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Home My WebLink About12969-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15371 Date March 18, 1987 THIS CERTIFIES that the building deck addition toc~tion of Property 605 Leeton Drive Southold, N.Y. House No. Street Ham/et County Tax Map No. 1000 Section 59 ,Block 1 .Lot . 9 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .April 3, 1984 12969 Z ........................ pursuant to which Building Permit No ...................... dated A p r i 1 3, I 984 . was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING CHARLES F. DOYLE The certificate is issued to ..................... ?o~;~'o'r,'l/~i~ifi~'7i .................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO. N /A N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 l~'Olt~ 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) Building Inspector. Fee $.~...~.x ............. Permission is hereby granted to: .... !.~.......~ ........ J. ...................................................... ,_% , ~1 ....... ~.&.....~...~ ............................... ~ ,~ .... ~ ............. .~ ............ ~ .................. ~.~ ..................... ~.~.~ ....... ~.....~.~...~., ....................................................................... at premises located at ............................................................................................................................ county~7~x Map,No.¢,!O0,O Se~tiQi~ ,...,,~:=.~.. ....... Block ...................... J Lot No ...................... pursuant to application dated ......................................................... 19 ........ , and approved by the Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCU Instructions This appllcation must bo filled in typewriter OR ink, and submitted ~ ~ 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-(So9 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. 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 Ncw Dwelling. S25.00, 'Acce.q.qory ..$10.00 Bu~ine.q:~ $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 yeara $10.00 4.Vacant Land C.O. $ 20.00 5 Updated C 0 $ 50 O0 [3ate ....... 6. )%iteration $25.00 NewCons truct, ton Old or Pre-existing Building Vacant Land Location of Property .... House No, Street Ham/et County Tax Map No. 1000 Section , - BI ck L · ' ' Filed Map No Lot No Subdlws)on .......................................................... Permit NO, )??,~, ~.',2'g Date of Perml~, Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval Planning Board Approval , . Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ "~-'-"q~' ~ Construction on above described building andj~ermit meets all applicablp~qodes and regulations. % Is371 F~L[~'~NSFECTION FOUNDATION (1st) ¥. ADDITIONAL COMMENTS: FOUNDATION (2nd) 2. ROUGH FRAME & FLUMB~NG 3. INSULATION PER N. STATE ENERGY C,ODE 4. FINAL TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 8O2 This is to advise you that the job under building perrait no. 12969Z issued to Charles Doyle on __~_/3/B4 for Addition is completed and a final inspection has ( ) has not ( x ) been done. In order to complete this file, it .is necessary that ;~ Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange witit this office for an inspection date Occupancy or use is nnlawful without a Certificate of Occnpancy. Please help us to clear np this matter so that legal action docs not have to be taken. Thank yon for your prompt attention. Very truly you/~, Victor Lessard Executive Administrator VL:gar cncl. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 .... Approved..~. ~,4~.. ~...., t9~. J. Pe~it No. ~ ~. ?. ~.2. ~. Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date...~../.3 ............ 19 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary~ (Signature of applicant, or nafife, if a corporation) . .,e. .o. . . .q. ./, . al. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ............................................................................. Name of owner of premises . .Q .~. ¢..~../g.S.....,.~..O..~./g~ ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) .... ..77 ................. Builder's License No. / Plumber's License No ......................... Electrician's License No ....................... Other ~rade's License No ...................... 1. Location of land on which proposed work will be done .................................................. $o~- L ~-zSV-o ~o., .~.~..~ o~z ....... ~.o.v.~..~..o./.~ ............. House Number Street Hamlet County Tax Map No. 1000 Section ....R.~4-.".~ ......... Block / Lot '~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. 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 /~c · ~4o/~, *n c ~, 3. Nature of work (check which a~plicable): New Building ---~ ' Addition .......... Alteration ....--'-; ..... Repair ~ Removal 7..'~.. Demolition --- Other Work .... .-'r'r~ ........ (Description) 4. Estimated Cost .... .~.~.O.~ ........................ 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 .... 1 .................................................................... 6. If business, commercml or m~x~d occupancy, specify nature and extent of e.a, ch type of use . "--'-'--" . 7. Dnuensmns of ex~mng structures, ff any: Front..,3..6' ......... Rear . ~.~ .......... Depth . ~;g-. ~. ......... Height . /.~../ .... Number of Stories. . ( ..................................... Dnnensmns of same structure ~th alteratxons or additions: Front . .~.~. ............ Rear ,~ ~ ~../ .. Depth .... ,~'.O. ( .......... ... Height... 3: .~. ~ J~. ........... Number of Stories..~'...~..~..~.' i i i. i. 8. Dimensions oftentire new constlruction: Front . .~3.~q.~ ......... Rear .~. ~ ........... Depth . .~..(~. .......... Height . .I..~. .......... Number of Stories... ( ........ > ....................... 9. Sizeoflot: Front ../.~.O.f.i ............ Rear.-~..OD. ........... Depth 10. Date of Purchase .......... ! ................... Name of Former Owner ...'r':'.'.'.'.'.'~TT..... 11. Zone or use district in which p~emises are situated 12. Does proposed construction vidlate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... ~!...iq-.~-,.,.., ......... Will ex~ess fill be removed from premises: Yes 14. Name of Owner of premises ~.~..~.~!? .~.~..q ~t/'g ...... Address~-~.g~ .~Cg ~ .~.~... Phone No. ~.~..-7-.-..~.~. ?. ?... Name of Architect ......... ' .................. Address ................... Phone No ................ Name of Contractor ........ I .................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alI 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. I~X.15 T '7. oo ........ '~(~n~e of in~:nlng,.~e contract) being duly sworn, deposes and says that he is the applicant above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ........................ day o~..~.. ....... Notary Public .... '~'" "~' ....~.'.i...~..e.-...~..0~..... Count~.~ NOTAI~Y [>LJBt.'CJ, Sta!~ 0f [~ev, Yorlf , ............. ~iln~u;e';; ~pplicant)