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Home My WebLink About15921-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPkRTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17537 Date NOVEMBER 22~ 1988 THIS CERTIFIES that the building ADDITION Location of Propert~ 50 BAY ROAD House No. Street County Tax Map NO. 1000 Section 043 Block 05 Subdivision Flied Map No. GREENPORT Hamlet Lot 13.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13~ 1987 pursuant to which Building Permit No. !5921Z dated APRIL 17z 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 TO EXISTING ONE FAMILY DWELLING. The certificate is issued to BELA BAKO (owner, of the aforesald:bulldlngo SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED REPLACES B.P. #13317Z N/A Building Inspector Rev. 1/81 TOWN OF $OUTHOLD 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~ 15921' Z Permission is hereby gronted to: ........ ............................ , "~"'"'~'"'~ ................................ .... ~~,.:..~.,.~.:.....u..t..s..~..., ,~~~.....~....a~JL..~.~..:.~.,.......~.....~.....~ County Tox Mop No. 1000 Section ..... ,~...~..'~ ..... Block ...... ,.~,...~. ....... Lot No ............. pursuant to application dated ........ ~ ..~ ................. , 19 ., and approved by the Building Inspector. 8uildlng In.q~:tor Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13317 Z Permission is hereby granted to: .~.~~....x.~a.x~..;'~--- --'-~- '~'~" ......... ~. ...... ~ , at' pr~mi.~. Iocot~:l at ......................................................................................................................... County Tax Map No 1'000 Sect,on ....C)...~....'~ ..... Block ..~.....~... ......... Lot No ..... .~..~.... :..L .... pursuant to appication doted ....... ~....~...~.. ................ , 19.~...~., and approved by the Building Inspector, Rev 6/30/80 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions A This apphcat~on must be filled in typewriter OR ink, and submitted ~ ~ to the Budding 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 d]sposal-[S-9 form or equal). 3.Approval of electrmal mstailanon from Board of F~re Underwriters, 4. Commercial buddings, Industrial buddings, Multiple Remdences and similar buildings and installa- tions, a cert~fmate of Code comphance from the Architect or Engineer responsible for the budding. 5.Submit Planmng Board approval of completed rote plan requirements where apphcable. B. For existing buddings {print 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 topo§raph~c features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buildings or premmes, or other pertinent mforma- t~on required to prepare a certificate. C. Fees- Addztions $25.00 POOLS $25.00 ALTERATION $25°00 1. Cert~f[cate of occupancy New Dwellzng $25.Q0, Accessory ,$]0.00 Buszness $50.00 2. Certificate of occupancy on pre-ex[st~ng dwe~hng $100.00 3. Copy of cert~fmate bf occupancy $ 5.00, over 5 },ears $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date NewConstz'uc%~on Old or Pre-exmt~ng Bu~)dlngVacant Land Loca.on of Property ......................................... ~o ~,.~.. C~,o/~ x~ . .--.~.. ~s~ ~.~...~C.....-- House NO Street Hamlet Owner or Owners of Property ............................................... County Tax Map No. ~000 Seot,on ....0.¼3 ..... mock ...............OS" hot ... ~.../f: I Health Dept Approval ....................... Labor Dept. Approval ...................... .. Underwriters Approval ....................... .Planning Board Approval ............ . ..... .. . . Request for Temporary Certificate ................. .... Final Certificate .................,/ ..... Fee Subm,tted $ ..... ~-.,-?'~. ~ ............. Construction on above described budding and~pl~"~codes and regulanons. Apphcaot,.. ~~ ................... Rev 1010-78 COMMENTS FIEL~ INSPECTION FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. STATE ENERGY 0DE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 728 TOWN IIALL SOUTIIOLD, N.Y. 1197t TEL. 765-1802 This xS to adviae you that t'he job under building permit no. ~3317Z issued to Bela Bake oa _7.L30/84..~7 ~or Addition is completed and a f~aal inspection has ( ) has not (x)--been done. fn order to complete this file, it is necessary that ,~ Lertlflcatc of O{cupancy be issued. Please fill out the enclosed form, retnrn same to the above office with a check for $25.00 payable to the Town of Southold. Please indicate to Whom the, Certificate of Occupancy is to be mailed, and arrange witl~ this office for an inspection date Occupahcy or ,tat ia ~:nlawful without a Certificate of Occupancy. ;Please help us to clear up th~a matter ao that legal actio? does not have to be Lakes. Thank yo~ for ye~r pcompt attention. Very truly~, Victor Lessard Executive Administrator VI.: gnr ese1 . P '74 Examined. .(~-~.!.~. Approved ~.. ~ ~. Disapproved a/c .. · 198 7 ?ermxt No./~.~ ~ .~./-'~ .... (Building Inspector) BOARD OF HEALTH 3 SETS OF.PLANS ....... ro .o, su vE v/ TOWN OF SOUTHOLD CHECK : I",~0'~::::: BUILDING DEPARTMENT SEPTIC ~ORH ............. : TOWN HALL ~OTIFY ~UTHOLD, N,Y. 11971 TEL 765-1802 CAL~ ................ APPLICATION FOR BUILDING PERMIT Date ......... 19 INSTRUCTIONS a. Tiffs application must be completely filled m by typewriter or zn Ink and submitted to the Buddmg Inspector, wi, sets of plans, accurate plot plan to scale Fee accordmg to schedule b. Plot plan showmg location of lot and of bmldmgs on premises, relatmnsinp to adjomzng premmes or pubhc sir or areas, and gxvmg a detmled descnptmn of layout of property must be drawn on the diagram winch is part of' tins al cation. c. The work covered by this apphcatzon may not be commenced before issuance of Bufldmg Permit. d. Upon approval of tins apphcahon, the BAlding Inspector will ~ssued a Bufldmg Perm[t to the apphcan, t Such pex shall be kept on the premmes available for mspection throughout the work. e. No buddmg shall be occupmd or used zn whole or zn part for any purpose whatever until a Certificate of Occupa shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the msuance of a Bmldmg Permit pursuant to Buddmg Zone Ordinance of the Town of Southold, Suffolk County, New_York, and other applicable Laws, Ordinance Regulatzons, for the construction of bufldmgs, add~hons or alterations, or for removal or demohQon, as hereto descril The apphcant agrees to comply with all apphcable laws, ordinances, buddmg code, housmg code, and regulatmns, ant admit authorized mspectors on premmes and zn buildmg for necessary inspections (Signature of applicant, or name, if a corporation) (Maflmg address of apphcant) State whether applicant m owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or bml, .... ....... Nameorownerofpremlses ...c-~f~ j~. (_). 7~ ~ /9 .. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and t~tle of cprporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No Plumber's License No ..... Electnman's License No Other Trade's L~cense No.. 1. Location of land on which proposed work will be done flouse Number County Tax Map No 1000 ~ection Street Hamlet Lot .-~...~ ~. 2 Subdivision Filed Map No . Lot .... (Name) State existmg use and occup'ancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ~ ~ ''~ /'/~.C-~ T 'fi /~ .Q~ . .. b Intended use and occupancy ..... : .............. ;e of work (check which apphcable) New Budding Addlhon ....... A/teration .epatr ..... Removal Demolition ....... Other Work. .. 4 Estimated Cost .~' ..z/ 6r~..... 5. IfdwelI,ng, number ofdwelhng units . If garage, number of cars .... (Descnphon) · (to be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... 7. Dnnenmons of existing structures, if any Front .. . Rear .......... Depth. Height .. Number of Stones ....................... Dtmenslons of same structure with alterations or additions Front .. Rear .. Depth ~.¢ it ~1~ . Height ......... Number of Stones .. ~'8. DunenslonsbTb-nTirgfiewconstruchon Front . . Rear ..f(19./ ...... Depth Height ...... Number of Stones . 9 Size of lot Front ........ Rear ........... Depth 10 Date of Purchase ............ Name of Former Owner ........ 11 Zone or use district in which premises are situated ....... 12 Does proposed construction violate any zoning law, ordinance or regulation ..................... 13. Will lot be regraded .............. Will excess fill be removed from premises Yes ix I4 Name of Owner of premises ......... Address .............. Phone No ......... Name of Architect .. ~ ....... Address .......... Phone No .......... Name of Contractor .................. Address ............... Phone No ....... 15. Is thzs property located within 300 feet of a tzdai wetland~ *Yes ..... No ..... *If yes, Southold Town ,Trustees Permit maybe required. PLOT DIAGRA~ Locate clearly and dlstinctl.y ail buddings, whether existing or proposed, and indicate ail set-back dnnens~ons fro property hnes Give street and block number or descnphon according to deed, and show street names and indicate wheth interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ....... (Name of individual signing contract) above named. being duly sworn, deposes and says that he is the apphcai He is the ............. (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file th apphcation, that all statements contained m this application are true to the best ofhm knowledge and belief; and that tl work will be performed in the manner set forth m the application filed therewith. Sworn to before me this Notary Public, (Signature of apphcan Approved Disapproved a/c . . 'FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 TEL.: 765-1803 , q Pe m,t No I :aa }? (Building Inspector) APPLIGATION FOIl BUILDIhlG PEIIMIT IN STRUCTIONS a This application must be completely filled m by typewriter or in ink and submitted to the Building Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locatlofl of lot and of bmldmgs on premises, relationship to adjoining premises or public stree or areas, and glvmg a detailed description of layout of property must be drawn on the diagram which is part of this app 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 Bmldmg Permit to the apphcant Such perm shall be kept on the premises available for inspection throughout the work e. No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Braiding Department for the issuance of a Braiding Permit pursuant to tl Bml&ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances t Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereto describe. The apphcant agrees to comply with all applicable laws, ordinances, bufldmg code, hous~g.~ode, and regulat,ons, and 1 admit authorized inspectors on premises and in buildmg for necessary~_ ~ ~ (Signature of applicant, or name, if a corporation) .. (Marling address of applicant) State whether applicant is owner, lessee, agent, architect, enodneer, general contractor, electrician, plumber or buflde ....... r. '- (" Name of owner of premises ~'~ 0~..'~-~..0 ~ (as on the tax roil or latest deed) If applicant is a corporation, sign~ture of duly authorized officer (Name and title of corporate officer) 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 County Tax Map No 1000 Section Hamlet Block .. Z~)t'~ ...... Lot . .~..~...~.. 2 Subdivision Filed Map No Lot i (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy . c ~. ,...~.. .~, . b. Intended use and occupancy .... 3 4 5. Nature of work (check winch appl,cable) New Bufldmg .... Repmr .... Removal .......... Demol,t,on · .4 .I Estwaated Cost . 00 O. ........ If dwelhng, number of dwelling umts ........ If garage, number of cars .............. Addmon ~...... Alteration ........ Other Work.. ,- O~ (Description) (to be prod on filing this application) Number of dwelling units on each floor ............... If bumness, commercial or mixed occupancy, specify nature and extent of each type of use ................... Dnnensmns of ex~stmg structures, ff any Front . Rear .......... Depth Hmght .... Number of Stones ...... Dimensions of same structure with alterations or additions Front .... Rear Depth .. Height .... Number of Stones .............. 8 D~rnenslons of enbre new construction Front ..... Rear . !~. ' .. . Depth .......... Height . Number of Stones ......... 9 S~zeoflot Front ....... Rear ................ Depth ............ 10 Date of Purchase ............... Name of Former Owner ............ 1 I. Zone or use d~stnct in which premises are situated 12 Does proposed constructmn Ymlate any zoning law, ordinance or regulation' . ..... 13 Wall lot be regraded .......... Wall excess fill be removed from premises Yes N. 14. Name of Owner of premises ........ Address ........... Phone No.. Name of Architect . .. ~kddress ............. Plxone No. Name of Contractor ... , ........ Address ............ Phone No .. PLOT DIAGRAM Locate clearly and dlstmctly all buildings, whether existing or proposed, and indicate all set-back d~menslons froJ property hnes. Give street and block number or description according to deed, and show street names and mdmate whethc lntenor or corner lot. STATE OF NEW YORK, S S COUNTY OF . ................. bexng duly sworn, deposes and says that he is the apphcai (Name of mdw~dual ~gmng contract) above named He ~s the ....... (Contractor, agent, corporate officer, etc ) of smd owner or owners, and lslduly authorized to perform or have performed the smd work and to make and file th appbcation, that all statements contained m this apphcat~on are true to the best of his knowledge and belief, and that tb work w~lI be performed m the manner set forth m the application filed therewith. Sworn to before me this .................. day of .... , 1 ..... County NOI,~RY PUBB~ State ot Now VorJ~ ........... ~ {~]~]~[ StlltOJ[ [~tlgntv (Signature of applican term lx~l~ i~lalch 30,