 1 or latest deed) If applicant is a corporation, signature of duly authorized officer. ccP cY oR (Name and title of corporate officer) Builder's License No. .P~. EIS UNLA FL Plutnber's License No . IT (BUT GETI~IGTE Electrician's License No . OCCUPANCY Outer Trade's License No . 1. ~'L"oc~ation of land on which prop{os~~ed~w~o~r~krwillrbe~done. I. ~O ' , , ~~y `~p` `°a'Cr ~ ~,'(1 rte. ~l Q ~ ...1 `lK!Z A+.~, . M~`~ r.., •,~.Ll~~. _ (louse Number Street, ~ ~ ~ ~ ~ " " - " " Hamlet County Tax Map No. 1000 SeC[IOn ......:4 ~ Block , I, Lot ....~@ Subdivision Filed ~1ap No. Lot . ..(Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy C? t.. b, Intended use and occupancy • ~ P applicable): New 13uilding Addition Alteration . 3• RNet air of wart. check w•hiRto'moval Demolition Other SVork . ~ (Description) 4. Estimated Cost ~ ~4fW. ` Fce . (to be paid on tiling this application) ^ s, g units . . . Number of dwellin units on each floor . If " " , g . If varailen num bcr of cars`vclli....e~ . . 6. Hcb'l~ness, commeraa~IsT~mtUCd occupancy, specify nature and extent of each type of use . 7. Dimensions of extsttn" N res, if any: Front , , , , , , , , , , , , ,Rcar • ~ ~ ~ ~ ~ ~ • Depth . }rmber of Stories . . Dimension,{ pf arpe structure with alterations or additions: Front ~ ~ ~ ~ ~ ~ ' . Depth::::: i Rear ' " Nd Height Number of~~~A.. 8 H~ jhYsions of entire new construction: Front , , , , , , , , , , , Rear , • ~ ~ ~ ~ • • • • tuber of Stories . ~~.~epth , _ .,-~ikscl.. , m 9. Size of lot: Front ~ Rcar ............................u;~. ...........,,9~... . 10. Date of Purchase l.~~a~1.~sa, . , • , , ,Name of I"ormer O~ 9 t tir~ci ~ ~ " 1 1. Zone or use district in which ¢remises are situated . . . . . . 12. Does proposed construction violate any zoning law, ordinance or regulation alt .l~.t ~ 13. 1Vi]llotbere"raded ~'lPtrwdt....'-`:.:,<,:::~i=.';.1.. e . Nill ex ess tll be removed fryip~~yrlttse • ~,f #re^~ Ye's' Nc 14. Name of Owner of remises . •t•~•~v~C-4.~ , , ,Address ~ ~~.sy S.~ Name of Architect ~+tttN+tiu+• Rhorte4Nn:'')';`;~-, , • : .Address . .Phone No.' . Name of Contractor ~ .........:........Address 15.Is this property loc',ated within~00 feet of a tidatl we•t~land3n*YES....NO..... *'If yes, Southold TocYn Trustees Permit may be required.. PLOT DIAGRAM Locate clearly and distinctly ail buildings, whether existing or proposed, and,~~E~~~sha~ak#dimensions from property lines. Give street and block number or description acc2ording to deed, and show s teet names and inc)ipat~ whether interior or corner lot. J~ ~ ~ , I ~,iSC a "t t'~ , , GEq-acs s, > ~ , ~ , f 3itsi~, ~ try ~ . ~C~J,~ 1 ~ , , ~jyq/, ~•~r.. 2a ~itY tr. ^t~iNt?i~a ~~y.?Q ~ 1 l G '~J.It4ila 4,`~r-0~`(~,<` c("`;"'rT~ ~ . C7 t V 6 ',1~ ~3t ~ ~ ~ > New • vl ~ to s~ f~' v~' ' ~tsT tvc_ ,y` C~2 ?1~ I ~ccic~ --~Y`~~ j " I ~~-i< C,,Av,Ace mil, ~ ?3 Enrc~-r~ STATE OP NE1V YOR1:, • (lame of indtvid /~~a~i n~~~' ~ ~ • ' ' ' ' • • being duly sworn, deposes and says that he is the applicant u g ~ng'contract) above named. i He is the t:~.-Y~??~Crrl.~ (Contractor, agent, corporate officer, etc.) ~ • ~ ~ ~ • ' ' ' ' ' ' ' of said owner pr owners, and is duly authorized to perform or have performed the said work and to make and file this aPPlica[ion;'that all statements contained in this application are truc~`~'to the best of his knowledge and belief; and that the work will be perforned in the manner set forth in the application filed therewith. Sworn to before me this ..day of 1~ 19 t~/r Notary Public, , , , , , , ,Y ,VO-2..... County . ~ NELEN K, dE VOE NOTARY PUBLIC, State of Newyork • • . Na.A707878,SyttolkCountYr,i Si"nature of a TermEzpiresMarcQ30,119-~F ( a pplicant) r ~ -