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HomeMy WebLinkAbout46723-Z �O�SUEFOt�-�oGy Town of Southold 8/26/2021 a P.O.Box 1179 0 o • 53095 Main Rd A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42289 Date: 8/26/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 775 Mill Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 135.-3-35.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/10/1977 pursuant to which Building Permit No. 46723 dated 8/23/2021 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 single family dwelling as applied for. The certificate is issued to Erhardt,Leila&Sacher,Pamela of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A h rized nature �o�oSUFFoi�c TOWN OF SOUTHOLD oy BUILDING DEPARTMENT C, x ' TOWN CLERK'S OFFICE oy • �g SOUTHOLD, NY �� o 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#: 46723 Date: 8/23/2021 Permission is hereby granted to: Erhardt, Leila 27 William St Port Jeff Station, NY 11776 To: Build an addition on existing dwelling. Replaces BP#9398 At premises located at: 775 Mill Creek Dr., Southold SCTM #473889 Sec/Block/Lot# 135.-3-35.1 Pursuant to application dated 8/23/2021 and approved by the Building Inspector. To expire on 2/22/2023. Fees: PERMIT RENEWAL $57.50 Total: $57.50 Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, R. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 9398 Z Date ...........................Au gust ....1.0......, 19....`.7` Permission is hereby granted to: �! jp! ..F4aise ................................................. .............. .............................................. ................................................................................. to ..an..... �3,s ...�x�.. a,�w ..cx��r��.�.�.ra�............................................................... ................................................................................................................................................................ at premises located at ....Nil.l..Cre.ek..�3rive............................................ ................................. ....................................................B.Q1?'E:iho d........ ................................................................................ ................................................................................................................................................................ pursuant to application dated ..........................A-Ug.....1Q............. 19. .7?., and approved by the Building Inspector. Fee $1.1!-90........... ....... ... ....................................c. o.. ....................... Building Inspector FORM NO. Y TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE �7] SOUTHOLD, N. Y. �— Examine d ..... ......©.... ., 19. 1. Application No. .G C �.......... Approved ..........................f�..... 19. !.. Permit No. ..L.. .F.. ..... Disapproved a/c ...... C,� J ............... ............................... ... ......... L ...... ............. .. . ..... ...Inspector).... ........................ `J APPLICATION FOR BUILDIN PERMIT RA— //� Date ................. ...........I..o..... ., 19. ...�i INSTRUCTIONS 2 r a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. r1 b. Plot plan showing locationof lot and of buildings on premises, relationship to adjoining premises or public streets or n areas, and giving a detailed description of layout of property must be drawn on the diagram which is part 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 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.�J The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. 0 ...... .� .. .. . ..:�.� .... ..............' ....... . . . .... ..... . . . .... igno re of ap can or no , if a corporation) o\ C ................................................ .............. ............................. (Address of applicon State whether applicant is owner, lessee, agent, architect, engineer, �al contractor, electrician, plumber or builder. Name of owner of premises ... ..... ...... ........................................................................ If applicant is a corporate, signature of duly authorized officer. y� (Name and title of corporate officer) boon Builder's License No. .................................................... Plumber's License No. ............................................. Electrician's License No. ............................................ OtherTrade's License No. ............................................. 1. Location of land on which proposed wo will be done. M No.. ........................ t N ..................... Street and Number ..... —........ . Municipality 2. State existing use and occupancy of Mmises and intended use and occupancy of proposed construction: a. Exisiting use and occupancy ...... .. ...............A .....................................�(` b. Intended use and occupancy ................................................ ............................................................................... , � i R Or 3. Nature of work (check which applicable): New Building• .................. Addition ... Alteration ............,. Repair .................. Removal .................. Demolition.................... Other Work ................................................ ... (Description) 4. Estimated Cost .......... ...............Fee . ................................... -?....................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .... .........Number of dwelling units on each floor ............................ Ifgarage, number of cars ............................................................................................................................................. 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 some structure with alterations or additions: Front .................................... Rear .......................... . Depth ................................ Height ............................Number of Stories ......... ...................... r16 8. Dimensions of entire new construction: Front ..........�........................ Rear ............................ Depth ...................... Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front ........................................................ Rear .......................................... Depth ................................ 10. Date of Purchase ..................................................... Name of Former Owner ........................................................ H �t 11. Zone or use district in which premises are situated ... .. .... •.•••••••••••••••••••••••••••••.. ..................................... 12 Does proposed construction violate any zoning law, ordinance or regulation: ........ .................................... 13. Will lot be regraded ......... ........ Will excess fill be removed from re :ses:.... ) Yes ( ) No 14. Name of Owner of premis .. .�...���'`.......``....... Address ............ ... Phone No. ...................... Name of Architect ........... .................................................. Address ................................ Phone No. ...................... Nance 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. STATE OF NWfl t S.S COUNTY OF .......5 ..................... -' � :" .................. being duly sworn, deposes and says that he is the applicant (Nal signing contract')above named. Heis the ..........................................C�/••......................... `'` ............................................................. (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 than the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this c�77 !�v da of . ...... ...., 19...G..� ° Notary..Public, .......................... .... .�-�eAnty ........ .. .. 4Xf. ............................ .. . .. . . .. .. ... ... . ..... .. . .... . . (Signature appl• ant) ! Jx�, r� ' --'� �I,:i p` r � i /J !� � .�" � iii' r� ,,✓'y�'�,j�r�j�� �} ; ' _ / '�'u �f- .', :..:;a� -.__.._.------------ I------ �W� C LL L- `, r If Tim -ycJOJ Lz �.� � r�s�� b�� _ v � 7' � ,Gp'2 ,� ��l✓ G�da.�' 6.`_' . ,,/amu . „?. ,'v';.;�;, I_...__._ 3 71. WA LL ;7, -T -- CE �t.4 1 -