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Home My WebLink About12734-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z.l. 2. 9,1.8 ......... Date ............. Qo..'L,.p.b.e.r.:...2..3 ...... 1 ff'.8.4. THIS CERTIFIES that the building.. &c~$~:.i.qr~ .................................... Location of Property . .4 $ 0 ............. .C.],¢~r.v.i~W. ~.~, ............. ~.qU.tlg.o.l.d, ...... House No. Straet Hamlet County Tax Map No. 1000 Section . ,0.9.0 ....... Block ...0.4 .......... Lot ...Q(}9 ........... Subdivision .......... X .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ~.e. pt,...l, 4 ....... 19 8.4. pursuant to which Building Permit No .... ~ 2.7.3.4 M ........... dated ........ N.°..v.e.m.b.e. T .... 1..2 .....19..8.3, 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 ......... .... p.e.c.k., .A.cl.d.i..t.i.o.n., .t.o..E..x.i.s~i.n.g..O.n.e., .F.a.m.i..ly..D.v.e.l.l.i.n. g ...................... The certificate is issued to ............. .R.O.B.E..R~...M%..g~..%. WiI.F.E. ........................ (owner, l~z~..oz t~,~,:~ of the aforesaid building. Suffolk County Department of Health Approval ... I'{/A ..... - .............................. UNDERWRITERS CERTIFICATE NO ........... N/.A ................................... Rev. 1/81 Building Inspector l~OE~[ NO. 2 TOWN OF $OIJTHOLD BUILDIHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12734 Z Permission is hereby granted~to: ~...~~......~.~ ............................. ..~..!.~.~....~.~.~...~J~..~ .......... .~..~..~~.~....,.~.,~:...!.!..~.~.o ~o .~~..r....~.~.~ ...... .OMZ~..~.~....~~...~.~ ...... ~.,:~.,~.....~..,... ....... ~ ........ ~...~.0~0~....~..~ ............................................................. /] I V Y at premises located at ..~...~..........~...~......~r~.~.X~...~ .........~..~..~.....~. ............ County Tax Map No. 1000 Section ..... ..(~-.....~.. ....... Block ..... ~ ............ Lot No ................. pursuant ,o application dated .... .~~~......k..~.. ........ :.., 19..~..:..:~, and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ,~outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted-~pl!cct~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. 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 featu res. 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/ land 3. Copy of certificate of occupancy $1.00 use--Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date .......................... New Building . .(~,¢.(7~.... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............... d.l.¢(~.. .- .......................... House No. Street Ham/et Owner or Owners of Property ....... /~O..~.~.......~. ¢¢(~.~ ................................. County Tax Map No. 1000 Section ..... .~...O ..... Block ......~-........ Lot.......~........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /.¥.?..~.z]L?Date of Permit .t.I./.7./.~..~...Applicant... ~.../~,-~'. ........... Health Dept Approval Labor Dept. Appro ~ . Underwriters Approval ...... . .~...~. ........... Planning Board'Apl~ ....~ Request for Temporary Certificate ..................... ' '~:)ta~...,..~.~. :,.,..,_:. Fee Submitted $..: .~.*~-.~ .... ~. .... .t?2 °'' L TOW~(~j~OLD Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 U~'EL~ INSPECTION FOUNDATION (1st) FOUNDATION 2. 2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY · - ~ODE FINAL COMMENTS ADDITIONAL COMMENTS: NEW yORK SqATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ' PERMIT NO. 10-83-1185 PERMIT UNDER THE ENVIRONMENTAL CONSERVATION LAW ARTICLE 15, (Protection Of Water) [] ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) [_.J ARTICLE 36, (Construction in Flood ttazard Areas) PERMIT ISSUED TO ~obert Maus ADDRESS OF PERMITTEE Z142 Sanders Place, North Bellmore, NY 11710 LOCA]ION OF PROJECT (Section of stream, hdal wetland, dam, btLildmg) ]andpiper Basin at the east side of Clearview Road DESCRIPTION OF PROJECT ~×tend existing second floor deck 7'6" seaward of the existing house as per submitted plans. I~OMMUNITYNAME(City, Town, VilIage) outhold COUNTY Suf f~k ITOWN Southold 1, The permittee shall file ill the office of the appropriate Regional promptly in wrfling of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized 3. As a condition of the issuance of this permit, the applicant has cepled expressly, by lhe execution of the apphcation, lhe full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- ever suffered, arising out of the project described herein and has agreed to 4. Any material dredged Jn the prosecution of the work herein permitted shall be removed evenly, w~thout leaving large refuse piles, ridges across the bed of the waterway or flood plan 6r deep holes that may have a tendency to cause injury to navigable channels or to the banks of the waterway. 5. Any material to be deposited or dumped under this permit, rather in at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulkhead or bulkheads, such h. There shall be no unreasonable interference with navigation by the work herem authorized. ?. That if future operations by the State of New York require an alteration in the positron of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said walers or flood flow'.or endanger the health, safety or welfare of the people of the State, or loss or destruction thereby without expense to the State; and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modificalion of the watercourse hereby authorized shall not be completed, the owners shall, condition lhe navigable and flood capacity of the watercourse. No claim shall IPERMIT EXPIRATION DATE December 31, 1984 95-~0-4 (9/75) GENERAL CONDITIONS 8. That the Slate of New York shall in no case be liable for any damage or mjury to the slruclure or work herein authorized which may be caused by or resull from future operations undertaken by the State for lhe conservahon or ~mprovement of navigation, or for other purposes, and no claim or r~ghl to compensatmn shall accrue from any such damage. 9. Fha, if the display of lighls and signals on any work hereby authorized is riot otherwise prowded for by law, such lights and s~gnals as may be pre- scribed by the United States Coast Guard shall be installed and nmntained by and at the expense of the owner. 10. All work carried out under this permit shall be performed in accor- dance with estabhshed engineering practice and in a workmanlike manner. 11. If granted under Articles 24 or 25, the Department reserves The right to reconsider this approval at any time and after due notice and hearmg to continue, rescind or modify this permit m such a manner as may be found to be Just and eqmtable. If upon the expiration or revocation of this permit, the modification of the wetland hereby authorized bas not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to ~ts former condition, NO claim shall be made against lhe State pt New York on account of any such removal or alteration, 12. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others to perform the permitted work or as authorizing the ~mpairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 13. The permiltee ~s responsible for obtaining any other permits, ap- provals, lands, easements and rights-of-way which may be required for this project. 14. If granted under Article 3fit this permit is granted solely on the basis free from flooding. (SEE REVERSE SIDE) ~ ~- c..iC .... ='J ~' -! NOT~:V p-:u_:~N~ DEPARTMENT AT 76548~ ~ :k~ TD : PM FO: THE FOLL:w ':'-~? '" FP~ ~" ?'-:" CO:C::T: 2. RO~TM =~,~,~'-~ ~ PLUh~NG 3. ~}'rc::" ~'' 4. rTM': :"*'"' .... "- ~N MUST P ....... :' -~'R C ,3 ALL c'." ........ ',2~ S~ALL MEET ST~-~ C~'~c~RUCT]ON & ENERGY h~T RESPONSIBLE FOR DE?GM m~ CONSTRUCTION ERRORS. --~o P "l'Ov~n c~ -..,out-ac, td