The URL can be used to link to this page

Home My WebLink About11689-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall SouthoYd, N.Y. CERTIFICATE OF OCCUPANCY No Z-20259 Date OCTOBER 3{ 1991 THIS CERTIFIES that the building ADDITION Location of Property 950 SOUTH HARBOR ROAD SOUTHOLD~ N.Y. House No. Street H~mlet County Tax Map No. 1000 Section 75 Block 3 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 24, 1982 pursuant to which Building Permit No. 11689-Z dated MAY 24~ 1983 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 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 Rev. 1/81 JEANETTE H. GOLDEN ~6il/d~inspector FOR~ No.~ TOWN OF SOU~THOL~ BUlLD~b~G DEP~RT/~E~T TO~N H~LL SOUTH'OLD, N~ Y~ ~ ' BUILDING PERMIT · (THIS PERMIT MUST BE KEPT ON THE pREMisES COMPLETION OF THE WORK AUTHORIZED) UNTIL Dote ; .......... ~.~/. .. .. .; .. .. Z Permission i~ hereby granted to: 19..?....''2 ~5 o £~u 7t~ /~I~ /~ '~ .a,.i~ t ~ ................. .~>u ~ ~/.~ c/,) ~/ Y. ~ t / ~ ~ / ~o ..... ~.~...,~ ......... :~.,b.~,.~.~,.~'...~ ......... :.~ ......... .b.~ ~:~,-.,~..~.~.~z~. ............... ~. ....... . ~t pfemise~ located ot ....................................... ~. ............. , ............... ............. , ...................................................................... ~.~ _...._.L...~.....~/.~ ........................ Coun~ T*X Map No, 1000 Section .: ........... ~...~... Block .;....,,...~ ....... kot No .......~ ............. Building Inspector. Fee $...(....)~ ............... Rev. '6/30~80 Form No. 6 TOWN OF SOUTIiOLD BUILDING 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: I. 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). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement 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. ~or 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. 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 - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ..ew Constructzon .......... Old Or Pre-existing Buildin~ ................ I,ocation of Property...i .~.~.-~. House No. Street Hamlet County Tax Map No 1000, Section .... .Tj~ .Block ..... ~ .Lot...~.~. ~{ubdivision .................................... Filed Map ............ Lot ...................... Permit No '' ~.~.Z Date Of Permit / ! Health Dept. Approval .......................... Underwriters Approval ......................... ['lanning Board Approval ........................ ',eques t for: ~ee Submitted: $.~.~ ~.~-~. Temporary Certificate ........... Final Certicate ........... x. ','*~ FOI LOW NG INS6E L F( UN~,AT~ok~ :L .kO~ t~q . F~AM~NG & PL(dM~N~ 3. INSuL.A"!ON' 4. FINAL . , , 13E CC)M 4 ETF FO-, C ' '" : '~k ~.0. ALL CODEs. NOT ,v~ '/NU~TiON ER~O~s. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL,: 765-1803 l/ Examined ......... ~..,('..)~./( 19 Disapproved a/c ........... ~ .................... · , , ( uildmg Inspector) . APPLICATION FOR BUILDING PERMIT Date . .I%y..2.4. ......... ,19.82. INSTRUCTIONS a. This application must be completely filled iu 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 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 apF cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approTal of this application, the Building Inspector will issue a Building Permit to the applicant. Such pern 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 Occupan shall have been granted by the But/ding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building 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 inspec/~ions. £~ ~of applicant, or name, i~fi corporafion) ~ a n a reso at) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buff& ................... A.ppli cant. ia .ou,,nem ..................................................... Jeanet~e H Golden Nmne of owner of premises ' (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 N0 ................ 0 .~. J..~]...~..~.~ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land pn which proposed work will be done. a~So~l,l~. ~[-t~3'.b. c2~..Ro.a, cl,..S.99 .~.h.o.~..d: ........ ..... .........s'a,-,-,o House Number Street Hamlet Gounty Tax Map No. 1000 Section ........ 7.5 ......... Block .... .3 ............. Lot. 1.3, Subdivision Filed Map/No Lot (Name) 2. S~ate existing use and ~ccupancy ~f premises and intended use and ~ccupancy ~f pr~p~sed c~nstruc~n: a.~Existing use and occupancy ...... ~.K~v.a&~..hgp..~*,: ............ k ............................... b. Intended use and occupancy ..... Zr. 5..v.a&e...hg.u. Se.... ¢0 ..... 6.':C. (...~ ~. sc. .................. Nature of work (check which applicable) New Building .......... Addition... ;x; .... Alteration ... Repair .......... Rem6val; .... t .......... Demolition . .~.~....~, ..... Other Work ........ (Descr~ estimated Cost ....... .%2.~09.... ~ ................. Fee ... ] ..................... -~ :... (to be paid on filing this apphcatio If dwelling, number of dwelling Units... If garage, number of cars ............ If business, commercial or mixed occupa Dimensions of existing structures, If any: Height ...... ' .. Nuniber of S1 Dimensions of same structure with altera Depth ........ 30. £.t ...... i.. Heigt Dimensions of entire new construction: 1 Height ........ 1.6...2.'c... Number of S1 Size of lot: Front .......... Date &Purchase ...... 10/2.7./80. Zone or use district in which proposed construction vioiate any Does Will lot be regraded ........ :..A... 2 Name of Owner of premises Name of Architect ......... J ...... i Name of Contractor .... G.~n a.s... & for foo~ing Locate clearly and distinctly alt buildin roperty lines. Give street and blool~?~mber ~terior or ~orner lot. 90',~ Sou~ tion) TATE OF NEW YORK, OUNTY OF ..... S..u.f.f.o.%k. .... : S.S Jeanet te } (Name of individual signing cent >eve named. [. Golden :act) being duly sworn, deposes and says th~he is the; e is the f said owner~or owners, and is duly autho ~plication; that all statements contali~ed in 'ork will be performed in the manngr set for ~vorn to before me this o_~l~Dt Public, ..... ,~, ...... ¢'~. ~ :Contractor, agent, corporate officer, etc.) ize&to perform or have performed tile said work and to make am this application are true to the best of h,/~nowledge and belief; and :h in.the application filed therewith. ,plicant file this :hat the pplieant) 1. Nmnber of dwelling units on each floor :y, specif3 nature and extent of each type of use ............... Front...5.6. f..'q .. ......Rear ..... 5.~ ....... Depth .... B.Q. eries p ....... 1..' ....................................... :ions orr~ons:~ront ,5.6. f.~ Rear 56 t ........ .l.6..£'1: ........Number of Stories...1 .................. ?rent ....... 7,.0. :f.'c... Rear ... ~0..2'I: ..... Depth . ;kD.. ~; ...... odes ........ 1 ................. : ........................... , .....Rear .......... ],QQ..f.t., .... ~. Depth .. · .2.1. Q..f.'q ......... ........... Name of Former Owner ........ ][ttagm~ocd, ; situated.., i....R.e.%5~ ql.e.n.c.e. ................................. oning law, ordinance or regulation: ...No ......................... .... Will excess fill be removed from premises: Yes No ri.. Address .934.5.1:l~rb. qr. R~.Phone No...7.6.5.56: .... ...... Address ................... Phone No .............. ......... Address 350 Sai lo.r.~..L.a.. Phone No. 7.34- .5.4 Cu~chogue, NM PLOT DIAGRAM s, whether existing or proposed,.and, indicate all set-back dimensi~ as from ~r descd~ption accordingto deed,~a,nd sl~ow, strqet nan3es, and indicate whether h Haroor Road, Borg,ho±ct xn~er~or