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Home My WebLink About16319-zFOtL~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17158 Date AUGUST 3r 1988 THIS CERTIFIES that the building. Location of Propert~ 1210 House No. Street County Tax Map No. 1000 Section 109 Block 3 SubdivisionCOUNTRY CLUB ESTATESFiled Map No. 6736 DECK ADDITION MOORE'S LANE Lot CUTCHOGUE Hamlet 2.25 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 1, 1988 pursuant to which Building Permit No. 16319Z dated AUGUST 6, 1988 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 The certificate is issued to WALTER & MARION DAYTON (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 Building Inspector FOR~ HO. ~ TOWN OF $OUTHOLD 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~ ]6319 Z CounW Ta× Mo,, No. ,000 Sea, an ..1..~...~... ....... ~,a,:~ .......Y. ............. Lot No....~..,..,a.~..~ pursuant to application dated .... ;...,~- ... ............. /.. ............ , 19~..Z and approved by the Building inspector. Fee $.~..~.,.~...~... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 1"" TOWN OF SOU~OLD 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--(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. For existing buildings (prior to April 1957), Non-conforming uses, or buiidings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of an,/ housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Ce~tificate of occupancy New Dwelling. $25.00, Accessory ,$ IO.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 $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date..A~-~-%.., ,-~...[.~..~..~. ..... New C on s t r uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. .o. ...... , Location of Property ................. House No. Street Nam/et Owner or Owners of Property .~.~k~.(~.. ·~. ..'~. ~ ./~..C~.\O?~...~..,. .~'~...'~..~'-~ ......................... County Tax Map No. 1000 Section .... ~..~..~ ...... Block ...~. ........... Lot...~.. ;.~...~ ....... Subdivision .~-:(~...C...~..~j'~.. ..... Filed Map No ........... Lot No .... ~ ........ Permit No~ ~'~ ~ ~' Date of erm t ~. ~ (o~ .~.--~r A icant .......... ........ pp ......... }. ,"~-~. ................... Health Dept. Approval ..... .~./A ............. Labor Dept. Approval '. .... .~.[/~ .............. Underwriters Approval ..... .~.l~; ............. Planning Board Approval....~.~ .............. Request for Temporary Certificat~: .................... Final Certificate ..... ~. ............. Fee Submitted $.. 2L~},~,----~,..V~% ..... Construc, tion on above_described building and per'il ~neets all applicable codes and regulations. C.O ....... ............. Rev. 10-10-78 U~;DATION (1st) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ]FRAMING [~FINAL REMARKS, O/~- ~ C,~"~,,~ BOARD OF ~HE~iLTH ...... , 3 SETS OF.~P.A'%NS ....... FORM NO. 1 SURVEY . ~./f'7...., TOWN OF SOUTHOLD CHECK ....... ~ ~<- - - - ' BUILDING DEPARTMENTt -$EP~flC' FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1803 NOTIFY CALL ................ MAIL TO: Disapproved a~ ......... ~ ........................... · ', "';: ...... ".' ~ "~,':~ (Building Inspector) "' ' ~, APPLICATION FOR BUILDING PERMIT · , ,TJate .~..~..(-'7...~. ........ 19... INSTRUCTIONS , , ,,~ . a. This appfication 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 tins 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 pakt'for agy pu[po'se :whate. ver 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 Regulations, for the construction of buildings, additions or alterations, oqfor removal or demolition, as herein described. The applicant agrees to comply with ail applicable laws, ordinances, build[}g code, housing code, and regulations, and to admit authorized inspectors on premises and in bnildin~.for necessary inspect_ (Sign~ame, if a corporation) p.o.ee. ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... O~.~.~... ~ Name of owner of premises ~.~.'1 ~...~, ·..~.. ~..1~. · .-. · .&~..~7~..~..t .~. -I~. .~.:.0.~. .'~. .'~. · .~. ................... (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 LICENSED Builder's License No ........ .~. ~..~ ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location il~n~pn wh~p, roposed w~q~k~e done. ~J.~..~'..~..~.~.~..(~.~...~. ~.~.....k~. ?..~...~..t,~..~. ...... ................... ......... House Nmn ber Street Hamlet, County Tax Map No. 1000 Section ..... ~.O.~. ......... Block . .~. ............... Lot. ~-.h.-~ SubdivisionC.~ ~.~..'~.L'i~ ........... Filed Map No.. ~ .~..~..~. ..... Lot....~ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .. I..~...~1. 37:'..~...~t.~.t..~. 7 ........................................ b. Intended use and occupancy . .~..0~., .~..{¢.'~.(~..0. ~. ~.1..~..-'. ........................ 3. Nature of work (check which a cable: New Building .......... Addition .......... Alteration .......... Repair ............ .,. Removal .............. Demolition . .' .,~/ .... Other Work ............. ' h ~t'f. (Descrip~tion) 4. Est~matedCost ......... .~.i .......................... Fee....~..~?.~...~. ......................... i *' (to be paid on filing this application) 5. If dwelling, number of dwelhng umts ............... Number of dwelling units on each floor ................ If garage number of cars ~ . ~ ' '', .................................. '~'~ ......... "~"-'""~'/ ........... 6. I£ business, comraercial or mixed Occupancy specify natt;.re and extent of ea6h type of use ', ... ~,i ,'J.. , ..... 7. D~menmonsofex~stmgstructures, ffany Front ;: .,,~.,~,,..~,..~ ..... Rear .'-~.1 ......... Depth .,.~,,~ ... Height ....~, .......... Number of Stones .. ~,'~ .......................... ~ ......................... Dimensions'of same structure With alterations or additions: Front ~.1~..t .~.,-..~.O.'..~..'~'... l?aaar .. :::'. ............. ~,h ................... ,... Ideigh-t- ........... a ....-~.... Number of Stones ...................... 8. D~menstons of chOre new cons~ructmn: Front ..... ~.'.'.. ~ Rear .... ~ ....... Depth . .~!. i ......... Height .... ~Nulnber ofStori~§ . .. . ....... .r'. .................... Zone or use district in which premises are situated ..................................................... Does proposed construction vi61ate any zoning law, ordinance or regulation: ................... ~ .0 ......... Will lot bd regraded .... 1~ .O~'. .................... Will excess fill be removed from premises: Yes · No Name of Architect ......... : ................ Address ................... Phone No ........... ..... Name of Contractor . .'~e,k-~::~ ............... Address .... ; .............. Phone No ................ 15. Is this property locatedl within 300 feet of a tidal wetland? *Yes ..... No ~. *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, 'and~indicate all s~t-back dimensions from property lines. Give street and blocl: number or description according to deed, and sh'6w street names and indicate whether interior or corner lot. 10. 11. 12. 14. STATE OF NEW YORK, COUNTY OF ................. ! S.S ............................ i ..................... being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named. ' lie is the (Contractor, agent, corpoxate officer; of said .owner '~ owne}~, hnd is dt~l~, authorized to perform or. have 15erfonhed the smd ~'drk' and fo make' anal file this application; that all statements contained in this application are true to the best of his knbwledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to be'foke n~e this 577 ......... ...... IO ....... day Of ....... ~ ......... 19°./. Notary Public ...... ~ .~).<~..~...&~... ': County., , NOTARY rustic, ~ of Now ........ - ......... ~. 4707578, $~tf$k,~tml}'~ q , , , ' , , · .-'~--~----~Signature of applicant) MAF;F~'I BOWBITCH [3AYTON ~. 0. BOX ,957 , . "LANE CUTcnOGUc, L,I, I4.Y. 1t9~5 Lot ? lot II CO U /v k ~;'0.0¢ Lot HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT N NEAREST W aAm--m. -* N SOURCE OF WATER, P~WTE ~L. PUGLIC __ NOTE'* I -' N'IONUMENT SUBDIVI$1ONMAP F/ZED IN TH~'OFFICE OF ?FIE CLE~K OF SUFF~-K ~OUNTY ON OCT. I~ 19;~8~SFI£E NO. M THE LOCATION O~ WELL(W)t SEPTIC TANK(ST)SI CESSPOOLS(CP) SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAfNEO FROM OTHERS TELEOYHE POST N01779 SURVEY FOR WALTER S. DAYTON, JR. LOT NO. 4; "COUNTt~Y CLUB ESTATES ' AT CUTCHOG'UE TOWN OF SOUTHOLD SUFFOLK COUNTY~ NEW YORK NUNAUTHOR1ZED ALTERATION OR AODITION TO 1141S SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDIJC&TION LAW MCOPIES OF THIS SURVEY NOT SEARING THE LAND SURVETON'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BEAVALID TRUE COPY NGUARANTEES INDICATED HEREON ~'IALL RUN ONLY TO THE P~RSON FOR WHOM THE SURVEY IS PREPARED AND ~N HiS BEHALF 'ID THE TITLE COMPM4Y, GOVEJ~N- MENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON~ AND TO THE ASSIDNEES OF THE LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO AOOITIONAL INSTITUTIONS ON SUBSEQUENT OWNERS M OIST&NCES SHOWN HEREON FROM PROPERTY LINES TO EXISTING ~TRUC*PJRE$ ARE FOR A SPECIFIC YOUNG e, YOUNG ',OOO T .OE. AV .UE RIVERHEAD~ NEW YORK ALDEN W. YOUNG~ PROFESSIONAL ENGINEER AND LAND SURVEYOR N.Y.S. LICENSE NO, 12845 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE N0.45893