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Home My WebLink About16784-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18045 Date MAY 22~ 1989 THIS CERTIFIES that the building. REPAIR Location of Property 7735 MAIN RD.& 50 RO~Y POINT RD. House No. Street County Tax Map No. 1000 Section 31 Block 2 Subdivision Filed Map No. EAST MARIONrN.Y. Hamlet Lot 26 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 1~ 1988 pursuant to which Building Permit No. 16784-Z dated MARCH 10~ 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 REPAIR DAMAGE FROM FIRE ONLY TO EXISTING ONE FAMILY D~W.ING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN & NIKI PORFIRIS PENDING - MAY 18r 1989 N/A BgInspector Rev. 1/81 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) No- 16784 Z Permission is hereby amnted to: ~ ~ / /~ ~ . ~ . . ~ · ~ ot pr~m,~e~ ~ot~a ot ..Z.~ .................. ~ ............ = .: ............. ~ .................................................. Coun~ Tax Map No. 1000 Section ......... ~ ...... Bilk ............. ~.... L~ No ........ ~.~ ....... Building Inspector. Fee $..~...~.~.. Rev. 6/30/80 .¥ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK ?65 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ HOUSE NO. STREET HAMLET Owner or Owners of Property .................... . County Tax Map No. lO00 Section . .. Block ....... Lot ......... Subdivision ....... Fil r .............. ed Map -.Lot .......... ..... · . . .Applicant .' . Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $. Fina Certificate ¢ o -Z_ {gour rev. I0/{4/88 THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 mUREAU OF ELECTRICITY ~-- ES JOHN STREET, NEW YORK. NEW YORK 10038 THI~ CB~IFIES THAT ~ exam~n~ ~ andf~nd to ~ in ~nt~ian~ ~it~ tke r~ui~men~ o/th~ ~. RXTURI NXTUIES IANGRS OVENS IXHAUST FANS 22 47 32 20 2 DRYIRS Iq~INACE MOTORS APPUANCI FIINIS TIMi CLOCKS MUtTI-OUI~T OLMMIRS SYSTAMS NO.M NiT $EEV~¢~ O~CI)NN~' S E E V I C G.F.C.I:-2 SHORE DHTECTOR:-2 PAUL R. BURNS 275 TOVN HARBOR LANE SOUYtlOhD, NY, 11971 11 This certificate must not be altered in any manner; return to the office of the Board if incorrect, may be idenfifkd COPY F(:X~ BUILDI~ DEPARTMENT. THIS COPY OF CERTIFICATE MU&T HOT BE ALTERBD IH ANY ~ :. 765-].802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION ,g'~FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ~INAL REMARKS: DATE INSPECTOR ~ ~~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME./& FLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITION[L COMMENTS: '~ "~i' ~,,1~ ~ ~ ~ TOWN OF SOUTHOLD CHECK /it BUILDING DEPARTMENT SEPTIC Jul TOWN HALL BLDG. DE;'~i $OUTHOLD, N.Y. 11971 TOWN OF SOU)~ TEL.: 765-1802 Examined ~ ......... , 19~ Disapproved a/c ..................................... BOARD OF HEALTH ...... 3 SETS OF PLANS ........ SURVEY .......... , FORM ............. : NOTIFY CALL ............ MAIL TO: (l~ildi~l/nspector) APPLICATION FOR BUI LDING PERM IT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink 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 buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary iIlstlec~ions. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ;a'x' ;dli ia't }t' ge'd) ......................... Name of owner of premises If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No ..... t. '3' '~' '3' OG' '/-~ ~"' Plumber's License No .... .......... Electrician's License No....~.. ?..~..,~..' ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done. ~...f..fq~.f.P-~. '.. ...~... ...... .... House Number Street Hamlet County Tax Map No. I000 Section ....~..l .......... Block . .~. .............. Lot..~-..~ ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended Use and occupancy of proposed construction: b. Intended use and occupancy . · · . ........... 3. Nature of work..(check which applicable): New Building ..... ' ..... Addition .......... Alteration' .'.' ........ · ' Repair .... '~ ........ Removal .............. Demolition ~a.~r../q~ · Other Work ............ '... ,~ (Descrip-tio~) 4. Estimated Cost .~...'~ -- ?~/11.~.~..~./...~./...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 Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... ' $. Dimensions of entire new construction: Front .......... . ..... Rear ............... Depth ............... Heiaht ............... Number of Stories ........................................................ 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 I. 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 .' ................... ~ ....... Will excess fill be removed from premises: Yes No ~ Name of Owner of premises r-~-~. ~..~. Address ~-.-~..%4-~...~o,.,,~;-~.. Phone No ................ Name of Architect ........................... Address .. f ................ Phone No ................ Name of Contracto~~ ...... Address .~.t.)a:~.Phone No..'?.,~.'{r. 6.g ~..~.. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ~... · If yes, Southold Town Trustees Permi[may be required. PLOT DIAGRAM Locate cleaxly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether · APPROVED AS NO__TED. ~65-1802 9 AM TO 4 FOLLOWING INSPECTIONS: FOUNDATION TWO REQUlREO FOR POURED CONCRETE ROUGH FRAMING & PLUM~ ,~. INSkjLATION 4, Fir~!~L CO~,~sTRUCTION MU~T STATE OF NEW YORK, S.S COUNTY QF ................. r/~, ~ _,~ ..... ~. · . .W_,dX,~-,~ ............... 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 contained in 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 ................ .~: ..... day °f '~;~' ~ ~:~:' 19 !~lg ..... ~....~.. NOTARY PUBLIC, State of New Yo~ .......... No. 47o.78';& Suffolk County l~ " (Signature of applicant) Term. Expires M,t~ch ~0, lg..--t/- / i;;; A 5T MA~ 1,,.3 U TO'~Vu oF' 60UT/.4OLD. M.'Y 5CAL~: 50'~ I" 0.5787