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Home My WebLink About13098-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No ...... Z15.293.~... May 26,. 1987 Date ................................ THIS CERTIFIES that the building ..... d..e.c.k...a.d.d.i.~..igA.' .......................... Location of Property .... 1.i.Q .................. .O.a~?.qo..d. ?.v..e.n.u.e. .........S.o.u.~..l).o.l.d... House No. Street Ham/et County Tax Map No. 1000 Section ....... 5.9....Block ........ 2. ...... Lot 13 Subdivision ............. .>{ ................ Filed Map No .... .X .... Lot No. X conforms substantially to the Application for Building Permit heretofore filed in this office dated April 25, 1984 pursuant to which Building Permit No. ~ 13098Z dated May 7 ,. 1984 . 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 ......... Deck addition to existing one-family dwelling. THOMAS P. & LILLI3`N R. BANNON The certificate is issued to ..................... [o~,,'o'r,~ss~i~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ........................ .I,1./3. . PLUMBERS CERTIFICATION BATEB: Building Inspector Rev. 1/81 FORM NO. 6 TOWN OF SOUTItOLD Building Department Town Hell Southold, N.Y. 11971 765- 1~02 ,.str etlons A. _Tiffs application m.ust ba filled in tVpewriter OR ink, ,,nd submitted ~ mmam~m to the Building In~ec- Tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildini]s, property lines, streets, and unu~al 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 ,b. uildlngs, Industrial buildings, Multiple R. esidences and similar bu. Udmgs and installa- tions .a certif!cate of Code compliance from th.e Architect or Engineer respons!ble for. the building. 5. Submit Planning Board approval of comp eted site p an requirements where applicable. B. For existing buildings (prior to April 1957). Non.conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features· 2. Sworn statement of owner or previous owner as to use, occupancy end condition of buildings. 3. Data of any housing code or safety inspectJo0 of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C, Fees: . ' 1.Certificateoloccupancv New Dwull~.ng.$25.00, Acce,.~ory ,.$10.00 guelne,,,'~ $50.00 2. Certificate o! .occupancy on pre-existing dwelling $ 50.0 0 3. Cop,/ of certlflcate of occupancy $ 5.'00, over 5 yeare $10.00 4.Vacant Land c.g. $ 20.00 3/12/$7 5.uodated c.g. $ 50.00 Date .......................... 6. ]%iteration ~25.00 NewCons trucbion ~, Old or Pre-existlng Building Vacant Land 110 Oakwood Ave'. Southold, New York . Location of Property · House Ale. Street Hem/et THOMAS F & LILLIAN R..B. ANNON Owner or Owners of Property .............................. '. · .' ........................... 059 2 ]3 County Tax Map No. 1000 Section ............... Block ............... Lot ................ · ' ' Filed Map No Lot No Subdlvm~on .......................................................... t3098Z !l 5/7/84-- . Permit No ........... Date of Permit ...... , ,~,..,appllcant .................................. Health Dept Approval Labor Oept Approval . Uoderwriturs Approval ........................ Planning Board Approval ...................... / Request for Temporary Certificate ..................... Final Corflflcate .... ..~.. ............... Fee Submitted $ ............................. Construction on above described building and permit mects all applical~le codes and regulations. Apphcant ............................ FIELD I~ISFECTION COMMENTS FOUHDA'i'ION (lst) FOUHD~ T IOU ( 2nd ) 2. ROUGli FRAME & PLUMBING I~ISULA'~ION PER N. Y. STATE ENERGY C,ODE ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR ILO, BOX 728 TOWN IIALL $OUTHOLD, N.Y. i 1971 TEL. 765-1802 This is to advise you that the job under building permit no. 13098Z issued to Thomas Bannon on __5./7./84 for Addition is completed and a final inspection has ( ) has not ( x ) been done. [, order to complete this file, it is necessary.thee 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 tile Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or nsc is unlawful without a Certificate of Occupancy. Please. help na to clear np thin matter no that legal action doe~ not have to be taken. Thank you for your prompt attention. Very truly yo~, Victor Lessard Executive Administrator VI,: gn r enel . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved... Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This application must b~ 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 ~ving 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 comnSenced 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 l~art 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 applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. .. ..................... (Signature of applicant, or name, if a corporation) ,Jr .... .... .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~./2/. g..~../~....~..*..5(~.ZffS .~'..~e.ee~ ...................... (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 ......... i ~). .....'. · Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ....................... 1. Location of land on which proposed work will be done.. ~./..~....~{ ./fi~..~.p.d. ~..~..-M~..z:~ ................... House Number Street 1 · c;imty Tax Map 'No. 1000 Section ..... .Q)..~. ...... Block ...... ~.. 7 ..... .... Lot... ........... Filed Map No ............... Lot ............... Subdivision ................ tk~'a~;~ ..... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... .fir. · .fi? ~ ..... (J~4~.C-z:L~r..Q~:.",~ ................. · b. Intended use and occupancy .... ~'?~.. ~t .~.... ~.'. · ~ .~?~. './~.~../..r'.~ .................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~" - (Description) i -~ Fee 4 Estimated Cost C,/. .... I (to be paid on filing this application) 5 If dwelling mber of dwelling ~nits · · If garage, number of cars ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structure~, if any: Front ..... ~'q. ~.r .... Rear .... ~.q ..~7' .... Depth..~..-~.~...~'.C .... D~ensions of same structure with alterations or additions: Front ...... ~. ......... Rear .... ~ ............ 8. D~ensions of entire new construction: Front ............... Rear .... De .............. Height . .............. Num[ber of Stories ............. ·..~ ...................... ; ~ .....~ ........ 9. Size of lot' Front .. It~..~ ....... Rear .. f[~ .~[. ........ De~th .... [~?. · · ~C ....... 12. Does proposed construction viol:ate~ny zoning law, ordinance or regulation: .............. . ............... will faf ha re~raded ~. ~.~ .............. Will excess fill be remov0d from premises: .. Ye~ . (N9 ) ' Phone No Nme of Architect .......... ~ ................. Address ................................... ' Address Phone No Nme of Contractor ' P~T DIAG~ Loa~t~ d~rlv md disfinatl~ ~l~ buflO~gs, wh~r ~x~sting or proposed snd~ inOio~t~ ~l sot-b~ok d~onsions from -,~-ertv ~nes Give street ~d bl'ock~num~r orj~fiption accord~g to deed, and show street nmos ~d indicate whether intenor or corner lot. ~ ?1 ,,~ ~ ~ . ~ ~, , ' STATE OF NEW YORK, 'SS COUNTY OF ................. ~ being duly sworn, deposes and says that he is the applicant (Name of individual mgmng contract) above named. He is the ..................... 1 ..................................................................... i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly authorized to perform or have performed the said work and to make and file this application; that all statements contmned 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 Of ...................... 19... Notary Public, ............... ................ County (Signature of applicant)