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Home My WebLink About13262-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-15370 Date March 18, 1987 THIS CERTIFIES that tbe building RECONSTRUCT FRONT & BACK PORCH Location of Property 5360 Peconic Bay Blvd. Laurel, N.Y. House IVo. Street Hamlet County Tax Map No. 1000 Section 12 8 .... Block 2 .Lot 16 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated J u n e 1 9, 1 9 8 4 ' pursuant to which Building Permit No. 1 3 2 6.2 z dated Ju 1 y 3, 1 9 8 4 ' 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 ......... RECONSTRUCT FRONT & BACK PORCH VELMA P. CATROW The certificate is issued to ..................... io.v~n.o~,./~t~ggC~l~,0;~i~X ..................... of the aforesaid building. Suffolk County Department of Health Approval .... N / A N/A UNDERWRITERS CERTIFICATE NO .................................................. N/A PLUMBERS CERTIFICATION DATED: / ~ilding Inspector Rev. 1/81 FOIblE NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? i326~ Z Permission is hereby granted to: ...[.h ~?.~....':~:~.t...~[ ................................................ ....... ..~,.~:.~.~....:~.m..:~..~..~,~,~,.....?~ ....... ~-m~ ~~, ~, ~'~ '~-~ .................................................. ~, ~,,, ,~.~ ~..~......~ ............... ~.~,.~, ............. .~ ..... ~ .......... ~.L ...... ~ ............... ~ .......... County Tax ~ ~ ::z- i (-c~ Mop No. '1000 Sect,on~.....) .................. Block ...................... Lot No ......................... pursuant to application dated ...... [~L.~.;?.'X~L...[...~'~, ........................ , '9~ { ..... , and opprov~ by the~ t Building Inspector. Building InsDector Rev. 6/30/80 FORM NO. t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPL~-'TION OF THE WORK AUTHORIZED) N? 13263 Z Permission is hereby granted to: ..... ~..~.,l~?..~.~,.....~., ....... (....~..~.? .......... :i'.'~ii%..?.:~..~t .................................. : ............ .....~;~:~.~,L ~..~ ~ ....~ "~ ...... ~;...; ................ · ~ ................... ~...~ ........ ~ .......... ~ ....... ~ff ...... , .4 ......................................................... ...................................... 'J.;";;"; ...... ;~ ............... ;'"'"2 ........ ,;:~;'5'""; ........... 2"~ .......... ;; ................ ~t p~m,ses I~*ted ,t ..~ ................... ].$...~ ....... ~ ................. ~...~.....:~ ........... ~; .......... ~. .............. pursuant to application dated .... --..~.~.~.L.x~.~.,.~...~ .......................... , 19..~...]'/.., and~f C L approved by the Building Inspector. Building' Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- lBO2 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~a ~ 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 unu~al natural or topographic features, 2. Final approval of Health Dept. of water supply and sewerage disposal-iS-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 installs- tions, a certificate of Coda compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusua~ 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: i. Certificate of occupancy New DwellJ. ng.$25.00, 'Accessory :$10.00 Business $50.00 2. Certificate of occupancy on pro-existing dwelling $ 50.0 0 3. Copy of certificate of occupancy $ 5.'00~ over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... 6. hlteration $25.00 NewCon~bz'uct, ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. d.~..~.(~.......~.~'4~-.~';~,.~.. ~"L~-~'' ~'~"~/( ..... Z'~" '~"~' '~' '~" · · Hou$o No. tX , ,~ /~ ~reet Hamlet Owner or Owners of Property... ~/.~/.//~.~,../4... · .~..~ ~.CO/"~..'.' ........................... CountvTaxMap,o.,000Sect o, B,oc .... · ' ' Flied Map No Lot No Subdw~s.on · Permit No Date of Permit Applicant Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted S ~" d(') Construction on above described building and permit meets all applicable codes and regulations. Applicant ..... .................... 10.10.78 FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION FER N. STATE ENERGY COMMENTS ~ODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL SOUTtIOLD, N.Y. i 1971 TEL. 765-1802 This is to advlne you that the job under building permit no. 13263Z issued to .Velma Ca]row on ._.!L~/8~___ for Addition i's e~p~cted and a f;nal {nspeceJon has ( ) has no~ (X'') been done. in urdcr to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to'the above office with a cheek for ~$25.00paynble to tile Town of Sou]hold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use ia unlawful without a Certificate of Occnpsncy. l'lense help It~ tO clear up this matter so that leg;l[ act{on doe. not have to be taken. Thank you for year prompt attention. Very truly~, Victor Leseard Executive Administrator VI,: ga r oriel . 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined..~,?"~:~,¢,~..i~ .... ,19'~.~. Approved . . ~..~.".~ i~..., lq:{.. Permit No Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted 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 issued 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 ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) ... .o., (Mailing ~iddress of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~/&j~.'.l~.(2~...~...~0~}~0..~ ................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authqrized officer. (Name and title of corporate officer) Builder's License: No.. ~. ?.. · · .~....~ ~ .~.. Plumber's License No ......................... Electrician's License No ....................... Ott~er Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. &.O ..................................................... House Number Hamlet County Tax Map No. I000 Section ................../~'~ Block ...... .~. ......... Lot .... .............. [ ~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and~and occupancy of proposed construction: a. Existing use and occupancy....~'... ~.~, .~....F.c4 ¥' .C~.... ~.X~.. b. Intended use and occupancy .... 10. 11. 12. 13. 14. Nature'~'~"'~'1'~-' '~'~a °'r'*'J~ Rern!val ............. Demolition ......... ' ......... ~teration ......... Rep~r of work (check which applicable): New Building ..... ' ..... Addition ..... Other Work ~]~ .~ Est~ated Cost · · ' Fee ........................... "'[banff '"',' ............... '. ¢ o be' ' ' ih'pa on ming thi's a';plica rio n ) If dwelling, numberpf dwelhng Cmts ............... Number of dwelling units on each floor ................ If garage number of cars : If business, com~er6ial or ~ixefl occupancy, specify nature and extent of each type of use ..................... D~ensions of existing structure's, if any: Front ............... Rear Depth D~ensions of same structure w~th alterations or additions Front Rear pth I HeiSt .. St De · ................... ~ ...................... Number of ofies ...................... Dimensions of entire new construction: Front ............... Re~ ............... Depth ............... Halght ............... Number of Stories ........................................................ Sine of lot. Front 'c · ~' · ·: · ':~' .- ......... Rear ...................... Depth ........................ Date of Purchase . IB.~r. [[1~la a..... Name of Fomer Owner Zone or use district in which pr~mises a~ situated ............................. ~ ............. ~.~ Does proposed construction violate any zoning law, ordinance or regulation: ............................ Will lot be regraded .... ...... ; ................... Will excqss fill be removed from premises: Yes No Nme of Owner of premmes ~ ~,. ~. Address ~ ~...~ Phone No. Nme of Architect · .~ .... ~ . .... Address ............ Phone No. Nme of Contractor ' Address Phone No 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 Jnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. S.S DATE: ~ ~.~_...B.p. '~ FEE: ~ff. ~_ ?Y: ..- NOTiFh~7'~.~UiLDiNG DEPARTMENT AT 7654 802 9 AM TO 4 PM FOR THE FOLLOWING , x.. , C iONS. 1. FOUFJr'.ATION - TWO FOP ?OUR~TD CONCRETE 2. ROUGH - FRAM~b~G & P[ UMB~[qG 3. 4. F1NAL -' Cq.-,~:' ALL CONCTR' ~c-flON SHALt_ ,,~Et T THE REOt q~'~EF~SNTS OF THF N.Y. STATE CONR1-RtJCTiON & CODES. NOT RESPONqlBLE F DESIGN OR CONSTRUC FION ............................. ~' · .................. being duly sworn, deposes and says that he is the applicant (Name ...... of lndlvldual slgmng contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners and is duiy authorized to perform or have performed the said work and to make. and file this application that all statements contained m this application are 'true to the best of his knowledge and b~'lief; and that the work will be Performed in the manndr set forth in the application filed therewith. Sworn to before me this / NOTARY PLI[tUC, State of New York ~ :. (Signature of applicant) No, 4707878, ~q'tfol~, County Term Expires March 30, "FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-180:~ Examined Approved Disapproved a/c ..................................... ...................... . ~ :~.. ~¥,. .... ?:~'% ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT IN STRUCTION S Received.. '.q~-.5, 1 9~/. Date . ~-,,e~..,~.~ ..... , 19~.5( a. This application must be completely filled in by typewriter or in ink and submitted 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. : :: .. e. ,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 issued a Building Permit to th~ 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 Departme.nt 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 inspedtors on premises' and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...o[O.~fl,.~..~....~..! .(~~ .......................................... (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 LicenseNo ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ............. ' ..................................... .. s o ................. A3 ......... ............. House Number Street Hamlet County Tax Map No. 1000 Section ...... ). ~-.-~ ....... Block ........ ,~. ........ Lot ...... ~. ~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premis~es and intended use and occupancy of proposed construction: a. Existing use and occupancy J.~... b. Intended use and occupancy .. ' ...................................................... (~Nature of work (che~k which ap'plicable)~---.~--~Buflding ~-.)('l'.Q~/Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... , (Description) [ ~" (to be paid on filing this application) 5. If dwelling, number of dwelling pnits ............... Numbar o f dwelling units on each floor ................ If garage, number of cars ..... ................................................................... 6. If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ................ Rear .............. Depth ............... Height Nurdber of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ......... . Height ...... Number of Stories ......... ~..~D~mens~ons of entire new construct/on: Front . ... ........ ~' 'a Rear ................. Depth .................. . 9 Sizeoflot Front . · ...... ' Re~atr ....... ~7. .... Depth ....... 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which pr4mises are situated ..................................................... 12. r)oes proposed construction violate any zoning law ordinance or regulation: ................................ Will lot be regraded ........ ~. ................... Will excess fill be removed.from premises: Yes No Name of Architect ..... i : .............. Address ................... Phone No ............. Name of Contractor ........ Addres~ Phone No PLOT DIAGRAM Locate clearly and distinctly alll buildings, whether existing or proposed, and, indicate ail set-back dimensions from property liges. Give street and block !number or description according to deed, and show street names and indicate whether interior or corner lot. '~ r' ~ AP~P~OYED AS NOTED F£[: )~, ~' BY: .___~_ - (o, L, NOTIFY BUILDING DEPARTMENT AT 7654802 9 AM TO 4 PM FOR THE FOI.LOWING INSPECTIONS: 1. FOUNU~ATION - TxNO REQUIRED FOR PaURED CONCRFTE 2. ROUGH - FRAMING a PI tJMBING ,4. FIb.~~ c'~'"c-"~'~7'~N,V~ "'-'-~, ALL C?; ..... ~qa~, q",A'L M,~_I THF )~r~'~).":'~'-~"l-5 OF TIlE N.Y. STATF (?~qrR'JCTION '8~ N~T RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. STATE OF NEW YORK, COU~Y OF ................. ................................................. being duly sworn, deposes and says that he (Name of individual si~ lng contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of saki owner or owners, ~d is duly authored to perform or have peffomed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~e~ set forth ~ the application filed therewith. Sworn to before me this .................. ..... ......... , ...... ......... NOTARY PUBLIC, State 0f New gora (Signature of applic~t) fi0. ~707878, S~ffol~ ~ourff[]~ ~ lerm Exmres e~a~ch ~0, t9~