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Home My WebLink About37328-ZTown of Southold Annex P.O. Box 1179 54375 Main Road Southold, New York 11971 CERTIFICATE OF OCCUPANCY 9/4/2012 No: 35931 Date: 9/4/2012 THIS CERTIFIES that the building OTHER Location of Property: 625 Indian Neck Ln, Peconic, SCTM #: 473889 Sec/Block/Lot: 86.-1-4.24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/18/2012 pursuant to which Building Permit No. 37328 dated 6/26/2012 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: conversion to gas heat as applied for. The certificate is issued to Molnar, John&Molnar, Lisa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit #: 37328 Date: 6/26/2012 Permission is hereby granted to: Molnar, John & Molnar, Lisa 625 Indian Neck Ln Peconic, NY 119581719 To: Convert to gas heat as applied for At premises located at: 625 Indian Neck Ln, Peconic SCTM # 473889 Sec/Block/Lot # 86.-1-4.24 Pursuant to application dated To expire on 12/26/2013. Fees: 6/18/2012 and approved by the Building Inspector. SiNGLE FAMILY DWELLiNG - ADDITION OR ALTERATION $200.00 CO - ALTERATION TO DWELLING $50.00 Total: $250.00 Building InSpector l%cm No. 6 TOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OccUPANcy ~ application must be filled in by typewriter or ink and submitted to the Building Department with the follosving: A. For new building or aery use: I. Final sur~ey of property with accurate location of all buildings, property lines; streets, and unusual natural or topographic features. 2. Final Approval from Health DepL of water supply and sewerage-disposal (S.9 form). 3.. Approval of electrical installation from Board 0fFire Underwriters. 4. 'Sw. orn statement from plumber certifying that the sotd~r used in system contains less than 2/I 0 of 1% lead. 5. Commercial building, industrial building, multiple resideaees and similar buildings and installations, a certificate of Code ComPliattceTrom architect or engineer responsible for the building: .6. Submit planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) r~on-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate ~urvey of property showing all property lines,'streets, building and unusufil natural or topographic features. . 2. A properly ~-~mpleted app ication and consent to inspect signed by the applicant. Ifa Certificate of ~ccupancy is denied, the Building Inspector shall state thc reasons therefor in writing to the applicant. C. Fees 1. Certifica!e of Occupancy - New dwelling $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, Swimming po01 $50.00, A6oessory building $50.00, Additions to aeoessory building $50.00, Businesses $50.00: ~. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of. Occupancy- $:25 - 4. Updated Certificate of Occupancy_ $50.00 5. Temporary Certificate of Occupancy - Residential $15.00~ Commercial $15.00 New Construction: _ Location of Property: Suffolk Co3mty Tax Map No 1000, Section 0 ~ $; 0CJ Dat,. Old or Pre-existing Building: ' (cheek one) House No. Strut Hamlet Bubdivisi°n Pm'mit No. lt~attb lX'pt Approval: Planning Board Approval: Request for: Temporary Certificate Zee Submilled: $ Da~ of Permit. Filed Map. Applicant:. Underwriters Approval: Final Certificate: (check one) ~cant Signatm e TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [~ ] I~J~ATION [ ]FRAMING/STRAPPING [~/J FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (FINAL) [ ] FIREPLACE & CHIMNEY [ [ ] FIRE RESISTANT CONSTRUCTION [ [ ] ELECTRICAL (ROUGH) [ REMARKS~/_ DATE ~l ~//~/// INSPECTOR~ ~~ DATE COMe'lENTS FO~'~A~O~ ---w~- .................. ~A~ON (2~) PL~G ........ ~8~ PER N. Y. STA~ E~ CODE ,, ~ ~D~ION~ COUNTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. N o rth Fork. net Examined Approved Disapproved a/c Expiration__ BUILDING PERMIT APPLICATION CHECKLIST l[J l jUN 1 8 2012 BLDG D[PI. TOWN 0F SOUTHOLII Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees C.O. Application Flood Permit Single & Separate Storm-Water Assessment Form Contact: Mail to: Phone: fib u~i~d~ct o r APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS OC? a. This application MUST be completel) filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showiug location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterw a> s. 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 issue a Building Permit to the applicant. Such a permit shall be kept on tile premises available for inspection througbout the work. e. No bni[di~g shall be occupied or nsed in whole or in part for any purpose what so ever until the Building Inspeutor issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed withiu 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in tile interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter. a new permit shall be required. APPLICATION 1S HEREBY MADE to the Building Department for the issuance ora Building Permit pursuant to tbe 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 ou premises and in building for necessary inspections. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is ovxner, lessee, agenL architect engineer general contractor, electrician~r builder Nameofownerofpremises f~/7t/kJ ¢ ~/~ ~O~-[~B~~~ (As on the tax roll or late~t deed) $ ~ 70 ~ FOL~ W, tag INSI~CTION If applicant is a corporation, signature of duly authorized officer OAT~.~ REC ,a~D POU~ ~CRETE (Name and rifle of corporate officer) ~ aO~3M. F~,~SiNG Builders License No. LECTRICAE t m cAc Plumbers License No. ~ INSPECTION ~EQ[}~oNSU~TI~ 4 FINAL- CO8S~TION Electricians License No. MUST E Cffi~ Fffi C.Q Other Trade's License No. ALL REQUIREMENTS OF THE CO~8 1 Location of land on which proposed ~ork will be done: YOR[st~' House Number Street Hamlet,,. County Tax Map No. 1000 Section tt') ~ ,~ Block Subdivision Filed Map No. Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy_ 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Otber Work Estimated Cost 5 ~ ,G)- 0(_9 If dwelling, number of dwelling units If garage, number of cars Fee Alteration (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height. Number of Stories Rear .Depth Dimensions of same structure with alterations or additions: Front Depth. Height Number of Stories Rear 8. Dimensions of entire new construction: Front Height Number of Stories Rear .Depth 9. Size of lot: Front 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? YES NO J ' __ /w No/ 13. Will lot oe re-graded. YES NO ill excess fill be removed from premises? YES 14. Names of Owner of premises Address Name of Architect Address Name of Contractor /~'/OD~ 5. J ,~F__.,h ~r7 Yl/~ddress Phone No. Phone No Phone No. (~. c>}O~"cl l, oC/ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland'? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below', must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF NEW YORK) SS: COUNTY OF , ) ] ,~. being duly s~vorn, deposes and says that (s)he is tbe applicant (Name of i~:!t~:c°~tract)...~ ~ ._. -- above named, (S)He is the . ;3'~fg]l~0ntractor, Agent, Corporate Officer, etc.) of smd owner or ow~ andls d~y authorized to perform or bave performed the smd ~ork and to make and hie th app that all statements c~n~d ~n~ls a~ll~tlon are true to the best ofb~s knowledge and behef; and that tbe work wdI be perfo~ed in the mh~rlget,fo~h~ th*app icat on filed therewith Signature of Applicant EK2 There are models and sizes available for every installation and environment. Fits under stairs and inside small closets! Our patented spiral boiler precisely controls the flow of water and flue gases for the best heat transfer. Plus! 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