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Home My WebLink About13076-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z15904 Date July 1, 1987 THIS CERTIFIES that the building replacement of windows in dwelling. Location of Property 2300 North Oakwood Road Laurel House No. Street Hamlet County Tax Map No. 1000 Section ...... 1...2.7...Block 6 .Lot 2 Subdivision X ...Filed Map No. X .Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... .Ap.r.i. 1. . .3.0. ,. . .1.9.8. 4 . pursuant to which Building Permit No. 13076Z dated ........ .M..a.y..1.,.. 1..9.8.4. ...... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy ~r whch this certificate is issued is ......... Replacement of windows in an existing dwelling. The certificate is issued to . JOHN W. I-IARRISON .................... ?&;&;., ~:~ ~,~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ................ .N./..A ...................... N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOB~ NO. 0 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? 13076 Z Permission is hereby granted to: .... ~ .. l .Y. . . =4.'. .~/~.~.a~. . ~ . //g (~o ~ .... ~0..:...~.~......~'~.-.~ ..................... .... Z~,.~:~/...~.....~ ......... ,o ........ at premises located at ...~.,,~..~. ....... ~..~.~.---'~'~.....~,~.~.~......~ ..................... County Tax Map No. lO00 Section '"~"Z' ........ Block ....~.~i ........ Lot No..;1~..'~..(~~. ....... Building Inspector. Fee ,.~...~... approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Fluilding Department Town Hail Southold, N.¥. 11971 765- Z802 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 dlsposal-{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· §. 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 end 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 qf occupancy lieu DweilJ. n.~.$25.00. ^ccc,aery :$10.00 ilu~[nesa $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00. over .5 ye~zr~ $i0.00 4.Vacant Land C.O. $ 20.00 5 U~dated C O $ 50 O0 Date .... 6. Alteration ,$25,00 ' i ' NewCona truc tion...~. ·. Old or Pre-existing 8u [ding ............ Vacant Land ............. Location of Property ...................... , ...................................... House tVo, Street Ham/et Owner or Owners of Property .... '.'. ,:.c.? B,oc Z Lot County Tax Map No. 1000 Section ...... ~ ................................ · ' ' Flied Map No Lot No Subdlws~on . Health Dept. Approval ........................ Labor Dopt. Approval ....................... Underwriters Approval ........................ Planning Board Approval Request for Temporary Certificate ..................... Final Certificate . Fee Submitted $. .~2~ ............. Construction on above described buildin[l/~rt~ permit mt~ets all applicable codes and regulations. TOWN OF SOUTHOLD OFFICE OF BUILDING INSI P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 119?l TEL. 765-1802 This is to advise you that the job under building permit no. 13076Z issued to John W Harrison on 5/1/84 for Alteration is completed and a final inspection has ( ) has not ( x ) been done. fn order 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 check for $25.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange witb this office for an inspection date Occupancy or use is un].awful without a Certificate of Occupancy. Please help ns to clear up this matter so that legal action does not have to be taken. Thank ynu for yollr prompt atten_~on Very truly you~, Victor Lessard Executive Administrator Vt:gar FIEL~.~ IN~jPECTION 1. ~FOUNDATION (1st) COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY FINAL ADDITIONAL COMMENTS: Memorandum from BUILDING INSPECTOR'S OFFICE TOWN OF TOWN HALL, SOUTHOLD, N. Y. 11971 765-1802 Hay I I, 1987 Mr. & Mrs. John W. Harrison 35-56 77th Street Jackson Heights, New York 11372 Dear Mr. & Mrs. Harrison: We are in receimt of your a~Dlication and check in the amount of $25.00 for your Certificate of Occupancy We are still unable to issue the Certificate of Occupancy for the following reason. An inspection of the premises has to be made by this office. Kindly call this office at 765-1802 and arrange for an appointment. Thank you, Southold Town Building Dept. Georgia Rudder, Secretary TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR. P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1 This is to adv{se you that the job under building permit no. 13076Z issued to John W Harrison on 5/1/84 for Alteration is completed and a final inspection has ( ) has not ( x ) been done. In order 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 $25.00 payable to the Town of Southold. Please indicate to Whom th~ Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please. help ns to clear np this mstter so that ...... lea'al action does not have to be taken. .. Thank you for yo{~r prompt attention. Very truly y~, Victor Lessard Executive Administrator VL:gar cncl. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y, 11971 TEL,: 765-1803 Examined.../(~/..'~..~.' .~.. ( .... 19~ Approved .... , l .. _e=itNo Disapproved a/c . i '. ....................... ",/~'} ~' · · ·: · / (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. ~. ~.7.~.. ...... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 issue 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 Occupahcy 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 applican.t agrees to comply with all applicable laws, ordinances, building_~_L_COde, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for nepOa~.~ / y ' i~i'g~;iure °f applicant' °r name' if a c°rp°rati°n) [ ...... ..... :.,g?.4. ~ . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ?.p.h, 9....~? ..... 2. '~ o 'o.,../--~. ·.. ~. ~.i~,/.~. ,~. ': ,~. .......................... (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 License No ....................... Other Trade's License No...~ f.~ .............. .~.~. ' 1. Location of land on which proposed work will be done .................................................. Z ...... ,,o,/ TcJ- ?. House Number Street Hamlet · C;hnty Tax Map No. 1000 Section .. i ./..~..~. ' Block ..... .~. ' ...... Lot.. ~.~.. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ..... ~,~ ~ ...... ~.T... ~.~=?,.~..~~ .................... 3. Nature of work (check which ap flicable): New Building .......... Addition .......... Alteration ......... . Other Work :~,,/?~e Repair .............. Reme ?al: .............. Demolition . . ~ .-~- --DeCript n) · , (i · s----lo-? · · 4. Estimated Cost ............. , ......................... Fee....... ........................... .... , (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............... If ghrage number of cars ..... 6. If business, commercml or mixed occupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structurels, if any: Front ............... Rear ............... Depth .............. Height ............... Number of Stories '. ...................................................... Dimensions of same structure w!th alterations or additions: Front ................. Rear ................. Depth' i Height Number of Stories 8. Dimensions of entire new construction: Frbnt ............... Rear ............... Depth .............. Height Number of Stories ....................................................... ' Rear Depth 9. Size of lot: Front ........... ...................................................... 10. Date of Purchase ........... ! .................. Name of Former Owner ............................ 11. Zone or use district in which pr6mises are situated .................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will lot be regraded ...... .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................... Address ................... Phone No ................ Name of Architect .......................... Address ................... Phone No ................ Name 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 ~ines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW .,YORK, [ S.S COUNTY OF.. .... · ;...~.o.h..~ .... .t~......~.f..,¥.-?'??..o.~ .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigging contract) above named. He is the ..... ?..fi~?..t-./..~. ...... ~ .................................................................... (Contractor, agent, corporate officer, etc.) of ;ald~"t-*~-~, and is duly authorized to p¢_-f:r~ c-r have performed the said work and to make and file this application;that all statements coniained in this application are true to the best of his knowledge and belief; and that the work will he performed in the manner set forth in the application filed therewith. Sworn to b'efore me this ........................ day of...~ ........ 19 9. / ~omm~lon axplrea March ~, (Signature of applicant)