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Home My WebLink About16881-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22694 Date NOVEMBER 4~ 1993 THIS CERTIFIES that the building. ALTERATION Location of Property 3075 LIGHTHOUSE LANE House No. Street County Tax Map No. 1000 Section 50 Block 3 Subdivision Flied Map No. SOUTHOLD~ N.Y. Hamlet Lot 2 Lot No. conforms substantially to the Application for Bulldlng Permit heretofore filed in this office dated MARCH 31, 1988 pursuant to which Bulldlng Permit No. 16881-Z dated APRIL 7~ 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate ls issued is REPAIRS & ALTEEATIONS TO EXISTING ONE FAMILY DW~.LLINGAS APPLIED FOR. The certificate is issued to JAMES & CLAIRE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-291036 - SEPTEMBER 30r 1993 PLUMBERS CERTIFICATION DATED NOVEMBER 3~ 1993-K&K PLUMBING & HEATING. Rev. 1/81 lrOEM NO, ~l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N916881 Z County Tax Map No 1000 Sect,on .... .~..~..... Block ........... ~ ...... Lot No .... ~ .... pursuant to application doted .... ,~./~./.. ..................... r 19.~.~., and approved by the Budding Inspector. Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submmtted to the buildzng inspector with the followzng: for new bu~ldzng or new usa: 1. Fznal survey of property with accurate locatmon of all buzldings, property lines, streets, and unusual natural or topographzc features. 2. Final Approval from Health Dept. of water supply and sewerage-dzsposai(S-9 form). 3. Approval of electrical installation from Board of F~re Underwrmters. 4. Sworn statement from plumber certifying that the solder used in system contazns less than 2/10 of 1% lead. 5. Commercial building, industrial bumlding, multiple residences and similar buildings and installations, a certificate of Code Complzance from architect or engineer responsible for the building. 6. Submzt Plannzng Board Approval of completed smte plan requzrements. For existzng buildings (prmor to April 9, 1957) non-conform~ng uses, or buildings and "pre-exmstzng" land uses: i. Accurate survey of property showing all property lznes, streets, buzldzng and unusual natural or topographic features. 2. A properly completed applzcatzon and a eonsant to inspect signed by the applicant. If a Certifzcate of Occupancy ms denied, the Building Inspector shall state the reasons therefor in wrzting to the applmcant. Fees 1. Certmfzcate of Occupancy - New dwellzng $25.00, Additzons to dwellmng $25.00, Alteratzons to dwellzng $25.00, Swmmming pool $25.00, Accessory buzldzng $25.00, Addztions to accessory bumlding $25.00. Busznesses $50.00. 2. Certzfzcate of Occupancy on Pre-exzsting Bulldmng - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.OO · ~ons=set:~on ........... Old Or Pre-ex~st~ng ~uil~ing.a..~.~..~.~ · House No. Street Hamlet ~unty Tax Map No i000, S z n ..... ~..- ...... Block..~. .......... Lot .... ~ ...... ~bdzvision .................................... Filed Map ............ Lot ...................... rmzt No .... t.~.]..,~..~..~.Date Of Permit...~.~/.~.~.~. .... Applzcant. · alt ept. Approv ....... g ..... ........... ............ · annxng Board royal ................... e Submzt ted: ~ ....... .~.: ................ 6k.~-, q -~S~ ......... ,~ ...................... : ............ ~n~V ~7 '~£~ .... . ..... TOWH OF $OUTHOLD OFFICE OF I]UILDIHG INSPECTOR i'.o BoX 728 ' TOWH llALL SOUT[IOLI), N,Y. 11971 TEL. 7654 80:~ ~ERT IF fCAT ION contains [es~ than 2/10 of i% lead. (plumber's signature) Swuru to bufor~ mR this ~10~3~ Pub~'ltt~ount~; HELENE D. HORNE Notary Pubhc, State of New York No. 4951364 Quailed in Suffolk Couo~ ~C~,~ Commission Exptres May 22, 19 Nota['y Public %, INSPECTORS Victor Lessard Principal Bmldmg Inspector Curtis Horton Senior Bmldlng Inspector Thomas Fisher Bmldmg Inspector Gary Fish Bmldmg Inspector Vincent R. Wleczorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (516) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Superwsor Southold Town Hall P.O. Box 1179, 53095 Mare Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 October 14, 1993 Jm~es Greenfield 3075 Lighthouse Lane Southold, N.Y. 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: ~ An application for Certificate of Occupancy is not on file. (Enclosed) /xxx NO Underwriters Certificate on file. · xx The check is (cut~atcd/not on flle.)$25.00 No Health Department Approval on file. No final inspection has been made. , ~ No Plumber Solder Certificate on file. I~ (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT 9 BP# 16881Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. DUNDATION (1st) )UNDATION ( 2nd ) ]UGH FRAME & PLUMBIN~ 'SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS' INSPECTORS Victor Lessard Print,pal Building Inspector Curtis Horton Semor Braiding Inspector Thomas Fisher Bmldmg Inspector Gary Fish Budding Inspector Vincent R. Wieczorek Or&nance Inspector Robert Fisher Ass,stant F,re Inspector Telephone (516) 765-1802 SCOTT L HARRIS, Superwsor Southold Town Hall P.O. Box 1179, 53095 Mare Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD October 14, 1993 James Greenfield 3075 Lighthouse Lane Southold, N.Y, 11971 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the followlnq reasons: ~xxx ----An application for Certificate of Occupancy is not on file. (Enclosed) No II~derwrit~s C~ficate ~n~. ~check is (c~00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT ~ BP// 16881Z Please contact our office on th~s matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~J~NAL REMARKS ., ///~ 765-1802 // // /~, BUILDINGDEPT. /~,~~;~ //~-~ INSPECTION ~? ~ ~ ,~ou,,o,,o~, ,ST ~ ~ ,,OU(~, ,*-.*(~. FOUNDATION ZND ~ ] INSULATION FRAMING [ ] FINAL DATE / / // INSPECTOR 765-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND [ ~ROUGH PLBG. ['~NSULATION FRAMING [ ] FINAL INSPECrORs (516) 765-1802 VICTOR LESSARD, Prmclpal CURTIS HORTON, Senior VINCENT R. %V'IECZOREK, Ordirmnce ROBERT FISHER, Assistant F~re Building In.sp~ctor~ THOM.~A$ FISHER GARY FISH $cCYrTIL. HARRIS, Supervt~r Southold Town I-I~1 l PO Box 1179, 53095 lv~nRoad Sout~old, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOVv'N OF SOUTHOLD November 1, 1990 James Greenfield 3075 Lighthouse Lane Southold, N.Y. 11971 Re: Dear Mr. B.P. #16881 issued 4/7/88 repaLr piers and alterations Greenfield: I am writing to you regarding the above Building Permit whlch has expired. On 7/19/88 an inspection was done and the flue pipe passed inspection. No one has called for a final inspection and no Certzficate of Occupancy has been issued for the work. If the work is finished please call our offzce to arrange for the final inspection. If everything passes then file for the Certificate of Occupancy. Thank you for your prompt attention to this matter. Robert Dantes Yours truly, Secretary INSPECTORS (516) 765-1802 VICTOR LESSARD, Prmctpel CURTIS HORTON, Semor VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Ftre Bufl&ng Inspectors THOMAS FISHER GARY FISH SCOTT L. HARRIS, Superv~or Southold Town Hall P O. Box 1179, 53095 Iv'ann Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD November 1, 1990 James Greenfield 3075 Lighthouse Lane Southold, N.Y. 11971 Re: Dear Mr. B.P. 916881 issued 4/7/88 repair piers and alterations Greenfield: I am writing to you regarding the above Building Permit which has expired. On 7/19/88 an inspection was done and the flue pipe passed inspection. No one has called for a final inspection and no Certificate of Occupancy has been issued for the work. If the work is finished please call our office to arrange for the final inspection. If everything passes then file for the Certificate of Occupancy. Thank you for your prompt attention to this matter. Yours truly, Secretary . D~sapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY CHECK '~2 TOWN OF SOUTHOLD BUILDING DEPARTMENT SE??TC ¥ORM .............. TOWN HALL N0?TF¥ $OUTHOLD, N Y. 11971 .~.~ 9- ~~'~O~/''- TEL. 765-1802 CALL ............. MAIL TO: ' " APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. Tlus apphcatlon must be completely filled in by Wpewnter or in ink and submitted to the Buddmg Inspector, wtth sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locatmn of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc street or areas, and g~vmg a detmled description of layout of property must be drawn on the d~agram which is part of this appI, canon. c. The work covered by this apphcatlon may not be commenced before msuance of Bmld~ng Permit d. Upon approval of this apphcatxon, the Building Inspector will ~ssued a Braiding Perrmt to the apphcant Such perm~ shall be kept on the premises avmlable for mspecbon throughout the work. e. No budding shall be occupied or used ~n whole or xn part for any purpose whatever until a Certfficate of Occupanc shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Bvaldlng Permit pursuant to th Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmances o Regulatsons, for the constructmn of bmldmgs, addmons or alteratmns, or for remov..aF~demohtaon, as hereto described The apphcant agrees to comply w~th all apphcable laws, ordinances, buddm, g, cod/e/, housing cogje, and regulatmns, and t, admit authorized inspectors on premmes and m braiding for necessary~vs~.~Ct[on~/.~ ~( .... /.4~D (S~gnature of apphcant, or name, if a corporation) (Mmhng address of apphcant) State whether applicant ~s owner, lessee, agent, architect, englneer,~,~electnclan, plumber or builder (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authorized oI ricer (Name and title of corporate officer) Builder's L~cense No].Z~G)t-d .. Plumber's L~cense No Electrlclan's License No Other Trade's License No... Locatton of land on which proposed work wall be done House Number c~ .... ~tre;t ' ' County Tax Map No I 000 Section Hamlet Block..~ ... Lot. ~.... Subdiws~on Filed Map No ........ Lot ........ (Name) 2. State emstmg use and occupancy of premises and ~ntended use and occupancy of proposed construction a. Ex~stlng use and occupancy . C).~ %1,~. '.. . .~. ~. .............. f b Intended use and occupancy .. O .r.~.. ~. O~ w~'~..~ .~ .............................. 3 Nature ofwo~k (check which applicable)' New Bufldlng . .. Addition .... Alteration .. Repair ........... v' ,-... ¢Removal .............. Demohtton .......... ~-~.. Other Work ......... 4. Estimated Cost . . . '[ ~ ............. Fee (to be prod on fihng this apphcatmn) 5. If dwelling, number of dwe~ng units ..... ~ ..... Number of dwelhng umts on each floor .... [ .... If garage, number of c~s . .. ) ...................................... 6. If business, commerc~ or m~xed occupancy, spec~y nature and extent of each type of use .............. 7 D~menmons of exmtmg structures, if any. Front ............. Rear ............ Deptk ........... Height ...... Number'of Stones ........................ D~enmons of same structure wlth alterahons or add~hons Front ........ Rear .. Depth ........... He~t ....... Number of Stones ........... 8. Dunensions of enhre new construction' Front .... Rear ......... Depth .......... Height ............... Number of Stones ................................................... 9. S~ze of lot Front ....... Re~ ........... Depth ............ 10. Date of Purchase ............. Name of Fomer Owner ................... 1 1 Zone or use district ~n which premises are mtuated .......................... 12 Does proposed constructmn violate any zomng law, ordinance or regulatmn .. ~ D ........... 13. Will lot be regraded .... ~ ....... ~, ,x. Will excess fillbe removed from premises Yes 14 N~e of Owner of prem~se~) ~.% ~.,~Y~ .. Address 6 1 ~o~ ~ ~hone No.~l.Z .~ Nme of Architect ....... x ...... Address ........... . ~. Phone No. Nme of Contractor .%~.~ q .~% ...... Address .~[G°%~ ~*hone No 15. Is this property located wzthzn 300 faet of a tzdal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and. indicate all set-back dwaenslons from property hnes Give street and block number or descnphon according to deed, and show street nantes and indicate whether interior or corner lot OCCUPANCY OR UNLAWFUL CERTIFICATE OF OCCU?t NC¥ APPP,¢ ~D AS NOTED 765-1802 9 AM ~O 4 PM FOR THE FOLLOWING ] FOUNDATIF)N - TWO REQUIRED FOR POURED CONCRETE 2 ROUGH - FRAMING & PLUMBING 3 INSULATION 4 FINA~ - ~'~T~UCTION MUST BE C~rFF FOR C O ALL CON~Tq'JCTION SHALL THE REOI"~C~'~ENT$ O~ THE N STATE CONSTRUCTION & ENE~ CODES NOT RESPONSIBLE FOR DESIGN O~ CON%T~'JCTION ERgO~c STATE OF NEW YORK, S S COUNTY OF .. (Name of individual signing contract) above named ·. being duly sworn, deposes and says that he is the apphcant He is the .......................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authomzed to perfomn or have performed the said work and to make and hie ttns application; that all statements contained m this application are true to the best of his knowledge and belief, and that the work wdl be performed in the manner set forth m the apphcatmn filed therewith. Sworn to before me this ....... ..... ....... Notary Public, . .~2~/.,.. /~.. ~., .~//.~_~. .... County, ~ ~um.~ StYe of New Yo~ (S~gnature of applicant) Ne 4707878, Suffelk Te~ E. xpies ),larch