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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~