The URL can be used to link to this page

Home My WebLink About6814-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19102 Date JUNE 4~ 1990 THIS CERTIFIES that the buildin~ Location of Property 620 LAKE DRIVE House No. County Tax Map No. 1000 Section 59 Subdivision ADDITION SOUTHOLD~ N.Y. Street Hamlet Block 1 Lot 22 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 23~ 1973 pursuant to which Building Permit No. 6814-Z dated AUGUST 23~ 1973 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 ONE FAMILY DWELLING The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 JAMES & BARBARA M. GENOVESE Building Inspector FOBM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFIC:E SOUTHOLD, N~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 6814 Z Date ................. AU~A~t ....... ~,~ ............ , 19~... Permission is hereby granted to: .E~.v..:...~[.e......6/...c.....:.~a.....~..~m.e.~.e. ........ ........... ~.o...u..t.~.o. lp, .................................................. t Build an addition on existi.n.~ dw~.!l~a ~"~ Southold N.Y. pursuant to application dated ...................... ~lAg ....... ~ .............. , 1~.~...., and approved by the Building Inspector. F. s..tff.?.~ ........... TOWN HALL 7 5-18o2 TO'v¥~,' [ ,S' ' ' APPLICATION' FOR CERTIFICATF. OF OCCUFANC¥ An 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. 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. Fees i. Certificate of Occupancy - New dwelling $25.00, Additions tn 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 ............ New Construction ...... ~Z... Old Or Pre-ex~tinjg Bui~d~ag ......... i~.',~~.'~.']]]].~,'~ Location of Property .... House No. /) Street p y ........... ~.f/....._~.. ..... ~ ......- ..... Onwer or Owners of Pro ert .~?...~...~...~.~..~. County Tax Map No 1000, Section ...... 5.~....Block ........ / ..... Lot ..... .~....~.. .......... Subdivision .................................. . . Filed Map ............ Lot ...................... Permit No. ~.~.[9.~ ........................................... Date Of Permit . .Applicant . Health Dept. Approval ....................... ... Underwriters Approval ........................ . Planning Board Approval ....................... . Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $...../.~....~.?.g ............ ~ ~ . ~_~f.~.~.~--~ ~ . ............ NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. ORDER TO REMEDY VIOLATION //(owner or authorized agent of owner) , (address of owner or authorized agent of owner) PLEASE TAKE NOTICE there exists a violation of: Zoning Ordinance Other Applicable Laws, Ordinances or Regulations ............................................ at premises hereinafter described in that .~-,~'/. '~.~.~.: ..~';..~..,.~..~./~...~.~.. (staSh/aracter of violation) in violation of ..... ~-.-/-~,..Z~.~..~..~.~Z.~...~......~... ...... ~..~/.~...~'.../..~.....~....~..:../.. ........................ (State section or paragraph of applicable law, ordinance or regulation) YOU ARE THEREFORE DIRECTED AND ORDERED to comply with the law and to remedy the conditions above mentioned forthwith on or before the ....... j~/~:~/~ ..........~_~..~...~...-.~ day of ........... , .................... , 19 ~ ~remis/~i~hic~ ~,~O~R_~R~yMEDY VIOLATION refers are situated at ~.~..~~.~.....~....',~.,~'.4.,~.f.~...":~ ...... County of Suffolk, New York. Failure to remedy the conditions aforesaid and J~ comply._with th~, applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. '~ I ~ . 0 (~ Bu,ld'in'~ Inspector 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [-~NAL INSPECTOR 765-t802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ~J~INAL REMARKS: DATE ~/$//~ INSPECTOR //~~/' /~ TO;~N OF SOUTI~OLD BUILDING DEPARTHENT T0Wi~ HALL $OUTDOLD, NE:; YOHK 765 - 1802 11~71 BLDG. DEPT. TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANcy DATE. N~ CO:;STRUCTIoN --. OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~o,,~,, o~ ~o~...a~...' . ~ ~ ' . ............... ........ ,o, ....... ~eal~h Dept. Approval ......... .................. Underwriters Approval .............. Planning Hoard Approval Rcque=c for Temporary Certificate " ....... Final Certificate .~...C o, o.~.~.~. Fee Submitted: $.. . 1011411]8 ~_ / BUILDING DEPARTMENT / / ~ ~ ~ ~ TOWN CLERK'S OFFICE ..., ~ ' /'~ - - ~* ,~- ~'~ ~ ~U~.OL~, ,. Y. ~/'/~- ~ ~ ~ Exam, ............. , ........ ,, .............. .............. ,.. Di~pproved a/c .................................................. ~~ ~~ - ; ........ ....... .......................... ., ~'--~1 .... - ~ ~ ~ ~/~/~-~4- ~'~D~"'"~ ...... :'": ........ ' '-'": ........ ~. 'This ~ppli~ must he compl,t, ly f'll~d in by ~writ~r or in ink ~nd submitted i~ triplicat, to the Buildin~ Inspector. with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, an~d giving a detailed description of layout of property must be drawn on diagram which is part of this application. c. The work covered by this application may not he commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept the premises available for inspect!on throughout the work. e. No building shall be occupied or used in whole or in pert for any purpose whatever until a Certificate of Occupancy shall have heer? granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building ZoneI: Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for th~ construction ~ buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws,-' ordinances, building code, housing Code, and regulations, and to admit authorized inspectors on premises and in bvildi ngs. f~9,r necessary inspections. I~ ....... ......................... I$ignatura of applicant, or nerna, if a corporationl ........... ................................ i ....... (Address of applicant) State whether applicant is owner, leL~ee, agent, architect, engineer, general contractor, electrician; plumber or builder; ....................................... ~ ................ ~. ~./.~.. ~;;~'~./tT~,~ .................................. ;.;.~ ............ ....................................................... Name of owner of premises ............ ~.,~...~.....[..~.~-,-4~/~..~'~='~.. ........ ' ................................... ~ ................................. If applice~t is a corpor~e, signore of duly aUtho_rized_offi~cer. , {Name n~/~itl~ of c~orate 1. Location of land on which proposed wo~k will be done. Map No.: .................... Lot No .............................................. Street and N tuber ........... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............. ~.d~.~..z...~.~%f/....:.~......~....'. ....... ........ ............................................. b. Intended use and occupancy ................................................................................................................................. 3. Nature of work (check which applicable): New Building ....................... Addition ..................... Alter~atl~&n ............... Repair .................... Removal ................... DemolitiOn Othe Wok ......................... (Description) 4: Estimated ~;ost .......... .! .............. ~ ......... ; ........ (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 stl;uctures, if any: Front ..... .~..f~...r. ...... Rear ........ ..~,~...C~.....~ ........ Depth ......... ..~.~...[. .............. Height .......................... , ................................ Number of Stories ...........L ............................................................... Dimensions of same structure with alterations or additions: Front ..... ~.,Z'... ............ Rear Depth ........... ..~..~.. .......................... Height ......................................... Number of Stories ....... .L. ............................. 8. Dimensions of entire new construction: Front ...... ~...~.../.' ........ Rear ........ ..,~.....~..../.' ......... Depth ....... ..~..~..../. ............... He ght ............................... Number of Stories .........L...:i ......................................................................... 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: ...... ~ ............................................. 13. Willlot beregraded-----.~.....~... ................... Will excess fill be removed from premises: [ ] Yes [~ No ,~ . . .~ ~ ~ (Address) (Phone No.) Name of Contractor ........ , .............. ~ ........................................................... (Phone, No.) '" ' ~' PLOT DIAGRAM Locate ~[e~rly end dJstinctl,y a!l~ bu.ildings, whether existing or proposed, and indicate all set-beck dimensions from property lines. Give street and block humber or description according to deed, and show street names end indicate wheth- er interior or corner lot. ~ -------]~ 1 L-- .......................................................... ~ ......................... : ...... being duly sworn, d~po~s and says that ha is the a~plieant eboe named. (Contractor, a~en~, corporate o.t'ficer, et¢.J of said owner or owne~rs, and is duly authorized to perform or have performed the said work and to make and file this application; that ell statements contained in this application are true to the bast of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. OUT[~OL~ ~L_~Lb. ~ ~ I~o~ p~Ft- q