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Home My WebLink About10769-z FOI~M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE P~REMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No. 10769 Z Permission is hereby granted to: --- .. · ~ .......... ./~..~- ...... ~..,.~.~.. ..~.~..~.../.~~ . ........ .f.,~.,,~/,.: ...... ~,~,~,~r,.,,,.,~..... l~.~.'.. ...... ...... ,dr'.~.~,.'z~.ciz.~,...~.~: ....... to ...... ~ ~ .~. ~ £/.~,..~.:..... z,~. .~.x:~.~..~.~.... ~z~.x.,z,~.~.,~.....~..,d,.... ~ ........ ....... r. .--: ~..~ .c. ~. .,~cz. . ~.x.. ~,~-~. . . . . ~. . . . .~,r,.. . . ./~. .,'~.,b ~ . . ~: .7'-~. ..................... at premises located at ....~..'.t~... .......... ~.O-~...(,~.--~./.........~.~'t-;,.:, ........ ...~d..~.~../.~./...~.~..&2......~..'..~· Building Inspector. Fee*...l.~...: ....... / ./ Building Inspector FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate 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. Fine{ 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 p an requirements where applicable. B. 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- lion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certdicate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $§.00 D ate . .A.. gg.u.s.t;. ;~ j~. ,.. ~ c) J~.O. ...... New Building P.(~)~..&, ~¢p. qeOId or Pre-existing Building ............ Vacant Land ............. Location of Property .~cJ,5, .~.q¢~,s,t:. ,&¥.e.tlqe. ,..S.o.g .~.o.l.d. ~, .N. ,.¥, ........................... House No. Street Ham/et Owner or Owners of Property .... .D.q~. ~p.~.q~,...~.~.t.o. ........................................ County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................ Filed Map No ........... Lot No .............. Permit No...1. Q7~9. ,Z. Date of Permit 7f.8./.8..0.. ,Applicant .. iS.~. ~. ,tiP:X..D..~p..~o. ,o.l.s. ............ Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval... ~ ................... Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. 5...00 ....................... Construction on above described building and permit meets all applicable codes and regulations. Applicant . '~ . " ............... Rev. 10-10-78 Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765.1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD January 18, 1995 Mrs. Doris Zito 295 Locust Lane P.O. Box 181 Southold, N.Y. 11971 Re: Premises @ 295 Locust Lane, Southold, N.Y. Suff. Co. Tax Map #1000-62-3-35 Dear Mrs. Zito: The Building Department has received a recent complaint regarding a section of fence in the rear of your property. According to the complaintant, the fence is located on his property by approximately 4". Also, according to the N.Y. State Swimming Pool Enclosure Law, the horizontal structural members are required to be on the inside of the enclosure. Please contact me at the building department as soon as possible so this matter can be resolved. I await your anticipated cooperation. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Building Inspector GJF:gar (Cert. Mail) ZITO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ]~N~SULATION [ ,/] FINAL ] FIREPLACE & CHIMNEY DATE ?~///?.Fl I.SPECTOR~ BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE INSPECTO~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE ~OUTHOLD, N. Y. '~'~_-':7" ......................... ' ....... ~,~ -~ Application No~ .~.~...~..~..~... Appr°vedJ'~"/~"9 ."~'-. ......... , 19..~.~..c?. Permit No. '~'~':7:.-~....~. ........ ' ................. Disapproved a/c ........ ~---- :' APPLICATION FOR BUILDING ~ PERMIT /'~ INSTRUCTIONS Date~......~ ..................... ,19 .,. o. This application must be completely filled in by typewriter or n ink and submitted in triplicate to the Building Inspector, with 3 set~ 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 ofproperty must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced b,efore issuance of Building Permit. d Upon approval of this application, the Building Inspector will ~ssue 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 th ssu~ ~e of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, N York 6nd other applicable Laws, Ordinances or Regulations, for the construct on of buildings, additions or alterations or for r~ naval or~nolition, as herein described The applicant agrees to comply w th all applicable laws, ordinances, uilding ne, housi ,~ode, and regulations, and to admit authorized inspectors on premises and in buildings for nece ary insp ! i ns. , .......... app icant) ....... ~tate whether applicant is owner, lesse~rchitect, engineer, general 'contractor, electriciah, plumber or builder. ~ame of owner of premises ...... ~ t' / r~ ~ f apphcant is a corporate, signature of duly authorized officer. (Name and title of corporat~ officer) Builder's License No .......... ~...~ ................. Plumber's License No ................................................. Electrician's License No ....... ,~/~ .......~,/. ............. Other Trade's L cerise No ~~/~'" ~ 1. Location of land on whi~t~'~posed wor--"'~'-"-I~;j~i;;"~e~: Map No .... Lot No Street and Number .C~.d)(C~,~:-~ / ,-~, -~ - ' ..................... ~ ................... '~.. · ...................... ........ ....... - 4/9/ 2. - J/Z 5 ................. ' ' State existing use and occupancy of prem~_ and intended use and occupancy of proposed construction: o Exisiting use and occupancy .......... ~.,~_~..........~... ..... 3 Nature of work (check which apphcable): New BLuldmg ................ Addlhon .................. A~lterahon Repair .............. ;>~J~yernoval .................. Demalitior ........... "z~'"' Other Work /~...~..~....~-.~.~..~.~-~, ~ //~ ' .~/ - (Description) 4. Estimated CostF"~...G.~......~........~...~.. ........................ Fee ..~......((.~Z ............................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units .......... /.. ............. Number of dwelling umts on each floor ...................... .~... If garage, number of cars ..................... .f. ............................................................................................................ 6 If business, commercial or m~xed occupancy, spec~f~Lnature.~_, --~ and extent of each type of use ........................ 7 Dimens,ons of ex,sting structures, if any: Front ..... .~...../~.. ........... Rear .~....,~. ................... Depth ~..J~....... .... Height ........................ Number of Stones ............ ~ ......................................................................................... D~mens~ons of same structure, with alterations or additions: Front...........'"---'"'--................... Rear .....~. ............ ' ..... Depth ................................ Height ........................... Number of Stories ................................ 8 Dimensions of entire new construction: Front ......... T .......................... Rear ............................ Depth ..~ ............. 9. Size. of lot: Front ..... ~" 'f~'"~"'"'Z~,'~ .............. .~...~....~ ............. Rear ...... ~...~f....../. ..................... ..~Depth ..... .~..(.~.........~..', ........ 10 0ate of Purchase ...... Z.//~.. ;~ ........ ................ Nq~m~e~me £f Former Owner ......................................... 11. Zone or use distr,ct in which'.~remises are situated ..... ~'Y:~...'~....~ ......................... ~...yq...~,~,~ ........................... 12 Does' proposed construction vi~late any' zoning Iow, ordinance or regulation: ......... ~.~¢......>,~. ........................... 13. Will lot be regraded .......~...~.. ......... Will exces~s fill b~e removed from,.premises: (~Yes ( ) No of Owner of ...... Address Phon Na. Name of Architect ....~,..~/...[.x)// ....... ~/¢)'"-' ............................ Address ................................ Phone No ....................... Nome of Contractor ..c~FJ/J~ .......... -~. ................. Address ................................ Phone No. PLOT DIAGRAM t.ocote clearly and distinctly all buildings, whether existing or proposed, and indicate oil set-back dimensions from propcrty lines Gwe street and block number or description according to deed, and show street names and indicate whether interior or co~ner lot. ,~.,O,.L.J,~~ ................. being duly sworn, deposes and says their he is the apphcan~ !(Nome of individual s~g,nmg contract) abow~ named. ~He is the ..........~.~.~ ........ ~ ........... ~ .............................................................. ~' ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to make and file this application; that all statementb contained in t. hJs application e~e true to the best of his knowledge and belief; and ~ho~ the work will be performed in the manner set forth in the application filed therewith. Sworn~oybe.y,fore me this . ....... ~'; day of ................... ;....~...~..., lg~f?~_~, x'~ ~ ' ~ -- ' ~'' Pu'lic . ~¢oun~. .~....~.. ~.~~ INOta KY p ~ .............................. ~ ~~~ ~ (Signature ofapp,Jcont) NOI~RY PUBLIC, State of New No. 52-812§850, SuffolkCou Term E~Dlres March 30. ~9