The URL can be used to link to this page

Home My WebLink About9374-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25847 Date: 07/24/98 THIS CERTIFIES that the building ADDITION Location of Property: 2620 LITTLE NECK ROAD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 103 Block 4 CUTCHOGUE (HAMLET) Lot 41 Subdivision Filed Map NO. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 22, 1977 pursuant to which Building Permit No. 9374-Z dated JULY 22, 1977 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROEERT C. & DOROTHY NEESE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A /~ld~g Inspector Rev. 1/81 SOUTH*OLD, N. y~' · ' BUILDING PERMIT: (THIS PERMIT MUST BE KEPT ON THE ~?~EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9374 Z Permission is hereby Fee ~.,'..h..:....,}~"~-"'~ ......... TOWN OF SOUTt{OLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildi~ inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property line~ streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 foz~ 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 build? 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 "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 applica~ 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 Occupan~~welling $25.00, Additions to dwelling $25.00, Alterations to dwell~ng>~$2{lO0,_~wimming pool $25.00, Accessory building $25.00, Additions to accessory bul±~mng $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - ~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 D- Date . . . New Construction ........... Old Or Pre-existing Building .......... Location of Property.. ~. ....... ~ ..... ~.X.~ ..................... !../--/~..~. ~'~J ............ ..'~Q. House No. Street Hamlet Onwer or O ers of ...... .... .................. X ......................... F'led Map ............ Lot ................ Permit No .... Date Of Pe~it ...... Applica t ........................ Health Dept Approval Underwriters Approval ............ Planning Board Approval ...................... . Request for: Temporary Certificate ........... Final Ce~? ..... , Fee Submitted: $ ................... 765-t802 BUILDING DEPT. INSPECTION [ ] [ ] [ ] [ .] FOUNDATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] IN~,~JI~ATION [ ~]~INAL ~ FIREPLACE & CHIMNEY REMARKS: DATE I'~OBM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. E×am,ned .............. .... -_ App,,cot,on Ne. ............ roved ~ ~ r ' Z~7'"-/~ ~P '"~/~" '7 ....................... ~ ~,Z2.. ~ ~,, ~o..~ .............................. ..................... ................. 7 .................... {Bu[Idin~ Inspector) APPLICATION FOR BUILDING PERMIT Dr ..... ~.~...~.....~.~. ............... a. This application must be completely filled in by typewriter o¢. in ink and submitted in triplicate to the Building 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 o~ areas, and giving a detailed description of layout ofproperty 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 Buildirug 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. 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. .......... ................ ( 'g a e of applic~t, or name, if a corporation) .... (Add'ss of applicant) 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) Builder's License No ........ ~(..~ ....................... P ' L lumber s icense No .................. :.~_ ....................... Electrician's License No ........... .?... ....................... Other Trade's License No ............. 1. Location of land on which proposed wo~r.k~be done. ~Agp No.:~(,Z~,rF,4~..~Z. Lot4qo ......................... Street and Number .~Z~...~~.~,..~ ..................... Munic~li~ 2. State existing use and occupancy of premises ?nd intended use and--,eccupancy of proposed construction: 3. Nature of work (check which applicable): New Building .................. Additio .. Alteration ................ Repair .................. Removal .................. Demolition .................... Other Work ................................................. ... (Description) 4. Estimated Cost ........................ ..(-~...~....%......'.tT: ............ 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 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 ..../'~.~.~-.?.. ......... Rear .....~....~...../.'T...~. ....... Depth ..,/..4~..~...~.....,~.. -leight . . ~ ....... Number of Stories ....... ~ .................................................................................. : ............... 9. Size of lot: Front ........... ./.~.. ...................................... Rear ...... ../..~.. ............................ Depth ............................... 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. Will lot be regraded . ........................... Will excess fill be removed from premises: ( ) Yes ( ) No 14. Narne of Owner of premises .................................................... Address ................................ Phone No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Nome 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 NEW YORK, COUNTY OF ................................. ~'""~ z ....................... ~).0..~.O..~,..~..(./'....x~......~..~..~...~..Z...~.. ................... be,ng duly sworn, deposes and says that he is the oppliconl (Name of indivk~al signing contract) above named. He is the ................. .~.~.~.~ ........................................................................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or bwners, aha is duly authorized to perform dR 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 thor the work will be performed in the manner set forth in the application filed therewith. Swor~ ~o befere me this .... ........... ...................... , [ MA~ E, DAWSON' ~OTARY ~JC, State of ~e~ Yor~ No. 52.464372L Suffolk Term [x~ires March 30,