The URL can be used to link to this page

Home My WebLink About16217-zFORM 1~,0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-1795t Date APRIL 14, 1989 THIS CERTIFIES that the building Location of Property 7260 HORTONS LANE House No. County Tax Map No. 1000 Section_ 054 Subdivision ADDITION SOUTHOLD, NEW YORK Street Hamlet Block 03 Lot 11 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 7, 1987 pursuant to which Building Permit No. 16217-Z dated JULY 12, 1987 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOHN & ANN TARTAGLIA N-066t43-APRIL 11, 1989 N/A Building InSpector Rev. 1/81 1~0~ NO. ~ 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) No_ 16217 z Permission is hereby granted to: ..... ~.....~..~ .................. ~.~,~z.,~L.....u...:~..:..~.!..t. :t .~ ............ ,o .~....~...~..~..~..~:~..~.~.~:-,~ ........ · ...~....~..~..-...~.~~.~._ ................................................................. : .... County Tax Map No. 1000 Section .... .,C~.,.,,~,,.,~. ....... Block ..... ....... Lot No....,I,~ ................. pursuant to application dated ....... ...~...~...~. .....................,19.~..:~...,---- and approved by the Building Inspector. Fee $...~...:.,,.'.~ Building Inspector Rev. 6/30/80 \ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 TOWN OF $OUTHOU) APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted m ~ 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-iS-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: Additions $25.00 ?OOL$ $25.00 1. Certificate of occupancy New l)welL~ng $25.00, Accessory ,$10.00 Bus,ness $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00 over 5 ~s . , year $ l.O Q0 4.Vacant Land C.O. $ 20.00 ///'/¢~'"/,,/r-2Z 5.Updated C.O. $ 50.00 Date ................ NewCcnstt*uct~on ...... Old or Pre-existing Building ,,~ ..... Vacant Land ............. Location of Property. ? ~. ¢.~. ............. ~L~. ~ .................. S~ House No, Street /Cam/et Owner or Owners of Property ............................... CountyTax Map No. 1000 Section ...~/ ........ Block ..... .~ ........ Lot...e.d ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. He Ith D pt App i LaborD pt Appro al ~ a e . rova ........................ e , v ........................ Underwriters Approval ........................ Planning Board Approval .... .'77.~ ............... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~ Construction on above described building and permit meets all/~pplicable codes and regulations. Applicant . ~ ........................... Rev. 10-10-78 CO TOWN OF SOUTHOLD OI"FICE OF' BUILDING INSPECTOR P.O. BOX 728 TOWN IIALL SOUTHOLD, N.Y. 11971 December 29, 1987 TEL. 765-I 802 William T. Conway 5695 Hortons Lane Southold, New York 11971 Re: John & Ann Tartaglia To Whom This May Cohcern, We are unable lo complete your Certificate of Occupancy because .of the following reasons. /~/ Ail application for Certificate of Occupancy is not on file. ENCLOSED /~/ NO Underwriters Certificate on file. /~/ The check J.s(~d/not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inqpection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permih # ~_ _~_ _~_ .I --7- Z Bui]dinq Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING INSPECTOR 765-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION [ ~~l~L , OUNDAT N (1st) OUNDATION (2nd) OUGH FRAM~/& ?LUMBING iNSULATION FER N. ~. STATE ENERGY CODE FI:~AL ~DDITIONA'L COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMF_NT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 7654803 BOARD OF HEALTH ...... 3 SETS OF PLANS CHECK SEPTIC FORM ............. : CALL .......... MAIL TO': Examined ./. Approved Disapproved a/c ....................... · .............. ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date..~.'7...~. ........... 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 in building for necessary inspections. . ........... (Signature of applicant, or name, if a corporation) .. ~..~.q..~../.4.r~....& .~.¢...o.~( ........ (Mailing address of applicant) State whether applicant is.owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. .. ~~c~o~ ..................... ' ......... ................. Name of owner of premises . .3 ~_,D~..~..':f~-.. f]. C l .om ..................................... (as on th~ tax roll or latest deed) . If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MU.S_T_~E~SUF?Q. LK COUNTY LICENSED Builder's License No.../.~.5 ~.~...pr. ~- ........ Plumber's License No...[.~..~ [~.. .............. Electrician's License No.. . .~ .......... Other Trade's License No. ~ ........ 1. Location ofland on which proposed work will. bedone] ..~..OC~.~]~..~..4.,q..e¢. .... ~..o..b~¢.0../4 ........... ·..-7.a.~.o. ........................ ~ .~....~:~....~...n...,~.. ........ ~*~Ert' .d.. ~ ............. House Number Street Hamlet County Tax Map No. 1000 Section ..;~.({ ............ Block ...:.3 ........... Lot....//. .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: occupancy ..... .. . ~ ................. , .... :' ;;;; .......... a. Existing use and b. Intended use and occupancy .. ~,~.6//(~.~.... ~.i'~.i//.~5...~.f~. ~ ' '' "' "' '~:i*: .c_:.~.. ...... 't 5;? :".(.. ,.'/??!. ,..": %,:'~. :~.~. ..... b · . 3. Nature of work (check which a plicable): New Building Addition ....... Alteration .......... Repair .............. Rem!oval .............. Demolition .............. Other Work ............... ~ i (Description) · Estimated Cost ........................... Fee ............ t~)~...~. ................ i ~ (to be paid on filing this application) 5. If dwelling, number of dwellin~ units ........ / ..... Number of dwelling units on each floor ................ If garage, number of cars ...~. .............. , ................................. ,,...~ .............. 6. If business, commercial or mlxqd occupancy, specify tatgre and extent of each ~y, pe of use ..;. ~ '.':... ~ ....... 7. Dimensions of existing structures if any: Front .t~, , Rear ~.: D~ptll .~ Height ... [.q ........... ~---- ~l~ber'°f Stories...t ........ : ........ , ............... : .... t Dimensions saff~.i~c*[~llffith alterations or additions: Front . ./~'.l ............. Rear ...... ; i .... Depth ..... ~t~:Y~..k.~ ....... i. · · Height ..... ].~..*.. ~ ........... Number pf Stories .... t. ................. 7-'-8. Dimensions of entire n0w const~uction: Front ..... ].~.9Z5... Rear .... 1)..o.t. ...... Depth . .d-.~.[(e~ . .. Height ....... tk~~. 0.~... Number of Stories .... t .............................................. i ...... 9. Size of lot: Front ..... I00'. i ...... '. Rear ! h .I.O.0~..:;... :., Deuth /Jac2.~ . . 11. Zone or use district in which premises are situated... ~e~ id. ~1.~16.~ ............ 1 ......................... 12. Does proposed construction vidlate any zoning law, ordinance or regulation: . .~.O. ............................ 13. Will lot be regraded ... fl. 0.~ .................... Will excess fill be removed from premises: ,_Yes 14. Name of Owner of premises ~,]J. Oh a .' .~.~t¢~.a..~h~,~ .. Address ./.4.o.r../7o~..~. ~.,~.~. er ..... Phone No..~.6'O..~ ......... Name of Architect . .f~d .~..Cokl,o~}/ ............ Address .~·bfi.~..#~ .r'~i~9~./,qo .~.. Phone No..~.6.~7.~. 5~.~'.0'r. Name of Contractor ..... {~. · ~ ........... Address .... : .-~w.. ........... phone No.~.,: ............. 15. Is th±s property lotatediw±th±n 300 feet of a t±dal wetland? *Yes ..... No . · If yes, Southold Town Trustees Permit maybe required. ~ PLOT DIAGRAM Locate clearly and distinctly ali 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. /~,o, ?t ' % CO,:Y/il IIOF . . . ~j. ?°~.... ~,u ......... .. ~ L~t.l.q Oq...~,.~..t,,cr~,./. .................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ...................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have perfomned the said work and to make and file this application; that ail statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann{r set forth in the application filed therewith· Sworn to before me this ........ ........... .......... Notary Public,~ .... ,, ........ ~.l..~ ...... County,~ ~, ~ ~ '(~rm Explre~ De~lt~er ~a~, -¥. ~' ~,qTob STATE OF NEW YORK, OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY