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Home My WebLink About9509-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19718 DATE: February 7e 1991 THIS CERTIFIES that the buildin~ Location of Property 7635 BAYVIEW ROAD SOUTHOLD~ N.Y. House No. Street Hamlet' County Tax Map No. 1000 Section 78 Block 9 Lot 30.1 Subdivision Filed Map No. Lot No. ADDITION conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 21, 1977 pursuant to which Building Permit No. 9509-Z dated OCTOBER 21, 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A WESLEY R. & AGNES P. DICKINSON -- ~ilding Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDIHG DEPARTMEHT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TH.E PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 9509 Z Date ...................... .~.~ .t, ......... ~,! ............ , 79...22 Permls~ion is hereby granted to: at premises located at ...~Z~.W..~I~..~...~I~..~I ............................................................... ...................................................... ~..o.~.hglsl.....~.~X, ......................................................................... pursuant to application dated ......................... .~,1~.....~_1 ........ ..,..., IS~.~. ..... and approved by the Building Inspec~c~r. Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i · APPLICATION FOR~ CERTIFICATE OF OCCUPANCY · %- This application' must be filled in by ~ypewriter 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 state&ent 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, 19~7) 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 o£ 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 Building - $100.00 3. Copy of Certificate of Occupancy " U .... - $5.00 over 5 years - $10.00 ~- pua~=u C~rnificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ... / ............................... ::ew Construction ........... Old Or Pre-existing Building...~ ............. · ................. House No. Street Hamlet ''' ;County T. x Ho 1000, Section....V..L ...... Bloc .... %.' ......... ............. !Subdi~ision ............. - ........... . ........... Filed Map ............ Lot.l ............... ' ..... leal~h Dept. Approval ........ ~ ............... Underwr'~ . -~ .' x~-*. !equest for: .Temporary Certificate ........... Final Certicate. TOWN OF SOUTttOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. /~/ The check is(outdated/not on file.) /-/ No Health Dept. Approval on file. No final inspection has~been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ .__~c) C~ ~, __ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. all permits involving plumbing being issued after April 1,1984 ) OF 5OUTHOLD OFFICI£ OF BUILDING INSPECTOR P.O. BOX 1179 TOWN IIALL SOUTIIOLD, N,Y. 11971 March 2, 1989 TEL. 765-1802 WesleyR. & Agnes P. Dickinson 7635 Main Bayview Road Southold, New York 11971 To Whom This May Concern, Re: Building Permit #9509-Z 'Building Permit #15450Z We are unable no complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is not on file. (ENCLOSED) /_--/ MO Underwriters Certificate on file. ~.~_/ The check i~,;(~gXX~X~xl/not on file.) /~/ No }leal. th Dept. Approval on file. /~/ No final inspection has beea made. $25.00- #9509-Z $10.00-# 15450Z contact ()ur office on this matter. Z Thank you for your cooperation. lhlild~.ng Periili. t t} Building Dept.. *~/_--/ rio Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) BUILDING PERMIT APPLICATION ENCLOSED FOR WOOD STOVE. PLEASE FILL OUT AND SUBMIT TO THE BUILDING DEPARTMENT. ALSO CHECK FOR $25.00 FOR PERMIT TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 DATE: TEL. 765-1802 Applicant: Wesley R. & Agnes P. Dickinson Bayview Road Southold, N. Y. 11971 Dear: While reviewing our files I find that your expired permit c/~ has never been finalized. Kindly return the enclosed application with a check for ~.~. Also, please call and arrange for a final inspection so that we may issue a Certificate of Occupancy on the above property and complete this outstanding file. Yours t~uly, OCCUPANCY OR USE IS UNL&WFUL WITHOUT CERTIFICATE ~)~ OCCUPANCY Victor Lessard Executive Administrator 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDA'~ON 2ND [ ii INSULATION FRAMING [/.~1NAL DATE NST UCTIONS a. This application must be comp~?_~_ly filled in by typewriter ~ in ink and lubmitted in triplicc~ to th~ Buildir~ Inspector, with 3 ~t. of ptom, occu~ plot plan to .cole. Fee according to schedule. b. Plot plan showing location of lot and of buildings on preml.ses, .rel~'ionship to adjoini ,rig. p .r?nise~. or..,1~. Iic are~s, and giving a detailed description of layout ofproparty must be drown on the diagram Which I$ p~w m' m,$ .pplicotion.e~ c. The w~rk covered by this application rna/nae be commen~ed before issuance of Bulging Permit. d. Upon ~prov. l of this application, the Building Inspector Will issue a Building Permit to the ~:~plicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building sh~ll be occupied or used in whole or in part for any puq~:~e whatever until o Certific~te of Ooculxlncy APPLICATION IS HEREBY MADE to the Building Deportment for tile issuance of a Building Permit pu, .m~. to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other eppliceble I.aw~, Ordmm~c~ or Regulations, for the construction of buildings, additions or alterations, or for removal' or demolitk~, ~ herein described. The applicant agrees to comply with all applicable laws, ordir~nce,, building code, hou~lng code, qnd reguletionl, end to admit authorized inspectors on premises croci in buildings for nacessory Impectiom. .... ........................................... (Signature of applicant, or name, if o' corporation) ......... :. ............ ......................... (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ................................................................ , .................................................................................. Name of owner of premises ...... ~.~:~.~-~. ....... ~./.~./~('X~.. ............................................................................ If applicant is a corporate, signature of duly authorized officer. ;. ..... ? ~/ (Name and title of corporate officer) Builder's Licet~se No ..................................................... /ooe- '7~- cj_3o 1. Location of land on which work will be done. M. ap No.: ............. Lot No. Street and Number ~/~..~(~.~.~'~'.~7~.~.~/.~.~.~9~'yZ~..~...~.~~~/ i Jw~llCll~my ...... 2. State existing use and occupancy of premises and intended use and occupancy of proposed camtmcflon: a. Exisiting use and occupancy ........... ~.~..~--~: ............................................................................... b. Intended use and occupancy ............. x~.~l..~...~ ........................................................................................ 3. Nature~of work (check which applic.able): New Building-,:.. ................ Addition ................. Alteration ................. Repair .................. Removal .................. Demoiitibn...: ................ 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 ...... /.. .................. If garage, number of cars ...........,74(41 .A~.,~..~.. ............................................................................................................ 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 ....~....~,,w... Height ...a~...../. ......... Number of Stories ....~.~:.3,,,~ ................................................................................................ Dimensions of same structure with alterations or additions: Front ........ ,~......Z~.. ................. Rear .~..~.'~ .............. .L Depth ............. ~'..~. .......... Height ....... ...~=.O.. ............. Number of Stories ..... /....~' ............... 8. Dimensions of entire new construction: Front ....... ~ .................. Rear ......................... Depth ..~.~... ..... Height .................... Number of Stories ...................................................................................................................... 9. Size of lot: Front ......... ~./.~ ...................................... Rear ....... ~'~...~. ........................... .Dqpth .,.~;~.,,./..~. ........... 10. Date of Purchase ........................................................ Name of Former Owner ..... ...~...~...'~ .................... 1 1. Zone or use district in which premises are situated ....,~/~..J.~..~.,'-~L~.~]..~..~. ......................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ........................................................ 13. Will lot be regraded ........ .~'..o....-. ........ Will excess fill be removed from premises: ( * ) Yes ( 14. Name of Owner of premises ..~/x~,-~A~. .... Address ................................ ~ No ....................... Name of Architect .............................................................. Address ................................ Phone No ....................... Name of Contractor .{~.~/3~..J~.~Z'J~......~.~d~ .~. Address ~.~:J,~2.. ...... 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 ................................ ~ '"'"" ...... ........... ........ ' ........ being duJy sworn, deposes and says that he is the applicam (Name of individual signing contraL-t~ above named. He is the ....... .(~..'~4~..~... ......... 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 *his application; that all statements contained in this application are true to the best of his knowledge and belief; end that the work will be performed in the manner set forth in the application filed therewith;