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Home My WebLink About16359-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16781 ................. Date April 8, 1988 THIS CERTIFIES that the building A c c e s s o r y ...... Location of Property 4180 Oaklawn Ave. Ext. Southold hi~,Js~ hio] ........................................................ Street Ham/et County Tax Map No. 1000 Section . .0..7.0 ....... Block 09 . .Lot 44 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated A u g. 14, 1987 pursuant to which Building Permit No...16359 Z - dated Aug. 22, 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 ......... Acces?p.ry' building as applied for: The certificate is issued to ANTHONY AND MARY ZORI ..................... ?o;?.,'o;. ' 'itd, ie ir k'x i ................. of the aforesaid building. Suffolk County Department of Health Approval ....... ~ [ .A ................................ UNDERWRITERS CERTIFICATE NO N/A PLUMBERS CERTIFICATION DATED: N/A · '~'~'"t~C--'z~t~ ............... // ~ ' ' pector Rev. 1/81 ]~O]il~ NO. ~ 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 ]6~57 z Date ... ~,?,-.. .... / ...................... Permission is hereby granted to: ..e.."...-...!.! ......... ~i.~...~.....~~ ......... ,.ursu.',,, to ap,:,,,,:ot,o, da,,',:' .L.J.,',~~....~.~. ............ . ,,.~.~. a,d a,:,p,ov~ ':,,, th,, Building Inspector. Fee ,?'..'.....~ · .i ....... ~"~' ' 'B uilc'lTng Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCU~ Instructions This application must be filled in typewriter OR ink, and submitted I IJmm=mm~ 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. Approva~ o[ 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 p{an requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pZoperty 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. Fees: Additions $25.00 POOLS $25,00 1. Certificate of occupancy New ])welling $25.00, 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 $10.00 ~ 4.Vacant Land C.O. $ 20.00 ./.4 /0~?. 5.Updated C.O, $ 50,00 Date --~ ~ New C on s t ~- u c t ~ on ...... Old or Pre-existing Building ............ Vacant Land Location of Property .~/..~.. ?./.~/.(% ./¢q¥~.. House No. Street Owner or Owners of Property .../¢..~..~..~.¢~'.,...'~. ? .... County Tax Map No. 1000 Section .... ?. ¢ ........ Block .... ? .......... Lot .... ~',Y Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Perm 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. ,,,.,0.,0-,a 0,6: INSPECTION COM~ENTS FOUNDATION (1st FOUNDATION 2. (2nd ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY %ODE o FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION FRAMING REMARKS:0 //~ [ ] ROUGH PLBG. AND [ ] INSULATION [~NAL DATE 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL.: 7654803 Examined .[~<l.&~ I~ .IF~..~...%, 19 ~.7 Approvc~] 1.4.~Y7 ...... 19~..~. Permit No. ~ .~..~-. · .~. · .~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ]._~. CHECK - SEPTIC FORM ............. NOTIFY g ..... MAIL TO: 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 t~k~[}edule. b. Plot plan showing location of lot and of bujl~li~{~t~ pl:e~ises, relationship to adjoining premises or public streets or areas, and giving a detailed description of la~'~ pr~ '~,t~ tla,~wn on the diagram which is part of this appli- cation. c. The work covered by this appli uance of Building Permit. d. Upon approval of this appl~, ~i1~"11h~'2~¢~¥~ issued a Building Permit to the applicant. Such permit shall be kept on the premises e. No building shall b~ occnpie~ ~ l~ktt~,or~)&n~'~any purpose whatever until a certificate of Occupancy shall have been granted by the Buildin~p.~e h~,~ ".,t,~k~'~.~ ' APPLICATION IS HEREBY MADB~Bii~,artment%' for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of~o~h~fffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildi~ ad~tions or alterations, or for r~moval or demolition, as herein described. The applicant agrees to comply with all ap'D}l~able laws, ordinances, building ~de, hous/ng code, and regulations, and to admit autliorized inspectors on premises and in building for necessary inspections., .... ........... ......... (Signature of applicant, or name, if a corporation) ..... iI~lJling address of a~pplicafit) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................... .(q ................................................................. Name of owner of premises ............................................... (as on the tax roll or latest&~ If applicant is a corporation, signature of duly authorized officer. ~.~T~: .............................................. (Name and title of co,orate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 7~.-~80~ g ~?'/~ f(" f~ ?~ ~::4)~ T~ Builder's License No.. ~ ................ Plumber's License No ......................... Electrician s License No. Other Trade's License No ...................... Location of land on which proposed work will be done. House Number Street Hamlet County Tax Map No. 1000 Section .... ~¢ ........... Block ....... ~ ......... Lot... ~.~ ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy //~W g~)'~/7~7/F~ . ............................. b. Intended use and occupancy ........ 5~' .~0. ~./.P.~(~; ............................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other W0~k ~. ~..~;~ .......... I (Description) 4. Estimated Cost ......... ' · ..................... Fee ...................................... I " (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number o f dwelling units on each,floor ................ If garage, number of cars .... ~ .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each tvp, e' bf use.. ~. '. : , . 7. Dlmenmons of e. xistmg structures if any Front... ,.~'~... Rear ~'~ Depth ~ 6" Height .... {~.. ~ ....... Nu[nber of Stones ... / ......... : ........................ .................. Dimensions'of same structure With alterations or additions: Front ..... "l~lJ!~. 7 .......Rear .~ ............. Depth .~. '. ' Height Number of Stories Dimensions of entire new construction: Front ....... /~.. ..... Rear .../..~. ' Depth ...4... Height ..... lt.". ...... Numge~L.o~f Stories . l ..... .; .................. 10. Date of Purchase ....z.°. ............... Name of Former.Owner . ,~/.c~b/.~..~... 1 1. Zone or use district in which p~emises are situated.../~.~! .~.z~'~/.T'. (~.~. ......................... '. ...... 12. Does proposed construction vi61ate any zoning law ordinance or re~ulation' /~O ............... 'Will lot be regraded ...... ..q... :~..~O....~. ......... Will excess fill b~e removed from premises: Name of Architect........,..................' Address ................... Phone No ......... . .....·. Name of Contractor ........ i .................. Address .... : .............. Phone No ................ 15. Is this property located[ within 300 feet of a tidal wetland? ~Yes ..... No .~... · If yes, Southold Town Trustees Permit maybe re~uired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing; Or proposed, and~ indicate all set-back dimensions from property Hnes. Give street and bloc[: numliei or, description accqrding tO deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. (Name of individual sig~ above named. .................... being duly sworn, deposes and says that he is the applicant ing contract) 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 this application; that all statements cont2ined in this application am true to the best of his knowledge and belief; and that the work will be performed in the mann? s?t forth in the application filed therewith. Sworn to before me this /.q. ............. ........ dayof ..... ~. ....... 19 Notary Public,...~. ~/... D£.~/~..k~.. ........ County HELEN K, DE VOE NOTARY PUBLIC, State of New Yolk . No. 4707878, Suffolk CountyJT~ I lerm Expires M&rch 30, IL,-&4 , I (Signature of applicant)