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Home My WebLink About16007-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y. Certificate Of Occupancy No... Z. 1.5810. A Date May 28, 1987 THIS CERTIFIES that theburidmg . repl. aceme..nt of....exlsting.........deck ............ w/new deck... Location of Property . 35 . ...M. ld. w.a.y..R..o.a.d. ........... .S.o.u..t.ho.l.d. .... House No. Street Hamlet County Tax Map No 1000 Section . 9. 0 ..... Block 2 .Lot 4 Subdivision ..... X. ........ Filed Map No .. X....Lot No ....X ......... conforms substantially to the Apphcahon for Braiding Penmt heretofore fried in this office dated .... ~ia.,v... 1., 1.9. ~ 7 .... pursuant to wluch Bmldlng Permit No 16 0 0 7 Z dated ..... ~c3y. 2.1.,..1,9.8.7 .... was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for winch flus certfficate is issued ~s ...... ·. Rep3, ace~r~..of G~..~_Dtin. g de.c.k w. zt..h .a n..ew, de..ck .i.n s..a}~.e.f.o, ot.print. The certificate is issued to ........... RIC.HAR. D. A.. &. E.LLE. N..H..A~.L ............. (owner, ~~ of the aforesaid building· Suffolk County Department of Health Approval .I~/~ .......... UNDERWRITERS CERTIFICATE NO ..................... N/.A .................. PLUMBERS CERTIFICATION DATED: N/A Rev 1181 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~ 16007 z Permission is hereby gronted to: .~.~,..~~.~...~....~.....~. .... ....... ~.w.......~.;~ ~. . ....... ....... ., .....~.~.~...~...~.....~.&..~...~...x~.~..~.....~.. at premises located at ...~..~........~...~....J~L,' '~ ' - ' "'~'.~~ .............................. County ap 000 ti . .O.. ................. pursuant to application dated ..... Building Inspector. ............ , 19.~.~J., and approved by the Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1BO2 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter OR ink, and submitted m ~ to the Buitding Inspec- tor with the follow~ng; for new buddmgs or new use' 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept. of water supply and sewerage d[sposat-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buddings, Industrial buildings, Multiple Residences and mmilar buddings and instalta- tlons, a certificate of Code comphance from the Architect or Engineer responsible for the budding, 5. Submit Planmng Board approval of completed site plan requirements where apphcable, B, For existing buildings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~-~operty showing all property lines, streets, buildmgs and unu~Jal natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of bu ddings. 3. Date of any housing code or safety mspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Addztzons $25.00 1. Certffmate of occupancy New Dwelling $25.D0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-ex~st~ng dwelling $ 5 0. ~ 0 3. Copy of certfflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20 00 5.Updatecl C.O./ $ 50.00 Date ............... NewC°ns t-vucbzon ...... Old or Pre-ex~sting Budding ........... Vacant Land . Location of PropertyHouse .... No.?-~' '~' ' ...... '/~"' l~d~' '-~ .... Street'C% ; ....... Owner or Owners of Property ...... ~. ,~.C~ .... & . . .</...~..~.(r~'-. ................ County Tax Map No. 1000 Section ....(~ ~. 0 .... Block ..... ~ .2~ ...... Lot....~, ~/. ....... · Subdivision ............................ Filed Map No .......... Lot No ............ Permit No ......... Date of Permit .... cant ................................ Health Dept. Approval ..................... .Labor Dept. Approval . ..................... . Underwriters Approval ..................... Planmng Board Approval ..................... Request for Temporary Certificate ................ Final Certificate ...................... Fee S,,bm,tted ....... Construct,on on above descr,bed budding and perm~~a.~., odes and regulations. '~C~. '-~/%~ %~.~0~d~ Apphcant .................................. HENRY P SMITH, Premdent JOHN M BREDEMEYER, V~ce-Pres PHILLIP J GOUBEAUD ALBERT KRUPSKI, JR ELLEN M LARSEN BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P O Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 April 30, 1987 Mr. Richard A. Hall 15 Midway Road Southold, New York 11971 Re: Deck - Waiver request Dear Mr. Hall: The following action was taken by the Board of Trustees during their regular meeting held on April 29, 1987 regarding the above matter. WHEREAS, the Board members have personally viewed and are familiar with the premises in quest%on and the surrounding area, and WHEREAS, the Board considered all the documentation submitted concerning this request, and WHEREAS, the Board made the following findings of fact: 1. By this request appellant requests permission to register a deck 24' x 32' which replaced an exzstlng deck on the sub3ect property. 2. The sub3ect property is located at 15 Midway Road, Southold, property identlfmed as 1000-90-2-4 on the Suffolk County Tax Map. 3. The project as proposed will not affect the health, safety and general welfare of the people of the Town. NOW, THEREFORE BE IT RESOLVED that Richard A. Hall BE AND HEREBY IS GRANTED A WAIVER OF THE WETLAND ORDINANCE AS REQUESTED to register a deck (24' x 32') on property located at 15 Midway Road, Southold. In considering this determination, please be advised that this is not a decision for any other Dept. that may have jurisdiction in this matter. Please return to the Buzlding Dept. to see if other approvals are required. Richard A. Hall Waiver - Approval Page 2. Thank you for your cooperatzon in this matter. PLEASE BE ADVISED THAT A $25.00 FEE FOR THIS REQUEST IS NOW DUE AND PAYABLE. Very truly yours, y . ith, President Board of Town Trustees HPS: ip ,/ cc: Bldg. Dept Board of Appeals C.A.C. Trustees file OUNDATION ( ls t) OU~ DATIO:~ ( 2nd ) OUGH FRAME & ?LUMBING NSULATION FERN. STATE ENERGY CODE ADDITIONAL COMMENTS: Examined..NIOQ o~ ~, [ Approved ~"t~ .~..~ Disapproved a/c FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SEFTIC TOWN HALL NOTIFY $OUTHOLD, N.Y 11971 TEL.: 765-1802. CALL MAIL , i997 , 19~'} Permit No ] Goof ~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM ............. : TO: APPLICATION FOR BUILDING PERMIT ( Date ~- 5.© , 19' INSTRUCTIONS a. This application must be completely filled m by typewnter or in ink and submitted to the Budding Inspector, w, 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 pubhc st, or areas, and gwmg a detmled description of layout of property must be drawn on the diagram wh,ch m part of this a 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 msued a Budding Permit to the applicant Such pe shall be kept on the premises available for mspechon throughout the work. e. No budding shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate of Occup shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the msuance of a Bmlding Permit pursuant t, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanc. Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as herein descn The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, hgasnS~ode/an~t $~gulatlons, an admit authorized inspectors on premises and m budding for necessary mspectl~/~ (Signature of apphcant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buff Name of owner of premises ¢[~ Pk ~ ~LA-~ g?, .[~..... (as on the tax roll or latest deed) If applicant Is a corporation, signature of duly authorized officer (Name and t~.tl~ 6fl:~ir~o~at~ '~fficer) ALL CONTR~AC']~,~'~ ~J-~ Builder's Llcen~N~ Electrician s License No Other Trade's License No .... COUNTY LICENSED Location of land on which proposed work will be done I ( ./4x 7 tlouse Number Street County Tax Map No 1000 Section ~ © Block Hamlet .... Lot Subdivision Filed Map No ....... Lot (Name) State exlstnlg use and occupancy of premises and Intended use and occupancy of proposed construction a Existing use and occupancy b Intended use and occupancy ................ 3 Nature of work (check which applicable)' New Budding .... Addition . .. Alteration (2~>2~ ·.Removal ..... ~,~3emoht~on ......... ~'~ OtherWork .. 4 Est~matedCost J~O O ........... Fee ~Q '. ...... ~ (to be prod on fihng th~s apphcatmn) 5. If dwelhng, number of dwelhng umts .... Number of dwelhng umts on each floor ........... If garage, number of c~s ............................ 6 If bus~ness, commercml or m~xed occupancy, specify nature and extent of each type of use .... 7. D~mensmns of ex,sting structures, ff any Front .. Rear .. Depth Height ............. Number o~ Storms D~ens~ons of same structure w~th alterations or additions Front ......... Rear Depth .......... He~t .... Number of Stones ..... r 8. D~ens~ons of entire new constmcbon Front .. Rear ........ Depth . ~.~.~ ~.. Height ........ Number of Stones ............................. 9 S~ze of lot Front . . . ~ , Rear ...... Dept~ .......... 10 Date of Purchase .. ~0~ '~ .',~ Name of Fo~er Owner .. ).~...~ff . .. I 1 Zone or use &stnct~~_ ~__~_ ~m~~es ~ .......................... 12 Does propose~~/~~~"~nce____~,__ -----~ ~ or regulatmn ...................... Will lot be re~ ~ ~:~X~ Will excess fill be removed from prem,ses Yes No 13. 14. Nme of Owne;-~ ~------ --- '--'~ ~X~ ' Address ......... ehone No ........... . ........ ho,, o ...... N~e of Contracl~l~.~ - ~[~-)~ .. Address ........... Phone No ............ *If yes, SouthoId~-- ~--~~~s'Permit maybe required. ~ ~-- PLO~ DIAG~M Locate clearly and dlstmctly all buddings, whether ex~st~ng or proposed, and md~cate all set-back dunens~ons from vroperty hnes G~ve street and block number or descnphon according to deed, and show street names and red,cate whether interior or corner lot ~~ FF. JE:__ , NOTIFY BUILDING DEPARTMEa~'IT AT 7~6-1802 9 AU TO -* PM f'OR THE FOLLOWING IN~PECTION,'~ FOuNDA'rlO~ ~0 ~t:'QUIREO FOFt POUFtED ROUGH FR AMiNL- 3. Ih~$~JLAI'ICY BE CO)','' '~t 3TATE OF NEW YORK, S S 2OUNTY OF .. (Name of m&mdual s~gmng contract) ~bove named be~dg duly sworn, deposes and says that he ~s the apphcant ~s the ... (Contractor, agent, corporate officer, etc ) said owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file flus ~pphcat~on, that all statements contained m thru apphcahon are true to the best of h~s knowledge and behef; and that the york wdl be performed m the manner set forth m the apphcahon filed therewxth. iworn to before me thru 4otary Pubhc, #O1N~t HEI-EN & DE ¥0E PUBLIC, ~ate of New . No 4707878, Suffolk Couflty~ mrm ~t~ March 30, (Signature of applicant)