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Home My WebLink About16716-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17555 Date NOVEMBER 30r 1988 THIS CERTIFIES that the building Location of Property 2440 ~RBOR LANE House No. County Tax Map No. 1000 Section 103 Subdivision ADDITION CUTCHOGUE Street Hamlet Block 01 Lot 29 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 29. 1987 pursuant to which Building Permit No. 16716Z dated JAN. 25, 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 ADD SUN ROOM TO EXISTING ONE FAMILY DWFLLLING. The certificate is issued to HERBERT BELL (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N044707 Nov. 9, 1988 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17556 Date NOVEMBER 30, 1988 THIS CERTIFIES that the building. Location of Propert~ 2440 HARBOR LANE House No. County Tax Map No. 1000 Section 103 Subdivision Filed Map No. ADDITION TO ACCESSORY Street Block 01 CUTCHOGUE Hamlet Lot 29 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 29, 1987 pursuant to which Building Permit No. i6716Z dated JAN. 25, 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 REPLACE DECKING AROUND SWIMMING POOL. The certificate is issued to HERBERT BELL (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTM APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ldlng Inspec or Rev. 1/81 FOR~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N"-16716 Z Permission is hereby granted to: _~ ~~L....~.,.~.:...!../.~..7./. ................... ~ . ~.,...~ ......... .~.~..~~.~., ....... .4 ........ .~ ...... ,.....~ at premises ,o~ated at .~..c~....~...~....~. ...... ..~..~.~...~ ........ ~~.....t~..:.~.......j ......... County Tax Map No. 1000 Section ..... .J...?...~. ....... Block ....... ..c~...1 ....... Lot No......c~,....~. ............. pursuant to application dated ~.~..~....~....~ ............ , 19.~..7...., and approved by the Building Inspector. Fee $...l./...'~..~ .......... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southotd, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ,,, ~ 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: I. 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 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.Q0, Agc~essory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 // 4.Vacant Land C.O. $ 20.00 /..~.//. 7/.~..~.~ 5.Updated C.O. $ 50.00 Date .................... New Cons %ruc t i on...¥~.. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .. ~.~ .~.~ ........... ' ...... ~.~.~¢p..I.~..~..~.~/.~:~ ...... .C~o.~r~j.r_~.~..~.~..~.¥{ House No. /~ ~~ Street . . Ham/et Owner or Owners of Property .... ,., .~.~.~. ~:~.l.~/.....:?. ?.~.L..~. ........................... County Tax Map No. 1000 Section ..... ~, ,O. 3 ..... Block .... .~--~. l .......Lot... ~.,~ ......... Subdivision .......................... .....~...Filed Map No ........... Lot No .............. PermitNo. (.~..~l~..~DateofPermit / . pplicant~qT.N,~..??.~?..~.~.- ......... Health Dept. Approval . .~. .................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $. [ ......... Construction on above described building an~' rn//~.~tsLap(~ ~~ codes and regulations. Applicant ..... ~..'~w~..~. .'~v~-..'~-.-~...-..'~'-....~ ...................... FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Ao This application must be filled in typewriter OR ink, and submitted ,- ~ 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 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.(10, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.0.0 / 4.Vacant Land C.O. $ 20.00 .~..~. /..~.~. 5.Updated C.O. $ 50.00 Date.../..O.. ? ............... NewConstruction / Old or Pre-existing Building ............ VacantLand ............;. ¢¢ o ............... ............. .... Location of PropertyHouse No. ~. .~..~.¢L-Street ~' Owner or Owners of Property ............................................. County Tax Map No. lO00Section I d) ~ Block ~ ('. ........ LOt .~-..~. .. Subdivision ............................/-/_,~.~/'..Filed Map No ........... Lot No .............. ........... It ./.'... f ~.App hcant ~,,r2 ~2 T~... P...[.~. ..... , ............. Perm t No l ~ '7 f ~ ~-, Date of Perm' ? ~ ' ~_ O-o ~. 5 ~.,~-'c-- Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ................ ~ ..... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $....~..~.-..~.-~..'. ................ Construction on above described building enamels ~11 appli,~e codes and~x/~, /~ (~ ,, regulations. Applicant .... ~H~~ ......................... FOUHDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .?LUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDIT%ONAL COMMENTS: THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000121 BUREAU OF ELECTRICITY / T~()V~,R 0~, ~{ ~8SJOHN~ STREET. NEW YORK. NEW YORK ~t~ ~ppllc~tlon No. on ffile THiS CE~IF~ES THAT w examined on andf~nd to be in com~iaflce with the r~ulremen~s of th~ ~. RXTU~ BXTUIES llAHG~S OVENS DISH WASHIIS IXHAUST FANS DRYERS FURNAC~ MOTORS RJTUII~ A~UANCi ~ TIMICIX)CICS UNITHIATHS MULTI-OURIT DIMM~S SYSTIMS NO, M mit S~RVIC~ 04SCONNE,~' S ! R V I C 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Examined 40"~..~. ·., 19~..~. Approved .~O~..'~, 19~..~. Permit No..]. ~..'~.~..~. ·~ Disapproved a/c ..................................... ................................ ...... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM ............. BLDG. DEFt. TOWN OF SOUTHOU~, Date .................. , 19. INSTRUCTIONS a.. Tins 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 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. .., ~ (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .I.~.~.g~'[-:...~.~ J ...................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title cq~.~orate officer) . ALL CON, TRACTOR'S ~/k~'I'~7~'~FFOLK COUNTY LICENSED Builder s License No...~ ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done .................................................. .... House Number Street Hamlet County Tax Map No. 1000 Section .../..O.._.~. .......... 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 .. 0¢'4.~.'. ?-'/kl~./~.L:.V.. [e~_~f.~. ...................... ;. ................ --_ b. Intended use and occupancy ...~v{~t,k.e4Z.~..~.. f~....~,~c..~ .l.¢o~.r~ O,,~.' .,,i~. ~./q .~..~,~ .......... 3. Nature of work (check which applicable): New Building Addition .......... Alteration Repair .............. Remora! .............. Demolition .............. Other Work ............... : (Description) 4. Estimated Cost ........ ~i~. ...................... Fee ~ ~' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ....... i ................................................................. 6. If busines~ commercial or mixed o~cupancy, specify nature and extent of each type of use .. ;..., ..... i. .......... 7. Dimensions of!~x]stmg structures, ff a y: ront .... .~.0 .... .... Rear ....c~.O ........ Depth ...~.'~ ......... Height .../~'~ ........ Numbe~ of Stories .... /. ............ . .' .................. 'i ......... '. ......... Dimensioos'of same structure withlalterations or additions: Front . .a-~. ¢. ......... Rear .................. Depth .. i .......... . ~ y: .......iHeight ...................... Number of Stories ...................... 8. Dimensiohs of entire fi'e~.construction: Front .......... . ..... Rear . .. ............. Depth ............... Height .4 ............. Number of Stones ...................................................... 9. Size of[b~7'Fronff.. ........... ! ......... Rear ........... '.'..'... ..... Depth ..... i ................ ~ i Na eof Form rO 10 Date of~u~chase : ....... .. ~ m e wrier .................. 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violat6 any zoning law, ordinance or regulation: .... ~ ....................... 13. Will lot be regraded ...... 3,*2)...I ................. Will excess fill be removed from premises: Yes No : 14. Name of Owner of premises /0 ~bo.~r ~.. ~1~ ..... Address ~ ..~.. [,1.t~.~ .1~,.,.,.,.,.,.,.,~...~ .c~.T. Phone No.. ?~c.I.':'~ .~..~... Nan~e of Architect ............ , ............... Address ................... Phone No ................ Name of Contractor -5;o.~a gb~ .'~ .~.O..~. ......... Address p, o.t~ .~... ~5. · .$1.9c. Phone No..~'1~': 15. Is this property located w±!thin 300 feet of a tidal wetland? ~Yes ..... No.,,~,- .... · If yes, Southold Town TrustBes Permit may_ be required. : PLOT DIAGRAM Locate clearly and distinctly a/1 bdildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block nu: nber or description according to deed, and show street names and indicate whether interior or corner lot. P.0. BOX 5:,!9 I SOUTtfoU), NY 11971 ATE OF NEW YORK, S.$ ?OUNTY OF ................. I ............................... I .................. being duly sworn, deposes and says that he is the applicant (Name of individual signin~ contract) ~bove named. te is the .......................................................................................... (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly uthorized to perform or have performed the said work and to make and file this ~pplication; that all statements contain'~d in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. lworn to before me this .~, t,,/ dayof ~ ~:**-'~ 19~''') qota~y Public, ...t~..~-'-/t/.. ~.-. ....... .~..~ . .~.~.. County IEI. EN lC DE VOE PUBLIC, ~te o! New York . No. 4707878, ~erm Expires Ma~ch (Signature of applicant)