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Home My WebLink About15699-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. No Z-25~39 THIS CERTIFIES that the building Location of Property 830 PINE AVENUE House No. Street County Tax Map No. 1000 Section 77 Block 3 Subdlv~s~on ' Filed Map No. CERTIFICATE OF OCCUPANCY Date DECEMBER 29, 1997 ADDITION SOUTHOLD, N.Y. Hamlet Lot 15.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed ~n this office dated FEBRUARY 11, 1987 pursuant to which Building Permit No. 15699-Z dated FEBRUARY 24, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whlch this certificate Ks issued is 2ND STORY ADDITION TO EXISTING NON-HABITABLE ACCESSORY GARAGE The certificate is issued to MARY M. McDAVID & ANO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 N/A PENDING - DECEMBER 24, 1997 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) N9 ~5699 Z Perrmssion is hereby granted to: ...... ..,,-~..?.~.....L.~.~_.~. ...................................... ot premises located a~ ....,~,....O...?..,~...~ .................................................................... County Tax /~t~p ~o. I000 Section ...... (~.."7...? ..... Block ....... .C3...~ ..... Lot No ..... S;~. :~ ...... pursuant to application dated .................................. "~~ I! Budding Inspector. Fee $ ...................... .......... , 19 ~.'~., and (~pproved by the Building Inspector Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION [ ] FOUND~ATION 1ST FOUNDATION 2ND FRAMING [ ] ROUGH PLBG. [ ] ~iON [/-,--']'-FINAL ] FIREPLACE & CHIMNEY REMARKS: DATE //~///~/~;~/I * S PECTO ~~/ 765-1802 BUILDING DEPT. ~ INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING' FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. Thzs applzcatzon must b~ fzlled in by typewriter OR znk and submitted to the buzldzng znspector wzth the followzng: for new buildzng or new use' 1. Fznal survey of property wzth accurate iocatzon of all buzldings, property lznes, streets, and unusua~ natural or topographic features. 2. Fznal Apprnval from~Health Dept. of watsr supply and sewerage-disposal(S-9 form). 3. Approval of electrihal installatzon from Board of Fire Underwrzters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1F lead. 5. Commerszal building~ industrmal buzldzng, multiple reszdences and similar buitdzngs and installations, a certzficate of Code Compliance from archztect or engineer responsible for thel buzlding. 6. Submzt Planning Boalrd Approval of completed site plan requirements. B. For existzng buildings i(prior to April 9, 1957) non-conforming uses., or buildings and "pre-existzng" land uses: i. Accurate survey oflproperty showing ail property lines, streets, building and unusual natural orltopographic features. 2. A properly completed applzcatzon and a consent to inspect s~gned by the applicant. If a Certificate of Occupancy zs denied, the Buzlding Inspector shall state the reasons therefor in wrzting to the applzcant. C. Fees 1. Certzficate of Occupancy - New dwelling $25.00, Additions to dwellzng $25.00, Alterations to dwe~lxng $25.00, Swlmmlng pool $25.00, Accessory building $25.00, Additions to accessory buildzng $25.00. Busznesses $50.00. 2. Certzficate of Occupancy on Pre-existing Buxldzn~ - $100.00 3. Copy of Certificat~ of Occupancy - .25~ 4. Updated Certificatb of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residentzal $15.00, Cormnereial $15.00 r Date NOV. 28, 1997 New Construction ........... I' Old Or Fre-exzstlng Buzldzng ................. 830 PINE AVE. SOUTHOLD, N.Y. Location of Property ......................................................................... House No. Street Hamlet MARY H. McDAVID & ANO. Onwer or Owners of Property ................... County Tax Map No 1000, Sectinn...~ ......... Block .... ~ ........... Lot ..... !P:! ............. Subdmvislon .................................... Filed Map ............ Lot ...................... Permit No 15699-Z .Date Of Permit..l~-~.~.~ Applzcant.. Health Dept. Approval .......................... Underwrzters Approval ........................ Flannlng Board Approval ........................ Request for: Temporary Certificate ....... Fin~.~ Fee S bmltted: $ ...... gP.'PR ................. 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING [ F'~]~INAL ~ [ ] FIREPLACE & CHIMNEY . REMARKS'- ~~ ~:~ DATE INSPECTOR BLDGJ D~2P; TOWN OF SOd'e~%?; Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD UILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y 11971 TEL.. 765-1803 Permit No J.t:;T. ~ .~ ,ct ~ (Building In,spector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ..... Date ......... 19 ~' a Tins apphcahon must be ompletely filled m by typewriter or in Ink and submitted to the Building Inspector, wltl 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 pubhc sire, or areas, and giving a detmled de~cnption of layout of property must be drown on the diagram which is part of this apl cation. 1 not be commenced before issuance of Building Permit. c The work covered by tins gpp lcahon may d. Upon approval of tins apphcatmn, the Building lnspectm will issued a Bmldmg Permit to the applicant. Such pen. shall be kept on the prenhses avaflhble for mspechon throughout the work e No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to Bufldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the constructionI of buildings, additions or alterations, or for removal or demolition, as herein descrlbt The applicant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on pr~mlses: and m building for necessary lnspectj, gns. / Z~,_[~f.,5...r.~ kraailing address or State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull& , t (as on the tax roll or latest deed) If apphcant ~s a corporatmn, signature of duly authorized officer (Name and title of corporate officer) Bu,ldel's License No . Plumber's License No Electrician's License No ' ~'-~e,'~ ~.a~-/~'d-z~ -. Other Trade's License No House Nmnber Street Hamlet County Tax Map No 1000 Seqnon O ~ ~ .. . Block .. O.~ .. Lot. ~~ ¢(Name) 2 State existing use and occupancy of prennses and ~ntended use and occupancy of proposed construction' a Ex,stmguseandoccupancy, ~WS/Oe~.~4~ . -..~o a~ ....... ~' . ~. b. Intended use and occupancyl ~5/~ ~ ................ /~Z~ ...... 3. Nature of work (check which apphcable)' New Budding .......... Addition .... ~.... Alteratmn ....... Repatr ............ Removal .............. Demolition ........ Other Work 4 Estimated Cost ..... .~.~.¢~. .............. Fee ............................. (to be paid on filing this apphcatmn) 5 If dwelhng, number of dwelbng umts .......... Number of dwelhng umts on each floor .......... If garage number of cars 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ............. 7 D~menslonsofexashngstruc.tures, ifany Front../'~ ~ . ..Rear ./.~.fl .. Depth ~,~..r. ~... Height . .. ~ .' .... Number of Stones.. .! .................... Dlmenmons of same structure with alterations or addlt~ons Front .~'~ ~ ..... Rear. {.g.( 'f(/ ·i/'~' Number of Stories .... :~- ....:¢, Depth ...... 6~9... 3. .: ..... e~ght ..... ) . ,~'. ~ 3 8. Dimensions of entire newcqnstruction Front .. 5 !(. Rear.../. .. Depth .. ~ 3'~r . Height . . .~-. ,/. z .... Number of Storms ;2, 9 Size of lot' Front ...... ' ........... Rear ............. Depth .............. 0 Date of Purchase ~ Name of Former Owner .... 1 Zone or use dmtnct tn which premises are situated. .e~ ~--~/~- .,~-7 ~.~ ~ 2 Does proposed construction, lviolate any zoning law, ordinance or regulation' . . ~.'.o. ............... 3 Will lot be regraded .... ./~..~ ........, ........ Will exxess filJ be removed from premises Yes 1 NameofOwnerofpremises/~.4~/l~c.~J.4.~9~. ..Address~,~..z'e/q~ 5~q'tq°.~).PhoneNo..";~.'r Name of Architect ....................... Address ........ Phone No. . . Name of Contractor ...~.o/-~...~ ( .O. ? .~ ( .'? ... Address ('~,~ I..~2. .'.~p?~,,,-r4. Phone No...-'2.. * ~'- .~ 5. Is this property located withinl00 feet of a tidal wetland? ~ Yea ..... ~o .~.. ~ If yes, Southold Town Trustees Permitmay be required. , PLOT DIAGRAM Locate clearly and dmhnctly all buddings, whether ex~stmg or proposed, and indmate all set-back dimensmns fro~ roperty hnes. G~ve street and bl~ck number or description according to deed, and show street names and ~ndicate whethr ~tedor or corner lot. fA'I E OF NE~V~-Y~O~f~,--/d-- )UNTY OF-~.~ J/~... ~'~ .... ~ ... ~.O~ . bemg duly sworn, deposes and says that he ls the apphca, (Nam~ of ~nd~v~dual mgmng contract) ore named· . ~' ~6o~ira;ior, a~nt, corporate officer, etc.) mid owner or owne~, ~d m' duly aut~to ~m or have performed the smd work and to m~e and file t12 phcat~on; that ~1 statements contained ~hcahon are true to the best of his knowledge and behef, and that tt )rk will be perfo~ed ~n the m~ner set forth m the apphcation flied therewith. :om to before me thru ....... ~~.. dayof..~ ~ ~ ~.,19.~ . ~ ~ ~--ELI~B~ I~ .... ~tur Term fi~lres ~o~ b-~uU?ANCY OR USE IS UNLAWFUL WITHOUT CERTIFI.GATE OF OCCUPANCY OCCUPANCY OR USE IS UNLAWFUL "' WITHOUT CERTIFICATE~J '~ OF OCCUPANCY '~ ' SOLDER USED IN WATER SUPPLY SySTeM.CANNOT EXCEED 2/10 of I% LEAD. PLUMBER CERTIFICA ON LEAD CONTENT CERTIFIC.~TE OF OCCU?ANCY If copper tubing II uled water distributing shall be ./