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HomeMy WebLinkAbout13160-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z15337 Date March 10, 1987 Addition THiS CERTIFIES that the building ................................................ Location of Property ..... . .5. Q 4. .5..M.a..i .n..B.a. y y.i.e, w...R.o.a.d. ........~.S.o..u .t .b.c. 1..d ............. House tvo. Street Hamlet County Tax Map No. 1000 Section . . 0..7 .6 ....... Block 02 ..... Lot 21 Subdivision .... ¢o.o. ae. Ke. qk ............... Filed Map No. 1.6.6..3 .... LotNo. 81 & 82 conforms substantially to the Application for Building Per;nit heretofore filed in this office dated Hay 8, 1984 ~. pursuant to which Building Permit No. 13160z dated May 26, 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 ......... .... C. ou ~.t.r.u c [..s.u ¢ r.o.o, r0,..d.e.q .k..a.d.d..i.t.i.q n.: ..................................... The certificate is issued to Ralph & Mary Anne Soto ..................... io'~o'~,)~/~'~,~;~.~ ..................... of the aforesaid building. Suffolk County Department of Health Approval N /A UNDERWRITERS CERTIFICATE NO P e n d i n g PLUMBERS CERTIFICATION DATED: N/A Above ground pool was removed before C.O. was issued. " ' /~/U~i ing Ins~it;} ............. Rev. 1/81 FOBB[ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13160 Z Dote ................. 'l ....... ~ ................... , 19. Permission is hereby granted to: ......... ................. ~.-,~',~Y-,~ _ . ~.:~....~-- t ~ '~ l . at premises located at ....... !Y.~..c..~,..~....~.~/-R-~..../C~.......'~.~ ........ / County Tax Map No. 1000 Section ....C~...~.....~. .......... Block ...... ..~...~ ...... Lot No .......~..../. ........... pursuant to application doted .................................. , 19 .., and approved by the Building Inspector. Fee $.....~...~,.:..~. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be 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 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. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. 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 New Dwelling $25.00, Accessory',$10.O0 Business $50.00 2. Certificate of Occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..~.I.(~L~.'.~. .............. NewC°nStrucbi°n ...... OJd or Pre-existing BuiJding ............ Vacant Land ............. ' Location of Propertv ...~,~. ~ ... ~ .......... House No. Street /Yam/et Owner or Owners of Property .~.Q-,~.¥'~ .?~...~'~w~..~..J~.~j2~_,..~.-%..,,.,%..~...' County Tax Map No. 1000 Section . ~.~ ,~o ........ Block ....C~...~ ....... Lot .... ~.'~. ~ ........ Subdivision. ~:;~..~.c~ ,%;~ .~.~ ~ .~.~..; ......... Filed Map No. ~..(e.Q2.~..Lot No.. Permit UoJ'~.l.(~.©..~. Date of Permit ~J.~.(~/~.~pplicant .... .~ '~;;~.~ .~fi.,_ ~.%~'~.'c~.(. ~- ~(-~. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. z"~.~-~.: ~-~.C~..; ............. Construction on above described building and permit meets all applicable codes and regulations. Ap~bcent ..................... Rev. 10-10-78 ~ O.o. :z/s-3z7 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that yonr application dated .... /~. ~...~... ~.. ......... 19..~..~.~. Stmot ~ d / Hamlet Bulldog Inspector RV 1/80 I,,.,~ECIlOI ~ OU~iDATION (lst) CO,IH ~NT~, FOUND~T 2. }{OU(JH F}{AME & ?LUMBING 3. 7[ISULATIO~I PER N. STATE ENERGY CODE FINAL ONAL COMMENTS: 76S.180~ BUILDING DEPT. INSPECTION FOUNDATION xST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION // FRAMING [~'i~NAL ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL · ~OUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved .... U~J\%..'-%.~.., 19~.tX. Permit No..~ .~.~..~. ~.'3%,... Disapproved a/c ..................................... Received ........... ,19.,. (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . .~..! .<~ ........... 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 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 ,-'n building for nec, es~sary ~pspections. ~ ~ - (Signatl~e'~of applicant, , ' p ' ) , ~~ ~l-a~in~ a~ddress of applicant) ' 0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..c~ ~.~..A~...~'~XD.,~..~..~.. ~...~c~ .~ ......................... x~ (as dun 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...~.c,~-~.~...~O.C .c-, .~. ' Other Trade's License No ...... ~ ......... 1. Location of land on which proposed work will be done .................................................. ....... .5. ' House NumberStreet Hamlet ........... .~ ............. Lot... ~/ ............. County Tax Map No. 1000 Section 07.~. .......... Block ~ ~ ~' 4' '~' '"~ Subdivision. ~.d.o. 0 .C~. /V'<-Q/~' ....... Filed Map No.. l ¢.4.,:2 ...... Lot.. ~./. ?.. q).':t: · · · (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: .......... ' w,'4¼ a. Existing use and occupancy . 0/ve~ ........ ~... ............................. b. Intended use and occupancy . .~a..m.~.. t,q".'{ h..~o..N..rq .O.Q.,..~.~CJ.-"..~. ¢~.~. ~-~../ ......................... 10. 11. 12. 13. 14. Nature of work (check ' ~ ' which applicable): New Building Repair .............. Removal .... Estimated Cos .... i ....... If dwelling, number of dwelling iunits .... .......... Addition .......... Alteration ,.~. ....... ........ Demolition .............. Other Work ............... - (Descril~on) ................ Fee .......... ' ................. (to be paid on filing this application) ......... Number of dwelling units on each floor ................ If garage, number of cars ........................................... , ................. If business, commercial or mixe i occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structur~ s, if any: Front ...... ,: ........ Rear .............. Depth ............... Height ............... Nun ,ber of Stories ........................................................ Dimensions ot~same structure with alterations or additions: Front ................. Rear ~ ' ight .................. Depth .................. ,.. He ...................... Number of Stories .... Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ Size of lot: Front ~ Rear Depth Date of Purchase , Name of Former Owner Zone or use district in which pr~mises are situated ..................................................... Does proposed construction vioiate any zoning law, ordinance or regulation: ................................ Will lot be regraded ......... i ................... Will ex~cess fill be re~n}oved,,f[om premises: Name of Owner of premises .~.r~4 ISOB~.~,.4:.. Address(~. ~c~e,~ ,&~/~Phone No.rl ~>.~.Y;~ .~ .cl. ~,--:N° Name of Architect ........ .~..c~..~ .b,,_ .~.o. ~i i' Address .... .~.c ......... I: .~"~P. hone No ............. -- - Name of Contractor ......... i ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly 'and distinctly all' 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. STATE OF NEW YORK, COUNTY OF ................. ............................. i .................... being duly sworn, deposes and says that he is the applicant (Name of individual sign ng contract) above named. He is the ...................... , .................................................................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dui y authorized to perform or have performed the said work and to make and file this application; that all statements cont tined 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 ............ //...~. ...... dayofI ..... ...~fi~7...ap~. ........ ,19~. Nota, Public, County - HELEN K. DE. VOE i ..,tO.,_.. i NOTARY PUBLIC. State 0[ New York ] ' ' ' t/~ ........... , N~, 4707878. ~tlfi0lk b01!*~*, (Signature of applicant) u u Patio Deck ,omgned to meal rite needs for a "smaller" Use for an entrance deck, a cozy backyard , ' add*oW'. This 8' X 12' deck fits the spot ;ck Plan , · 16' Plan {0 md'Suggestions Pressure treated wood produced under any of the above marks has TOTAL RI, Det~rmm,ng Total Rise and Total Run TOTAL RiSE m the height from the top of the deck surface to the ground. Measure this distance and note il TOTAL RUN is the distance on the ground from the edge of the deck to the outer end of the bottom step cleat. When you have determined the total Cutting and Marking Stringers Total stringer lengths for the hsled total rises are g~ven Cut two Attaching Cleats Attach cleats to the inside surtace of the; Treads Step Posts Railings design Is Included to help you finish off yc WEATHER WOOD deck