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Home My WebLink About16236-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-16052 Date August 14, 1987 THIS CERTIFIES that the building DEGK ADD IT ION Location of Pronertv 540 Old Cove Road · Cutchogue, New York ~ ~ fi,~b 7~'d ....................... ~/~t' ....................... h~d~ioi County Tax Map No. 1000 Section . 104 .Block 12 .... Lot 09 Subdivision..M.ap..A. 9.f..N.a.s.s.a.u..P.o.i.n.t ......... Filed Map No. 156 .... Lot No. 195 conforms substantially to the Application for Building Permit heretofore filed in this office dated July 10, 1987 16236 Z ...................... pursuant to which Building Permit No ...................... dated ...........July 19, .... 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING WILLIAM BRUNET The certificate is issued to ..................... [o'~,n'o),'/oX*~ ..................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: P/tiilding Inspector Rev. 1/81 !~0~ NO. ~ TOWN OF 50UTHOLD BUiLDiNG DEPARTMENT TOWN HALL $OUTHOLD, 14. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 ]62~6 z Permission is hereby granted to: ..'~....~.....~.:..~...,..z~.~.~. ............... County Tox Map No. 1000 Section ...... L.,O,..~. ........ Block ....... L..*~.. ........ Lot No ...... .~..~. ............ pursuant to application dated ...... ...~.~t..O. ..................... , 19.~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 UNDATION (1st) UNDATION {2nd) UGH FRAME & FLUMBING SULATION PER N. STATE ENERGY CODE FINAL Ye ADDITIONAL COMMENTS: 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ~ ...., 19~.~.. Permit No..) .~..~...~..~..~. Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Received Date . .. 0'¢.3,7.10.~ ...... , 1987. 'INSTRUCTIONS a. This application must be completely filled in by Wpewriter 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. .~ a¥~[~.~ ~m~.n~. E ax~,. I ac .................... (Signature of applicant, or name, if a corporation) 3075 Indian Neck Lane .P.~ O o.r~ic ,. N.Y. 11.9.58 ......................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... Wi.l±iara .Bru.rsa ~o ...................................................... (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...H...T.,..5.~.~.6 ........... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. · J~O. Old. C o.v.a. R end .................... Nas s au..1a o tng ................ Cu.t-c ho g~e ......... '- House Number Street Hamlet '< County Tax Map No. 1000 Section ....I.0L[ ........... Block ....... .1.2 ......... Lot ......... 9 ......... Subdivision .M. ~tp..".~[~'. ........................... Filed Map No. .1.~.6 ......... Lot ...1.c)~. ......... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...ii ngfLa, family, al.we 1.1.i. ttg ........... .:~; ../-..;./( .................... b. Intended use and occupancy . .~ingi. a. family, d~ .e.L,Lita. wi.ltl, d~.~k~: · · · ~. ............... ' .... 3. Nature of work (check which ~pplicable): New Building ........ .. 'Addition .......... Alteration .......... Repair .............. Removal ............ Demolition .............. Other Work...qpO P..d~} ~ k.. }~{~I~ ,~ ~ ~ ~ (Description) 4. EstimatedCost~J,9.-(X)..-O..Q.. ............ ........... Fee..~.?......"~.. ......................... , ~' (to be paid on filing this application) 5. If dwelling, number of dwellin units 1 .............. Number of dwelling units on each floor ................ If garage, number of cars ......................................................................... 6. If business, commercial or mixSd occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structu{es, ifany: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure ~vith alterations or additions: Front .. 3la. Oha.rige .... Rear .................. Depth , Height Number of Stories Dimensions of entire new construction:. Front ............ .. . Rear .............. . Depth .......... .... . Height ............... Number of Stones .............................................. . .......... 9. Size oflot: Front ...~1.0[.............. Rear ..... 0[~.'.............. Depth ..3.3,Q[ ................ 10. Date of Purchase ........................... Name of Former Owner ............................. 11 Zone or use district in which premises are situated lie side nl~f~.l . . 12 ibl g I gui No . . · Does proposed construction v ate any zonin aw, ordinance or re orion: .............................. 13. Will lot be regraded ...N..q.. 'i .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ¥/,..B. 17V,.n.e.~. ......... Addressl.8.1%..iyI.a.~.qe...l..~.u.s...R.d. Phone No. 7.k.7..-.0. 9.1.6. ..... Name of Architect .............. AddressiV(.f..n9,97..~,.' ..N'.~. ...... Phone No. ;? .... 7' ~-- Name of Contractor ?,.a.s..%. I .no Address3075 I ndfan N'eOkph~~ ~,, . ~.~....~..~. 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 ........ S.S ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· , He is the ..................... ! .................................................................... 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 fir~-this- application; that all statements contained in this application are true to the best of his knowledge an~,belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this "/'"'t -..day 9f ..... Notary Public, ..... ~,/r~...~'...~..~...~..... County__. l~,~,~z~ . ' ~ - (S1Lfflature of applicant)