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Home My WebLink About15730-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No. Z-15335 Date March 10, 1987 THIS CERTIFIES that the building DECK ADDITION TO EXISTING ONE FAMILY ..... D~EL~'ING'. ................................. ca' 300 Lake Drive Lo tlon of Property .......................... Southold, New York ' House No. ' ' ' ' Street Hamlet County Tax Map No. 1000 Section 080 .Block 04 ..... Lot 6. l Subdivision M/o Reydon Shores .Filed Map No. .67.1 .... Lot No. 4, 5, & 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated March 5, 1987 15730 Z ....................... . pursuant to which Building Permit No ...................... March 6, 1987 dated ............................. was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which ttfis certificate is issued is ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING ANNETTE LaTORRE The certificate is issued to ..................... .____i~n'o'~, 'ri;~kf,d~i~A.a~'g~~_.L~... of the aforesaid building. Suffolk County Department of Health Approval ......... N / A UNDERWRITERS CERTIFICATE NO ..... N / A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 lrO~ 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~ 15730 Z Permission is hereby gronted/~ ~ -,~_~ , ~ ..~ ...~..'t...~.]~...~.~..~ .... ...... ...... ,t ~re~,s,s ~*ted at ...~....d..~...L...~....~.~ ................. County Tax Mop No. 1000 Section ..... ..~..~...~.. ...... Block ...... ..~.....~ ........ Lot No ........~...~ .......... the pursuant to application dated ...~.l..}....~.......~..~ ....................... , 19.~...kq..,¢~/ and approved by Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 CO Application for deck 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- 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 p=operty 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: 1. Certificate of occupancy New DweZling $25.0,0, Accessory,,$10.00 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 .......................... NewC°nstructi°n ...... Old or Pre-existing Building Vacant Land Location of Property House No, Street Ham/et Owner or Owners of Property .~/~.~ ~ .... County Tax Map No. 1000 Section .... .~?. ....... Block .... ~ ......... Lot....~. .......... Subdivision... ,~. ,-~,, .,~, .. ,Cp,~ ...... Filed Map No.. ,~.',-zZ(...Lot No, ,. ,~. [ ....... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept, Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Applicant,.. i.~. z~Z'7~.~ L~ .kF.~ ..! ra,,d ) CHICAGO TITL~ IN"!:'''¥''' ~OUPAN~ (516).~'_., " · 4 Memorandum from .... BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD Tow~ Ht, Lu, SOUT~OLD, N. Y. 11971 765 - 1802 OUNDATION ( 1 s t) OUNDATION (2nd) OUGH FRAME & PLUMBING ~NSULATION PER N. Y. STATE ENERGY CODE FI~AL ADDITIO~L COMMENTS: Examined..~....0/~.'. . .~..... Approved . .~..~t~..~... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ., 19~.9.. ., 19~.~.. Permit No./..~7.7.~...~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ................ MAIL TO: Disapproved a/c ..................................... (Building Inspector). APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate, plot,p[ao to, sgale. Fee according to schedule. b. Plot plan show~ng iocafiog 6~,lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and givihg a'~iet'ail~d de~s~riphon of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work c(~ver~l.by this apphcat~on:may not be commenced before issuance of Building Permit. d. Upon apprgval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on th{ 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 neces~,~./in.~?~io.~s[_ (Signature of applicant, or name, if a corporation) ..... ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,~plumoer or builder. (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 .... ~x.e. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ...... 5..0..0 ....~ ~,. ~ ~ ....... House Number Street Hamlet County Tax Map No. 1000 Section ...... ~ ......... Block ...... .~. .......... Lot....~. .............. Subdivision ......... "~..(5..~ ~1~ 5~u~' ......... Filed Map No .... .(°.'~.l .......Lot....~.~ ......... ..... (~q'a~) ....... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... [...~..~-~*-~..~ b. Intended use and occupancy ..... ~ ~- ~fa-. ........... 3. Nature of work (check which applicable): New Building · Addition ....... Alteration .......... Repair .............. Removal .............. Demolition ............ i. · Other Work ........ ....... (Description) 4. Estimated Cost... ~...'7-.t. .0..o.~ ........................ Fee .~Z.~.O .,. P..~.: ........................... (tq be p~id on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unitsion each floor ................ If garage, number of cars ............................................. i ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear ........ ~ ...... Depth ............... Height ............... Number of Stories ............................. ~ ........................... Dimens~ions'of same structure with alterations or additions: Front ............. i ....Rear .................. ~ Depth ...................... Height ...................... Number of ~tories ...................... · Dimensions of entire new construction: Front .......... ' ..... Rear ......... i ...... Depth ............... Height ............. Number of Stories ............................. I ........................... 9. Sizeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .. ! ........................... 11. Zone or use district in which premises are situated .......................... i ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... 1 ........................... 13. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No t4. Name of Owner of premises/~toP.~l~..[.m'~.q .rP.~ .~... Address ................ ~.. Phone No.'t.°..tf.%re.z.~.~.~i.~.. Name of Architect ........................... Address ................ ~.. Phone No ................ Name of Contractor .......................... Address .... : ............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGP,~M Locate clearly and distinctly all buildings, whether existing or proposed, and. indi :ate all set-back dimensions from >roperty lines. Give street and block number or description according to deed, and show ~treet names and indicate whether nterior or corner lot. OCCUPANCY USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ;TATE OF NEW '/ORK. . ' :oum'¥ S.S ..... ~..~..~..~.....~..o~.'~.% .~: .~x..ck. ~ ...... being duly sworn, deposbs and says that he Js the applicant (Name of individual signing contract) bore named. , [e is the ....................................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his l~nowledge and belief; and that the fork will be performed in the manner set forth in the application filed therewith. worn to before me this . da', of /~//~¢ef'~.' . 195 7 I ,, / so sss~,~0 ' (Signature of applicant)