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Home My WebLink About11546-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Ot Occupancy No.~l ~ 5.4.3 .......... Date ~eb:vuary 25 19~?.. THIS CERTIFIES that the building ...A?.o.? .~.a.a.~..~. ................................... L ..... 970 Smith Drive South Sou~hold~N.y. ocarlon oi yroperw ............................................................ House No. Street ~l~nlet County Tax Map No. 1000 Section 076 .Block 03 . .Lot dG.00d Subdivision.. Goose Neck .Filed Map No. `1663 .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated January 2'1 , 19 .~.2. pursuant to which Building Permit No. `1 `15~6Z dated.January ............................ 22 19 .~.2, 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 ......... For a deck addition The certificate is issued to ~state o£ ~.dward J. ~lanaga~ ..................... io~n'e;', 'l~s'sde'dr't;~a'n't) ...................... of the aforesaid building. Suffolk County Department of Health Approval ...i~/(.A. .................................... UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 TOWN O~ soUT.~ BUILDING TOWN HALL SOUTHOLD, N~ Y. BUILDING' P, ERMIT~' (THIS PERMIT MUST BE KEPT ON THE PREMISES COMPLETION OF THE WORK AuTHORIzED) N9 i15 4 G z oo,, ..~ Permisslort is hereby granted to: .... ~...~. ~ ..... ~~ ...... pursuant f~ application dated .~~ ~ ...... ~....~...., 1~ ~., and approv~ y Building Inspector. Fee ~. FORM NO. 6 TOWN OF SOUTHOLD Buiidin9 Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CFRTIF1CATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 topograohic fe3tures. 2. Final approval of Health Dept. of water supply and sewerage disposal--iS-9 form or equal). 3, Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar build~9~ 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 peoperty 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ..... , . · New .... ~ ..... Old or Pre-existing Building(X)., ........ ../Vacant Land ............ Location of Property ~ v~ House No. Srree~ Ham/et Owner or Owners of Property ... " County Tax ~ap No..1000 Section ............... Block ............... Lot.. Subdivi~io~ ................................. Filed Map Nb .... Lot No ...... Permit No. // Date of P~r ....... Appffcant .. %~&.%. .~y.e;~.. Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Unde~riters Approval ........................ Planning Board Approval .................. yc ' Request for Temporar ertificate ......... Final Certificate Fee Submitted $ ,S ~oo. Construction on above described building and permirmeets all app~cabl~o~s and regulations. ............ . ..... ~FORM NO, § TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 13971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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 peoperty 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. , 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date .... New Building ...D.e.c.k. ...... Old or Pre-existing Building(X) .......... ~/Vacant Land ............ ' 9~,0 Smith Drive South .Sout.h?!d Ne~ ~or~r Location of Property .................................................. House No. Street Ham/et Owner or Owners of Property . .~a~at, e .~f Ed,~,z:d,'.J..~.-$,l. anaga,u. .............................. County Tax Map No. 1000 Section ..... 07.~ ....... Block . .03 ............ Lot. 1~'~.~'.5.2;~7 ...... Subdivision ...':?.~??'~' '~o~-' ~' ........... Filbd Map No..)/.' ~..~...Lot No...~,!,..~.~.'~,... Permit No; ~-lSb~ ..... Date of Permit .1/.2~/.~2..Applicant .... .G..e.o~'g,e. ,S..B.a.u,e.r. ............... Health Dept Approval La~or Dept Approval ' Underwriters Approval ........................ Planning Board Approval .................. Request for Temporary Certificate ................... '..Final Certificate ., Fee Submitte $.5,9.0 ..... ' .............. .~ ..... FIELp f6;SPECTION COMMENTS ~ .~. , FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL {~ Co ADDITIONAL COMMENTS: FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 xam,ned. z_.., Approved ~/.~./7....'~. ,~.-..., l~.'.2f'. Permit No../.~.~, -~, Application N~ ....... Disapproved a/c ..... -~-~ APPLICATION FOR BUILDING PERMIT Date . O'~¢grT. ~l/~g .... , I9. INSTRUCTIONS a. This application must be completely filled in by typewrit.ej' 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap!: cation. c. The work covered by this application may not be commenced before issuance of Buitding Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the.applicant. Such per:: shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or uscd in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION 1S HEREBY MADE to the Building Department for the issuance of a Building Penait pursuant to t Building Zone Ordinance of the Town ~f Sonthold, 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 describt 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 in~ections. · ........ '--('Signatm~of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is o;vner, lessee, agent, architect, engineer, gedw-ggk~lg~29g electrician, plumber or build 3uil~er. Nmnc of raw,er of prcmiscs ... ~l. atla, t.e. o£. Edward. J.. Fltmagan ............ (~/i lbur .,I .]$usohmann ) ......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... tit5.8 ................... Plumber's License No ......................... Electrician's License No.' ...................... Other Trade's License No. ' 1. Location of land on which proposed work will be done .... iffOft!;g.I)rt,'~ .~W4tlh ........................... House Number Street Hamlet ' County Tax Map No. 10O0 Section ............... Block .... O ~ .......... Lot .~.g(.: Z ........ ............. Subdivision..~ ................................ Filed Map No..d ~ ...... Lot ~/ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. Pr~g~}~.gO¢~ ..................................................... b. Intended use and occupancy .... 9O~g. 4~4i}i0n ............. 3. Na'ture ofxvork (check whict, ipplicable): New Building .......... Addition .......... Alteration .......... Re~imval Demolition Other Work .. Repair ......................................................... (Description) ' Estimated Cost : (to be paid on filing this application) ;. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .......... lfgarage, numberofcars ...i ............................................................... i. If business, commercial or roi,xed occupancy speqffE hature and extent of each type of use ............... I. Dimensions of existing structures, ifany: Front.~.' " . ...... Rear ............ Depth ......... Height Ntimber of Stories Dimensions 6f same structure with alterations or additions: Front ............... Rear ............ Depth Height ' Number of Stories .... construction: Front "Rear Depth ~. DllnenslonS of' entire new ........ ,..., ............................... Number of Stories x:. Height ................ , ................................................. ~ Size of lot: Front ' ' Rear Depth ) Date 6f Purchase ' Name of Former Owner I Zone or use district in which premises are situated ..) Does proposed construction violate any zoning law, ordinance or regulation: ,...........,..,.......... 1. Will lot be regraded .......... ' .................. Will excess fill be removed from premises Yes Nc I..Name of Owner of premises .: ................... Address ................ .., Phone No ................ Name of Architect . Address Phone No Name of Contractor ....... ' ................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimension's frorr roperty lines. Give street and bloclk number or description according to deed, and show street names and indicate whethe~ ,teffor o~ corner lot. rATE OF NEW YORK. , ....~..eO..~ .g......--~... .... ~..c3A./...e;..r- ....... · being dnly sworn, deposes and says that he is the applicam "(Name of indMdual signing contract) :love nanled. e is the .. ....................................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, m~d is duly at thorized to perform or have performed the said work and to make and file thi: :lphcatmn that all state ncnts contained in this applicat on are true to the best of his knowledge and belief; and that thc 'ork w/Il be performed in the manper set forth h~ the application filed therewith. worn to before me this : PU~/IC, St~lo 0S N~w Yot~{