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HomeMy WebLinkAbout9766-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17142 Date AUGUST If 1988 County Tax Map No. Subdivision THIS CERTIFIES that the building Location of Property 750 House No. 1000 Section Flied Nap No._ ACCESSORY CEDAR POINT DRIVE EAST 90 Block 2 SOUTHOLD Street Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore fiied in this office dated JUNE 5~ 1978 pursuant to which Building Permit No. 9766Z dated JUNE 6, 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 ACCESSORY DECK The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ALBERTO & JOAN MONTOYA (owner, B~ilding Inspector Rev. 1/81 FOP. i~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 9766 Z June 6 78 Dote ........................................................ , 19 ........ Permission is hereby gronted to: Sidney Beebe .......... ;?j'"'~':'"~'"~t~'~'~ .............. to ................................................................................. (?....Z..~ ............................................................... 750 Cedar Poin~ i~*tve East at premises located at ................ ~.~.~.8~..~.;...~.~..~,~ ................................................................. Cedar Beach Par~$ Map # 90 Lot pursuant to application dated ....................................................... , 19 ........ , and approved by the Building Inspector. Building Inspector 100g-90-2,-18 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUP/~ Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.Oo $ 20.00 5.Updated C.O. $ 50.00 Date .......................... New C OhS truct i on ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~.~ .~.~.0 House No. Street Nam/et Owme~o~O~me~sofP~operty,.. ... ..... ................... . . f. County Tax Map No. 1000 Section ~]0 B'ock ~ Lot Subdivision ................................. Filed Map No ........... Lot No. ~armit No .......... ~ate oJ ~armit ...Applicant ~aaltk Pept. Approval ........................ Labor ~ept. Approval ~nde~ritar~ Approval ........................ Planning ~oard Approval ...................... ~ ~quest for Temporar~ Oertificata ................ Final Oartificata .... '[~ .................. Fee Submitted $ /~, O~ ~. ~-/ ~ - ' Construction on above described building and permit meets .alk~pplica~ble codes and regulations. C,0 £7z I ^pp,oa t ......... '.. ~1~o~ ~i4~ Z<~ ..... ~Z~Zb .......................... TOWN OF §OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y. 11971 December 14, 1987 Dr. Albert blontoya 7/~;~f 750 Cedar Point Drive /~_ ~ Soutbold, New York 11971 .~ TEL. 765-1802 This is to advise you that the job under building permit no. 9766 Z issued to Albert Hontoya on June 6,---]~/~r Accessory Sun Deck is completed a final inspection has ~XXX) ~x~mx~xxx~x~ done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the eac)osed form, return same to the above office with a check for 10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occopancy is to be mailed, and arrange with this offibe for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Tbank you for your prompt attention. Very trul Victor Lessard Executive Administrator VI,: ga r Remailed to: ]2 Shelter By Drive Great Neck, New York 11024 FORM NO, 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN C,ERK'S OFFICE SOUTHOLD, N. Y. Examined ......... ~g,;g.~ .............. .~....., 19....~..~ Approved ~T~.t~e ~o 19...~.8. Permit No. 9766Z Disapproved a/c .............................................................. ................................................ iiZZ Z . ............ (Building Ihspector) Application No ......... ~..~...~...~. .............. ^FP,C^T'ON FO, ,Ut'DINe FE,MIT INSTRUCTIONS Date . ........ .................. a. This application must be completely filled in by typewriter o¢. in ink and submitted in triplicate to the Buildin9 Inspector, with 3 sets of plans, accurate plot plan to scale. Fee. a,~cordi~ig to schedule.!. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoinin, g~ premises or public streets or 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.beforeiissuance o( Building Permit. d. Upon approva of th s app cat on, the Building Inspector Will i~s'u~ 0 Buildir~g Peri, it 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 fo comply with oil applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and ir~ buildings for necessary/ inspections. (SignaturbJof applicant, or name, if a corporation) ........... .......... (Address of appli~,~nt) State whether o/pplicont is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Nome of owner of premises .................... I{ 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 ............................................... Location of land on which proposed work wiJ' be done. Map I~o.: ........... .~._....~.. .................... Lot No. /..~.'..~.~... ........... Street and Number ..... ~Z..;~.. ........... C~'.~,.'!~-~L~,..t?'~.~-~. .......... ~f~'.'),-". ............ ~'~,C~ .................................................... Municipality State existing use and occupancy of premises an~in~.ended use and occupancy of proposed construction: b Intended use and occupancy ............. w.~.. ................................................... / ................................................... 3. Nature of work (check which applicable): New Bu,ld,ng'. ................. Add,t,on ......~_. ..................... Repair .................. Removal .................. 'Demolitior .................;... Other Work.~rn,,~c~.....r...--,cr~,?.~"/'~'-'~'¢ ~ ~'~ ................ .... ....................... ' Fee' ~ 0 (Description) 4. Estimated Cost~f¢"~'4~-Fg...~..~r...=...~-. ........................................................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................ Numbcr of dwelling units on each floor ............................ Jf 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 sbucture with alterations or additions: Front .................................... Rear ............................ Depth ................................Height ............................ Number of Stories ................................ 8. Dim~,sions o~ entire new co,,~ruc~ion: Fro,~ ...... ~..~ .....................R~=r ..~ ......................D~p~h ....<.~ ............. Heiflht .................... Number o~ Stories ..................................................................................................................... 9. Size of lot: Fron~ ...~.~.~.~ ....................................... Rear ..~.O .................................Deplh .~.~.~ .............. 10. D~te of Purch~s~ ........................................................N~m~ o~ Former Owner ........................................................ 1 1. Zone or us~ dis~ric~ in which premises ~re sffuo*ed .................................................................................................... "T'~- 12. Does proposed construction violate ony zon[nfl I~w~ ordinance or reflul=~ion: ....... ~ ........................................ I3. Will lot be regraded ...~O..=-.. ......... Will excess fill be removed from p~mises: ( ) Yes ( ) No 14. Address Phone Name of Architect .~ ........................................................ ~ Address ................................ Phone No ....................... Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate ~11 set-back dimansions from property Hnes. ~ive stree~ and bbck number or descr~tion according to deed, ~nd show street names and indicate whether interior or corner lot. STA-FE OF NEW,~,.O~J~,. ~ /7 LS S ' COUN'I~ ................ .....being duly sworn, deposes and says that he is the applicanl (N~n i [vdu~ signing contract) above named. He is the .......... ~/. · · · .---.................. ....................................................................................................................... (Contractor, agent, corporate .officer, arc.) of said owner or owners, and is duly a~thoFized 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 that' the work will be performed in the manner set forth in the applicatJ6h filed therewith. Sworn eth .............................