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Home My WebLink About10823-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16551 December 29, 1987 Date ................................ THIS CERTIFIES that the building CONSTRUCT DECK ADDITION Location of Property 1215 Tuthill Road Southold, New York t~$~ ~01 ......................... Street Hamlet County Tax Map No. 1000 Section . . .5.5 ........ Block . ...6 ........... Lot l 5.2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated August I 1, 1980 pursuant to which Building Permit No. 10823 Z dated ..... A u. ......... g u s t I I ,. ....198.7 ....... ~ 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 RICHARD H. & LAUREEN E. WHEELER The certificate is issued to .................... [oh;n'o'r,~?~*'o~ ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N / A N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 N? 10823 TOWN ,OF~ ~ BUILDING~ Town ~i'IALL ! SOUTH'OLD, N~ ¥. ~ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PRE/~IS SUNTIL ULL COMPLETION OF THE WORK AUTHORIZED) Z 'Date t"r .... '~ '/~" ............. ' Permission is hereby groqted to: ~'~..:....~,~_~,~. ....... · ....... ..~' ~r,,~.,/~,~ ...... ..... a.~.~...~Z~.~.~,,~ .... ,~a,~..,.. ~.. ~..... ,,,~',.. ~.~ at premises located at .. 7~..~..~.........~-. ~.~,~,.-. ..~ County Tax Mop No. 1000 Section ...~..5..~.-;...;. Block ! ............---m- }Lot No. pursuant to apphcahon dated ....... ~..?,+...}..,.., 19. and approved by the Building Inspector. ~ ,.~. ...... FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,~ ~ to the Building inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or topoqraphic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). 3.Approval of electrical instaJlation from Board of Fire Underwriters. 4. Commercial buddings, 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 Planmng Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey of property showing all property lines, streets, buildings and unusual 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- t~on required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 1. Cert~ficateofpccupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2, Certificate of occupancy on pre-exist~ng dwelling $ 50.00 3, Copy of certifmate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date December 10, 1987 NewC on,~; t ruc t ~ on x Old or Pre-existing Building ....... Vacant Land Locat~on of Property 1215 Tuthill Road Sout.hold., N. ew York Ho~se No. Street I-lam~et RICHARD H. & LAUREEN E. WHEELER Owner or Owners of Property . County Tax Map No. 1000 Section 55 Block .6. Lot ..... 1.5,..2. Subdw~slon ................................. Fded Map No ........... Lot No .............. Permit [',Jo. 10823z Date of Permit 8/11/80 .Applicant George N. Terry, Builder Health Dept Approval NA , L bo D Appro al NA ......................... a r ept. v ........................ Underwriters Approval NA PI i Boa d App I NA ........................ ann ng r rova ...................... Request for Temoorary Certffmato ' Final Certificate XX Fee Submitted $. 25.00 Construction on above described building and permit meets all applicable codes and regulations. Applicant. ~.~./-/.~.~ ......................... Rev 10 1a-78 TOWN OF $OUTHOLD O[:FICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 December 10, 1987 TEL. 765-1802 Mr. & Mrs. Richard Wheeler 1215 Tuthiil Road Southold, New York 11971 To Whoin This May Cohcern, We are unable ~o complete your Certificate of Occ:upancy because .of the following reasons. /~/ An application for Certificate of Occupancy ir; not on file. ENCLOSED /_-.~/ No Underwriters Certificate on file. _~_-/ Thc. check is(K~G~lx~a~X~/not on file.) $25.00 /-/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Th,ink ¥o/] for your cooperation. Bu[]dlnq Permit ~ [ ~ _~ ~ ~ Z Bui]dJ. ncI Dept. ***/~/ No Plumber Solder Certifica[e on fila. ( all permits involving plumbing being issued after April 1,1984 ) OCCIIPANCY OR USE IS UNLAWFUL WITHOUT A CLEAR liP THIS MATTER AS SOON AS POSSIBLE SO ltAVE TO lie TAKEN. Thank you. CERTIFICATE OF OCCUPANCY. THAT LEGAL ACTION DOES NOT FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 E amine . .// ...... ,19F. O, Disapproved a/c ........... :-'!':. . . . . i...'"': ...... 'i .... ..... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No~ .~..~..~.~. ........ INSTRUCTIONS a. This application must be completely filled in 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 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 permit 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 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 premises and in buildings for necessar~ i~spections. .... .: .... : .... ........... (Szgnature of applicant, or name, if a~t~orporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ...... .1. ? ........................................................................ Name of owner of pre,roses .[..&). !~.q-.q.~..~,...~.~5-.~..~..¥.~..\~....~....~..'.~..tA .~..'.%.~.~... !~.~-.: .............. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and t~tle of corporate officer) Builder's License No .... ! .[ .~ .~. .............. Plumber's LicenseNo ....................... Electrician's License No ...................... Other Trade's License No ...................... 1. l~ocation of land on which proposed work will be done.. J. ~.~. >., ~.,.,..[.,~.-.. ~..'A. ........... House Number Street Hamlet County Tax Map No. 1000 Section . .~.5. z .Q ~ ....... Block . ~ G, .9. ~ ....... Lot. 9. l ~.O.. ~. Subdivision ........................... Filed Map No ............... Lot . ~. ........... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy .. ~-~ .mn .~[.. ~t/.t.~.,.~. ................. pi ' / 3. Natureofwork(checkwhichap icable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost.. . ~.~.~ ~.~.' ~*~' Fee i .... [ (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor .... [ ........... If garage number of cars ~ 6. If business, commercial or mixed 6ccupancy, specify nature and extent of each type of use ..... 1~ j ~ ........... 7. Dimensions of ex~ting structures, if any: Front .... ~.'1 ~.( ...... Rear . .~. g ? ........ Depth. '3 '~ ......... Height ............... Number of Stories .................. ~4 '~'~ ................................. Dimension~of, same structure with alterations or additions: Front .. ~! ~ ........... Rear ~ ............... .% Depth ~..~. ....... Height .... '~..~.. ........ Number af Stories ...................... 8. Dimensions of entire new construction: Front .... 1 .~.. ...... Rear .... .~ ......... Depth . .~) ~ ......... Height ........ ~ ..... ~umber of Stories ........ i ',' .......... . ............... ..:. ,. ·; · .-, ..... 9. Size of lot: Front ...i~..~.(~ .............. Rear ...... ~, ~ ............ Depth ...~ ~.~,~ ............ 10. Date of Purchase ........... . .................. Name of Former Owner' . ............................ 11. Zone or use district in which premises are situated ........................... ;..~ ................ . ....... 12.' Does proposed construction viol~te any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... ,i-.~ ................. Will excess fill be removed from_~remises: Yes. No 14. Name of Owner of premises .~).~.~. ~. ~..~..~..h.~?. }F.~... Address ~ ~ ! .~.~y~.~}.~.~.~.~i~ohe No..q.6t .~ ?. ~.~. ~.~..~... Name of Architect ........................... Address ................... Phone No.....~...~ ........ Name of Contractor..~.e,~ I ~¢..'T).a wr~ ........ Address . ~ .~t.~. ~I~l~..**..~ ?.~. Phone No. *16 h,' '~ .~. ~' 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 number or description according to deed, and show street names and indicate Whether interior or corner lot. , STATE OF NEW ~F~RK, /~ .. - COUNTY OF ~ ?'~ ' ~d -'~ '~t being duly sworn, deposes and says that he is the applicant ua ) above named. : He is the ........... ~ ....................... , . ~ ...... ~ "' ' (Contractor, agent, corporate officer, etc.) ......... '"" .... i ' '~ ';' ' 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 belief; and that the work will be performed in the manne? set forth in the application filed therewith. Sworn to before me this ......... /~/~7'. ...... day o~ 'b .... .' '~~]9~' '~ Notary Public, ........ ~ ...... ~o.~iu~ . . County, ....... .... l ...... ~ / ELIZABUH ANN NEVtL~ ~.,¥~c ~ ~ .... U ' ' ' (~lonat,l~nf nnnllnnntl ' NOTARY PUBLIC,State ~ ~w York ' '} ~o, 52-8125850, SuRolk Cobh Ierm Expires ~arch 3~,