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Home My WebLink About13115-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Occupancy z14826 Date .A~g.u.s. ~ .2.2 1986 THIS CERTIFIES that the building P.~q~ ' Location of Property ...1.4 Q 5.. 2I~ITTh~..N~.C.I~..P,Q.A.D. ......... .C.U.~¢gg.G.U.$ .............. ~!ouse No, Street Hamle~ County Tax Map No 1000 Section . .10.3 ..... Block . . 4 . .Lot .1 ~5 · ' ' Filed Map No Lot No Subdtwslon ...................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated i3115Z .A.p.r. $~ ~7 19 [l.4pursuant to which Building Permit No ................ dated .. EgY. J..0. .................. 19.8. ~, 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 ......... AND ALLEN OVSIANIK The certificate is issued to ........................................ .L.I.L.L IA,N. ............... (ownor,~r}f~K of the aforesaid building· Suffolk County Department of Health Approval ............. N,/..A .......................... UNDERWRITERS CERTIFICATE NO .................... N./..A .......................... Building Inspector-~ Rev. 1/Sl 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? 1311~ Z Date Permission is hereby granted to: ~ ..... ~..~;......~; ....... ~.~i~ ............ ........... ~..~.~.,...~. ......................... County Tax Map No. 1000 Section .... ~....0......~.. ....... Block ....... ~ ........... Lot No ........ !..,~..~'~. ........ pursuant to application dated ........ ~' ..... .'~.~....-7 ..................... , 19.~..., and approved by the Building Inspector. Fee $ ........................ Building Insl:mctor Rev. 6/30/80 TOWN of SOUTHOLD ~.,ece,pt No. 3 0 0 9 9 ~own Southold, New York 1 .. ....... .................... ived of .......... ~.~V-~ .......... ~ ...... .............................. ,., .~ ~....~.~.~ ....... ~ -- ' ....................................................... :'~ ....... ~ ......................... /100 Dollars ................. ~.. ............ /.v...~.~. ~... ....... ~,~,_~... ~..~.,-)~,~,._..,~-. Fee for YardFee JOrsale [] [] [] Fee for Fee for j~ertificate H,.c. [],u,d~ng ~er,,it ~U o~ Occupancy []~ise. ~a- Ig, ......... ~.:,~ ................. ~.,,...~..~:/,~ ................ . Building Inspector topographic features, 2. Sworn statement of owner or previous owner as to usa, occupancy and condlt'on of buildings. 3. Data 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 $15.00 3, Copy of certificate of occupancy $ 1.00 ~. ~o~,~ ~ ~.o. $,.oo ~. :. . '/. ~~ / ~'".~ 5. Updated C.O. $15.00 Date .................. New Cons t phc t ion '../.. . Old or Pre-existing Building Vacant Land ' .... ~ .... .//~L.7:¥... &~c/, o ~ .~.. Location of Property //~..~f~... l--j' /C House No. Street Hamlet Owner or Owners of Property ......... ~ ......... County Tax ~ap No. ~ooo Section ..... /.~ ...... mock .... >./ ......... Lot..../ ...~. ........ Subdivision ................................. Filed Map No ........... Lot No ............. Permit NO./.,~. ~../.C~..Date of Permit ,2~//,4~,/~,Applicant . ~./Z~.~2.. J~..v-.~. f.~..~. :/. ~/~.. Health Dept. Approva~ ........................ Labor Dept. Approval ....................... Underwriters Approval Planning Board Approval Request for Tempor~3ry Certificate ..................... Final Certificate ...................... Fee Submitted $ ......... Construction on above described building and permit meets all applicable codes and regulations, Applicant ~ Re~. 10.10-78 FIELD I~I.~kCTI N FOUNDATION ( l:;t. ) COt. IHkN FOUND~TIOU RO lGH FRAME & PLUMBING ( 2nd ) INSULATION FEI{ N. STATE ENEEGY C,ODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 ~ TOWN HALL SOUTHOLD, N.Y. 11971 August 18, 1986 TEL. 765q 802 Mr. & Mrs. Allen R. Ovsianik 1405 Little Neck Rd. Cutchogue~ 'New York 11935 Re: Deck addition While reviewing our files I find that your expired building permit #_13~15Z has never been finalizedj Kindly return the enclosed application with a check for $5.00 so that we may issue a Certificate of Occupancy , and, complete this outstanding file. Yours truly, Southold Town Building Dept. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined...~...°~. j.~...,19.~. · ~ .%. 193 .~. Permit No.J. '.&. ~. ~.~..~--.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERM IT Date .... ~.l]. 3.~. ......... 19... INSTRUCTIONS a. This 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 o~ 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 perry, it 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 Bui!dhng 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 inspections. ~<~ ~ , (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ................................................................................. Name of owner of premises .~.//~.r].. ~..~?.d./i/.t/2'.~. ~... 6.~,f.~.L .~. J;~C .~. ............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duiy authorized officer. (Name and title of corporate officer) Builder's License No ..... ,.~.e~ [ ~.~ ..... '.' ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No .......... :-. .......... 1. Location of land on which proposed work will be done .................................................. ............... !.:9.9.& House Number Street Hamlet County Tax Map No. 1000 Section .... j..q~...~ ...... Block ..... .1~ ........... Lot .... /.~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupan, cy of proposed construction: b. lntended use and occupancy ..~...~....~~... ...... ........................... 3. Nature of work (check which a~plicable): New Building ..... ' ..... 'Addition ... ~.. Alteration .......... Repair .............. RemOval .............. Demolition . .~/ ......... O. ther Work.· ~..~.'~ .... . .~ i -~ , -'- (Description) 4. EstimatedCost..~..{7.O. :..O.q; ......................... Fee ~....~..~, .~...~. .................. ! ~" ' ' ' (t;¥e'paid ;~ filin~¥his ap;lication) $. If dwelling, number of dwellingiunits Number of dwelling units on each floor If garage number of cars ~ 6. If business, commercml or mixed occupancy, specify nature and extent of each type of use ..................... 7 D' " sofe ' ' ' if any: Front Rear h: Depth · ~mens~on x~stlng structures, .................. tteight ............... Number of Stories- . ............................. Dimansions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... i · · Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrUction: Front ............... Rear ............... Depth ............... tteight ............... Number of Stories ........................................................ 9. Size of lot: Front ' Rear Depth I0 Date of Purchase Name of Former Owner 11. Zone or use district in which prbmises are situated ..................................................... 12. Does proposed construction vioiate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... :4 i ............ .~ ......Will excess fill be removed from premises: .Yes. No 14. Name of Owner of premises/.~/,.. ~.V..5.1.~ ~ .t./.~. Address ~c~c~/~ a .~.~e ..... Phone No .............. Name of Architect ......... i ................. Address ................... Phone No ................ Name of Contractor ................. Address .c [~.7 c .]~ o .q ~ .... Phone No. 7..~.~. ~..7 .... PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property lin~. Give street and block Inumber or description according to deed, and show street names and indicate whether interior or corner lot. ~ 5 / v O .ltlid e. .................... , .................... being duly sworn, deposes and says that he is the applicant (Name of individual signtng contract) above named. He is the ...................... ! ......~ ................................................. i (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 contqined in this application are true to the best of his knowledge and belief; and that the work will be performed in the manne~: set forth in the application filed therewith. Sworn to before me this ......... . ."..'. Notary Public:, // ~om, -~P, :~,,,,,, ~,-~ ~0. ,~ ~ ' (Signature of applicant)