The URL can be used to link to this page

Home My WebLink About5361-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. UPDA'£1SIJ CERTIFICATE OF OCCUPANCY NO Z-23139 Date AUGUST 2, 1994 THIS CERTIFIES that the buildin~ Location of Property 260 EASTWARD COURT House No. Street County Tax Map No. 1000 Section 115 Block 7 Subdivision Filed Map No. MATTITUCKr N.Y. Hamlet Lot 3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JIIN~ 18, 1971 pursuant to which Building Permit No. 5361-Z dated JUNE 18~ 1971 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 DWRI~.ING WITH ATTA~D ~ARA~N * The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NOV. 22~ LINDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z-4467 DATE~ DECEMBER 1, 1971 Rev. 1/81 p~-£~ J. EI~NORELLI & WIFE 1971 - R. VTT~.A Building In~pe~r FOB~ bO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMrT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 5361 Z Permission is hereby granted to: at premises located at .......... ~lr~.S ........... ~l~ll~b~.~ll~l~: ....................................................... ................................................... ~t..~ .......... ~t~ ........ JII~T,. ...... ......................... pursuc~t to application dated ........................... ~T!III~...-.~ ............. , 19,.~IRL., and approved bY the Building Inspector. Building FORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificnte Of Occupnncy THIS CERTIFIES that the building located at . .[&m.~&~l..¢~ ......... Street Map No. l[&~%,¥~. ~ Block No ........... Lot No. 8 ..... N&~;-~$~k · .]I~.~., ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ......... ~,ll~®' ' 'l[~'~' · ', 19~/~.. pursuant to which Building Permit No.. ~.~6~,'. dated ........... ~Tlll~ ·. ~18.., 19. r~J, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .. Pl,~.va.~e. ~ .f~.y d¥®].-~-~[ ............. : ....................... The certificate is issued to .. 6®l'l~J. liert, on ....... 0~e~ .......................... owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval lleV .22¥ .l~r~.. ']oF .R,-¥~l~.& ..... ........... Building Inspector{ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOI~N I~LL 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 installatiou 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-existinR Buildin~ - $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 .......................... New Construction Old Or Pre existing Building Location of Property .... .~..~..C] ...... .~i.'-.~sZ-~w~C~ C'v-. ~.~4 ZT,~-tz~i~_ House No. Street Hamlet Onwer or Owners of Property ...................... ~ ........................................ County Tax Map No i000, Section ..... /./J~. ..... Block .... '7. .......... Lot...~. ..... Subdivision .......................... Filed Map ........... Lot ...................... Permit No .............. Date Of Permit ................ Applicant .......... - ......... Health Dept. Approval ...................... Underwriters Approval ....................... Planning Board Approval ............ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate .......... S-9 SCHD SUFFOLK COUNTY DEPARTMENT OF HEALTH Date NOV P,:3 1971 Bldg. Permit No. ~-3~Z'/ ~. TO WHOM IT MAY CONCERN: The sewage disposal facilities for a structure (Give deed ~l~cation) / .2 located have been inspected by this department and found to be satisfactory. Chief of General Engineering Ser~iae~ District Engineer NOV 3 P, lgTf Disapproved a/c ..... i..~.~ ................................................................ ~ _.~ ....................... ............................... (Building Inspecto~ . v' /C.. 0 ' APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~ a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building Inspector. b. Plot pi.an.showing location of lot and of buildings on Premises, relationship .to adjoining premises or public s~reets or 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 progress of the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a CerHficate of Occupancy shall have been granted by the Building Inspector. ^PPLIC,~TION IS HEREBY MADE to the Building Department for the issuance of a Bud ng Perm t pursuant to the ~Build!n.g. Zon,e Or.dinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ord nonces or Kegumfions, ~or the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applican.t agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations. ........................................... ........... ............ (Signature of applicant, or name, if a corporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ~. ~o~.. Name of owner of premises ....~...~.~...~..~.¢~.~ .......... ...~..~..~. ......... ..~:...?..~,..~. ..................................................................... If ~licent is a co~omte, si~a~re of duly a~orized officer. ..... ..... (~m~ ~nd fifl~ ~. k~ation o{ lond an which proposed work will b* don~. Mop ~o.: ~.~.~ ~o.~. .......... . s~re~ ~ u mb,~ _~..~ .................. .~ ~ o ~ ~ . 2. $t~t~ ~xi~finO use ~cuponcy b. Intended u~ ond ~cupo~ ...... ~...,.~ ............... ~.w., ......... ~ ............... x~..~ ........................................ 3. Nature of work (check which applicable): New'B~ildin'g' .]....~.~.. ........ Addition .................. Alteration .................. Repair .................. Removal ................. .. Demolition .................. Other Work (Describe) ........................................ 4. Estimated Cost ........I~...~..,~......O~....O.. ............................... Fee ...... i,~/..~..:...O..O.. ......................... ~ ........................................ (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 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 same structure with alterations or additions: Front .................................... Rear ............................ Depth ................................ Height ............................ Number of Stories ................................ 8. Dimensions of entire new construction: Front ....... .,~..Z~ ............ Rear ~..~..O.. ......... Depth ...~i~....?....~..... Height ....... /)..!. ..... Number of Stories ..... ../. .............................................................................................................. 9. Size of lot: Front .........L~...O.. .......... Rear ............ /.~...~.. .............. Depth ..... ~..?...~. ................. 10. Date of Purchase ........ ./.~..~....O. .................................... Name of Former Owner ......~..:.....~'.~./~..~....~. ........................ ! 1. Zone or use district in which premises are situated ........ ...~...~:....%..k.~..~....~...."~.....~....~.. ...................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ ..~. P..: ............................................ 13. Name of Owner of premises ...~...~....c~....k)...v-~.......~......~t~..Address ...~...~....~.......~....~....~......~....~...... Phone No. 7..?...~....~....5~..~...~ Name of Architect ...................................................... Address ............................................ Phone No ..................... Name of Contractor ..~..~...~..%. ...... ..~...OX~..~. ........ 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. J STATE OF NEWky/oI;J~.,/],,~ t c ~: COUNTY~~':~ . / J ~ '"'!'"' "f ""'"" ........... ~.~.~.~.,....~,....[:~.~.~ .......................... being duly sworn, d~oses ~d says that hi is the applicant (Name of individual signing applicmion) above named. He is the .......... .~..~..~.~.~.~ .............. ~.~.~.~.~ ....................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to ~ke 'and file this applicatiqn;'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. Swornto before methis ~ ~ __ ¢ · ........ o, ........ ...... ...... , _; ........... ~ota~ ~ubli~ .~ County ~ ($1~ture o{ applicont) I~m ~pir~ March ~,