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Home My WebLink About15682-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha{I Southold, N.Y. Certificate Of Occupancy Date March 25, ]987 THIS CERTIFIES that the buridmg ..Add i.t..i.o n. .............................. 1085 Harbor Lane Cutchogue Location of Proper House No. ' ' ' ' Street Ham/et County Tax Map No I000 Sechon 9 9 7. ........ Block . .0.6 .......... Lot . 14 Subd~vtslon .................... Fried Map No ....... Lot No .............. conforms substantmlly to the Apphcat~on for Building Permit heretofore fried in flus office dated .... ?.e,~....I. 1.,. ,1.9.87 . pursuant to which Bmldmg Permit No 1.56..8.2.Z. ............ dated Feb...... 13,. ..1987 ...... .. waslssued, and conforms to all of the reqmrements of the applicable provtslons of the law The occupancy for which this certificate is issued ts ..... De.c.k addition to existing one family dwellxng. The certfficate is msugd to PETER C. AND GEORGIENNE J. STERLING (owner, I~}l~zo~Ya~l~X of the aforesaid building Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO .... N / A PLUMBERS CERTIFICATION DATED: NIA Rev 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15682 z Do,e ..~..~...,.~..~ .............. , I,.~...'1 Permission is hereby granted to: ..... ~~.:..~..~.,...u..~.~.~.~. ....... . ........... ......... at p~mises I~ot~ at ........................ ~~.~......~~-~ ............. Building Inspector. Fee $..~m,~.~.....'. j Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Bo Th~s apphcation must be fdled in typewriter OR ink, and submitted I ~ 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 topographm features. 2. Foal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installat~on from Board of Fire Underwriters. 4. Commercial huddmgs, {ndustrml buildmgs, Multiple Residences and similar buildings and installa- tions, a certdmate of Code compliance from the Architect or Engmeer responmble for the building. 5, Submit Planning~Board approval of completed rote plan requirements where applicable. For existing buildings (poor to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses' 1. Accurate survey' of property showmg all property hoes, streets, buddings and unusual natural or topograph m features. 2. Sworn statemen~ of owner or previous owner as to use, occupancy and condition of buildings, 3. Date of any housing code or safety Inspecuon of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees' 1 Certlficate of ocCupancy New Dwelling $25.Q0, Accessory ,$I0.00 Business $50.00 2. Certificate of-ocCupancy on pre-ex~sting dwelling $ 50 00 3. Copy of certlhcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .................... ,~././..z/..o. NewConstruction ...... Old or Pre-exlstmg Buddmg .......... Vacant Land ............. I-lam/et Owner or Owners of Pr6perty . . : ...... --..e~..~v. ?..~.~/?. ............ County Tax Map No. 1000 Section ............... Block .............. Lot ................ Subdlwmon ........ ~ .................... Fded Map No ......... Lot No ............. Permit No/W. ....... Date of Perm,t .~.-./.3.'~. 7 .Apphcant . { .... f ...... Health Dept. Approval ..................... Labor Dept. Approval ........................ Underwriters Approval ....................... Planning Board Approvat ...................... Request for Temporary Certificate ................ Fee Submitted $. ~...~,~-~,, ................. ,Final Certificate OUNDATION ( 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING ~SULATION PER N. STATE ENERGY CODE FIUAL ADDITIONAL COMMENTS: 765-~802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION ZND [ ] INSULATION []FRAMING ~"/"NAL RI'MARKS: /~ ?St4 - FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y 11971 TEL.: 765-1802 Approved .'~..~.1~.,:19'~]. Permit NO Disapproved a/c (Budding Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Date /~' ./.6 .. -, 19~ INSTRUCTIONS a Ttus application must be completely filled in by typewriter or in ink and submitted to the Budding Inspe~,.r, sets of plans, accurate plot plan ~o scale. Fee according to schedule. b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc str. or areas, and giving a detatled description of layout of property must be drawn on the diagram whmh ~s part of thru aF cation c The work covered by fins apphcahon may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Bmldmg Inspector will issued a Budding Permit to the apphcant. Such pe~ shall be kept on the premises avadable for inspection throughout the work. e. No budding shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occup_~ shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBy MADE to the Bmldmg Department for the msuance of a Bmlding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws~ Ordinance Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto descnl The applicant agrees to compI~ with all apphcable laws, ordinances, bmldn)~code, housing,code, and regulations, ant admit authorized mspectors on ~remlses and m budding for necessary inspeg~6ns .tV / . (S~gna~ture of applicant, or nam~lf a corporation) (Mailing address of apphcant) State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or bmk (as on the tax roll or latest deed) If applicant is a corporation, mgnature of duly authorized officer (Name and t~tle of cprporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED · Budder's Lzcense No /~'/ 7/./-/d'..- /~./~*u~3 ~c'~ Coq/rg.qc~r-/.,OG, ,,~'~. Plumber's License No Electrician's License No Other Trade's L~cense No Locahon of land on which proposed work will be done .................... House Number Street Hamlet County Tax Map No I000Sectlon C~7. Block ..~ ......... Lot j.t~ .... Subd~vlsion . Filed Map No ........ Lot . (Name) State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction a. Existing use and occupancy ~?'q ! ~,'~-'r' ff' ./TL/.o,?. ~ ............. b. Intended use and occupancy . ~22~ .c_/~. ......................... 3. Nature of work (check which applicable) New Bufldmg Additmn ..... Alteratmn ,D~ Repmr ...... Removal ......... Demohtlon . Other Work .. ~ (Description) 4. Estimated Cost ,../.~9o ~ .'TT-. .............. Fee .... · ............................ '~ ~to be paid on filing this application) 5. If dwelling, number of dwelhng units ...... Number of dwelling units on each floor ............ Ifgarage, number of cars ... ~ ............................................. 6. If business, commercial or mixeld occupancy, specify nature and extent of each type of use 7. Dlmenmons of exlstxng structures, if any Front .. Rear ......... Depth ......... Height ....... Number of Stones ...................... I ' Dwnenmons of same structure with alterations or additions Front ...... Rear .............. Depth ............ [. Height ......... Number of Stones ................ 8. Dnnensionsofenhrenewconstructmn Front /~.g..,.t/( .23:f.~: Rear ........... Depth ........... Height .......... Nuraber of Stones ....................................... 9. S~zeoflot Front ............. Rear ................ Depth .................. 10. Date of Purchase ...... [ ............. Name of Former Owner .................... 11 Zone or use dtstnct m which premises are mtuated. .~ ........................................ 12. Does proposed construction woiate any zoning law, ordinance or regulation . ..,~. P ...................... 13. Will lot be re raded ,,or> · - g ..... s,. ~. .............. Wlil excess fill be removed from premises. Yes 14. Name of Owner of premises ~?. (:~','~*..--q.7~.~./ZZ/~.qAddress ~.~/g~,~..~. t .~..~...Phone No'7..-~..~..~t/?.~.'~.. Name of Architect ..... i ...... Address ........... Phone No .... Name of Contractor ~t-t,~/~O..d..~.....E'~.~.7'. .... Address /.~./,t ~r4~.('?~.~. ...... Phone Nor/J?.-.~. ! f.~..~. 15. Is this property located ,withzn 300 feet of a tida], wetland*. *Yes ~/.~.~. No ..... · If yes, Southold Town Trdstees Permit may be required. I PLOT DIAGRAM Locate clearly and distinctly all bufldmgs, whether ex~stmg or proposed, and indicate all set-back dnnensmns from oroperty hnes Give street and block number or description according to deed, and show street names and re&cate whether ~ntenor or coruer lot 3rATE OF NEW~ Y~R/K,g Io S S 2OUNTY OF . ,~4,~k-k-aoa~c--. ...~.~. 0~ ... ~ [.¢ ~% ..- being duly sworn, deposes and says that he ,s tbe apphcant (Name of m&v~dual mgning ~ntract) [bore named m the ..................................................... .M .......x., ................. (Contractor, agent, co,orate officer, etc.) r ~/ ~ ~ ~ smd owner or ownem, ~d m duly authomed to perfo~ or have perfomed ~e saxd :wor~~ ~d file t~s pphcahon, that all statements contmed m thxs apphcatmn are true to the best of hm ~bwledge and b~h~f, and that the york will be perfo~ed m the m~ner set forth m the apphcatmn filed therewith. ;worn to before me t~s : .... of 4ot~ Pubhc, ~ ~ County NANCY S. WPIGHT Nohnr) lvb~,e, Stet~ of Nt v York ....... - t .*~'~ ~' .-~t ppi t