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Home My WebLink About16229-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16202 Date ..Sqp..tember 24, 1987 THIS CERTIFIES that the building ...4PP.I.r.!9.~. .a...~.~.T?.R..AT.Z.q~' .................... Location of Property 950 Waterview Drive Southold, New York House No. Street Ham/et County Tax Map No, 1000 Section 0 78 .Block 0 7 .... Lot 28 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .J .u.l.y.. J .0.,.. ! .9 .8.7 ........pursuant to which Building Permit No, ,, J ,6.2,2, 9...Z ........... dated ....J.u. 1. ,y..I.4.:..1.9.8. 7. .......... was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlfich this certificate is issued is ......... BEDROOM ADDITION & CONVERSION OF EXISTING DECK TO PORCH ENCLOSURE TO EXISTING ONE F~iq~£~ '~0g~N~ .' ............................................ ' .................... The certificate is issued to PAUL & SHIRLEY CAMINITI ..................... ?o~,;o'r, Xz&~ ~fdfij ...................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. · P E N D I N g N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 FORM NO. ]8 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT COMPLETION OF THE WORK AUTHORIZED) No_ ]622? Z Permission is hereby gronted to: ..~...~.X ................ .~ ......................... ............. ..~S....~.~...~.~...,.....~.___. _ -~- ___-,_ ........................... ~'s., ~,~ ~ , ............................................. at premises located at ...~...~..- ..O.....~.~.~..~......~.~....~;..; ....... ~ ................. County Tax Map No. 1000 Section ...... ..~....").,,~. ....... Block ..... ..(~....~,. ......... Lot No. ~:)~ Building Inspector. Fee $ ............ : ........... Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF 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-(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: 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 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 $25.00 l. Certificate of occupancy New Dwelling,S25.0,0, Accessor¥,~$i0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 o.oo 5.Upda~ced C.O. $ 50.00 Date ............ NewC°nstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Ptoperty .~.SO. W.~.~e.~-..V..i.~.~t. ~.~.~.,).. S'.?.%c~. k~[~. House No, Street Ham/et Owner or Owners of Property . ~ .~...~...100.. 77.5.....~..~. ~..1.. A.~. C..~. .r~..'.l ?1, 5:.~..~ ...... County Tax Map No. 1000 Section . .Q.~..~ ...... Block ...O...7 ......... Lot.. Z..~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No f,~. ?-. Z:.~ ~.'~Date of Permit-7.T .I.q..-?~..~.Applicant . .~..~..o..~7.~.%....~. :.-~.).~.'?, .t-.~ ..... Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. ~ .O. O Construction on above described building and, v~ it meets all applicable codes and regulations. UNDATION (1~) UNDATION UGH FRAME ?LUMBING SULATION ?ER N. Y. STATE ENERGY CODE . ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION / [R/FOUNDATION 1ST [ ] ROUGH PLBG. / [~/] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: [ ] FINAL DATE INSPECTOR ~~/?~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. I~ULATION ~INAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. ] FO/UNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE I N SPEC~TOR~~.~ · 50' /7' BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ................................ "0 ' (Bnilding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS NOTIFY CALL ................ MAIL TO: 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 demolifion, as herein described: The applicant agrees to comply with all applicable laws, ordinances, b/u)ilding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary.,i~tions. .ze, .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........................ :.... ................................... Name of owner of premises...~..~, ff.. ~ .b-.5..../~..~..C~.~../0....~..~.../?../..~.4 ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No../. 0. q..7. ~..~. ~T. ........... Other Trade s License No ...................... LICENSED 1. Location of land on which proposed work will be done ................ ' .....:...' ......................... ~J'-o &Oa ~/e ~ vt e..~...'.Z~..~~-~oe o ........... : ........... House Number Street Hamlet County Tax Map No. I000 Section ..... . .~..~..~. ...... Block ....... .~?.~. ....... Lot....~.~. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting nsc and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . .~..~i.l..~.e7 .~..c:.? ..................................................... b. Intended use and occupancy ...ff~. ~.~-~ ......................... - ................................ 3. Nature of work (check which aPplicable): New Building ' Addition .......... Alteration .......... Repair .............. Rem!oval .............. Demolition Other Work : (Description) 4. Estimated Cost ~0~-00:, Oo Fee °t~O' .Q ~ (to be paid on filing this application) 5. If dwelling, number of dwelhn~ units ..... [ ......... Number of dwelling units on each floor ................ 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 structures, if any: Front.. ?..O .......... Rear . .'2..O.~ ........ Depth .,~...o.' .......... Height .. j.~3 .......... Number of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ...'~. O. ~ ........... Rear . :~..(D...~ .......' .... Depth . . .,~...~ ............ . .. Height ...t.~. ( ............... Number of Stories ... ~ .................. 8. Dimensions of entire new constYuction: Front .../.~ ..... . ..... Rear . ./.~, ........... Depth ............... Height ... ........... N/ur0ber of Stories ............ ; ...................... '~ 'c-~,~'r .............. Size of lot: Front .. ~.O..O....i ....... ..... Rear . d..O.O. ............... Depth .~..o. .................. Date of Purchase ....... .-~. ................... Name of Former Owner .... .'7 ........................ Zone or use district in which p~emises are situated..~ e~. z .~..~..~.( .~. ~' ................................ Does proposed construction wOlate any zoning law, ordinance or regulation: ............................ Will lot be regraded ./~t2,vt,~ '~ n,,/z.~ ............. Will excess fill b_~ removed, from premises: Yes Name of Owner of premises~/:JY, ~ .,~.t tn ~'Tt/.'. Address~.~3~q?~,~. ~.~.t.~.~. . .'~'.~ Phone No. 7.~ ~.. :~a .... Name of Architect ......... i. · · 7-. ............. Address ....... .... '~ ....... Phone No..--~.-. ........... Name of Contractor .~.~.°.r95 .t. (~. f .,e.. f), ........... Addresso-o,, /, Phone No.~&g'.-v .~. ?.~..~ .... 15. Ts th±s property loeatediw±th±n 300 feet of a t±dal wetland? ~¥as ..... No,~.. · If yes, Southold Town Tr6stees Permit may be required. PLOT DIAGRA~ buildings, whether existing or proposed, and. indicate ~1 s~t-back dhnensions from number or description according to deed, and show street names and indicate whether 10. 11. 12. 14. Locate clearly and distinctly al property lines. Give street and block interior or corner lot. too.. o LoT STATE OF NEW YORK, S.S COU~/ITY OF ........ ~: ....... ../f~-~...~ .....)....~m~.. ! ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sidning contract) above named. (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 con~mned m this apphcat~on 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[~. Notaryeublic .... ~..~.'....~..~'~...~J..t~...~.... County ~. , ~ NOTARY ?UBIIC, Sta~e of New YOrK ' * · .......... fl0. 4707878, Suffolk ~oon~/~pq (Slgffature of applicant) Term Expires M~r~h 30 ~9.~ f