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Home My WebLink About10643-zFOR~ RO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17332 Date SEPT. 21, 1988 / ADDITION THIS CERTIFIES that the building Locatlon of Property 480 DOGWOOD LANE House No. Street County Tax Map No. 1000 Section 54 Block 08 Subdivision XX Filed Map No. XX SOUTHOLD Hamlet Lot 01 Lot No. XX conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1980 pursuant to which Building Permit No. 10643Z dated MAY 1, 1980 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 DWELLING. The certificate is issued to DANIEL & MARY REGAN (owner, X~D~.~{~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ~ Building Inspector FOI~lV[ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 10643 Z Permission is hereby granted to: ....... _~,~,~...~..~9.~ .............. ...... V....~..~......:~.~.~o.~....Z~..:... ...... ~.~.c~,?:-2~.~..~.~...~..,A~...:y,: ......... . to ../.~. ........ ~, a. ~,,.~/. ~.~.~.c.I ............ ,~,~'7. C'~,~.....x-'~,~,~../..z. c~ ~....]...~ ..................... pursuant to application dated ......... .~.//~...~... ............................ , 1~..O., and approved by the Building Inspector. Inspector .................. FORM NO. 6 TOWN OF $OUTHOLD Bu Jlding Department Town Hall Southold, N.Y. 11971 .1 ....... 765- 802 '---- .----- - TOW~ OF S,/,~,~.~~LiCATiON 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 tile 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, Accura[e survey of property showing ail 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- tion required to prepare a certificate. C. Fees: Add£tions $25.00 POOLS $25.00 1. Cert~fJcate of occupancy New l)wa[1LnS $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-ex~sting dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5 00, over 5 years $]0 O0 4.Vacant Land C.O. $ 2~0 O0 ' ' 5.,Updated,,, - C.C. $ )O:00 Date ....... /"~'~/'[/'~"°/'/z ..... NewCO-u,~ tz uc t J on ...... Old or Pre-existing Building .... ...~'~'~..... Vacant L~nd ......... Location of Property...~.~..0...~..~. ~. ~ .~..~. D ..... ~..~../~../~. ..... ~" .?.?..~./.'~./..-/..o..c. ?.. House No. Street Ham/et or Owners of Property ...... ~2 .~../~//..~.. (-;..,..'~-. · ..~../~. ?..%.., ~ .~.-,(../~. ~ ...... Owner Countv Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdiws~on .............................. Filed Map No ........... Lot No .............. Perm,tNo. Z{)(~./;~. Date of Permlt ..Applicant P'~.~. ./~./~. ~../~...'~. Hea~th Dept. Approval .......... , .~,...~., ...... Labor Dept. Approval ........................ Underwriters Approval ~ /'~ ........................ Planmng Board Approvat ...................... Request for Temporary Cert~fmate ................ '. .... Final Certificate ....................... Fee Subrmtted $ ............................. Construction on above described budding and permit meets all applicable cod,es and regulations. Applicant ...... .~...~ .... ~ ............. Rev 10-10-7~3 ~_____~. TOg~N OF SOUTIIOLD OFI'IC]~ Of BUILDING INSPECTOR P.O. BOX 728 TOWN 1tALL SOUTIIOLD, N.Y. 11971 27, 1987 Daniel P. Regan 480 Dogwood Lane Southold, N.Y. ~/.~ ~/~~f November TEL. 765-1802 To Whola This May Concern, We are unable to complete your Certificate of Occut~ancy becau.,~: of the following reasons, /~ hn ,q~pJic:ation for Certificate of Occupancy [.~; not on fi]f~ (Attacbed) /-/ ~o ~h~derwriters Ce~tifJcate on file. /~ 'Phc (:hock J:;(~a~/not on file.) $25.00 /__/ tlc Health Dept. Approval on file. /_/ No f3nal inspection has been made. Plea:;c, contuct our office on this matter. for your cooperation. Dupt . Plumber ~;older Certificate on file. a]l permits involving plumbing being ssucd after April 1,1984 ) FOUNDAT I ON (1~) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N.Y. STATE ENERGY co? ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .~7.. ( ...... ,19~ Application No. ,/.~..~,.Y.~. ....... Approve .d~...~...~. ....... 19... Penn~t No. ~ ~, ~i.s~e~.~/~. :~ ~'~ .... ~ ~ ~ (Bdilding Inspector) APPLICATION FOR BUILDING PERMIT Date ..... ~.~ ........ , 19 ~ 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 necessary inspections. ....... ~.. ?....o~.if~°n':~--) .... (Signature of applicant, or name, .......... .,??. ?. .... ........ (Mailing address of applicant) ~o ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ....... p f'~.n/.t..~: .~...~.~..~ .% (~..C~....'4T.... ,~..~..~ .c,/....~.. ,../r~.~.. ~ ./4..~.~. ...... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No...: .-~...~.. ~. .............. Plumber's License No...,~ ............ Electrician's License No.. ~Ot([/~ ............ Other Trade's License No ...................... 1, Location of land on which proposed work will be done ................................................... .... '/F. e. . . .P. .o. .o. .o ....... c. .... 5.'.o..e?./?. ?. .......... House Number Street Hamlet County Tax Map No. 1000 Section ....... .-~...¢ ...... Block ...... .~ .......... Lot ..... '..~ ............ Subdivision .................................. Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................. b. Intended use and occupancy ~t~/~ L~/~t,~ c~ c~/"V-/~ ~D~ ~t'f' 3. Nature of work (check which applicable): New Building ......... ion ..... ' ..... Repair .............. Rem6val .............. Demolition .............. Other Work ............... 4. Estimated Cost .....~.~..<~ . .~f~.~..-~:? Fee . .~. ~.. .................... (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 mixeg occupancy, specify nature and extent of each ty~pe of use ............ j ........ 7. Dimensions of existing structur(s, if any: Front ............... Rear ...~.a ......... Depth...~..~..~../.~. · · · Height . ~,3 .......... Number of Stones .. ~ ........................................... r)imensions of same structure with aiterations or additions: Front .... .' .~ .~. .......Rear .... ~.. .......... De h Hei t Number~,~ories ...................... pt .................... ... gh ........ >&'r~ .......... 8. Dimensions of entire new construction: Front ..... ~ ...... Rear ...... .'~.a ...... Depth ............... Height ................ Number of Stories ........................................................ 9. Size of lot: Front ~ ~t~....~-e~. · ·-. . Rear ...................... D~epth ,_ . ~ .... 2 - - ·; .... 10. Date of Purchase ........ ........... N. ga_me of Ffi. rmer.~w~ne~r .~-.~.~g.~.. · 1 1. Zone or use district in which promises are situated ................ ~ ................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 1 3. Will lot be re~raded ~.... ................. Will excess fill he removed from premises: ,Y__es 14. Name of Owner of pr;~ises . ~.' .~..~'F~..~z'~.~/. Address .~--~.~.~.~.~..~.eq4~... Phone No. 7.~.~.. ~..~./. · .~.. Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor ........................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly al~ 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 YOR~, , COUNTY OF...~.~ .~..t2./.x../~. ·. · ! S.S lruO.~(. .... ~.~t~-- .................. b~ing duly swot,, deposes says and that he is the applicant (Name of individual sigoing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e ~d file this application; that all statements contained h this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed ~n the m~ner set forth ~ the application filed therewith. Sworn to ~efore me this ~ta~euonc, . ................................ County ~lO~ ".RY P~LIC State of New Yo~ ..... . .......... fl0.52-4524771 ~ ~ (Signature of applic~t) O~J~l;tl~ in Suff~}~ Coun~ Commlssmn Expires March 30,