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Home My WebLink About17609-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offmce of the Bumld!ng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19105 Date JUNE 4r 1990 THIS CERTIFIES that the bumldmng Location of Property 640 RABBIT LANE House No. County Tax Map No. 1000 Sectmon 31 Subdmvislon ALTERATION TO ACCESSORY EAST MARION~ N.Y. Street Hamlet Block 18 Lot 20.1 Filed Map No. Lot No. conforms substantially to the Applmcation for Building Permmt heretofore filed mn thms offmce dated NOVEMBER 17, 1988 pursuant to whmch Bumldlng Permmt No. 17609-Z dated NOVEMBER 17~ 1988 was issued, and conforms to all of the requmrements of the applicable provisions of the law. The occupancy for whmch this certificate zs issued is ALTERATION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certlfmcate is mssued to (owners) of the aforesaid bumldmng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 THOMAS & KATHLEEN GALGANO PENDING - MAY 22~ 1990 N/A / ymng- InspectOr TOWN OF $OUTHOLD 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~ 017609 Z Permission ~s hereby gror~tja~ to: ~./.....~~,,~,~.. ~ ........ ,.._..~....~:~-.~~...,..~,,,~. ii, lo .~...~...~~. ..~ ~ ~ ......................................................... ~, ~,,~,, ,~,,~ ~, ..... ~..~..~. ........ ~~~ ....................................... ..................................... ......................................................... ................................................................................................................ ~.. pursuant to opphcat~on dated ....................... , 19 ...... , and approved by the Building Inspector. Fee *-,~..~ Rev 6/30/80 Ferm No, 6 1. F~na% surve~ o~ property '~t, a~.curate l~ca~ion o~ ~l] streets, an~j ur;u~ual natural or topog~ap~.ic f~e~. 2. Fina~ Approval 'from Heal5% Dept, of w~er supply and sew~rag~-di~po~ai~S-9 3, Approval of ~i~ctr~cal im~allatJon frc~'~o~r~ af Fir~ and instal!~, a certificate of Code Ccmp~ia~ fr~ arc~ltec~ o: engineer responsible ~o~ ~h¢ bui~d~, , FOr exzstlng bp dings (prior to April 9, !~57) ion-conforming ~s~s, 0: bui!d~g~ and Accur~:~ su~a~ Of p~ope~y SkOWir,~ al! property l!n~s, st, faCts, 5uil, di~g ,L~d , urlusua! nat~a~ or topographic If ,1 .~ ~lfi¢~e of Occupancy is do~i~d,' th~ 5ulldln~ reasons ther~.qr ~n writ~ tc ~he ~pptm~a~,'. , , Cer~zficate p~ Occupancy - ~ew ~W~l~i~g ~Z".,O0~ A~Ui~o~ to d~e!li~g $25.00, Additzo~s t~ ~¢~ory building $25.00. Businesses $50.00 3. Copy of Cer~ficace of Ocgupancy ~ SS.OO, over 3 y~ars 4. Updated Cer~$fic~te of OcCupancy - 5. Temporary C~utflcace of 9ccupancy - · ~uOe No. Scre~ Permmt No ......... .[..~.Da~e Of Pe~it .......... ' ..... ~Applfcan~ ..... ~ ............... , ry~Car~tficat~, C~rttca~o. , Request ~or: Temper~ .......... F~i. .... FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME ?LUMBi~ 3. INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDtTIO~AL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION IST ~/~OUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOI~~ ~, ~E ~S ~ IITHOU1 (- OCCL iC~ OR ~WF! ~RTIF PA]~]CY t~'1~" 1~;'1o~' PLUMBER CERTIFICATION ON LEAD CONTENT BEFOR CERTIFICATE OF OCCUPAN( SOLDER USED IN WATER SUPPLY SYSTEM CANN01 EXCEED 2/10 of 1% LEAD TOWN OF SOUTItOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK STOP WORK ORDER TO: Thomas E. & Kathleen M. Galgano (Owner, Owner's Agent or Person Performing Work) 301 Jefferson Avenue Franklzn Square, NY 11010 ' (Address of above-named person) YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 565 Rabbit Lane, East Marion, NY (Address where work ts to be stopped) TAX MAP NUMBER 1000-31-18-20. I Pursuant to section 100 of the Code of thp Town of $outhold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: Making alterations without a building permit. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When an application is recexved and a building permit ~s issued by the Bu~ldzng Inspector. Failure to remedy the c6nditions aforesaid and to comply with the app[ic-~ble pxo~sions of law may constitute an offense pun{shable by fine or imprisonment o~ both. DATED: ]o/]8/88 BUILDING INSPECTOR / ~XODE ENFORCEMENT OFFICER Vincent R. Wleczorek Exammed .).z//7 Approved . .//~./.7... D~sapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL.. 765-1802 .., 19(.~ ·., 19~Penmt No. / (~,!Rhng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ~ MAIL TO: a Ttus apphcation must be completely filled in by typewriter or in mk 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 buildmgs on premises, retatmnship to adjmmng premises or pubhc streets or areas, and giving a detailed descnptlon of layout of property must be drawn on the diagram which is part of ttus apph- catlon, c. The work covered by this application may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the apphcant. Such permit shall be kept on the premmes available for inspection throughout the work. e. No braiding shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupancy ~ha!l have been gr,_nted by the Buddmg Inspector APPLICATION IS HEREBY MADE to the Braldmg Department for the issuance of a Braiding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances or Regulations, for the constructaon of bmldmgs, addltaons or alterations, or for removal or demohtaon, as hereto described. The apphcant agree~l~lal~?tEapphcable laws, ordraances, bmldmg cod. e,,housmg code, and regulatmns, and to admit authomed ms~c*t'~s on premises and m budding for necessary3~nspectiorh%~ ~ / .....~ . ...... Z~'~..~. .... _/~d---~__.~:,~-~.'...- - ~..---.-.~. ~..+--J~ ..... ~ .. , * (Slgtlature o~ app'~cant, or~aTrhe,~(a corporation) A,t . '--' ' .., , , /,..., _: .,...;:.: ,~/~'~' ,'Ng ~ ' ' ~ dt (Madmg address o£ apphcm'~t) State whethe~app!lc~e~.s~. ~nt. ~rchltect, engineer, general contractor, electrician, plumber or broider. ...... "'h,' ' ' 'W:'m'L"'t; ,' .... ~ .......................... . .......................... · jI4~ ,~, - v m ',., (as on the tax roll or latest deed) If apphcant is a 55~ora~lofi,~stgnature oY'dul~,'authonzed officer (Name and title of corporate officer) Builder's License No. ...~>..t~...~..~.-tC., ........... Plumber's License No Electrician's License No ...................... Other Trade's L~cense No .................... Location of land on wluch proposed work will be done ........................................... · ?..-C. ..... ................ ................ House Number Street Hamlet County Tax Map No 1000 Section . ~. ;5~ ....... Block ... ~..~5'. ....... Lot. ~ %~.0.,~. Subdiv~s~on (Name) State exmtmg use and occupancy of premises and intended use and occupancy of proposed constructmn a. Exmt~ng use and occupancy .... ~']/~..~. ?.dy....~.~...~-~7~ (~.~ ..... b Intended use and occupancy .... ?(~ · * ....... ........................ Fded Map No .............. Lot .............. 3. Nature of work (check xvhlch applicable) New Budding ........ Addition ......... Alteration .. ~..... Repair .......... Removal ........... Demolition ....... Other Work ............ (Description) 4 Est~mate'd Cost .... ~.~..~,~ C..~r>. .................... Fee .................................... (to be prod on fihng this application) 5. If dwelling, number of dwelling units ...~' ~.~, .... Number of dwelling units on each floor ............. If garage, number of cars ...... /. ............................................................... 7. . Dimensions of same structure with alteratm~s or ~ddmons F ........ ./~..'~ .~'.[ ': ..... Rear ./.~. ~ .J~. ~ ~ ........ Depth ..../..~.g~.~'; ........ Hexgjat ...... ~ 'i ............ Number of Stones ...... ./. ............ 8. Dlmensmns ofennre new construction Front . . /. ~/d-~' Rear . ./.' ~.: ..~f.': . . . Depth ./. ~...~(.~. ...... ~,' N b fsi /. Height ............ um er o ones .................................................... 9. Size of lot. Front ...~,-?;~,-~ ........... Rear ...z/~. £~.~. ........... Depth .../.~-TZ. 17? ............ to. Date of Purchase .... .Z//. ............Name of Fo mer Owner .. ec. .e ...... 11. Zone or use dlstrmt m which premises are mtuated ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation' ... ~.~.¢ ...................... 13. Will lot be regraded ...... ~/.c. ................. Wdl excess .ff¢,l be removed from premises: Yes (No t4. Name of Owner of premlses/-~.~U.~. ~/~..~.',.%~'~ Address~.C/.~,b~.~i~C~..~f,~];~ .~Phone No.5.e( Name of Architect .. ,4. ~. .................... Address .................. Phone No ............... Name of Contractor ......... ~.. ,, ........... Address ................... Phone,~'x .............. 15.Is this property located vithin 300 feet of a tidal wetland? ~ .... 1~0 .... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and. indicate aJl set-back dimensmns from property lines Give street and block number or description according to deed, and show street names and indicate whether ,tenor or corner lot. FOLLOWING ~NS~: 1. FOUNDATION . TWO REQUffiED ~ FOU~D ~ 2. ROUGH - FRAMING & Pt)JMBING 3 INSULATION 4 FINAl. CONSTRUCT[ON MUST BE COMPLETE FOR C 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY STATE CONSTRUCTION & ENERG', CODES NOT RESPONSIBLE FO[~ OESIGN OR CONSTRUCTION ERROR~ STATE OF NEW YORK, S.S COUNTYgF ............. ;... .... .'-'~..Q~,,'9.~..~. ~.'..'~.~,q'~'O being duly (Name of mdiwdual signing contract) above named sworn, deposes and says that he is the applicant Hels the . fv~.k. 9.~.'..~..~ ............................................. (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this apphcatmn; that all statements contained m this apphcaUon are true to the best of his knowledge and belief; and that the work will be performed m the manner set forth in the application filed therewith. Sworn to before me thss ........... .v2. ..... ........