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Home My WebLink About13349-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 13105 Date ~a.n..u.a,v.y..3 .................. 1985 THIS CERTIFIES that the building .... Re. p.a.~.v...d.e.c.k...&..~.a..z .e p.q.d..a.m.a.g e..cl..b.y..s.~.q~. $. · 8810 Peconic .B.a.y. Bl. vd. Mattituck Location of Property .......................................................... House No. Street Ham/et County Tax Map No. 1000 Section . .1.2..6 ....... Block ....... .5 .......Lot ...... .3 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ...... J.q ~-Y..~ & ........ 19 .8.4. pursuant to which Building Permit No... ] ~.3.4.~ .Z ............ dated .... .fi.u.g.u. ~..~..1.3. ............. 19 .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 ......... Repaired deck and gazebo which were d.amaged.b.y, storm. The certificate is issued to JAMES & MARY ABBOTT of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO N/A Rev. 1/81 Building Inspector FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13349 Z Permission is hereby granted to,: ~ ~ ~ ~ / ..~.......~..:.....~.~ ............... ..... ~...~....~..:~.:....~.~...~. ::::::::::::::::::::: ................... : ~, pr~mi~e, Io~a,ed ot .....~. ..V...O.....~.~...~..,~..~..........~.~.~ ....... County Tax Map No. 1000 Section .... .)..~..o~....~. ....... Block ....... .~. ........... Lot No ....... .,~ ............. pursuant to application dated ..... ~....~...~ ....................... , 19~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ~=uthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ![i!i JAN - 3 1985 BL. BLDG. DEPt. TOWN OF SOUTHOLD Instructions A. This appl[cation must be f[[led in wpewriter OR ink, and submitte~p[':cctc 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 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 Architect or Engineer responsible for the building. B. 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 peoperty 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 / 3. Copy of certificate of occupancy $1.00 landuse--?re-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Locat,on of Property .... ........ House No. ~treet Ham/et Owner or Owners of P roperW .~J. ~{~ ~J ~ ~ ~ ~ ~ Block Lot ~ County Tax Map No. 1000 Section .............................................. Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. J.~..'.~.~/~.~. Date of Permit ....... Applicant ~J.~..,~.,.~_5 /;~,/?,~ ~ / Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temp~ry~Certificate ..................... Final Certificate ..z~--~. ·. ................. Fee Submitted $ . ,~,~,: .~? .'~, .................. Construction on above described building a~)d permit meet. s all applicable codes and regulations. Appli~/~.~-¢-;~?, · .~C-e ,~..', .~. ~ .~. ~. · · ................. Rev. 10-10-78 .~ -,4--- , ,-~ ~. ~ ~ / FIELD INSPECTION FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q?DE Ye FINAL COMMENTS ADDITIONAL COMMENTS: FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 ~,xamined~O~V~'~'~..~.., 19'~.~ ~pproved .~..-~c~'0~r. .I.:~ .,19~. Pe~it No.t ~ ~ ~ ~ ~ 3isapproved a/c ..................................... (Building In APPLICATION FOR ecezve . .'t,a,h--..'-"TT~.. ~ INSTRUCTIONS a. This application must be completely filled in by typewriter or ~ to the Building Inspector, with 3 ,ets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ration. 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 pumuant to the 3uilding 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. Fhe 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/~ons. . ~ ' ' · ...... ...... ;' ;;'i;; .... ~(Signature of applicant, or name, if a co p at' ) ,. ......... × .... (Mailing address of applicant) 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 ....................... State whether applicant is owner, lessee, agent, architect, engineer, general' contractor, electrician, plumber o,r builder. (as on the tax ro[t~t~d~) BY- V, ~ L, 765-1802 .9 AA'. :O 4 ~'4 FOR I. FOUNDA,TIOF~ ~ qW~ REOUIRED FOR POURED CONCP~ ~:~ 2. [?OU(gH - FR/' ~'[iNG rS PLUMBING 3. HNiSULAT[ON ALL CONSTRUC-'OF~ c.~ ~ I . / MEET THE REQUIREMZ~NTS . ' r,{~ N.Y. StArE CON~'RUCTJO; t 3. FNIzRGY Other Trade's License No ...................... CODES. NOT RESW F?:'~;LE FOR 1. Location of land on which proposed work will be done.~- ~ o ~t ~ -~'---- ~ -~)ESI~CO~'I~[~ON Itouse Number Street Hamlet County Tax Map No. 1000 Seclion ..... ].~ ......... Block ...& ............ Lot Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of prenfises and intended use and occupancy of proposed c°nstructi°n: a. Existing use and occupancy D ~b ~ o C6 o~ e ~ (~.~.~ b Intended use and occupancy 3. Nature rk (check which applicable): New Building ........ Addition .......... Alteration .......... Repair t~. ............ Removal .............. Demolmon .............. Other Work ............. c?.~..~ : (Description) 4 Estimated Cost ,~,~o . Fee (to be paid on filing this application) 5. If dwelling, number of dwellingI units.../. ........... Number of dwelling units on each floor ................ If garage, number of cars .... I ................................................................... · , .fy 6. If business, commercial or mixed occupancy, specl nature and extent of each type of use .................... 7. Dimensions of existing structures, if any: Front...t~. ......... Rear . .~.~, .......... Depth ~..~l .......... Iteight .~...,.qT~re¥ ./g'... Nmhber of Stories ~ ' Dimensions of same structure ~ith alterations or additions: Front .. ~.~. ............ Rear ?Z¢, ............. Depth...-~ ? ............ -... i... Height .... {?.'. .............. Number of Stories .~3.~ .................. . · t~,~ . ' '"'" pth 8. Dlmensmns of enbre onstruct~on Front ............. Rear ......... De .............. - Height ............... Number of Stories ....................................................... 9. Sizeoflot: Front . ./.~9 .... : ............ e r ... ~ ................. Depth ..................... 10. Date 0fPurchase . .~./l/g°. ................. Name of Former Owner 4T.v.~.~.~.~'..~; .q~??.~o,.~.a... ~p.,_s..7. 1 1 Zone or use district in which premises are situated ' 12. Does proposed constru,ction vidlate any zoning law, ordinance or regulation: a,., .............................. 13. Will lot be regraded 2,. ...... .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~ .~&5..~Tff,~ .C.~. 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 property lines. Give s interior or comer lot. 'T 3TATE OF NEW YORK ' ~OUNTY OF f~om according to deed, and show street names and indicate whether being duly sworn, deposes and says that he is the applicant (Name of individual sig¢ing contract) . ~ above named. is the ......................................................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed ther&with. ;worn to before me this ............ .......... dayof .... ........... ,19..'/ 4ota~3, Public, ........ .' .~r~}~... ~ County /r) NO?AR¥ PUBLIC, State of ~'~e~' '0r[~ /'/ ............ ~. No. 4~0787& S~tt01k Cq,tm) ~ ~,/ (Signature of applicant)