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�EFOI� Town of Southold 9/11/2017 ° rd_ P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39211 Date: 9/11/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 260 Horton Ln, Southold SCTM#: 473889 Sec/Block/Lot: 61.4-3.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/1981 pursuant to which Building Permit No. 40052 dated 9/1/2015 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: alterations to an existing accessory garage as applied for. The certificate is issued to 260 Hortons LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 17-44796 8/2/2017 PLUMBERS CERTIFICATION DATED t oriz ignature i o�Sut�,co TOWN OF SOUTHOLD �� ay BUILDING DEPARTMENT TOWN CLERK'S OFFICE o • VSOUTHOLD, 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) i Permit#: 40052 Date: 9/1/2015 Permission is hereby granted to: Stankevich, George & Stankevich, Margaret 231 Pantigo Rd East Hampton, NY 11937 To: alter accy garage. Replaces BP#11425 I ,I At premises located at: 260 Horton Ln, Southold SCTM # 473889 j i Sec/Block/Lot# 61.-1-3.1 i Pursuant to application dated , 9/1/2015 ! and approved by the Building Inspector. To expire on 3/2/2017. Fees: CO -COMMERCIAL $50.00 PERMIT RENEWAL $250.00 Total: $300.00 I Building Inspector i i Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 I APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 I%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 of completed site plan requirements. B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and "pre-existing"land uses: 1. Accurate survey of property showing all property lines, streets,building and unusual natural or topographic features. 2. A properly completed application and 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. C. Fees 1. Certificate of Occupancy-New dwelling$50.00,Additions to dwelling$50.00,Alterations to dwelling$50.00, Swimming pool$50.00,Accessory building$50.00,Additions to accessory building$50.00,Businesses$50.00. 2. 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 Date. New Construction: ll Old or Pre-existing Building: (check one) Location of Property: - rfi)a LA Llol"61 House No. Street Hamlet Owner or Owners of Property: d E612 I Suffolk County Tax Map No 1000, Section (0/ Block Lot S• ' Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) I Fee Submitted: $ Applicant Signature I wtk In se qu q8 ti Certificate of Compliance ............ .... ..................... ........ ..... ............. ............................. CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 .......... ..................... ....... ...................... ..................................... . CERTIFIES THAT Upon the application of Upon premises owned by Walter Foote Walter Foote 260 Hortons Lane 260 Hortons Lane Southold, NY 11971 Southold, NY 11971 Located at: 260 Hortons Lane, Southold , NY 11971 Application Number#: 17-44796 Certificate #: 17-44796 Electrical License#: Mariner Electric 45056-ME Section: Block: Lot: Building Permit#: House -40148 Garage -40052 Described as a Commercial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises.at: Entire House Rewire/ Garage Conversion A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 2nd day of August 2017, Name QTY Meter- 100 Amp, 240V 2 Service Feeder-200 Amp, 240V 1 Incand. Fixture - 15 Amp, 120V 50 GFI Circuit Breaker-20 Amp, 120V 7 Paddle Fan - 15 Amp, 120V 1 Power Panel -70 Amp, 240V 1 Electric Heater Circuit-20 Amp, 120V 1 Combo SD/CO - 15 Amp, 120V 3 1, Electrical Inspector: Anthony Giordano C�Odf� DVaCAZ Nz i AUG 2 4 2017 APPROVED 2 1% B I IMING DEff. TO IN OF SOUTHOLD This certificate is not valid unless raised seal is present. r Certificate of Compliance _.................._......... ............ ............ ....... ... ... ........ ............................................. CERTIFIED ELECTRICAL INSPECTIONS, INC. 188 PARK AVENUE AMITYVILLE, NY 11701 P: (631) 598-5610 .._....................... ......................._................................_..._......._......................................................................... . ....................._..... CERTIFIES THAT Upon the application of Upon premises owned by Walter Foote Walter Foote 260 Hortons Lane 260 Hortons Lane Southold, NY 11971 Southold, NY 11971 Located at: 260 Hortons Lane, Southold , NY 11971 Application Number#: 17-44796 Certificate#: 17-44796 Electrical License#: Mariner Electric 45056-ME Section: Block: Lot: Building Permit#: House -40148/ Garage -40052 Name QTY Comb Emerg/Exit- 15 Amp, 120V 3 Duplex Receptacle - 15 Amp, 120V 50 GFI Receptacle - 15 Amp, 120 V 6 Power Panel - 100 Amp, 240V 1 Service Disconnect- 100 Amp, 240V 2 Smoke Detector- 15 Amp, 120V 3 Switch - 15 Amp, 120V 25 Electrical Inspector: Anthony Giordano 'APPROVED` This certificate is not valid unless raised seal is present. D [EC(E0'V[E AUG 2 4 2017 BUILDING DEPT. TOWN OF SOUTHOLD o 5? qf SO(/lyo H O i holy mm,N� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: 1 'A teek 14N, DATE INSPECTOR S� OF SoplyO rm,��' TOWN OF SOUTHOLD BUILDING"DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IPISULATION [ ] FRAMING / STRAPPING [ FINAL Ap [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE. Y6 INSPECTOR Fi-CNSPECTI0N DATE COMMENTS FOUNDATION ( 1st) tin d� FOUNDATION ( 2nd ) c 2 . z 0 ROUGH FRAME & PLUMBING �I INSULATION PER N . Y . t rjh y STATE ENERGY 1 CODE as 3 r FINAL z ADDITIONAL COMMENTS : Air' c q-i-f 5 a +06c) rn �I`�as y gra r .0 � i 0 lid r H x 'd et L FORM NO. 1 w ►�� TOWN OE SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . . . . . . . . . . . . . . . .. 19 .�/ Application No. ./. . . . . . . . . . . . . Approved . . . . .). . . . . . . . .,,1 Permit No. . . . . . . . . . . . Disapproved a/c�(/.�.�ed�, r <.�. r c1letw„-�cl. —, ,L� �'hn AN-? Wata . . . . . . . . . . . . . . . . .,. . . . . . . . . . vv � . . (Building In7e�tor) APPLICATION FOR BUILDING PERMIT Date . . . . . . . . . . .�. .�. 1 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build' 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 streg or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon apprc.,al of this application, the Building Inspector will issue a Building Permit to the applicant. Such pen 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describo The applicant agrees to comply with all applicable laws, ordinances, ilding code, housing e, and regulations, and— admit authorized inspectors on premises and in buildings for necessa iI etions. �?S�Ina- ture �applicant, r name, if a corporation) G (Mailing address of applicant) State whether applicant is owner, lessee, agent, arc'.iitect, engineer, general contractor, electrician, plumber or build Name of owner of precriises . . . . . . . .!. . . . . . . . . . . . l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If p 'cant is a corporati n, s'�i ture o d authorized officer. . . . . . . . . . . . . . a an leo o i e ) ( C Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No.. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land onwhic proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(9 q a9; r4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . . . . . . . . . . . . . . . . Block . . . . . . .. . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed;clap No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . (Name) 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 . . . . . . . . !�. . . . . .`. : . . . . . . . . . . . �M7'rrt h~„'G7,r:� P;'z. ,:{vS'_7',_"%� ryt_ - _ _ - F: .. - _ Gi•..1"~. ,i�fS`� _'.*Xb:�l^"{"::<?'T'7`f, 5 �y 3. Nature of woreheck which applicable): New Building . . . . . . . . . . Addition . . . . . . . . . . Alteration . . . . . . . . . . Repair . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . (Description) Estimated Cost . . . . . . . . ... . . . . . . . . . . . . . Fee . . . . J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) �. If dwelling, number of dwelling nit . .�/ Number of dwelling units on each floor . . . . . . . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . i. 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 . . ./.0. . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . 1'_. Rear . . . . . ... . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . i. Dimensions of entire new construction: Front . . . .SG� Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . Number of Stories . . . . . . . . . . ). Size of lot: Front . . . .1.�1;1-1. Rear . . . . .�� . . . . . . . . . . . Dep .14/w- 7 � � . . . . . . . . . . . ). Date of Purchase . . . . . .% .. . . . . . . . . . . . . . . . . Name f Former Owner . ./� . I. Zone or use district in which premises are situated . . . .. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Does proposed construction violate any zoning law, ordinance or regulation: ,�. 3. V4'ill lot be regraded . . . . . . . . . . . �'///®. . . . . . . . . . Will excess fill be removed from premises: Yes CNo 1. Name of Ov.ncr of premises . . .. C.S.C!( . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Architect . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . . . . . . . . PLOT DIAGRAM Locate clearly and distinctly all 'otuildings, whether existing or proposed, and,indicate all set-back dimensions from roperty lines. Give street and block number or description according to deed, and show street names and indicate whether tenor or corner lot. 3 � E:1 TATE OF NEW YORK, S.S OU Y OF/. . . . . . , / ^7 / _.I�- • • �-� v v/`_6_V v!C . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )ova named. e is the . . . . . . . . . . . . . . . . . ` . . . , , / v[ ^vvl . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statemc-its contained in this application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed tiherewith. worn to before me this c . . .�. . . . . . . . . . . . . .day of. . . . . . . . . . . . .. 19 . 7 otary Public,- MARGARET A.STANKEVILA NOTARY PUBLC,State of NOW York No.w 4607J70 in Suffolk County . . . . . . . .. sion Expires March 30, ,, . . . . . . . . . . . . . . . . . . . . . . . . . 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ZOO i ter._ 77 f4t Tfi4silf4 t" �4 JA i j : I ll���.' �"'�J b�`�`j �/1.>u�,�c�2 V-�i►rv��G�-�t-�-,'� k��`�; :-� - E,,, ..`� b 117 l / 4 } H 4 f 0 d ; - ._._ DAT � ED APPROVEDS 'NOT - 3� ." _- . ►• x 13.P. # /I L12 1-- FEE: y FEE: NOTIFY BUILDING TIFY DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: TWO RE I. FOUNDATION _ T CON R POURED CRETE � i hlr .. )� Vis, . 2. RbUCH FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION BE COMPLETE FOR C. 0. MUST ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N. Y. STATE CONSTRUCTION & E�.!FnGY CODES. NOT RESPONSIBLE FOR bESIGN OR CONSTRUCTION f:PRoRS. t f1A f��" `p Yr E r«� ° SCALE: /lit ti -�'= a •�""i'1 � oli, Ec;to �- ``' �k DATE: D ! 1 f ,,,,,,,, .��•�� r, :JTO 9�.�'`r.. ..- ���� DES �'W o. 'k °, ,�_r )rt1, lli �7T l�AJ L/ ��G ` t `�1�C1�-� f. y. DRFT 41 CK'D s 7? 1 C3 Al,i'I_'I`ATT'?'v 0"t Ax,"..�lTt()`3 FAV E"S 4C�t3� CT )1YOM QTAIT A-T'IoN QLt !.Ari{ © JOHN W. OLSON -F.Ei ' 'ENIN ]::it•C..�1T.:�`.�; I. Xkf1_T01J._�._.,NEW.YDRK DRAWING N0.