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Home My WebLink About17962-z 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24031 Date NOVSNIDSR 17, 1995 THIS CERTIFIES that the building ALTERATION Location of Property 1250 SMITH ROAD PECONIC NY House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 3 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22, 1989 pursuant to which Building Permit No. 17962-E dated MARCH 28, 1989 was issued, and conforms to all 0£ the requ a.rements of the applicable provisions of the law. The occupancy for which this certificate is issued is INSTALLATION OF FOUR SRYLITSS TO AN SBISTING ONS FAMILY DWELLING AS APPLIED FOR. The certL£ic ate ie issued to MICHAEL & CLAUDS SHSR (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NIA it ng Inspector Rev. 1/81 DOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CfHIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 017 9 6 2 Z Date ........~.A.!-4rl~l....r.~ 19. R..{. Permission is hereby granted to: ....l~~......~...!~ . ..1 e ~ ~ . , to .~a~..oA.'r~.a.JC..,~r~M....s~.X.ri11,a...~'P.. a-n.....a-~!,1~..r..,l,?..5.5~-F.X.>Wr~~ ct premises located of .Il~tt,~......l2:!:':':S:S~).. .........t..?is~:-tTI.A:S.s.r . ~~~.....~.~~~......rr~.......q County Tax Map No 1000 Section ~ 1 .g... Block Lot No .°t'.~ pursuant to application dated ....~Si.Ae~ 192~~,., and approved by the Building Inspector. Fee ;.~r~..:.~ . ,~.c~ 1~- . . Bu ding Inspector Rev 6/30/80 ~ y Form No 6 `j TOWN OF SOUTHOLD P'' 6 h`~' BUILDING DEPARTMENT TOWN HALL 765-1802 ~a~ ~ non ny APPLICATION FOR 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, 3 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 525.00, 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. 2. Certificate of Occupancy on Pre-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - 550.00 5. Temporary Certificate of Occupancy - Residential $15.00, Coppmmercial $15.00 Date /~~~G ~7~ . New Construction.........9.. Old Or Pre-existing B~urildi/ng..~.)!~l.......... Location of Property...~~G.~.~ .........:..........J.%!'cif(~1..lGYQ~?...........=~4~~G4f~"/........ House No,y''.~'y,/// ~j Stre/e/t Hamlet Onwer or Owners of Property.. .![.LCGIF{El,;~;, ~~GCwr;~„ ~61Cti,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.....Q. ......Block.....~-~........Lot......~~......... Subdivisionr.~.J/yy.~~aa .............................../.Fil/edp gMap............Lot...................... Permit No. L'(ll.~:~.~:..Date Of Permit....~./"1~1.6 /..Applicant Health Dept. Approval ..........................Underwriters Approval........... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...!/ Fee Submitted: / -Zyay03 ~ ANT LLD is S: EC._u;; ~~Un:E UUMMLNTS w m a i+ ~ _ - - H :OUIIDATIOt1 (1st) ~ c ti POUNDATIOtJ (pad) m 2. z 0 °.OUGH FRAME & } i PLUMBING 3. ~ r~ n IIdSULATI0f1 PER N, Y. STATE Ef]ERGY CODE _ 4. ~ ~ ~ y FI;lAL o ADDITIOfIAL COMMEflTS: x _ V [R ' x w H ' • A H H O [+7 r H _ ~ O m . H 1 ~ ~~z ~ 765-1802 BUILDING DEPT. INSPECTIQN [ ) FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING [ INAL [ ] FIREPLACE ~ CHIMNEY REMARKS: DATE ~l ~ ~P INSPECTOR w TOtiVN OF SOUTi{OLD BUILDING DEPARTMENT SOUTIIOLD, NEW YORK STOP WORK ORDER 'LQ: MICHAEL M. SHER & WTFE Owner, Owner's Agent or Person Pertorming Work 43 RIDGE ROAD SEARINGTON, N.Y. 11507 Address o a ove-named person YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 1250 S*fITH ROAD PECONIC, NEW YORK Address where work is to e stopped TAX MAP NUMBER 1000-98-3-2fi Pursuant to section 100-14 ] of the Code of the Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded_ BASIS OF STOP WORK ORDER: STRUCTIIRAL WORK BEING DONE TO A BIIILDIN~G WITHOUT A Building Permit_ CONDITIONS UNDER WHICH WORK MAY BE RESUti1ED: When a Building Permit has been properly applied for and issued by the Building Inspec[or. Failure to remedy the cbndi[ions aforesaid and co comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: January 26, ]989 V IJ~t--~ ~ ~ , o Q~ BUILDNC INSPECTOR / CO~D~'-E`N'F'O-'RCESIENT OFFICER Vincentn R. Wiecz~ofrek VIA CERTIFIED MAIL V~?~~~~ ('mil) p ,,,,,,„~z , D ~ '°~I~ I~ FORM NO 1 ~ I~'~ ~SQ ~r~'~ a E ~l MnR Z Z TOWN OF SOUTHOLD ;i;it BUILDING DEPARTMENT TOWN HALL °OUTHOLD, N.Y. 11971 TEL 765-1802 Examined 28 ,19g~ Received....... ...,19-. Approved VYt 4.t-t~ , 19 ~9 Permit No j 7 ~ ~a Z ~ ~ 1 -nn~ J~, Disapproved a/c c.~-~`~ ~~2~gq D Uw~,tL (Building Inspector) ' APPLICATION FOR BUILDING PERMIT r Date , 19 . -.I riC~a. ' ' t,r ; rN FbNr" . INSTRU,~TIONS a 'Tlusry~ppri~`atioii "rr}ust`~e'~piilpletely filled in by typewriter or m ml•C and submitted to the Building Inspector, with sets of plates, accurate plot }r~`an ~to sca`le' Fee according to schedule u b. Plot plan`sh'owing location of lot and of buildings on premises, relationship to adlommg premises or public stre~ or areas, and giving a detailed description of layout off property iiZust be drawn on the diagram which is part of this app catron ` c. The work covered by. this application may not be commenced before issuance of Building Permit d Upon approval of this applicatron, the Building Inspector will issued a Building Permit to the applicant. Such pern shall be kept on the premises available for inspectron throughout the work. e No building shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment for the rssuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constmction `of buildings, additrons or alterations, or for removal or demolition, as herein describ. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspections ~ (Signatu`3'e of applicant, or name if a corporation) (mailing address~of applicant). State whether applicant is owner, lessee, agent, azchrtect, engineer, general contractor, electrician, plumber or build. Name of owner of premises tC.-~'1Cl,~j f"'1 h ~ W ,-t' t'.'-. . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No y ~ ~ f ~~I f Plumber's License No Electrician's License No Other Trade's License No 1 Location of land on which proposed work will be done . . House Number $treet~ -r u Hamlet County Tax Map No 1000 Section Block Lot . . . Subdivision - Filed Map No Lot . (Name) 2 State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy b Intended use and occupancy G'-~!~a.~io~~- . 3. Nature of work (check which applicable) New Building .Addition alteration . Repair .Removal . Demolition Other Work j.l`` ~t~i _ (Descnption) . . . 4. Estimated Cost ~ S. C~.~ t ~ .Fee . . (to be paid on filing this application) 5 If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dimensions of existing structures, if any Front Rear Depth . Height . Number of Stones . Dunensions of same structure with alterations or additions• Front .Rear . . Depth . .Height Number of Stones . . 8. Dimensions of entire new construction Front , .Rear . Depth . Height ...Number of Stones . . . . . . 9 Size of lot Front Reaz Depth . 10 Date of Purchase Name of Fonner Owner . 11 Zone or use distrct m which premises are situated . . 12 Does proposed construction violate any zoning law, ordinance or regulation 13. Will lot be regraded Will excess fill be removed from premises: Yes No 14 Name of Owner of premises .Address .....Phone No . . Name of Architect Address . .Phone No . Name of Contractor ..Address .Phone No. . 15. Is this property located within 100 feet of a tidal wetland? * Yes No * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dunensions from property fines Grve street and block number or descnption according to deed, and show street names and indicate whether intenor or corner lot r ~ ~ ~ rn~ ~ ~~d APPROVED AS NOTED DATE 3~ g P ~ ~a ~ FEE s-z), BY . Ca. L. NOTIFY gt11L01NG pEPARTMENT AT 765 I$U2 y AM TO a r^M FOR 7HE fOE.LOVVING iNSPECTIUNS 1` 1 FOUNDATION TWO REQUIRED ~ FOR POURED CONCRETE , 2 ROUGH -FRAMING & PLUMBING 3 INSULATION 4 FINAL - CONSTRUCTION MUST 4CGUpAKCY dR ALLECONSTRUCTION SHALL MEET ~S UNLAWFUL. THE REQUIREMENTS OF THE N Y. u5~ ~ C~RT~FICA'~E STATE CONSTRUCTION 8 ENERGY WL~~Q~ Qa~C+Y CODES. NOT RESPONSIBLE FOR OF QCCU DESIGN OR CONSTRUCTION ERRORS ` STATE OF NEW YORK, S S COUNTY OF ' being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application, that all statements c~itained m this application are true to the best of his knowledge and belief, and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this q a ~ day~o/f CC//C~~N~-4~C. 19 i Notary Public, . N_L; ~!bL- County J NOGpY PUfl YC, Strte~of Hew Yak (Signature of applicant) Na M170J8/0, SuRotk Cou ' term Fxpres March 30, ig~~