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Home My WebLink About17942-z f FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N. Y. CERTIFICATE OF OCCUPANCY No Z-18890 Date MARCH 13, 1990 THIS CERTIFIES that the building ADDITION Location of Property 1800 SHIPYARD LANE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 035 Block 08 Lot 5.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offZCe dated MARCH 22, 1989 pursuant to which Building Permit No. 17942-Z dated MARCH 23, 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 isTRELLIS ADDITION TO EXISTING ONE FAMIZY DWELLING AS APPLIED FOR The certificate is issued to GUSMAR REALTY CORP. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ding Inspector Rev. 1/81 !'UHM NO. ~ 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~ 917 9 4 2 Z Date .........~'1.!~..~.:!:c~......~. ~ 19..x..°.1 Permission is hereby granted to. .1.3-~.:1.......~~ ~..Q,1~ ro ...Cvy.:,,~.s~C'...G.'`t..a.,.~Aa~-....er.-...4r~.~?.. ~~t. . . . . . . . . . . . . . . . . _ . ~ . . . t . ~ . . . . . . . . . . . . . . . . . . . . . . . at premises located at V Q.....~.~)p.~~J.... c, ?!-'~.1.... ..,~.An.~'.....~:X'~.OIAd.A+c~ County Tox Map No. 1000 Section .Q.35.np.. Block .....!`°I Lot No . pursuant to application dated ~`(~OcA.tx1 .a. 19~~ and approved by the Building Inspector. ~22 i ~ Fee S•.~°'~: s.~'~:.... Bui ding Inspector Rev 6/30/80 ~ TOt7H OP SOUTIIOLD IIUZLDIUC DCPARTaCMT TOS121 HALL SOUTIIOLD, NEH YOIiIC 11971 7G5 - 1fl02 ' APPLICATION FOR CERTIFICATE OF OCCIIPAtiCY DATE..~~7.7G ~2~....... HEST COi:STRIICTION .....OLD OR PRE-E%ISTItiC IIUILDIIIC_..../.~VACAiiT~L/AfIiD..._.... Location of Property............,lrf'!pZ'A.EJ1..~'t'Y!~._.....Gt'~:.ST DOUSE NO. STAL• ET ~~,,p UAttLET Ovaer or Ovncrs of Propcrty..~~~A"~4.. Gam..:::^.: ~ a r Couaty lax Hap Ho. 1000 Section ~~Y-~. IIlock ®8.. Lo c' .~.y.~~... Subdivisioa....... ^ Filed Hsp _.•...._Loc_ r~-7 Pcrait Ho. ..........Date of Pcrmic ..........AppLicaat ~~,?y:~~Qti~-~1:..... Health Dept. Approval .N//{~~.......... Undcrvritcrs Approval..~~~........ Plaaniag IIoard Approval J:~~ Request For Temporary CerciF111iilicate Final Certificate Fcc Subeitted: S--~-~P...----.... s ~ rev, !0/ 14 86 Cow f`bg9o FORM NO. 6 ~ TOI,IN OF SOUTItOLD BIIILDING DEPARTtiENT TOSJN NAL. 765 - 7II02 APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIOtiS A. Ibis application must 6c filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings or acv 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 IIcaltli Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation From Board of Fire Undervrit.ers. 4. Sworn. statement from plumber certifying that solder used in system contains less" [ban 2/10 of !Z lead. 5. Commercial buildings, industrial buildings, multiple residences and simslar. , buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for Che building. 6_ Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (Prior [o April 9, 7957, non-conforming uses, or buildings a¢d "pre-cxis[ias' land uses: 1. Accurate survey of property shoving all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent Co inspect signed by the applicant If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor is writing to the applicant, 3. Dace of any housing code or safety inspecCiors of buildings or premises, or other perCiaeaL information required Co prepare a cer[ificace_ C. For Vacant Land CcrCificaCC 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 shoving 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. CERTZI'ICATL OF OCCUPANCY New Duelling $25.00, Additions to Dwelling $25.00, Alteration to Duelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $SO.Op. 2. Certificate of Occupancy oa pre-existing duelling - $I00.0O. 3. Copy of CertiFicate of Occupancy - $5.00 - over S years - $10_00 4. Vacant Land Certificate of Occupancy - $20.00 S. Dpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial ,D~74~~it 1cLD i;.:~:~,:~U;. ~JniL ~ ~;~.MMLNT~ ~ i _ ~ n a_ H y ! FOUt7DATI0:7._.. (1st) ~ c =OUNDATION (2nd) _ _ m . z 0 .ROUGH FRAME & PLUMBING f ~--r y E 3. a ~ r m ~ I17SULATIOPI PER Pt, Y, STATE EPIERGY ~ CODE _ P ~ - ^1 Y r 4, y FI;IAL ~ o ADDITIOPJAL COMMENTS' x c Cod, ~~ggr;- x H H _ O m ~ c- _ H x v m ^o H ' BOARD OF HEALTH 3 SETS OF PLe\NS FORM NO. 1 SURVEY . . TOWN OFSOUTHOLD CiiECK BUILDING DEPARTMENT SEPTIC FOIi~! ' TOWN HALL SOUTHOLD, N Y 11~J71 NOTIFY TEL.. 7657802 CALL E~ammc;d . ~.3., 193"x. MAIL TO: , \pProved .~.WL~ ~:3 19'~~. Penntt No. G ~q~{.2-ZZ.'. Dtsapproveda/c . . . . (Butldmg Inspector) APPLICATION FOR BUILDING PERMIT ~j Date 15`:! INSTRUCTIONS a. Tltis appltcatton must be completely filled in by typewriter or to ink and submttted to the Butldtng Inspector, with sets of plans, accurate plot plan to scale. Fee accordtng to schedule. b. Plot plan showing location of lot and of butldmgs on premtses, reIattonship to adjoining premtses or public street or areas, and gtvmg a detmled descrtptton of layout of property must be drawn on the dtagram whtch is part of this appit cation. c. The work covered by this appltcatton may not be commenced before tssuance of Buildtng Permtt. d. Upon approval of thts apphcatton, the Bmldtng Inspector wtll tssued a Bwldmg Permtt to the applicant. Such perrnt shall be kept on the premtses available for mspectton throughout the work. e. No butldmg shall be occupted or used to whole or to part for any purpose whatever unttI a CerttFicate of Occupancy shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Butldmg Department for the tssuance of a Bwlding Permtt pursuant to th. Building Zone Ordtnance of the Town of Southold, Suffolk County, New York, and other appltcable Laws, Ordtnances o Regulations, for the construction of buddmgs, addrttons or alterations, or for removal or demolrtton, as herein described The applicant agrees to comply with all appitcabZe laws, ozdmances, budding code, houstn~ code, and regulations, and 2~ admit authorized inspectais an premtses and m building for necessary inspections. ~'usuHaR c'tF4Gr~/ CQaCP (Stgnature or' applicant, or name, if a corporation) .../.'x.'4:7.. . ? ~ µ~E , ~_Y, ///O/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or budder. . Name of owner of premtses ~v`-~' !":t!'.ie ~q ~7. `1 .4-0~ P . (as on the tat roil or latest deed) If ap cant is r ration, Stgnature of duly authorized officer (Name and the of corporate officer) Bmlder's License No . Plumber's Ltcense No . Electrician's Ltcense No . Other Trade's Ltcense No . . 1. Location of land on which proposed work will be done. 1.fr.~'. , s~f/~f~/~ L~~~ ....1 boo.. ~!~,~y~e~. F-.~?~~~~...-:.......... House Number ~ Street Hatnlct County Taa Iviap No 1000 Section 03~ • Block , Q~, , , , , , , , , Lot S :3......... . Subdivtston Filed tap No. Lot . (Name) State eatsttng use and occupancy o~f p/re~mt~s/es and~int~-e¢nded use and occupancy of proposed consiniction• a. Existing use and occupancy ...1/.... tvs^r~"'•,^^°~ b. Intended use and occupancy .~•~c-~ ~r*"'~~ .!"?:.~~,~a . . 3. Nature of work check w hich apphcable). New Building Addition ,'Uteration . Repazr Removal Demolition .Other 1Vork . 4. Estimated Cost l.~ _V . Fee . ([o he paid on filing this application) 5. If dwelling, number of dwelling units Number of dwciling units on each floor . If gara;e, 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 , . Hcigtit Number of Stones . Dimensions of same structure with alteraLons or additions. Front Rear , , • , . , • , • , , Depth IIcight Number of Stones . 8. Dimensions of entire new construction Front Rear Depth . Height ...............NuinberofStones.......... 9. Size of lot: Front Rear Depth • 10 Date o£ Purchase ........Name of Former Owner 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulahon• . 13. Will lot be regraded Will excess fill be removed from premises: Yes N 14. Name of Owner of premises ....................Address ...................Phone No.............. . Name of Architect ...........................Address 1°honr. No............... Name of Contractor ..........................Address ...................Phone No.............. . IS.Is this property located with in 300 £eet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees PermiC may be required. PLOT DIAGRAb1 Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dunensions fro, property fines. Give street and block number or descnption according to deed, and show street names and indicate whethc intenor or corner lot. STATE OF NE1V YORK, S.S COUNTY OF . • • • • • • • • . • • • • • • • • • • • • • • • . • being duly sworn, deposes and says that he is the applicar (Name of individual signing contract) above named Iicistfie (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authanzcd to perform or have performed the said work and to make and file tli application; that all statements contained in this apphcgtion arc true to the best of his knowledge and bchef, and that th work wdl be performed m the manner set forth m the apphcaUOn filed therewith. Swom [o before me this day of ..19... `otary Public . County (Signature of applican