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Home My WebLink About21239-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22813 Date DECEMBER 23, 1993 THIS CERTIFIES that the building ADDITION Location of Property 9245 MAIN ROAD EAST MARION N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 3 Lot 19.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 22, 1993 pursuant to which Building Permit No. 21239-Z dated FEBRUARY 25, 1993 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 ADDITION TO EXISTING FIREHOUSE AS APPLIED FOR. The certificate is issued to EAST MARION FIRE DISTRICT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-299427 - DECEMBER 17, 1993 PLUMBERS CERTIFICATION DATED DECEMBER 22, 1993-RBT. VAN ETTEN PLUMB. i , xr'~ Building Inspector Rev. 1/81 FORM N01.111 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) N°_ I° 21239 Z Date .0021/ 19 Permission is hereb gro ted to: ~ f . r ram-..'s~~~ ...~?....~~~~%~,a.....k~ .~c~ ~ ~J-~... of premises located at i T•... County Tax Map No. 1000 Section Block Lot No. I?Z........... pursuant to application dated e!IZ 19,147 and approved by the Building Inspector.~~ Fee $ 91 /D?-,a~/ t~, f r. u??......,.... . Rev. 6/30/80 i Form No. 6 _ 11477 9'% A7 p TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 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 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. C. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date "7r. / New Construction......., 9 Old Or Pre-existing Building.. .IV Location of Property .....lt .lS..,,,.,,/.[./4lv.XA40... ej4s7' House No. Street Hamlet Onwer or Owners of Property RF,4,it grJ;on Fire District,,,,,....... ...j . . County Tax Map No 1000, Section... „ ,,,,Block..... ........Lot.../. Subdivision..// .Fill>ed Map............ Lrott...............~...... Permit Noaf.°7 l.. ...Date Of Permit. s!41. fA..APPlicant!~ f. 1 ~Lu re Cdr 11ealth Dept. Approval ..........................Underwriters Approval. „ !Tanning Board Approval Ar,e r CRr Request for: Temporary Certificate........... Final Certicate.... 'ee Submitted:. $ Pt (nffRdA4n f{/pJ APPLPCANT TEL. 765-1802 o~S~FFUL/(TOWN OF SOUTHOLD y OFFICE OF BUILDING INSPECTOR A P.O. BOX 728 TOWN HALL yoy~ol ~~0~ SOUTHOLD, N.Y. 11971 C E R T I F I C A T I O N Date I 23 Building Permit No. V d,3 L Z Owner (please print) Plumber /eo6'r-/ ry n/2''T7aslJ 30vV-dP (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber's signature) Sworn to before me this day of a-o P y . 1913 N tart' Public Notary Public, bounty JOYCE M. MKIN8 NataryPu61io, State of New York No. 4952248, Suffolk Cou Term Expires June IZ 19e `Y- THE NEW YORK BOARD' OF FIRE UN.D`EF, WRITERS: ;PxGE' 1 1000121 SUREAU OF EL;.ECTRICITY,' % 88 JOHN STREET',,,NEW YORK, NEWl7ORK 10038 Date DECEMBER 17,1993 Application N,•o.onfile 053$1;7793/99 N 299427 THIS CERTIFIES THAT only the electrical equipment as described below and Introduced by Elie app!=cant-nomedon the above apphcotton nu ber sp the premises of . . E.MARION FIRE DEPT. MAIN ROAD' EAST MARION 't-N.Y in thefollotcinq location; Basement' ®/st FL ?;2nd Fl Se{Elan • Biork Lat nws examined on DECEMBER 13 t 19 9 3 „ and found to be in campdcaAGe with the National; Eletxtnca{ _C-?de,, : , j NxTURE FIXTURES , RAROK C0,01UN6` DECKS OVENS " D15N 1NA'SHER5 EXNAUET FANS I OUTLETS ECEPTACIES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT K 1-w_' KW .TK:W,i AMt;. ,31 P.«. . 3 7 5 1 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL~RECPT TIM CLOCKS EEL1' UIgT yEATE115 MULTI-OUTLET ,,,DIMMERS.". `",SY,ST~bt4 AMT. K. W. OIL H, P. GAS N. P. . AMT. NO. `A; W. G." AMT:: AMP - ' tyM[ + ;-Ak0s, TRANS; ,,AMT, : N, NO. OF FEET, qMi., r, . WAiiS dF SERVICE DISCONNECT NO.OF S.: . E R, t. i Y , T' • G: E:.: n i . METER OFCOND, A Wt O..<=. G....• AMT. AMP. IYVE EQUIP. Iq 3W 103W 303W 3 ,e 4W NO . PCO '..OAF.,NI-wo-l' :170 bf NEUTRALS „"'OF NEUTRAL. ERK OF CC CONa- NO.'OF'HI-LEG - OTHER APPARATUS: 121 ELECTRIC HEAT THERMOSTAT-1„ ELEC. ROOM HEATERSt1-2.0 K.W.,1=1 0'K,W: `~LICs1E2"82 PAUL R. BURNS 275 TOWN HARBOR LANE - 11971 OENERALTMANAdER SOUTHOLD t NY, 11 This certificate must not be altered in any manner; return'to the'office•%~f thq.'Board:'f ,(ncpTTest: IgtpB ldrs may,•,fxe 4dq ;b1# ihe~f, redeliti#!Is.` ; M-lW2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: _101 DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ vf'FOUNDATION 1ST [ I ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS f ~ i DATE loin 11-D INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND kf-INSULATION [ FRAMING [ ] FINAL REMARKS: C DATE I t d~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST (V'] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [FRAMING [ ] FINAL REMARKS: -7 DATE l INSPECTOR Fl.., J Si1LNTC 95 4, m C FOUNDAATION (1st) l ti FOUNDATION (2nd) _ cr ;OUCH FRAME & I o C~~ v1 .PLUMBING En A 3 y ' I m H INSULATION PER N. Y. STATE ENERGY CODE I , Ae, 12 I ~r m _4 A 4 4. Ad ' I s FINAL ADDITIONAL COMMENTS: x ro H 9 O Q ~J m • r y o Y-~ -o H FORM NO. 1 FEB 2 2 10 ;J i TOWN OF SOUTHOLD BUILDING DEPARTMENT W A Poxe!_¢.. ' TOWN HALL 61.DC~. 63Ei'f. SOUTHOLD, N.Y. 11971 TOWN OF SOUTiiOU) QQ TEL.: 765-1802 Examined :',4 19/ Q Received 19 Approved ~ 19/6~&Peimit No.c~?:,/~?. , I Disapproved a/c uild nspector) APPLICATION FOR BUILDING PERMIT q Date 19 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. ~ce 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 a,nd in building for necessary ' e for (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee's, agent, architect, e gineer, general contractor, electrician, plumber or builder. Name of owner of premises .Q . . (as on the tax roll or latest deed) If applicant is a corporation, signature Of;duly authorized officer. (Name and title of corporate officer) ~II~ I Builder's License No, .4~.~. Plumber's License No. . Electrician's License No. ! Other Trade's License No . 1. Location of land on which proposed work will be done. . q ys IcU2. U? o?a.?.................. . !!?k........... . House Number Street Hamlet County Tax Map No. 1000 Section .',....3~ Block Lot ...~4 Subdivision Filed Map No. ..1........... Lot............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .........y b. Intended use and occupancy . . : . . . ,y.. 3. Nature of work (check which applicable): New Building Addition 1/. Alteration Repair Removal , Demolition Other Work 1 4vescription) 4. Estimated Cost f. Fee 4 / GL U~I~h ,../(JO~~~~ V ( ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units ...N. Number of dwelling units on each floor If garage, number of cars . 6. If business, conunercial or mixed occupancy, specify na tie and extent of each type of use ...Gl~ G~ . 7. Dimensions of existing structures, if any: Front Rear ~e Depth :.7.0 . Height Number of Stories I . Dimensions of same structure with alterations or additions: Front ...'5..... Rear . . Depth Height .....:w Number of Stories . 8. Dimensions of entire new construction: Front ......1. Rear Depth Height ......l Number of Stories epth ............i . ~ I............ 9. Size of lot: Front 7.~ c Rear ~~•S ~ Depth ;Zc'~ c S.'] 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: 0 . 13. Will lot be regraded WO Will excess fill be removed from premises: Yes No 14. Name of Owner of premises G 4'51./'l*44Y~ .~/d am dress y 6,`I Phone No. 2~~1t272- ~ x,..J . (1,,//D1J dress ..!6;~ u Phone No. Name of Architect . r(3"/.......... y7T.~7JL.. . Name of Contractor Address Phone No............... . PLOT DIAGRAM Locate clearly 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 interior or corner lot. p&44--"J S STATE OF NEW.YORK, S'S COU Y OF. ..`0 F!f b LGL . . . T. r .a0'Y-.r" being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the...........LY~?~~~~~ (Co ractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have perfonned 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 s .......day of 19 f:5. Notary Publi(jaj:2 (t . County CLAIRE L GLEW Notary Public, State of New York naturapplicant) • No. 4879506 (Signature of Qualified in Suffolk County Commission Expires December 8, 19