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Home My WebLink About21828-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCCUPANCY NO Z-23632 Date MAY 11, 1995 THIS CERTIFIES that the building Location of Property 302 DIAMOND LANE House No. County Tax Map No. 1000 Section 68 Subdivision ADDITION Street Block 1 Filed Map No. N.Y. Hamlet Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 1993 pursuant to which Building Permit No. 21828-Z dated MAY 11, 1995 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 DECK ADDITION & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JO~N & JOYC~ PALMER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL INSPECTION CERT. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A %7829 - DATED APRIL 24, 1995 / ~ild~ng Inspector FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N£ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date /~....~.../., ~7 21828 Z County Tax Map No, lO00 Section ......... ~..~., .....Block ............... (~ ....... Lot No ..... ~ ................... pursuant to application dated...(:.,~,,~...; .................................. 192:,-~... ....... and approved by the .///~./~ Building inspector. Fee S...~..¢...~... :.,~--' / ~./BL/d ding Inspector Rev. 6/30/80 TO~I OF SOUTIiOLD BUILDING D EPARTHENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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, 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 1% 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 or completed site ~l~n requiremenns. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: i. 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. :. Fees 1. Certificate of Occupancy - New dwelling $25.00, 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 Buildin~ - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.O0 [~ Date . . . ! ~ ~ q~ ew Construction ........... Old Or Pre-existing Building....~.-).l~..~ ........ .... ' ' .~).~. ~ ~ ;.~.o House No. Street Hamlet nwer or Owners of Property ..... ~.q.~...¥- ~ 0 [,~ {[c~ ounty Tax Map No 1000, Section .... ~f ...... Block .... ~ ........... Lot..~ .................. ubdivision .................................... Filed Map ............ Lot ............... ~,~-,... zrmit No..~..'~.~..~..Date Of Pe~it .... '2... ;...~...Applicant ........... ~alth Dept. Approval .......................... Underwriters Approval ......................... lanning Board Approw~l ........................ 3qucst for: Temporary Certificate .......... ~. Final Certicate..~,~. ee Submitted: $ .,.~%..~..u..~... (~ '~--~ 0 ' · ':"" APPLICANT (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 7~2~ APPLICATION NO. ON FILE DATE: 4-24-95 ADDRESS: 3{}2 I~iamnnrl t,an~ VILLAGE: p~ot, nit- TOXVN: ~t,~nk~nlt~ ISSUED TO: ,IOhl~ ~alm, r INTRODUCED BY: Home ~.r LIC. NO. AREAS LISTED WERE INSPECTED ON:a~24-cJ5 AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. t LOCATION: BASE '~'/ IST ~x 2ND __.3RD ATTIC ___POOL RES. SMOKE DETECTOR DETACHED GA}La, GE 11~ EL£CTRICM. SUIWEY H~ I~!~E 0[ IHE EXPOSED ELECTRIC~ EQUIPMENT II'~ THE PREMIS~ N0 VISUAL B[F[CTS SERVICE DISCONNECT METERS AlvlPS I PHASE I THIS CERTIFICATE MUSI NOT BE ALTERED IN ANY MANNER. INSPECTORS MAY BE IDENTIFIED BY THEIR CREDENTIALS. HUGO S. Slo~d:)I PRESIDENT Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 18, 1994 Mr. John Palmer Apt. #2 64 Barrow Street New York, NY 10014 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 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 # 21828-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. FOUNDATIO.U ( 1 s t) FOUUDATIO;! 2. (2nd) ROUGH FRAME & FLUMBING 3. INSULATION PER N. STATE ENERGY CODE FI~:AL ADDITIOI~AL COM!-IENTS: ,7' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. J FOUNDATION 2ND ~INS.~.ATION ]FRAMING ~.,,~FINAL DATE INSPECT~ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ,] INS~JLATION~ [ ] FRAMING [//]' FINAL I NspECT~~/~.2' I~EQUIR£D ~ .I FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Disapproved a/c ...................................... .. APPLICATION FOR BUILDING· PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH CALL ................... HAIL TO: Date If. - ..~...~ ........ 19 .~3 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. I b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public sti'eets 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 cod~, housing code, and~a-e~lations, and to admit authorized inspectors on premises and in building for necessary inspectionS. ) · / . // ~.. -- (Signat¥~f?~f applicant, or name, if a corporation! (Mailing address of applicant) r' O 0 ~ ~- State whether applicant is owner, lessee, agent, architect, engineer, generai contractor, electrician, plumber or builder. (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 .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~.~ eS)c~ . Location ofland on which proposed work will be done. t~.e.c.,.q2.e'~c{ /'-~'?~ 6 ,P('- ..~e~--,,~(I/'~.~ m.'.c_..; .... ...................................... · House Number Street Hamlet cotmty Tax Map No. 1000 Section ...:..¢-8 ' Block ..... ~ ' Lot ..... ~.. ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: · a. Existing use and occupancy .t~.. .c o,x-. . b. Intended use and occupancy ..................... ' ............. ~ ........... · ...................... · 3.Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost '.~.6-.'~.%/. B.~.'(....?. 7..~.i~'.'.0.O. ............. Fee (to be paid, a£1~lico, tion) 5. If dwelting, number of dwelling units ............... Number of dwelling units on eac~.~: ....... · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use ..................... Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... · Height ............... Number of Stories ........................................................ ¢Jo~?- . Dimensions of same structure with alterations or additions: Front ................. Rear .................. 5~1o 7 Depth ...................... Hetght .................... ... Number of Stones ...................... ~ Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ "-"07~. Size of lot: Front ..,, ................... Rear ...................... Depth ...................... 10. Date of Purchase r-e ~3 '~.'w q '~'-~ .. Name of Former Owner [-~ ':' :q ,:<. Mc~.s'e,'~ _ 11. Zone or use district in which premises are situated ........................ r ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . .~.(? ................ .,.%,~% ....... 13. Will lot be regraded ...... .~. ....,~ .............. Will excess fill be rem~oved from premises: ~Y~) No Name of Owner of premises ~.~.O.-... {~.,x. [Cq e.,,.~ ...... Address 6..~..~.~. 0:~.,?~ ~.~.t.L?t.%' Phone No.~J?:9.."~.'. 7 b. ,~-.q. 14. Name of Architect ........................... Address 4 ............. ~... Phone No ................ 15.' Is th'is property w£th±n 300 feet of a t~.dal wetland? *Yes ....... ~If yes, Southold Town Trustees ?errai. t may be requS, red. c-eT DIAGraM .... Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property tines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. '"~h~ Ci~ ,~(c.' -lt.7 ',x / STATE OF NEW YO]t'K,I'c- L e S COUNTY OF ...... ~.~.~.~D,k,,,"~--... o. (Name of individual signing contract) above named. He is the O ~-~ c~ ~ ,~ (Contractor, agent, corporate officer, etc.) >f said owner or ownem, md is duly authored to perfom or have perfomed the said work and to m~e and file this ~pptication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the ~ork wRl be perfo~ed in the manner set forth ~ the application filed therewith. Cwom to before me this ~ ........... of . .... (Signature of applic~t) · . ' . ,