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Home My WebLink About17579-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18329 Date__ AUGUST 30, 1989 THIS CERTIFIES that the building. RENOVATION Location of Property 16265 NEW SUFFOLK AVE. NEW Su~'OLKr N-Y-. House No, Street Hamlet County Tax Map No. 1000 Section 117 Block_ 6 Lot 26.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1988 pursuant to which Building Permit No. 17579-Z dated NOVEMBER 2~ 1988 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 RENOVATE KITCHEN INCLUDING NEW ELECTRIC SERVICE The certificate is issued to JOSEPH MILIKEN,JUDITHMOLOUG~NEY & ORS. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF~LLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - AUGUST 28, 1989 PLUMBERS CERTIFICATION DATED N/~ Rev. 1/81 - ' ~il'ding Inspector 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) N9 517579 Z Date .......... r~,.~r.. ~. .................................... , 19 Permission is hereby granted to:~ . ...i.....¢~..~.~..~ ....... ~....~...~. ....... ,o ............................................................................................... .:.~..~ ' ~...~ ........... at premises located at .................................................................................... :~ ..................................... ...................................... ./..~..~.C ........... ~...~z/~.. ....... ~.: ............................... ..................................................... ....................................... County Tax Mop No. 1000 Section .... //.~. ............. Block ...... ~. ............ Lot No ..... ..~...~......."~.. ..... pursuant to application dated .......... ~ .................................... 19....~,,.d~,, and approved by the Building Inspector, ,~O. Fee $ ........................ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A: This application must be filled in typewriter OR ink, and submitted ~m ~ -- to the Building Inspec- tor with the following; for new bu{{dings or new use: 1. Final survey of property with accurate location of all buildings, property Enes, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposaJ-(S-9 form or equal). 3-ApprovaJ of electrical installation from Board of F{re Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and insta{la- ~ions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approva{ of completed site plan requirements where applicable, B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. ~,ccurate survey of pzoperty showing all property lines, streets, buil'dings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. ... , 3. Date of any housing code or safety inspection of buildings or premises, or other pgrt[ne~t, informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupanc¥ New Dwelling $25.00, Accessory '$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ IO0.O0 3. Cop¥ of certificate of occupancy $ 5.00, over 5 )'ears $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ........................... NewConstruction Old or Pre-existing Building Vacant Land Location of Property ............. ,. . -. ........................... House No. Street Hamlet Owner o~ Owners of Prope~y ~'~, ~,~ '~'q[P'~[~'~'r ' ~' ~l~[. COU nW Tax Map No. 1000 Secti;n 112 ....... Block ~ ...... Lot Subdivision ', ................................ Filed ~p No ........... Lot No .............. Permit NoJ)~ 0~ Date of Permit ........ Applicant .... ~t ~,~eD. , Health Dept. Approval ........ ................ Labor Dept. Approval ........................ Underwriters Approval .............. ... ... ... . Planning Board Approval ...................... Request for Temporary Certificate .................... . Final Certificate ....................... Fee Submitted $ ........ ; .................. .. Construction on above described building and permit meets all applicable codes a0~J regulations. Applicant ................. Rev. le.10-?e TOWi"I OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTIIOLD, N.Y. 1197! TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the fellowing reasons. CW~ An ~pllcation for/~ert~fica~of Occupancy / ~<ls~//not-'on~ file. 7 K/ NO 'Underwriters~ Certificate ~On?f' 1 TI~ ch ' /~/ .~ e~ ls (out~ated/not /-~/ No final inspection has been made. Please contact our office Thank you for your cooperation. Building Permit Building Dept. ***/~/ on this matter. No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~*~FINAL DATE //~/f'~ INSPE.CTO ~R~'~~~ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.:~,765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: or, with 3 ,lie streets this appli- permit :cupancy ] ROUGH PLBG. ] INSULATION ] FINAL /~..a~ // BUILDING FOUNDATION IST [ FOUNDATION ZND [ F~MING [ nt to the ~ances or ,'scribed. , and to /, )n) mumber's License No ......................... Electrician's License No ....................... Other '~'~de's License No ...................... 1. Locationoflandonwhichproposedworkwillbedone..~..~"LX-'-Q'....~/.U.~°.-&/-~.../~.['/..~?[[,).~-,--. .......... House Number Street Hamlet County Tax Map No. 1000 Section .... [ }.~ ......... [ Block ...(o. ............. 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 ............ q... Z ~2 .~.. j ~J .................... j ...... b. Intended use and occupancy .............................. .'. ........................... 3. Nature of work (check which aplplicable): New Building .. ' /' Addition Alteration Repair .............. Removal ............ Demolition ............ Other Work .............. "-~ i (Description) 4. Estimate'd Cost ...... .~.i.~.. (D C>. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... f f~ Number of dwelling units on each floor... If garage, numb. er of cars ..... i ........... :... I .................................................. 6. If business, commercial or mixed occupancy, specify\nature arid extent of each type of use .................... 7. Dimensionsofexi~tingstructure!s, ifany: Front .... \, ;~ .. Rear .............. Depth... Height ............ Number of Stones ...................................................... Dimensions of~ame structure with alterations or additions: Front ................. Rear ................ Depth .................. I.. Height ..... . ....... Number of Stories .................... "8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height ............... Nmffber of Stories ............................................. 9. Sizeoflot: Front ........... i ........... Rear .' ..... ' ................ Depth .................... 10. Date of 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 regulation: ................................ 13. Will lot be regraded ......... ! .... l ............. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . .I ....... Address ................... Phone No ........ ........ Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ......... i ................. Address ................... Phone No ............ :... 15.18 this property locaied within 100 feet of a tidal wetland? *YES .... NO .... *If yes, Soul:hold To~en Trustees Permil: may be required. PLOT DIAGRAM Locate clearly and distinctly 'all lbuildings, whether existing or proposed,~ and, indicate all set-back dimensions from property lines. Give street and bloc~,' i.umber or desc~ipl~on according to deed, and show street names and indicate whether interior or corner lot. ....(-' sS iilh '0'oi;;ic'ti.......... ~eing duly sworn, deposes and says that he is the applicant above named. ~ l He is the '~ i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul~ authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application am 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 ................. - ....... day of! ...................... 19.., Notary Public County