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Home My WebLink About11320-zTOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...~. ! .0,6.9.1 ......... Date ....... $ .ep.t.e..m,b,e.r.. ? .1 ............ ! 9 .D 1 THIS CERTIFIES that the, budding ............................................... Location of Property .... .4.7.5. tl.ab.b $.g..h~¢~., ........ $~t~.t..I~Jgle.i. qr~,. N.~W. 7.o.P.k ....... House No. Street Hamlet County Tax Map No 1000 Section . .0,.3.1 ....... Block ..... .1.7 ........ Lot .... .0.1.3 .......... Subdivision .............................. Filed Map No. .Lot No .............. conforms substantially to the Application for Budding Permit heretofore filed in this office dated ...... A..u!gua t?. 7 ..... 19.8.1 pnrsuant to which Building Permit No .... .1.1.3.2..0..Z. ......... dated ....... i. ug.u.s.t. 7 ............ 19.8.1., 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 ......... Second Floor Addition to Dwelling Tho certificate ls issued to Ernest Curran of the aforesaid braiding, Suffolk County Department of Health Approval .... ~J./B ................................... UNDERWRITERS CERTIFICATE NO ........ P.e. nd ing ............... / .................. Rev, 1/81 FOUND~TIOi{ FOUNDATION ROUGH FRAME & 1st) (2nd) PLUMBING INSULATION PER N. Y. STATE ENERGY C,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTNOLD [3u ilding 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 w~tb the following; for new buildings or new use: 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. F~nal 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 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 peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 .... ....... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. L o cat,on of Property ~ .~.L~-- .~2.~ ' '~' ' ' '~' 'S~tr'e '~''' '~"~'''' '~' '~' House IVo: ' ' ' it ......... Ham/et Owner or Owners of Property ..~... ~ ....................... County Tax Map No. 1000 Sect,on ....... .~.~-.~../... Block ...... ./..'~'. ..... Lot.. ~./'..~. ....... Subdiwsion ............................... Filed Map No ........... Lot No .............. Perm,t No../(/~. Health Dept. Approval ........................ Labor Dept. Approval .................... U nderwr,ters Approval . .. Request for Temporary Certificate.... _: ............. Final Certificate .... Fee S ubmitted$..~..,. Construction on above described building and permit meets all applicable codes and regulations. AppJicant. ~:.~? ~m'.~:l~.~...,.~.~.~ ....................... Rev, 10-10-78 INFORMA.,.T. I0jN .FOR ]~L$CTRIC COMPANY Size and type of service ~ ~.~ ~ ~ SERVICE EQUJPME~ WILL BE< R~"'~Y i ~, SERVICE CONNECTION FOR ELECTRIC C~ANY INSP~N , , ~, REQUIRED BY~ TEL.: Approved~7. Z...,l¢..PennitNo.//.~.¢ / (Building Inspector) ft?PLICATION FOR BUILDING PERMIT Application No..~./(..~.~ ....... INSTRUCTIONS a. This appbcation must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan <hewing location of lot and of braidings on premises, relatlonsh:p to adjoining premises or public stre~ or areas, and g~wng a detailed description of layout of property must be drawn on the diagam which is part of tlus apg cation c. The work covered by this application may uot be commenced before issuance of Building Permit. d. Upon apprc.'aI of this apphcation, the Building Inspector wil[ issue a Building Penmt to the applicant. Such pern shall be kept on the premises avadahle for mspecuon throughont the work. e. No budding shalI be occupied or osed in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Bmlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructmn of boildings, additions or alterations, or for removal or demolition, as herein describe The appbcant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on piennses and in buildings for necessary inspections. . '1 (Signature of applicant, or name, if a corporation) (Mailing address of applicant)/'/',7,.~O State whether applicant is owner,, lessee, a..~ent, architect, engineer, general contractor, electrician, plumber or build, Name of owner of premises .F~ ~.~5.~.~7~ .~..! ..... ,~J.,.. ~../'~4'~.-.~. .................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corpmate officer) Other Trade's License No ...................... 1. Location of land ou which proposed work will be done ................................................ <' '.,Z. ...... 4:ex ........ House Number Street Hamlet County Tax Map No. 1000 Section .... . .~..-~. ('. ....... Block ...... ./,~,. ........ Lot...q./~. ,. Subdivision ..................................... Filed Map No .............. Lot ....... (Name) 2. State exfsting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy i ~/Se ~ / ~ ~ / / . D~///.~G Natur, ofxvork (check which applicable): New Building .......... Addition ........ Alteration .......... epalr .............. Rem vai .............. Demohtion .............. Other Work ............... .... escription). (D Estima Led Cost .................. Fee .................. ,- ........... (to be paid on filing this application) If dwelling, mfinber of dwelling.units ............... Number of dwelling nnits on each floor ................ If garage, number of cars ........................................................................ If business, connnercial or mixed occupancy, specify hature and extent of each type 9f use ............... ~. ..... Dilnensions of existing structures, if any: Front. ~.,~/. ...... Rear ...,.,2~I~...". .... Depth .(~..,~ ...... Height../...<~. ff. ........ Nonlber of Stories ...... ~.~.(:~'-'7'..'...~.~. ......... ......................... Dimensions of same structure with alterations or additions: Front ~,-~. ~.. ..... Rear ,.~.~. ,~:;'. (=~'...'.. Depth ,c.~.~.~7... ....... '.. !teight .....~.-.,,;~ ./. ........... Number of Stories....~. :..,~..,.z,../.. Dln~ensions,,~9~f e~tire new construction: Front . ..~ ./. ..... Rear . ~ ,/'. ..... Depth . ~Tff..7. ..... Height . ..,~M'..r.. ....... Numb. er of Stories ...... ~.._..,... ,, ........................ .~..,~._...:, ........ Size of lot: Front .... .~. ~. ~ ........... Rear.. ~/.~.~. :-..~2} .......... Depth .. 4(. ~.. ~', .......... Date of Purchase ............................. Name of Former Owner .......................... Zone or use district in which pr~mises are situated ................................... ' ................ Does proposed construction violate any zoning law, ordinance or remllation: .... ~..~. .................... Will lot be regraded ...... ~C;) ................ 'Will excess~fill be removed from ~remises: : Yes No Name of Owner of premises ~.~lhr~'.7-...~/. 6'~d~..b~Address~..,~.~,~,.d,,g,~.,/{/14~.~IS~one No. 4z'.~..~. ~O,~...,~ .7... Name of chitect '----x_--- ... Ar ........................ Address._....~.- ......... Phone No ................ Nam e o f Con t fac t or ~.ff'~..'~:C//O~.tM.~ .?'-~'-(AZ. . Ad dr ess~/~.~a .~.~..~?~...~. ~..f/.~. Phone NO~..~..:~./. ~. ~.~.. PLOT DIAGRAM Locate clearly and distinctly all bnildings, whether existing or proposed, and. indicate all set-back dimensions from toperty lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether ~er/or or corner lot. TATEOFNEWY,13RI/,,/,~ /Z IS.S OUNTY OF~.~.. ; (Name of indMdual s g ii ~g co ~tract) being duly sworn, deposes and says that he is the applicant )ore named. e is the ......................................................... ! ............................... (Contractor, agent, corpmate officer, etc.) f said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this ~plication;: that all statements cont,ained iii this application are true to the best of his knowledge and belief; and that the ork will b~ performed in the manner set forth in the application filed tl~erewith. to before me t~s ; Notary Public, State of NeW Yor~ (Signatnre of applicant) No, §2,0344963 Suffolk ¢ourltyJ~._~ .i ,, ' Cornrnlsalo'n Ex~irea March 30. 3.9_~--~ ~Appl~cation Recelved Disapproval Issued Permit 19 APPLICATION FOR DEVELOPMENT PERMIT In the Town of Southold Type of Development Proposed: Addition and/or Alteration[] Other (specify) ye New Structure (including storage tanks~ Flood Proof Below Base Flood Elevation~ 2. Elevation Daba in relation to above mean sea level of: (a) Lowest floor elevation, including basement feet ~. inches (b) In a V Zone, bottom of lowest structural membe'---"~ feet inches 3- FIRM--Flood Insurance Rate Map, Zone designations ~-~ZS~_ ~ t _ or Premises ~. Location of Property: County Tax Map No., Dist~ct, 1000, Section Subdivi si on J--._JUndep conbract] { Lessee iX1 Contractor Block__Lot(s)__ Filed Map #_.__~Lot(s) INew Owner Approval from other(s) before Permit is issued: HEALTH sERVIC~ ,,, BUILDING PERMIT WETLANDS <Town Board) ~,//~_' -- .... ...... I, , the applicant, am the Owner'-I, Co- 0wner[]]~-'0wne~d~-~-~ntractl~], LesseeS--, Agentl--t~ Con- trac~0~, and agr~-to comply with all applicable'section'--of the Cods of the Town of Southold; cowry, and Stats ~d to a~it authorized in- specters to premises authorized to perform or have performed the said work ~d to make and file this application, that all statements contain- ed in this application are true to the best of my knowledge and belief and that the work will be perfo~ed in the mannerset forth in the application filed thorewith. s~ oF N~V floflz' ~ - Sxgnature Notaw Public, State of New NO, $2.0~44963 Suffolk Ooun~ Appllcant' s mailing address ~d phone // ......... tf not given above: k/8o P.0. BOX 728 SOUTHOLD, NY 11971 FORM NO. ~0 TOWN OF SOUTHOLD BUILDING DEPARTMENT (516) 765-1802 TOWN HALL MAIN ROAD SOUTHOLD, NY APPLICATION FOR DEVELOPMENT PERMIT' ~'a~age: A. B. C. D. Instructions: The application to the Building InspectOr includes (each in duplicate) 1. Form No. 10 filled out in ink or typewritten, 2. Sur- vey of premises with elevations above mean sea level,'3. Drawings of pro-. posed work. The application must give complete information to show that the proposed can comply to the Local Law No. 1-1980, Chapter 46 of the Code of She Town of Southold known as "Flood Damage Prevention Law" of the Town of Southold. The applicant must submit approvals that any other, agency requires. General Standar,~s as required in Section 46-17 of the',law to minimize flood Anchoring of structures, including tanks and mobile homes Use of construction material and methods Design and location of utilities Subdivision proposal with drainage, public utilities design and base flood elevations Specific Standards as required in Section 46-18: A. Residential construction B. Non-residential construction C. Mobile homes The applicant must submit plans and specifications as well as any other information requested by the Building Inspector to substantiate the facts that the structure has or will have the lowest floor, including basement/ cellar, elevated above the base flood elevation or; if permitted by the Federal Regulation, that: 1. such structure is flood proofed in such manner that below the base flood level the structureis" water tight with walls substantially and impermeable to the ~assage oflwater, 2. that structural components are capable to resisting hydrostatic and hydrodynamic loads and effects of buoyancy, 3. applicant must sub~it certification by a registered professional engineer or architect that the standards set forth in Section 46-18B (1) (2) (3) of the Southold Cdde are satisfied. ~p,astal Hish Hazzard area (V Zone) 46-19. Applicant ~hall submit plans, specifications inclUding the required certifications and such other in- formation as the Building Inspector may require in that ~he provisi6ns of 46-19 are complied with. Mobile homes are prohibited., The lowest portion, of the structural members of the lowest floor cannot be lower than the base flood elevation with all space below open except,breakaway walls. Sand dunes. If sand dunes exist on the premises and bhe applicant pro- poses to glter same, plans and specification must be ~hown in detailed nature of any alteration submitted. Building Permit. A Building Permit is also required for any structure'. Both a DeveIopment and a Building Permit must be issued before any work can start in a special flood hazzard zone. A writtenidisapproval or a permit must be issued within ten (10) working days. During construc~ion, the inspector shall be notified in time so he may make the required inspections. Upon completion, the required certification fo the final elevations and work must be submitted before the approval to use or dccupy can be approved. (Pill out the form on the back of this sheet) 4/80 0 0 I .-F'/~oNf T -E-i,._..F-'x/AT ~ o