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Home My WebLink About2883-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-24179 Date FEBRUARY 22, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 10 COLONIAL RD. & 900 ED'S RD., SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 79 Block 6 Lot 32.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 1965 pursuant to which Building Permit No. 2883-Z dated OCTOBER 4, 1965 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE * The certificate is issued to U~KISTOPHER DENKER & WIFE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL APRIL 28, 1966--R.A. VITJ.A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A *THIS UPDATES CO Z-2426 DATED JUNE 2, ]966 / ~uilding Inspector Rev. 1/81 FOR~ ~0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT 'I~OWN CLERK'S OFFICE SOUTHOLD, N. Y. OI~I~TIF'IOAT£ OI~' O00UPANOY No. Z .2426 .... Date ............ June. ,2 ............ 19~ THIS CERTIFIES that the building located at . 'E'/S' ~,,d~e .]Roa~l ............ Street Map No..XX~X ...... Block No... ~,J~ ..... Lot No ........ X]0~ ..... $outho~d,. New..York conforms substantially %o the Applicati.on for Building Permit hereto~ore filed in this office dated ...... Selote~er..21 .... 1965. pu.rsuant to which Building Permit No. 288~. dated ...... 0o~ober. 4 ........ 19.6~., was issued, and conforms to all of the require- ments .of the applicable provisions of the law. The .occupancy ~or which this certificate is issued is ........ New. one. ~am~,ly..dwell ~.ng ......................................... The certificate is issued %o .Valfear..Homes, · ~r~,.~ · for. $,us.~ln. Ge~mal. ne ........ (owner, lessee or tenant) of the afore.said building. .Suffolk County Department of Health Approval . A]~r3,~,. 2~,..~.966 ..................... FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2883 Z Permission is hereby granted to: .~'~:..~emes...T~e.....A/~.. .......... ~],~6....~tml~.se..H.i.~hway .................. ............... ~)q~'.t v...L,';~, ................................. to · ..]lU~d...n~.. ene ..£~i. tF-.d'~e.l.l ~.n~ .................................................................................... ct premises Ioccted at ..~/~....~.l.~..p~a& ....... ~.d~.~.~l...O.]~.J~..~ .............................................. ......................................... ~,c~u~,o.l~l .r .... ~, .~, .................................................................................... pursuant to application dated ............................. ~elg~ .......~.t ........ 19~:_.., and approved by the Building Inspector Fee $-~-O.O0 ........... Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OP 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. 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/I0 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. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957~ non-conforming uses, or buildings and qpre-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 I. 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 Buildinm - $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 $15.00 Date FEB. ~,.1996 XX New Construction ........... Old Or Pre-existing Building ................. 10 COLONIAL RD. & 900 EDS ROAD SOUTItOLD, N.Y. Location of Property ...................... House No. Street Hamlet CHRISTOPHER DENKER & WIFE Onwer or Owners of Property .................................................................. County Tax Map No 1000, Section .... ~? ........ Block...9 ............ Lot.~g:~ ................. Subdivision .................................... Filed Map ............ Lot ...................... 2883-Z 10/~/~5 ................ Permit No ................ Date Of Permit ............. Applicant. VALMAR UO~ES Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate.. UPDATED Fee Submitted: $... 50.00 S-9 SUFFOLK C~UNTY DKPARTMENT OF HF__.a. LTH TO WHOM IT MAY CONCERN: The sewage disoosal facilities for a structure located at / u (Give deed location) ' - ' have been inspected by this Department and found to be satisfactory. ,, ,, District En~inee~ "~'~ ~ ..... District Engineer FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ....... ;../~.....'~;~C'".Z...., 19..,.~..~ Application No. ~ ,- Approved ........~..[ ................ ~......, 19...~.!.-Permit No. Disapproved o/c ...................~i .......................................................... .............................. (Building Inspector) I .................... APPLICATION FOR BUILDING PERMIT .¢/ / Date ............................................................ , t9 ............ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. 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 port of this application. 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 o Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the progress of the work. e. No building shall be occupied or used in whole or in port 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 pursuaht 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 lows, ordinances, building code and, regulati0ns.~,. , , . · (Signature of applicant, or name, if o ear, ration) ~__,~,~ ~ (Address of applicator) ./ / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises .................................................................................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) 1. Location of land on which proposed work will be done. Map No.: ........................................ Lot No.: ........................ Street and Number ...... : .............. ~ ............. : ................... ,,..... ................................... : .................................................. Municipality 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 'r;B'''~ ......... Addition .................. Alteration .................. Re, pair .................. Removal .................. Demolition .................. Other Work (Describe) ...................................... :. 4. Estimated Cost ,~...~..~1~0 Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... [ ................ Number of dwelling units on each floor ............................ If garage, number of oo s ............................................................................... ........................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ............................ Rear ................................Depth .................... Height Number of Stories · Dimensions of same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ...... ,,~.~.~. ....................... Rear .........,~.~.1..~. .......... Depth Height ....,[,~.? .......... Number of Stories ................ .......... ~ .............................. g. Size of lot: Front ...... ..~..~..1. ............. Rear ..........~,...~..? .................. Depth ..................],....~...e. ...... 10. Date of Purchase ..................... ..~c...~.~.Z..~..~... ......... Nome of Former Owner .~...~.......~...~...~..~.~ ........ 11. Zone or use district in which premises are situated ...... ~.~A..',;. ......... r~....~.~.....~.. ................................................. 12. Does proposed construction violate any zoning law, ordinance or regulation? ~ ..0. ............................ 13. Name of Owner of prem ses .~..~..~.,?~?.~....~.....~....B~...R..~. ........ Address~....~..~....~....~.....Y..~.,,,~l[.,....~..~...~..~.....~..~,~l i~.V.?......~.....~,,~.,~..~ Name of Arch tectL~.~.]:.rt....~.e...,~.ffz~..z...~...,a. ................ Addres~....~..~.~..-.~...~'...]'...]'-..~v..~..?....B...~..~l~l~ne No....~..[]...~.-...~.,G.~.]. Name of Contractor .~.II,I, IRI~..~Jg~IIIt..~[D.~ .............. Address~l~*.~...~.~X~.~.l~...H.~.-~t...N.qY.. Phone No. lt..'~...~.[..0..... amypa~t N.Y. 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 shaw street names and indicate whether interior or corner lot. ¥ \ ,, .~ ~ STATE OF NEW~D/~I~/ ,,, x ~SS ............ ~~ ....................................... being duly sworn, deposes and says thor he is the applieont above named. He is the ......................................................................................................... (Contractor, agent, corporote officer, etc.) of said owner or owners, and is duly authorized to perform or hove performed the sold Work and to mo:ke and file this applieotion~ that oil stotements eonto:ined in this application are true to the best of his knowled§e and belief; end that the work will be performed ~3 the monner set forth in the applieotion filed therewith. Swom to before me this _f~ ~ ~ ~ ~ ......... ..... ....................... , ^ - ........... ........................... Not~l,~Pu?~ ..~..:..(~...~.°,~-'-~..'r.~r~unty ~ (Signature of appl,ean~ ~al~ Public, St~f ~t~ew dC, ~L .? }I I"= iL o" -~ ST~ J~.f.~'r - 'i'] I' -7} '1 , 1