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Home My WebLink About11789-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... z. ! .4 9.9.6. ...... Date ...... qq ~..o p.e.r...~ .5., ............... 19 .S. 6. THIS CERTIFIES that the building De c k ad d 5_ t i on · 635 Luptons Point ~ Hattituck~ New Yo.rk Location of Property h3[~s'e hid ....................... 's'tt:e3i ....................... County Tax Map No. 1000 Section . .1. ~. 5. ....... Block ...q. ~. .......... Lot ..... .0 9.3 ......... Subdivision ............................... Filed Map No.., ....... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated J u 1 y 8, 19 82 pursuant to which Building Permit No. 117.89 Z dated July 8 1982 ........................ , 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 isissued to Edward & Ortrud 13 Hanus (owner, t~1¢2;c of the aforesaid building. Suffolk County Department of Health Approval ............. N/A UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 TOWN~H~LL $OUTH*ObD, H~ Y. i (THIS PERMIT MUST BE KEPT ON ~TH,E P~IS~,ES' UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) Perm ssion is hereby granted,to: at premises located at ........ .... , ............ ....................... ¢ou~ T~x Map No. 7000 Sec,on ....J...l.5,..~.~.? ~=~ i..:~ ~Li~$uant to application dated .... ~..,~,~. ;..~,.i~... B~ildlng Ihspector. .... Rev.~ 6 [!~.and ~pproved by the FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 I, 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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 features. 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 pZ.-"operty showing all property lines, streets, buildings and unusua~ 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 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewCons truc tion ...... Old or Pre-existing Building $15.00 Date..../.~../~./Z.~. ........... ..... ~ .... Vacant Land ............. Location of Property... ~. 35 .............. .~..t,~.~../,~? ............. ,~treet Ham/et House No. ~__~ Owner or Owners of Property .... ~..~_,~.t~. ~tf'a.. /~...*. ~ ./%Jt-?'...cS.& .~., Fl/~S. ....... County Tax Map No, 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1./: ,-~ .~ ,~:'.'~Date of Permit .......... Applicant . ..................... Health Dept. Approval ........................ Labor Dept. Approval ...................... Underwriters Approval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate . .1~... ................. Fee Submitted $...o~.'~.0.0 .................... Construction on above described building and permit meets all applicable/codes and regulations. Rev. 10-10-78 [IELD INSPECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE ADDITIONAL COMMENTS: · · · 765-X802 BUILDING DEPT. INSPECTliON ~ [ ] FOUNDATION 15T [ ] ROUGH PLUG. FOUNDATION ;ZND[ ] IN~LATION FRAMING [ -] FINAL REMARKS: DATE ~ INSPECTOR FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLO, N.Y: 1~1971 TEL.: 765-1803 Appro ed .... , No./.I Disapproved a/c ..................................... Application No. d.l .'~..~. ~..~.. · (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date .... Z/~ ......... , 19<~. a. This application must be completely filled in by typewriter or in ink and submitted -_h_. ~_:.:v.L:;-_t= to the Building 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such per,nit 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 tho 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 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. ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) /tq£ State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises ...... .~. ~.144. (~..1~.~.....~... ~ ~.c~..D.~..Fa: ~.~.~_~>.-' -'-'-" .' ~ _/~L~ .... ~.; ~. $ ............... (as on the~. roll or lateStBd~e.ed) If applicant is a corporation, signature of duly authorized officer. NOT~'~B[--~'[~-NG 765-~802 9 AM 7'0 /~ PM ~()I< 'FYl FOLLOW!NG INSPECTIONS. (Name and title of corporate officer) ~. FOUNr>ATION TWO FOR PC'4k~D CONCEETt' Builder's License No INSULA i' ;ON Plumber's License No ......................... 4. FINAL . CONSTIRUC ..... Electrician's License No ....................... ALl. CONSTRUCT iON ?.~/,r THE REQU~RZ,MENTS ~F I House Number Street Hamlet County Tax Map NO. 1000 Section ..... J.l. ~: ......... Block ..... /.[ ........... Lot .... .~).~...~ .......... Subdivision .............. /~ .................... Filed Map: No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and'o~Cupancy of proposed construction: a. Existing use and occupancy d~q~: ~O~r~ l./]~. ~//1¢ .... b. Inte~lded use and occup~cy ~ me. ~ t~¢(~ 3~ Nature of work (check whicll a plicable): New Building .......... Addition ......... Alteration ..... : .... Repair .............. Rembval .............. Demolition .............. Other Work ............... (Description) 4. Estimated Cost ..... .... . ' .......... ...... Fee ... ................... . .. : (to be paid on filing this application) 5; If dwelling,mumber of dwelling:units ............... Number of dwelling units on each floor ................ · If garage number of cars 6. If business, commercial or mixed occupancy, specif~ nature an}~ extent of each typo of use , .................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... tteight ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... i ·. Height ...................... Number of Stories ...................... 8. I)imensionsofentirenewconstmcti0n: Front /G ~..,~.~.. Rear ' Depth .... tleight ............... Number of Stori6s ........................................................ 9. Sizeoflot: Front .......... ! ........... Rear ...................... Depth ...................... 10. I)ate of Purchase ............................. Name of Former Owner ............................. 11. Zone or use district in which pr~misos are situated .... ~'~..2,_. (/...~ ...................................... 12. Does proposed construction violate any zoning law, ominance or regulation: ................................ 13. Will lot be regraded ........ i~.'.~'~''~ ~'q[i '" ........ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .. lq.. .].~.4.a.u-5.. Address~.~,5../-.~£~q~.~../~.b.../~.~... Phone No. Nam e of Architect ......... . ................ A d dress ../.~'..~.~'~i' ~. ~.t: .fi .'~.- .~:. 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 dimensions from property lines. Give street and blockjnumbor or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NExW¢.R.K,/ Z ./t9~ 'S S ....... ~: -... . being duly sworn, deposes and says that he is tho applicant ( amc o in ividual sighing contract) above named. He is the (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 this application; that all statements contained in this application are true to the best of his knowledge and b~lief; and that tho work will be performed in tho manner set forth in the application filed therewith. Sworn to before me this (Sxgnature of apphcant)