HomeMy WebLinkAbout10529-zFORM NO. 4
TOWN OF 8OUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24532 Date JULY 30, 1996
THIS CERTIFIES that the building ACCESSORY
Location of Property 6680 NORTH BAYVIEW ROAD SOUTtIOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 79 Block 7 Lot 3
Subdivision Filed Map NO. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DEC~MBER 20, 1979 pursuant to which
Building Permit No. 10529-Z dated DECEMBER 20, 1979
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 STRUCTURE IN REAR YARD AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
JOSEPHINE & JOAQUIN PARDO
N/A
N/A
FOI~M NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTH*OLD, N. Y.
BUILDING PERMIT
(THIS PERMIT FAUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 10529 Z
Permission is hereby granted to: k,/~'¢/~ ~/'O/~O/U ~'¢~.
~....~/~.~...~o ......
.... ~/~.~..~.~.~ .............
~o ...C~.~,~.~/~.~.....~.~o/~:~,..,.~.~~.../~ ..............
......... /~.....~~......~~, ......... ; ............. ~ ................................................
~ '
,,~,~i,~,=,~¢.~. ~......~,,~.../¢ ........ %¢~¢¢~.~
pursuant to application dated~?~ ...~..0 ........ , 19.7.¢, and approved by the
Building Inspector.
Fee $./.O...~ ......
ector .............
Town Hall, 53095 Mare Road
P. O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-11~02
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
From:
Subject:
Date:
Denise Stahl
Centry 21 Albertson Rlty
Thomas J. Fisher,
Sr. Building Inspector
Question on deck addition - Building Permit
Suff. Co. Tax Map #1000-79-7-3
August 9, 1996
#8245Z
The deck is in an unsafe condition in violation of Chapter
45 of the Code of the Town of $outhold, Uniform Code N.Y. State
Subchapter F Section 1242.5 (c) required to be maintained in a
safe and sound condition.
TJF:gar
,!
765.1802
BUILDING DEPT.
INSPECTION
I ] FOUNDATION¶ST [ ] ROUGH PLBG.
[ I FOUNDATION 2ND [ ]~J~ATION
] FRAMING [~t=INAL
REMARKS[ ] FIREPLACE &. ~CHIMNEY'-~/~
..
/-/ ,./ /~'//
DATE
INSPECI
Examined . ~..~. ...., 19
FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 76F> 1802
Application No..f? .?.'.~..~.~. .....
Disapproved a/c ................ _~ ...... ~) ..........
/
(.Buildifi'g Inspector)
APPLICATION FOR BUILDING PERMITDat¢~.~'~. ~_.0..
INSTRUCTIONS
a. This application must be completely filled m by typewriter or in ink and submitted in triplicate 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 th~s 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 permit
shall be kept on the premises avadable for inspection throughout the work.
e. No building shall be occuBied 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 to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on pfemises and in buildings for necessary inspections.
(Mailing address of ap!51ica~nt)' (/
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
.......... ./.~'.~.~..~. ~ .... ~ ......... 5/z ....... ./.:, ,:'¢ /,.~ .......................................
Name of owner of premises .... ..If ./?.-:.~_/~.~ :c....',."..~.~..2; ::.:..~ .... ; i:t;;t' ~;;:" ........................
~: / · [as on the tax roll o )
If applicant is a corporation, signatur[ of duly authorized officer.
(Name and title of corporate officer)
Builder's Lice,,se No. -: .....
Plumber's License No .......................
Electrician's LicenseNo ...................
Other Trade's License No ........................
/~.--: /? /
·
County Tax Map ~p. 1000 Se~;~ ~ . ~-; ...........
Subdiv~ion..~~ .~..' ......... Filed Map No. ~.~ ...... Lot ..~ ........
(Name)
2. State existhg use and occupancy of premises and intended use and occdpancy of proposed construction:
a. ~~, ~ ~ ~ ' · ..........................
Existing use and occupancy ...............
b. Intended use and occup~cy ~~ ...........................
3. Nature of work (check which appli6able): New Building ..... ~. Addition .......... Alteration ..........
Repair .............. RemoraI .............. Demolition ............ Other Work ...............
~.~/Q ~ (Description)
4. Estimated Cost .... ~.~?ffff.~. ...................... Fee ...................................... --
~ I (to be paid on filing this application)
5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................
If ghrage, number of cars ....... I ..................................................................
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 ............... Numbe} o,f Stories ........................................................
Dimensions of same structure withJ alterations or additions: Front ............ ,..... Rear .. . . ~,.............
Depth ...................... ~ Heaght ...................... Number o tones.......~ ..... ? ........
8. Dimensions ofprllirtetnew construction: Front...~. ~g, ./. ...... Re.ar ../. ~. ........ Depth ...........
Height .I..~"~.. ~ ....... Number of Stones ........................................................
9. Saze of lot: Front ............ i ......... Rear ...................... Depth ..................
10 Dale of Purchase ~ Name of Former Owner
11. Zone or use d~stnct m which premises are s~tuated ........................................ ~ .............
12. Do~s proposed construction violate any zoning law, o. rdinance or regulation: ..... ~ ............
13. Will lot be regraded . ~:x.. ~...~....~... Will excess fill be removed fror~premises: Yes No
14.Name of Owner of prem~se;..~..~ ./~... Addres~. ~~pne No ................
Name of Architect ~.,,,, . .x ,r.,~... ....... ~... Address .~.~g~..-.....~ .... ~l~one No ................
Name of Contrac ........ Addres~q~--~.~l(hone No.70~ ~,. ~-~..~..~
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from
property lines, Give street and block nCmber or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW, A~SRK- .,
............ ~o.../~.q. i~..., i ~//.o,,_)0 ~ .n .~.~ .~, .... being duly sworn, deposes and says that he is the applicant
:' (Name of individual siglling contract)
above named.
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this
application'; that all statements contained in this application am true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
' ~o. 5~-81~§850, Suf{olk County_
! 1'~1 ExpJfe~ I~arch 30, 19~