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Home My WebLink About33628-ZFORM NO. 3 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) PERI, IT NO. 33628 Z Date JANUARY 14, 2008 Permission is hereby granted to: SALUP & RUBIN 650 OLD SHIPYARD LA. SOUTHOLD,NY 11971 for : INSTALLATION OF ELECTRIC UPGRADE AS APPLIED FOR at premises located at County Tax ~ap No. 473889 Section 064 pursuant to application dated JANUARY Building Inspector to expire on JULY 650 OLD SHIPYARD RD SOUTHOLD Block 0002 Lot No. 044 4, 2008 and approved by the 14, 2009. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown. NorthFork.net Examined Approved // J Disapproved wc _J PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST 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 Storm-Water Assessment Form Contact: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date //~/ ,20a,¢' a. This application IWOST be completely 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. 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 the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector 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 within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the 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 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 auth°rized inspectors on premises and in building for necessary inspections. ~, ~,W/~.~_~/~j__~.- ? '; (Si~ture of a~plicant or name, if a corporation) - - ' (Mailing address of applicant) / ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder , ¢lr .... Nameofownerofpremises/l~.~...; ._~-~_/%~ ~ (~...; ~.~ DALE: ~ (As~n t~e tax roll or latest If applicant is a co~oration, si~ature of duly auth°~d~sr.: ,." ~,: ,~,"-~ ~oL~ . ~' %; ,;~,v. . - c.~ - :,' " ,, FG~ THE (Name ~d title of co¢orate officer) ..... ' ~n~neQb;F "; c,,: ,,7~ ........ ,' _ CODES OF NEW ' ~, ,, ~ ~/ATE. Builders License No. ~ ~e_~ uCCUPANCY O~ Plumbers License No. U~Ft.q UNLAW Electricians License No. ~ y / 6/ ~ ~ ~t,~ ,'~. FUL Other Trade's License No. VVI I ~UU[ ~D~'~I~ a m~ 1. Location of land on which proposed work wiling ~: ~ da f House Number Street ~O~RSCERTiFiCt~ Hamlet ')SSlGN eR CONSTRUCT/ON County Tax Map No. 1000 Subdivision ,~ teaC/9,,,..z (Name) FOp POURE'3 ~',' :3~E. z ' F~ ...... & PLUMB2,.rG 3. INSULATION 4. FINAL - COY 7~ 't';TIO,q MUST BE COMPLE;z z,. C.O. ALL CONSTRU:3T3,; St4ALL M~ REQUIREMENTS =/7 OF THE CODEs C'[ Lot Filed Map No. ~v3,/ Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~,;~/Z~'- b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition Repair Removal Demolition Alteration Other Worl~,./ -~'~'~,:v 3'~r~-~' 4. Estimated Cos~ ;7, 5/O~7 o.~ 5. If dwelling, number of dwelling units If garage, number of cars c~. (Description) Fee t~_~ (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 t4'~4. Rear Height. Number of Stories /- ~ Depth ------ Rear Dimensions of same structure with alterations or additions: Front - Depth ~_ ::.:::::~:~:-' Height ................................... BI. umber of Stories Dimensions of entire new construction: Front Rear _Depth Height Number of Stories 9. Size oflot: Front 7f': Rear .Tff r Depth /~"~' ~ 10. Date of Purchase ~'OFr~ /(" ,~cZ~YName of Former Owner f~r ~ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO '¢-~ Will excess fill be removed from premises? YES NO ~:; 14. Names of Owner of premises Name of Architect Name of Contractor .-~ 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUI~E~. b. Is this property within 300 feet of a tidal wetland? * YES __ NO ~ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address Phone No. Address Phone No Address ~Phone No. ~ 7/ 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__ NO ?5. · IF YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF t.~x rr~ ) ~'~, ~(~"~z~.~, ~- ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual si~ing contract) above named, (S)He is the ~,~ /'-~...., ~A/-~.~ (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 ,~,-/o~ day of B~.et~e~' 2007 Not~ ~ic SUSAN M. 3ACOSS ~OTA~Y PUBLIC, Slate of No. 49~ 2037 Oualified in Su~olk CounW Commission ~xpiros Nov. 9, ~-ai"~gn~-~r~ of A~pplicant Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD January 16, 2008 Tom Quarty Carpentry PO Box 1949 Southold, NY 11971 RE: 650 Old Shipyard Road, Southold, Salup and Rubin TO WHOM IT MAY CONCERN: We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not one file. (Enclosed No Electrical Underwriters Certificate on file. The check is (not on file) $25.00 Final Health Department approval not on file. No final inspection has been completed No Plumber Solder Certificate on file. (All permits involving plumbing issued after 4/1/84) Certificate of Compliance from the Trustees. Final Planning Board approval Final Fire Inspection from Fire Marshal. BUILDING PERMIT: 33628-Z electrical upgrade SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971 0959 Telephone(631)765-1802 Fax(631)765-9502 BUILDING DEPARTMENT TOWN OFSOUTHOLD September 7, 2011 Tom Quarry Carpentry PO Box 1949 Southold, NY 11971 Re: 650 Old Shipyard Rd, Southold - Salup and Rubin TO WHOM IT MAY CONCERN: The Following Item(s) Are Needed To Complete Your Certificate of Occupancy: ~' Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. J A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees #765-'1892) Final Planning Board Approval. Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 33628 - Electrical Upgrade Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Telephone (631 ) 765-1802 Fax (631) 765-9502 BUILDING DEPARTMENT TOWN OF SOUTHOLD May 8, 2012 Stephanie Rubin & Mami Salup 403 W 21st St Apt 5E NewYork, NY 10011 Re: 650 Old Shipyard Rd, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: ~// Application for Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. (contact your electrician) V//A fee of $25.00. Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. (Town Trustees # 765-1892) Final Planning Board Approval. (Planning # 765-1938) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. BUILDING PERMIT: 33628 - Electrical Upgrade Town Hall Annex 54375 Main Road P.O. Box 1179 Southol& NY 11971-0959 Telephone (631) 765 1802 Fax (63 I) 765-9502 BUILDING DEPARTMENT TOWN OF' SOUTHOLD December 4, 2012 Stephanie Rubin Marni Salup 403 W 21st, Apt 5E NewYork, NY 10011 Re: 650 Old Shipyard Rd, Southold TO WHOM IT MAY CONCERN: The Following Items Are Needed To Complete Your Certificate of Occupancy: A fee of $50.00 Final Health Department Approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) Trustees Certificate of Compliance. (Town Trustees # 765-t692) Final Planning Board Approval. (Planning # 765-19:38) Final Fire Inspection from Fire Marshall. Final Landmark Preservation approval. Final inspection by Building Dept. BUILDING PERMIT: 33628 - Electrical Upgrade