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Home My WebLink About16001-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z-15780 Date May 22, 1987 THIS CERTIFIES that the building D e c k A d d ~ t i o n Locatlon of Property 3065 Henrys Lane Pecon~c, New York House No Street Hamlet County Tax Map No. 1000 Section 074 Block 0 I . .Lot 4 4.7 Subdivision. M/o Peconic Knolls .Filed Map No 6607 ..LotNo. 6 conforms substantially to the Apphcatlon for Building Permit heretofore filed in tins office dated Apr~_l 21, 1987 pursuant to winch Bmldmg Permit No. 16001 z dated ~.ay .2.0 ,. 198.7 .......... was issued, and conforms to all of the requirements of the applicable provlmons of the law The occupancy for winch tins certificate is issued ~s ... DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR PATRICK & DOLORES M. GUINEY The certificate is issued to .......................................... [owner, of the aforesaid braiding. Suffolk County Department of Health Approval ... N/A ............................ UNDERWRITERS CERTIFICATE NO .... N/A PLUMBERS CERTIFICATION DATEB: N/A Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne- 16001 Z Perrniss~on is hereby grant~,,d_to' .~.t...~..¢...~ ........................................ ~~.~ ...... .~.. ...... :...t.O..O. ..... at premises located at ..~..0...~...~......~~..{~......."~..~..~I... .......................... ............. Block ................ Lot No ............ pursuant to application dated .... ~.......~ ................... 19.~..~.., and approved by the Building Inspector. Fee $.....~..:..~... Building In,si~ector Rev 6/30/80 A FORM NO 6 TOWN OF SOUTHOLD Bu~ldtng Department Town Hall Southold, N.Y. 11971 765 - 802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Th~s apphcat~on must be fdled in Wpewr~ter OR ink, and submitted I ~ to the Building Inspec- tor w~th the following; for new buddings or new use' 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and ,.,qusual natural or topograph ~c featu res. 2. Final approval of Health Dept of water supply and sewerage d~sposal--(S-9 form or equal). 3. Approval of e[ectr~cal ~nstailation from Board of F~re Underwriters. 4. Commerc~a~ buddings, Industrial buildings, MulUple Remdences and similar bugdings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsmble for the building. 5. Subrnlt Planmng Board approval of completed site plan requirements where applicable. B. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showmng all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and cond~tmn of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pertinent mnforma- t~on required to prepare a certificate. C Fees. Additions $25.00 1. CeFtlficate of occupancy New Dwelling $25.00, Accessory ~$|0.00 Business $50.00 2. Certificate of occupancy on pre-ex[sting dwelling $ 50.00 3. Copy of certiflcate of occupancy $ 5.00, over 5 years $|0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ........................ NewConstruction ...... Old or Pre-existing Bu dd~ng ........... Vacant/and ............. o at,onof roperty House No. ~ Nam/et Owner or Owners of Property ....t.~..r¢./¥~..~..'~ ~.O/C,~eq ,~ .~..t~.¢ ~'.~ County Tax Map No. 1000 Sect,on q7~. ,05 ..... Block . .0./., .0.0 ....... Lot..0. ~.4. ,.0..0.7 .... .................. FdedMapNo ~ ~[~7 ...LotNo. Permit No ........ Date of Permit .......... Applicant .................................. Health Dept. Approval .................... Labor Dept. Approval ...................... Underwriters Approval ............... Planning Board Approval .................... Request for Temporary Certihcate ................ Final Certificate ..................... Fee Submitted $ ..................... Construction on above described budding and pj~11'~meets all apphcable codes and regulations. Rev 10 10-78 ~'/ / 0 Co . )39g OUNDATIO~; (lst) OUNDATIO:~ ( 2nd ) OUGH FRAME & ?LUHBING NSULATION PER N. Y. STATE ENERGY CODE FILIAL ADDITIONAL COMMENTS: 7is-~le2 BUILDING DEPT. INSPECTION [ 'I FOUNDATION 'IST I~ ) ROUGH PLBG. £ '1 FOUNDATION 2ND [ '1 INSULATION C ) FRAMING REMARKS, ~ DAT~ Examined. Approved Disapproved a/c FORM NO I TOWN OF SOUTHOLD BUILDING DEPARTMENT SE?TIC TOWN HALL $OUTHOLD, N.Y. 11971 TEL. 765-1802 CALL MAIL .~. ~..o, 19~.7 Permit No /.&..o? ( ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY CHECK ~2~ FORM ............. : TO: BLDG DEFT TOWN O;' SOHTHOLO INSTRUCTIONS a Ttus application must be completely filled m by typewriter or in ink and submitted to the Bmldmg Inspector, w~t sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showmg location of lot and of bufldmgs on premises, relationship to adjomlng premises or public str. or areas, and glvmg a detmled description of layout of property must be drawn on the diagram whmh is part of this ap cation c The work covered by this application may not be commenced before issuance of Budding Permit d. Upon approval of this application, the Building Inspector will issued a Bufldmg Permit to the apphcant Such per shall be kept on the premises available for inspection throughout the work· e. No bulldmg shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Braiding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the construction of bulldmgs, additions or alterations, or for removal or demolition, as hereto descnl. The applicant agrees to comply with all apphcable laws, ordinances, buddm_g, code, housing code, and regulations, ant admit authorized mspectors on premises and m bulldmg for necessary ins.~____.mSm~ ' -' ' ' (MalhEg address of applicant) / t F_C1: State whether applicant is owner, lessee, agent, architect, engineer, ~neral contractor, electrician, plumber or bulk (as on theTa'k roil or latest deed) If apphcant 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 . . Locahon of land on which proposed work will be done ttouse Number Street County Tax Map No 1000 Section 7~7~0 f~ (Name) Hamlet Block 0 -/' O 45 Lot. . Filed Map No ~ Ca "~ ... Lot. ~=".. State extstulg use and occupancy of premises and intended use and occupancy of proposed construction a Ex~st,ng use and occupancy // '~..-t~,~, _,/j,h. __ jt,.t2 ~--/?-~.?~, ~ ""' i .......... b lntended use and occupancy 1. -'~z/~ . .d~_v~';.~;'l/~ .~,~ ........... 3. Nature of work (check which applicable) New Budding Repmr . . Removal 4. Estimated Cost .8¢fl?.~ (DC) -- 5. If dwelling, number of dwelling units Additmn ~1. .. Alteration Demolition ..... Other Work (Description) ..... Fee .................. ~' (to be paid on filing this application) ·. Number of dwelling units on each floor ... If garage, number of cars ..... ,/ .... 6. If~busmess, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any Front .-.~'-'/.. Rear . . ~.~2~ ...... 'De;th' Height ........ Number of Stones .. . / ............................... Dunenslons of same structure with alterations or additions Front ..... Rear ......... Depth . ~ [ S ~ ...... Height ..... Number of Stones .............. 8. Dimensions of entire new construction Front... Rear ........... Depth ........ · Number of Stones Height .................................... 9. Slzeoflot Front . . ../f..2.~. . Rear ..../.~.~. ........ Depth ...~2 .'¢-.~'..~t] ......... 10 Date of Purchase . //~.,.3./~T~'' ...... N/a:~me.of Former Owner 11 Zone or use district in which premises are situated. . 12 Does proposed construction violate any zoning law, ordinance or regulation ................. ./Z'. 13. Wall lot be regraded .......... ~..O ..... Will excess fill be removed from premises' Yes 14 Name of Owner of premises ........... Address .......... Phone No ............. Name of Architect ................ Address ......... Phone No ............. Name of Contractor ............ Address ....... Phone No ......... No .4K.. 15. Is this property located wzthin 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and indicate all set-back dimensions fron property hnes. Give street and block number or description according to deed, and show street names and indicate whethe interior or corner lot. OCCUPANCY OR USE I$ UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY STATE OF NEWZG3RK~ COUNTY OF · -,'~--~.~'ff(~. (( . ~" /.~ ?.~ . . . being duly sworn, deposes and says that he is the apphcan (Name of individual signing contract) above named Heisthe ..~ ¢'~ '~J ~-~ .. (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 application, that all statements contained m this application are true to the best of his knowledge and belief, and that th work wall be performed in the manner set forth in the application filed therewith Sworn to before me ttns./l ........ Notary(5~3,c/y..a/,/~ ~ Public, ~4>"u7"~ ~'-~ ~~ .......... County rom [~d. I~R / No ~2563. S~ ~ Term ~tres ~m~r al, 1~