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Home My WebLink About16255-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17140 Date JULY 29~ 1988 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1595 AQUAVIEWRD. House No. Street County T~x Map No. 1000 Section 022 Block 02 Subdivision Filed Map No. EAST MARION Hamlet Lot 04 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1987 pursuant to which Building Permit No. 16255Z dated JULY 22, 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 DORMER ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT ANRIG & WIFE (owner, Y~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N022339 JULY 19, 1988 PLUMBERS CERTIFICATION DATED N/A Building tInspector Rev. 1/81 FOB~ 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) N°_ 16255 Z Permission is hereby granted to: .~.,..~.,..~..~.:..~.~., ...~~ ................... ~ ......... .t.~ ............... ............. . / ~. ?~ ~ ~, ~,~,,e, ,~,,~ ~, .Z.~.....~a~ .......................................... ~ .............. ........................................................................................... Coun~ Tox Map No. 1000 Section ...... ~.~... Bilk ...... ~ ...... Lot No ...... ~.~ ............ Building inspector. Fee $..~.'~....'..~.. Building Inspector Rev. 6/30/80 UNDATION (1st) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL . ADDITIONA'L COMMENTS: TOWN of $OUTHOLD OFF~CE OF BUILDING INSPECTOR Reoeipt No. 035277 Town Hall Southold, New York 11971 ........................ Received of ....... ~......~...:....~ ....... ................................. · /-~...~-....*.- ...... //-.~. .................................... : .................... /~00 For ..... ...... Fee for [] YardSale [] [] eck I / 6--~ $ ............... ~.~..,..~.~. .................. Fee for Fee for rT~ertificate a- [] H.I.C. r--IBuilding Permit I~1 of Occupancy [] Misc. Building Department 3. Date of any housing code or setety inspecuon oT ou,u,~g~ u, p,~,,,,~=~, ,,, w,.., ~.,. ................. tion required to prepare a certificate. a- C. Fees: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 __ New Budding Old or Pre ex~st~ng Budding .~Date . - ...... ..... County Tax Map No. 1000 Section ..~.~. .... Block .... ~.~ .... ~Ot... ~ Subdivbion ................................. Filed Mao ~o ........... kot ~o .............. Permit No~.~.~Date of Permit, S/..% licant · · Z~ .~~ ~r Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant.. ~~..~.. ,~, ,,"/f~1'~.. ,r. .............. Rev. I0-10-78 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined..~. ~...~..~-.., 19 .'~ Approved..~2-~..~...Z,..., 19~ .-( Permit No.J.~o..~..~.'"~...~. Disapproved a]c ..................................... (Building Inspector) APPLICATION FOR BUiLDiNG PERMIT INSTRUCTIONS Application No .................. a. This application must be completely filled in by typewriter or in ink and submitted in triplicate 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 l~efore issuance of Building Permit. d. Upon approval of this application, the Building InspectOr will issue a Building Pe~nit 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 buildings for necessary inspections. (Signature of applicant, or name, if a corporation) (MaiFmg address of h{3plicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... 7. ........................................................ Name of owner of premises...~~--~.., t~..-,/. ~...,j. 'c~ ......................... ~/sont~etaxro or atest ee ) If applicant is a ~orpoJgtion, signatu[e, of duly authorized officer. (Name and title of corporate officer) Builder's License .......... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... ttouse ~umber "' ' ' Hamlet County Tax Map No. 1000 Section ...... ~ ~ ..... Block ..... ~ ......... Lot.. ~ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and ~ccupancy ~f ~ises and intended use and ~ccupancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy ... :-~. ............................................. 10. 11. 12. '13. 14. Nature of work (check which aplSlicable): New Building .......... Addition .................. Repair .............. Removal .............. Demolition .............. Other Work ............... , (Description) Estimated Cost ..... - . -~;19../..,~:~/ ............... Fee ...................................... (to be paid on filing this application) If dwelling, number of dwelling units ...... / ........ Number of dwelling units on each floor... / If garage, number of cars ..... [. ................................................................. If business, commercial or mixedl occupancy, specify natt}re and extent of each type of use .................... Dimensions of existing structure~, if any: Front .... ,. ¢~.-. .... Rear .... .L/~...: .... Depth....~..~..---m~... Height . ./.3 .~'.! ......... Number of Stories .../..~.' .................................. ^ ............. Dimensions of same structure wiih alterations or additions: Front ...~.~d~.. ........ Rear . c,~2a~or:%~ ..... Depth . . ,f~f,~a~< ......... ~. Height . ~c,/) ................ Number of Stories ... eft----,- ............... Dimensions of entire ~e--w construction: Front..'~...aLt/ ....... Rear ..... ,~...~ff. ...... Depth .. ~ ......... Height . . . ~.~. ......... Number of Stories ......... ~ ....................... Size of lot: Front .... ['~' ' · i ........... Rear ....... 4/..~'..~J .......... Depth i i i i~/i i~'.' i .~'.' i i i i i i i i i i i Date of Purchase ........... .................. Name of Former Owner ............................. Zone or use district n whici~ preinises are situated .................................................... Does proposed construction violate any zoning law, ordinance or regulation: ...... //]~.. ~fl .................... Will lot be regraded ....... ~-~ ! ..................... Will excess fill be remover[from premises: Yes No Name of Owner of premises J!~/~..~,~.. AddressL~?M~,:~.~',/.,J~.. Phone No. ~/.,2~7..,-,,92 .~.~.~. Name of Architect .... ~.2"' }' i ...... t ....... Ii... Address . .~. ~ .~.~.<~. · . · Phone No ............. f.. Na, ne of Contractor ~/~. ::J~. ]'~t{~C .//~d~-.~.~.~[~,,Address....~>~.',-.... ...... Phone $o./7~.~,/~,~./... PLOT DIAGRAM Locate clearly and distinctly all rbuildings, whether existing or proposed, and~indicate all set-back dimensions from property lines. Give street and block: mmber or description according to deed, and show street names and indicate whether interior or corner lot. .... ~'.,P~ ';. 'D .~ -~ #:~, ..... being duly sworn, deposes and says that he is the applicant (Name of mdlwdual s~gmng contract) above named. He is the ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul! authorized to perform or have performed the said work and to make and file this application; that all statements cent fined in this application are true to the best of his knowledge and belief;, and that the work will be performed in the manta r set forth in the application filed therewith. Sworn to before me this 7 .......... ........ day ..... lO ~ 81 I~ff~tk County e c~ (Signature of applicant) x'