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Home My WebLink About9217-zFORM NO. 4 TOW/~ OF SOUTHOLD BUILDING DEPARTPIENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25745 Date: 05/28/98 THIS CERTIFIES that the building ADDITION Location of Property: 325 STERLING RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 104 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1977 pursuant to which Building Permit Ne. 9217-Z dated APRIL 29, 1977 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is i~sued is WOOD DECK ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK & THERESA MELIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEP~RTP~ENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAB 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 tbat tile solder used in system contains less than 2/10 of i% 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, ]957) non-co,forming uses, or buildings and '~re-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-existing Buildinm - $i00.00 3. Copy of Certificate of Occupancy - . .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . , ./. ~../.3~..~ .?C .......................... New Construction ........... Old Or Pre-existing Building..~ ........ Location of Property.~.~.~~...~..~.~-- ..... .~.'.~..--~...~.q.~7.c~..~.. ....................... House No. Street Hamlet Onwer or Owners of Property...~...~..~../~..~.~..~....../~.~.~K.A~. .................................. County Tax Map No 1000, Section ..... ].q..~. .... Block ...... [ ......... Lot. Subdivision .................................... F. iled Map ............ Lot.. ~ ................... Permit No....~..~.!.~...~....Date Of Permit.9.!.~.~../.--?..~...Applicant..~.:...~?.~..V.~.~ ............ Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $. ~.-.~.~..--]. ..................... ~ cL ~1~ ~ '''--~-'~''~"'--'' '~LICANT ....................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] I~...L~TION [ ,-'~INAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1ST ] FOUNDATION 2ND ] FRAMING [ ] RO~/H PLBG. [ ] I/~ISULATION [ ~j/FINAL ] FIREPLACE & CHIMNEY DATE INSPECTOR IFZEp ~THEZE SA IMEt,. ,~ AT C UTC H 0 FORM /qO. ! TOWH OF SOUTHOLD BUILDING DEPARTMEHT TOWH GLERK'$ OFFICE SOUTHOLD, N. Y, Examined ................ ..~..~ ..... ~.~., 19..~..Z Appl,cat,on No .... ..~......~....{..'~.. ...... prove ................ Per ,t ..... ........ Disapproved a/c ............. .,.~...i.......~..... ........................................................... .......... ~~......./..~..~...~....~ ............................... (Bui~mg Inspector) APPLICATION FOR BUILDING PERMIT Date ................... ....... 7. INSTRUCTIONS o Th~s application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showmg Iocahon of lot and of buildings on premmes, relationship to adjoining premises or public streets areas, and g~ving o detailed description of layout ofproperty must be drawn on the d~ogrom whmh is port of this opplicoti¢ c. The work` covered by th~s application may not be commenced before issuance of Building Permit. d Upon approval of this application, the Building Inspector wdl zssue o Buildmg Permit to the apphcont Such pen shall be k. ept on the premises available for inspection throughout the work. e No budding shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildmg Department for the issuance of a Building Permit pursuant to tl Buddmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances, Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Address of applicant) State whether opphcant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builde .................... O.b..v..t.¥..~....~.... ........................................................................................................................................... Nor~e of owner of prom,sos ............ ~.p...(.~.[~.!..C../.~ ......... .~.~.~.~./.~ ...................................................................... If cpphcant ~s a co,orate, signature of duly authorized officer. (Name and title of corporate officer) Budder's License No ..................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Zrade's License No ............................................... /I//~ c,'~/=} C/ F/:J T'~ F,I ~ 1. Location of land on wh,ch proposed work will be done. M~p No ............... I..(...(.~ ......... Lot No Municipali~ 2 State ex~sting use and occupancy of premises and intended use and occupancy of proposed canstruchon: 3. Nature of work (check which applicable) New Building ................. Addition .................. Alteration ............... Repair ................. Removal ................. Demolmor. ............... Other Work ................................................ (Description) ............... o 4 Estimated Cost ........................................... Fee .................................................................................... (to be paid on filing th~s application) 5 If dwelling, number of dwelhng umts .......... jr ..Number of dwelling units on each floor If garage, number of cars ................................................................................................................................... 6 If busmess, commercial or m~xed occupancy, speofy nature and extent of each type of use ........................ :2. . 7 Dimens,ons of ex,sting structures, if any: Front ....... 7...7.. ........ Rear ................................ Depth ......... .7.. .... Height ........................ Number of Stories ......... ~-'~ D~mens~ons of same structure with alterations or addmons: Front ............... .7...7.. ............. Rear ........................ Depth ........... ..~....f ............ He,ght .......................... Number of Stories ......... ~:: .............. 8 D,menslons of enbre new construction: Front ................ .,~....~. .......... Rear ............................ Depth ..../.....~.. ......... Height ................... Number of Stories 9 S~ze of lot Front .................................................... Rear ......................................... Depth ...................... lO Date of Purchase ................... ../~....u'...~..../...~./+....J...~./...~...Name of Former Owner ..... .......... .~,....l?..c....k'....~...~...... .... 11 Zone or use d~strlct in which premises are situated . '~-_~ I ~ ~ 12 Does proposed construction violate any zoning Iow, ordmonce or regulation: ..................... .../~......~.. ..................... 13 Wdl lot be regraded ........................... Will excess fill be removed from premises: ( ) Yes ................................................................... 14 Name of Owner of premises ...~....~....'~.. /~fZ.m ~_ / A/ Address ~'?-'~'r-/o ~ ~,-E Phone Ho .................... Name of Architect ...................... ~ ...................... Address ................................ Phone No ................... Name of Contractor ........................................ Address ................................ Phone No ................... PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether ex~st~ng or proposed, and indicate all set-bock dimensions fr~ property hnes G~ve street and block number or descnpt,on accord,ng to deed, and show street names and indic,: whether mtenor or corner lot STATE OF NEW YORK, ~U, ,~/~'F~ ~ COUNTY OF ........................... ~"'~ .................... .~.../'.~...~.-../.~...~....~..!..C..(~ ........... .~.~.~...~../....~'..l ..... being duly sworn, deposes and says that he ,s the mpph (Name of indiwdual signing contrac~ above named. He ~s the .................. ~ ~/~.~..~ ......................................................................................................... .... ~ractor, '~gent, corporate officer, etc ) ........... of sa~d owner or owners, and is duly authorized to perform or have performed the said work and to make and this applicat,on; that all statements contained in th~s application are t~e to the best of h~s knowledge and belief; that the work will be performed in the manner set fo~h m the apphcation filed therewith. Sworn to before me this ...................... ...... ......... ................. ..................... IHD~TH T TERRY ~.~, ~ ;" bhc, S'a~m of New York No, 5~0344953 Cuf,olk ~unty. ~mm~sion ~p~res Mar~h ~0, Z~