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Home My WebLink About13281-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Zq 3583 Date July 2 85 THIS CERTIFIES that the building addition. Location of Property 3~0 Oyster Pond Lane Orient County Tax Map No. 1000 Section ..... 2.~ .....Block ..............'1' .Lot 5 Subdivision ............... .x. .............. Filed Map No. ~: .Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated ....... .G..~. 3:. ~r. 'l 0 19~.~. pursuant to which Building Permit No. '~ 328~ Z dated . . .G.~.I. 7..q.G. ................. 19~.g.. , 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 ......... Addition to a. ccessory garage. The certificate is issued to ...... MARY & THOMAS KAVAZ~NJIAN ............... ...................... of the aforesaid building. Suffolk County Department of Health Approval ?./.~. .... UNDERWRITERS CERTIFICATE NO ................... N/A Building Inspector Rev. 1/81 l~O~V NO. ~ 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? 13281 Z Permission is hereby granted to: I (~ ~ . .,. · ......... .~.~....z~..:.~..:.....L/.~.~..-/. ............... at premises located at ................................................... County Tax Mop No. 1000 Section ..... ..O.....~.....df. ..... Block .......... ~ ........... Lot No ........ ~ ............... pursuant ,o application dated ...~&~.,~d~t....J.~.. ...................... , 19..~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FIELD INSPECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DEPT. $OUTHOLD Instructions This application must be filled in typewriter OR ink, and submitted i~l~ to the Building Inspec- tor with the fe(Iowing; 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 the Amhitect 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 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $ [ 5.0 0 3. Copy of certificate of occupancy $1.00 / /' 4.Vacant Land C.O. $5.00 /~/~ New Building ............. OJ~d or Pre-existing Bui!d,ng ,,'.,": "~.'.~..~.". 2.'~.~ Vacant Land ............. Location of Property .~..J~.~?. ..O.y~'~-~.iR~..~t.~.~. ~.~... Q..~.L.E"-..~..~ o,so No. ' ........ S,re;," ';' ' Owner or Owners of Property ,~...~..?~...////~...H~...~..../~/...~..~/~/')~.. .............. Lot Subdivision .................................. Filed Map No ........... Lot No .............. / Permit No./~. 2~./2Date of Permit Applicant .<~..~ .~. ~.~'. Health Dept. ApprovaJ ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $..~. ¢.~. .................... Construction on above described building and per.,~.~ meets all ~pp~jcable codes and regulations. '-~' ~' ~(~7 1 ~> Applicant .......... Rev, 10-10-78 f n~ n~' 'EFT. ..... ~' JTHOLD 765-1802 BUILDING DEPT. iNSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [/~INAL REMARKS: DATE INSPECTOR 7G5,1802 BUILDING DEPT. INSPECTION, [~/~OUNDATION XST [ ] ROUGH PLBG. ~///~UNDATION ZND ~] INSULATION [ ] FRAMING [ ]FINAL' REMARKS: DATE ~ //~ INSPECTOR ~- FOR ~ FO FOR P~U~ ;CO~CRET~ '~ 2..ROHGq: FRA~MING & PLUMBIN( f 3'. ~N~O~ :~, ~4, ~FINAI ~. CqhCqT~,tICZION MtJS] 'BE C~'~"~;:~F FOR C.O. STATR CONSTRUCTION & '} ~OgE~;' '; NOT ~RESPONSIBLE FO~ I i /.-4, ' FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ,~, ,~,7.. ,, 19 ~.~ Approqed .,,~. ~ ,~, i. ,, 19~, Permit No. ~. ~ ,~.~! ..~,. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19... Date a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 .ets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of 1ct and of buildings on premises, relationship to adjoining promises or public streets )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 hall 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 ,hall 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 luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or iegulations, for the construction of bnildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary~io~n.~.~ ]inspe ions. j . (Signature of ~p~lican~t, ~~ration) ~(Mailing address of applicant) gG~. State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber or builder. ..... u.:4 ............................................................................... qame of owner of premises .~..~/~.. ~../(~/~... ~L~,.. ~./~.~. L~'.2~N~. t/~. ........................ (as on the tax roll or latest deed) f applicant is a corporation, signature of duly authorized officer. (Name and title of cml~orate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................................................... ltouse Number Street Hamle County Tax Map No. 1000 Section .. ~,~. .... Block.. ~[f~ ...... Lot..~r,. ~.~ ..... Subdivision ...................................... Filed Map No ............... Lot ............... (Name) State existiog use an~occupancy of premises and intended use and occupancy of proposed construction: - _ . .......... . ' ' g P Y ...~~..~~.~..~e4~ .... ....~ ..... b. lntended use and occupancy . .~~. ~.. ~~. ~; .~.'. ~..~~ ...... 3 f rk( ck hi ppli bl )N Buildi ' ~Additi · Nature o we che w ch a ca e: ow ng .......... on ........ Alteration .......... Repair .............. Removal .............. Demolition ...... Other Work .............. ~,.~,. (Description) 4. Estimated Cost ..... ,i ......................... Fee ................ · i . / (to be prod on fihng this apphcation), 5. If dwelling, numberof dwelhng unit,..Z.(~) ..... Number o~ dwelling units on each floor../. If garage, number of ca~ I ~ ~ L .... 6. ~s uu~m~, ~ommercmi or m~xea occupancy, specify nature and ext~nt of each typepf use .............. ~ ...... 7. Dimensions ofexistiog structures, if any: Front ......~( ........ Rear .... g~. ~. .... Depth .. ~'~ ....... Height I~..~OY.~. Number of Stories ~ [~,~ ' D~mens~ons of same structure with alterations or additions: Front ~'/ n~.. Depm .... ~ ........... ~.. He~t .J~t& ............. Number of Stories.: .d ~ ~., ..... 8. Dimensionspf entire new construction, Front //- .___ ~ t ~ ~. ~' ~'. · · taeignt . g.. T ~0~ .... Number of Stories //~ ' 9~ ' ' , / "-'x" ~ .................... S~zeoflot. Front . 7~ ~ ..... Rear "~-~ ~ -- ~/~ ~ ...... ~ ~ ~ i ........... ~q .......... oepm ./.~ (... ·.. t.~ ...... 10. ~,~ate ct ~urc~s,e ].../.?fa. ~ ........ ; ........ ~ ~ of Fo~er Owner ..~.. ~-J~ ~ ~ .... I 1. ~one or use restrict in which premises are muated .(4d(l~V~' Al ~/ ' ' 12. Does proposed construction v~olot~n~omng law, ordinance or re.ration: , ~0 .............. 13.Will lot be regrad~d ~ W~p~i~'' . · ' ......... ~ ~ ~ _ ~, . , Wall e~ess fill be~emoved from premises: . Yes' No t4. N~e of Owner of premises ////~, ~e~, , Address/~7~ (2~(~ ~ZVO ~.~ '~- ~7 . ' ' , · ,.~ ...... -~..~v'. ........ ~t~o, .,~.7 Name of Architect ~ ~,~(~ Address~V' ( t~/ W ~ ~' -' .. ~ ~"3'4' '~'~"~ ":.' .............. / .....~.rnonel~o ......... mmeozcontrac~r ./.~ c~;~ ~~ AAA ..... t .... ' ...... PLOT DIAGR~ Locate cle~ly ~d distinctly MI~ bufldMgs, whether existing or proposed, and, indicate all set-back d~ensions from ,roperty ~nes. Give street and block humber or description according to deed, and show street names and Mdicate whether atefior or corner lot. : 'ATE OF NEW YORK, ~.S )UNTY OF..m ........ , ....... (Name of individual sigi~ coil)tact) .... being duly sworn, deposes and says that he is the applicant ~ve named. is the ; (Contractpr;agent, corporate officer,,etc,) said owner or owners, and is dulylauthorized to perform or have performed the said work and to make and file this flication; that all statements contained, in this application are true to the best of his knowledge and belief; and that the rk will be performed in the manner ~et. forth in' the application filed therewith, orn to before me this ........... /...~ .... day of...~ ........... . [qO]'ARY PUB[IC, grate ot Ne~ York ' ~J (~gnature of applicanD · [, No, 4707878, Suffolhicounty "~. Term £xp;tes March 30, 19.~'*~ .