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Home My WebLink About10040-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19822 Date APRIL 2~ 1991 THIS CERTIFIES that the buildin~ DECK ADDITION Location of Property 2915 NASSAU POINT RD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 13 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov. 27, 1978 pursuant to which Building Permit No. 10040Z dated NOV. 28~ 1978 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 EXISTING DWELLING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPAN~4ENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JO ANN LOUISE TALBOTT N/a Rev. 1/81 FOI~M NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.o 10040 Z Permission is hereby granted to: .~ ....... ~..-..t~.,....~..~.~... ...................... .~.:,.2~,,~z:.,Z.~.x.,~......: ................. ........... 6~.zc~.~.~,~,,..= ~:..'.~ .......... ot prem~s~, ~oeated at ...~.~.../.~ ....... ~:~...~..'.~/. ........ .(X~.~....--'.. .... ~.¢.~.~..¢(...Z.~,.. ~r. ................. : ............ z..~../.~. ............................. pursuant to application dated ........ ~.~..J~. ....... .~'-.7. .................... , 19Z~., and approved by the Fee $...~'.~....~. .... Building Inspector Form No. 6 ~ OF SOUTHOLD )ING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 form). Approval of electrical installation from Board of Fire Underwriters. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of i% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 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, Swinm~ing 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 - $I0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Comm~ercial $15.00 Date .... ~.t..'"'~. ~. J. ~.~ ........................ New Construction ..... Old Or Pre-existing Building..~ ............. Location of Prope~tj]i~.l,~ .............. .~..~..~.5~.~...f~¢.~..7~..~...~. i ~L~Tc'~~. ............!f......~ House No. Street Hamlet Onwer or Owners of Property..J.o..~.M... A.~. .~..~. ~......~.~..~7.~ .~..~.. .............. County Tax Map No 1000, Section...~...~ .... Block ..... f..~ ....... Lot.../..~. .............. Subdivision .................................... Filed Map ............ Lot ...................... Permit No./.~...~..~.O. .... Date Of Permit../~.[~..~ ..... cant..~,~.~..~ .~.. . Appli ................. Health Dept. Approval..~./~/~.. .............. iUnderwriters Approval../~./.~.. .............. Planning Board Approval .............. Request for: Temporary Certificate ........... Final Certicate .... Fee Submitted: $..~. ~ ...................... ..... .... .... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]/~SULATION FRAMING [ ~ FINAL REMARKS: DATE INSPECTOR ~h ,~/~ INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON~ Senior VINCENT R. WlECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 March 22, 1991 J. A. Talbott . 2915 Nassau Point Rd. Cutchogue, N.Y. 11935 RE: B.P. 10040Z DECK ADDITION Nov. 28, 1978 Dear Mr. Talbott: I am writing to you about the above permit which has expired and you have never gotten a Certificate of Occupancy for it, Please contact our office in this matter. Thank you. Yours truly, Secretary FO~M NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .~...~...~.~" ~--~O~ 192,~., Permit No.. ~ . ...................... ............................................... :' '":::'::~::::" "' ", z - (~lai~ Inspector) INSTRUCTIONS sh sh Application No./(.~...~..~.~. .......... ed in by typewriter o~ in ink and submitted in triplicate to the Building an to scale. Fee according to schedule. uildings on premises, relationship to adjoining premises or public streets or ofproperty must be drawn on the diagram which is part of this application. y not be commenced before issuance of Building Permit. ~ilding Inspector will issue a Building Permit to the applicant. Such permit action throughout the work. ,hole or in part for any purpose whatever until a Certificate of Occupancy Iding Department for the issuance of a Building Permit pursuant to the Bu ........... ,old, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, tar 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. State whether applicant is owner, le~e, agent architect, engineer, general contractor, electrician, plumber or builder. ....................................................... .............................................. Name of owner of premises ...... ~ ............. .-~..,....~...z. ............ ...~...........~.........~....~.. ............................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......... . .~.......~... ............................. Plumber's License No ................................................. Electrician's License No ............................................. Other Trade's License No ............................................... 1. Location of land on wh ch~ p,r~posed work w l~be done MaDNo' ~/~/~' l~r/l'YlZ~,~,~ / ~ Street and Number ...~~..~ ~Z...~.~;~.~.~..~.~.~j~~ 2. State existing use and occupancy of premises and intended u~e and occupancy 9~ proposed construction: ............ b. Intended useandoccupancy ................ ~~./~...y......~zT~z~ ...................................... 3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration ................ Repair .................. Removal .................. Demolition .................... 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 ............................................................................................................................................. 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 ............................ Depth ........................ Height .................... Number of, Stories ..................................................................................................................... 9. Size of lot: Front ........... /~....~... ............................... Rear ...../...~.....O. ........................... Depth ...~.....~...?...-...~....~.~. 10. Dote 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. Nome of Owner of premises ...-.J.:/~..,...; .~...~....~..~../.,~..~.~..~.. ....... Address ..4./....~..r[..'...~..~......../..~'.~=.~.(~)Phone No .............. : ........ Name of Architect ............................................................. Address ................................ Phone No ....................... Name of Contractor · ' - Address . .:.... Phone No ~/~.~5~'/~. ..................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorn 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, ~ c c COUNTY OF ................ ~ ............. ~$"~ .............. f,~4..~...~:..,,..~.....¥_~,. ................................... be,ag duly sworn, depmses and soys that he is the applicon, (Namf0/of ~fvidual signing contract0 above named. / (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or 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 thaz the work will be performed in the manner set forth in the apptication filed therewith. Sworn to ~,~fore me this~,~ , /