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Home My WebLink About16402-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16252 Date October 5, 1987 THIS CERTIFIES that the building .... .A.d.d..i.t.i.o.n. .................................. Location 3620 Stillwater Av6. Cutchogue of Property ~/~Os~ ~oi ....................... ~/e~t' ....................... County Tax Map No. 1000 Section . .I.3.7. ....... Block 0 I .Lot 1 Subdivision ............................... Filed Map No ......... Lot No conforms substantially to the Application for Building Permit heretofore fried in this office dated Au g. 27, 1987.,. pursuant to which Building Permit No. 16402 Z dated ...... .A.q g :..3.Q ~..1.9.8. 7. ........ 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 an existing one family dwellling. The certificate is issued to ROY AND ANTOINETTE DE MEO ..................... ...................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A Rev, 1/81 J~OB~ NO. Jl TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 164.02 z . ~~~...~,.~..,....~.~.~.~:. .... . . ,~..~~..~..~...~ '~.,,~..~..~ ....... ~ ~.~.~..~.~..~.:..~~ .................... . ~ .... ~,,,, ,=,~ ,, ...~..~.~.....~.~:~::...:~~~... · ,~ ~ ~,. i~ s~,~/...~..9. .... ~=~ ...... .~.J ........ ~,, ~ ........ LL ............. I~t~r, Fee $..~.-~...:....~ Building 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 OCCUPANCY Instructions This application must be filled in typewriter OR ihk, and submitted m am~a~l 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, Industria~ 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 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. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$ |0.00 Busit~ess $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 5.Update¢t C.O. $ 50.00 Date .......................... New Cons l, cuc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. LocationofProperty ~-'~(~2,~ ~'I~'IL-C~/J,,~ T'/-¢-/~ ~, .~/.~.~, ~J~-'c--~ O~/b House No, ~ Street \ -- Ham/et Owner or Owners of Pro eft ~.~?. q~--~ ~'J~0IN,.~T~.~'~-- County Tax Map No. 1000 Section ............... Block ............. Lot .... /. / Subdivision ................................. Filed Map No ........... 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 $ ............................. Applicant .... '~../~--%..c~..;,,, .",:/.. :-.-) ....................... Rev. 10-10-78 .FIELD INSPECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. Y. STATE ENERGY qpDE FINAL C OMM~,N TS ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH ..~... 3 SETS OF/PLANS ....... SURVEY ........... CHECK ~ SEPTIC FORM ............. : NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1803 CALL ..... ~ MAIL TO: Examined ~ .s,~i' ~ , 19 '~'] Disapproved a/c . ~ .................................. n .................... ~ I..~. I 8LDG. OM?T, .......... /. ~ ~ fl I Tow~ OF SOm'HOL~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Augus% 27~1987 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 plan to scale. Fee according to schedule. ~ b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- , 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 Building Permit to the applicant. Such permit shall be kept on the 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 necessary inspectjpqs, eO ~ ~,, (Sign ~'u~r'~ j~f Jp~l~Ja~ '~or' ~a 'in~'~ a corporation) 3620 Stillwater Avenue ....... Cutcho ~'' '1t93 .... . ................ (~g~I~g ala~Jress 3o~ apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises $.o.7..E. 79.M99 ............................................................... (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.....'-~..~ .~. ............... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ................. , ..... 1. Location of land on which proposed work will be done .................................................. 3620 Stillwater Avenue Cutcho~.e House Number Street Hamlet County Tax Map No. 1000 Section ~ 37-1-1 ~ Block Lot.. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... P~iva3;o .omo .gsmily .dwettir~g ........... ;;. I '.'7%?. ............ ! b. Intended use and occupancy ................ . .................... ';, >~.~ ;?~.~.~i.~*;*,v~ ................. 3. Nature ofwork (check which~ ' apphcable): New Building .... Addition XX Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... i (Descrip~tion) $1 2~0 O0 1 4 Estimated Cost ' Fee ~ " (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ... i ........................... .. ~ .................. , ............. 6. If business, commercial or mixed occupancy, specify nature and extent of ea~'h type o'i' dsc . .~: ' · 7. Di i sof i ti gstructures ifa F .. . Rea .. ..,.De,!bth menson exs n , ny: runt ..... ,., .... r '", ...... ~.r~ ............... tnber of Stories Height ............... Nu ............................................ Dimensions of san~ ~ure With alterations or additions: Front ................. Rear; ................. Depth ' Height Nu bet of Stories "-8. Dimensions of entire new construction: Front .......... . ..... . Rear . Depth Height ............... Nu/nber of Stories ........................................................ 9. Sizeoflot: Front .......... l ............ Rear ......... , ...., ......... Depth ...................... 10. Date of Purchase , Name of Former Owner 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi¢late any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded NO ...... 1 .................... Will excess fill be removed from premises: __Yes. No · Roy E.DeMeo 020 Sti~lwater Ave. ?.6.9.2.5 ... 14. Name of Owner of premises ..................... Address3 ................... Phone No..7..3 ........ 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 ~f... *If yes, Southold Town Trustees Permit maybe required. · PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, an& indicate ail set-back dimensions from property lines. Give street and blocl: number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YtRI~,/ /')//~ '" S ......... Roy. E.. ligol~eo ....... i .................... being duly sworn, deposes and says that he is the applicant (Name of individual sigOing contract) above named. He is the ..................... ; ................................................................... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d ii du~y authorized to perform or have performed the said work and to m~e and file this application; that ail statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. before me this Sworn to Notary Public, . . ounty ~~ (Signature of applicant)