The URL can be used to link to this page

Home My WebLink About16688-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Yo CERTIFICATE OF OCCUPANCY No Z17569 Date DECEMBER 8, 1988 THIS CERTIFIES that the building ADDITION Location of Propert~ 1945 BROADWATERS ROAD House No. Street County Tax Map No. 1000 Section i04 Block 11 Subdivision Filed Map No. CUTCHOGUE Hamlet Lot 1.8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 17~ 1987 pursuant to which Building Permit No. 16688Z dated DEC. 18, 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~ ENCOMPASSING ACCESSORY POOL. The certificate is issued to JOSEPH D. & LUZ M. CAYANAGH (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Buildin~ Inspector Rev. 1/81 FORM' NO. 0 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~6588 z Permission is hereby granted to: ~~..~..~..~.......~.~.~ .......... .~.~..,~,,...~..~. ....... zt.,.a,~ ............ ,*-. __ a /~ J a ~'-'d', - -- ; .......... ....... County Tax Map No. 1000 Section .................. Block ........ /../. .......... Lot No .....1.!.~ ............ pursuant to appJication dated ...... ~I~V~rLJJ~4,.......&.~. ....... , Jg..~...~, and approved by the Building Inspector. Fee $....~....:... :~ Building In~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ... ~ to the Building Inspec- tot 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-conformin~ uses, or buildings and "pre-existing" land uses: 1. 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 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ ~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ lO0.00 3. CopY of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 O0 Date ..... New~ ...... Old or Pre-existing Building .....~.. .... Vacant Land ......... ........................................ ?. . .,~, . ?. ~ ?. .~. .~ House No. ~.---~ t,~N" /, Street. Hamlet County Tax Map No. 1000 Section,,/~, ,~, ...... Block .... IL Lot. 1.' .~, Subdivision ................................. Filed Map No ..... ...... Lot No ......... Health Dept. Approval ........................ Labor Dept. Approval ............... Underwriters Approval ........................ Planning Board Approval Request for Temporary Certificate ..................... Final Certificate .. ~ ............... Fee Submitted $ ............................. Construction on above described buildi~h~_oTi:~)eet:~T~ a?~cable codes a~egulations' OUNDATIO.U ~ 1st) OU!~DATION (2nd) OUGH FRAME & PLUMBING ':TSULATION FERN. Y. STATE ENERGY CODE F I N A'/ ADDITIO~;A'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING REMARKS: [~FINAL DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEPTIC TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL,: 765-1802 CALL MAlL TO: Examined .~'~ ~.-~... I..~.., 19 ~. q.. Disapproved a/c ................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM ............. : Date .................. , 19... INSTRUCTIONS 'a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspect°r, 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 Bu/lding 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 h,h,h/~ein described. The applicant agrees to comply with all applicable laws, ordinanc/e~4~uilding code, ho/Z~g c~, and rfirg/mations, and to admit auth°fized inspect°rs °n Pr emises and in building f°r nec~l..s .PC~ .~.~.. -~ .~.. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ ,., ..... .................... ., ........... ...;, .......... .. .......... Name of owner of premise~Q~.~. · .'~....C~..~t~. ~.~'..~.....D..~....~..~..'Z¢....~.'.C~J~. ~. ~. X.~'~. ;F¢ ........ (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 ...................... . .~..o~ 1. Location of land on which propose~d work will be done.~..[r~. · ~~L~ ~-tf/.TT~-'42~ · · ~/" ' 7-~ 4~'/"~'~' '~' ~ ' ' ~ House Number ' Stre.~. ~./ Hamlet / ~.. County Tax Map No. 1000 Section ..... /.~. ......... Block ................ Lot .... : ........... Subdivision ..................................... 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 ...... 7~(. ~...~..-~.. & ............................................ b. Intended use and occupancy ..... ~.. ~}~.. ~. ¢.: .~..~..t..F)..~w .................................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair Removal , Demolition i Other Work ~-O'-c~ ,--2~' ! (Description) 4. Estimated Cost...(.~ ................................. Fee .......... ............................ (to belpaid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling unRs on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each ty~e of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ...... ~ ....... Depth ............... Height Number of Stories Dimensions'of same structure with alterations or additions: Front Rear .................. Depth ...................... Height ...................... Number of Stories ...................... '- 8. Dimensions of entire new construction: Front · .~ .....Rear .. Depth Height .............. Number of Stories ................ 9. Size of lot: Front ...................... Rear ...................... :IDepth ...................... 10. Date of Purchase . Name of Former Owner I i. Zone or use district in which premises are situated ......................... i ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . Will excess fi 1 be removed from premases Yes No 14. Name of Owner of premises .................... Address ....... ..... i . Phone No ................ ~ ...PhoneNo ................ Name of Architect ................ Address Nmne of Contractor .......................... Address ..... ' .......... .... Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Y~s ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLO~I' DIAGKAM Locate clearly and distinctly all buildings, whether existing or proposed, andAn'dicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sho, ? street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF . . S.S ................................................. being duly sworn, depqses and says that he is the applicant (Name of individual signing contract) above named. ~ He is the .................................... ~ ........ · ~ · ................... · 'i .......... ..... .......... (Contractor, agent, corporate offic~r~t~, te. ~ of said owner or owners, and is duty authorized to perform or have performe~tlg¢ shid work and to n~/tl/~ and file this application; that all statements contained in this application are true to the bes~ ~i4.knowledge and belief and that the work will be performed in the manner set forth in the application filed therewith~f, ~. ,I Sworn to before me this ............ .......... dayof.. ........... ,MX. N°taryeublic' '"~"~'"""~'"~""~"~''"' u~&/j~~ "'~'"~ NOTARY PUBLIC, State of ~! Yolk // '~' (Sigmfture of applicant) ,.. No. 4707878, Suffolk Ceunty r~,o