The URL can be used to link to this page

Home My WebLink About15825-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARf~ENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18422 Date SEPTF~BER 26~ 1989 THIS CERTIFIES that the building Location of Property 295 TRACK AVENUE House No. Street County Tax Map No. 1000 Section 137 Block 01 Subdivision Filed Map No. ADDITION CUTCHOGUEt N.Y. Hamlet Lot 18 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1987 pursuant to which Building Permit No. 15825-Z dated MARCH 30r i987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isTWO DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOYCE FRIEDLAND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF REALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ~5~-ding Inspector Rev. 1/81 FOF, M NO. 9 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJ~IT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15825 Z Permission is hereby granted to: ...... ~"V~ ......... ~'"'~"( ......... i ....... ~..~.~:.'.::~.~..~..~....~~.... ~ ...................................................... co,,,~ To,, ~o,~ No. ,00o Sect,on ..... L..A3 ....... ~,o,:,, ...... .~..I. ........ Lot No....I..3 ................ .. ~ c:~-..~.. , and approved pursuant to application dated ..... ~ ............................... 19..~..-/., by the Building Inspector. Fee $.~.....~ .............. Budding Inspector Rev. 6/30/80 TOWH OF SOUTUOLD BUILDING DEPARTHENT TO~N HALL SOUTHOLD, HEW YORK 765 - 1802 11971 ~ · APPLICATION FOR CERTIFICATE OF OCCUPANcy CONSTRUCTION DATE ................. ....... OLD OR PR~-EXIsTING BUILDING ...... VACANT LAND ........ Location of Property. !.~. .~~ ..... HOUSE NO. STREET ~'- ~/AHLET ' ' co~ety ~ ~ap No. *000 section !~.~.. ~ec~l .....'-et' .~.~. .... Sobdivi:ion ....................... .... oate of Permin Filed Map ........ Lot .......... .......... ApPlicant Health Dept. Approval .................. Planning Board Approval ................ Reque=t for Temporary Certificate ....... Fee ~ub~£tted: $. ~ ~~ Underwriters Approval .............. Final A[PLI CA~~ Certificate ................ 1ff227~ FOI~f NO. ~ TOI,4~ OF SOUTBOLD BU~LDZNG DEPARTI.~NT 765 - 1802 · APPLICATION FORi CERTIFICATE OF OCCUPANCy INSTRUCTIONS '~is a~pl~ca~ion must ~e f~led in tYpe~i~er OR ink and submitted to the Building InspeCtor with the following; for new buildings or new I- Final su~y o~ pro~erey wi~h accurate location of all buildings, proper~y Streets, and unusual natural or topographic features. . 2- Fi~al approval of Rgal~h D~p~. of wa~er supply and sewerage-disposal(S_9 3. Approval of electrieal installation from Board of Fire 4. Swor~ s~a~emen~ fro~ pl~ber certifying ~ha~ solder used iu system contains less than 2/]0 of II lead. 5. co~ercial buildinES, industrial bu~ldlnEs, ~l~i le res~ - · . buildings aud ~ .... ~:~-~:- . . P de~ces and s~mxlar or Eugineer responsi~ble for ~he building. 6. Submi~ plannlnE Boated Approval of completed site plam requirements. For ~xistlnE bu~ldlnEs ~(Prio~ to April 9, ;957] non-confo~in~ uses, or buildings amd Pre-exlsti~', ]- Accurate su~e~ of p~opert~ s]lowlnE all propert~ lines, streets, buildings and unusual natural or tOpoKraphic features. ~. A ~roperl~ c°mple~ed~application, a consent ~o ~nspec~ sig~ed b~ the applican~ and a certified abstSact of title iSSued b~ a title cOmpan~ uhich shall show slnE1e and separate O~ership of the entire lot prior to April 9, . If a Certificate of Occupancy ~s denied, the BuildinE Inspector shall state the reasons ~herefor in ~i~inE to the appllcan~. 3. Da~e of an~ housin~ Gode or safe~y inspe~tlon of buildlnEs o~ premises, or o~her per~i~en~ info~io~ required ~o prepare a For Vacant Land'Certific~ate of Occupancy: ]' ~ aPpl~cat~o~ for va~can~ land Certlflca~e of Occupanc~ shall be submitted, and a certified abstract of title ~ssued b~ a title compan~ show,nE sinEle Separate O~crshlp of~ the entire lo~ prior to April 9, ]957 shall also acCOmpan~ the application. If ~ Certificate of Occupanc~ is denied, the BuildlnE shall s~a~e ~he easogs therefor in ~itinE ~o the applicant' Inspector ~ES: ~- CERTIFICATE OF OC~Cy - New ~ellinE $25.00, Additions ~o ~e~llnK $25.00, Alteration to ~e~lins $25.00, Swi~n~ Pool, $25.00. Acc~ssor~ buildln~ $25.00 Addition to Acces~or~ b~ildinEs' $25.00 - Businesses $50.00. 2. Cer~iflca~e of Oc6upancy on pre-exlstlnS dwelllnS 3.. Copy of Certificate of Occupanc~ - $5.00 - Over 4. Vacant Land Certificate of Occupancy - $20.00 5 years - 5.. ~Pda~ed Certificate of Occupan~ - $50.00 6. ~empOrar~ Certifidate of Occupancy - $~5.00 Residential $50.0~ Co~ercial OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & PLUMBING L'~'SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Examined...~...~... '~.q, 19 .~2 Approved ...~...~....~..., 19~. .7. Permit No./..~."?..~'.~..~. BOARD OF HEALTH ..~.-~ 3 SETS OF PLANS ....... TOWN OF SOUTHOLD CHECK . BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 CALL ................ TEL.: 765-1802 MAIL TO: Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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, addifions 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 ips~.c, tions. (Mailing address of applicant) State whether applicant is~gwner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... .............................................................................. Name of owner of premises . . '.~.~.~.~?.~..~-.. · · .~.' .~. · ~F~. f/~..~.-~/./2.~..--~.. ..................................... (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 N67: .... -..O~...~7 .... ~ .... - ~ Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done] . .~.?~.-....~.~...'~../~.. · · ./f'/.~-. ·. · .C'~ .7-~..d~. · -O~.~.~. · · · .'~'. ~. ·... House Number Street Hainlet County Tax Map No. 1000 Section ....... /..'5..7. ......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 . .df~;S/p~..~,'-~x&/_~... ~. ,~...~7~..A-/..,~.~ ....~ .... /.. ,~..~ ).~.~< ............... b. Intended use and occupancy . .~..~..C./.Q. ........................................................... 3. Nature of work (check which applicable): New Building . ' .... Addition · · · .~. .... Alteration Repair Removal Demolition ~ Other Work 4/,,¢~-~ ~ f.~.~?~[ (Description) 4. Estimated Cost.... ....... ...... ............. ...... Fee....... ... ..... .............. ....... · (to be paid on filing this application) 5. If dwelling, number o f dwelling units ............... Number of dwelling units .on each floor ................ If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type: of use ..................... 7. Dimensions of, existing structures, if any: Front .... .~.~. ........ Rear ... ~.q~ · .... Depth ....z.6. j ........ Height o_ ~- Number of Stories ... Dimensions'of same structure with alterations or additions: Front ...... ~..-~....: .... Rear .... .ge..g.. .... Depth ...................... Height ...... ' .....v .......... Number of Siories ..................... ..,.. 8. Dimensions of entire new construction: Front .... ~.4./~.~P... Rear...~ .¢../.~q~.__~ Depth . t.~f(.7. Height ~/./.2r f ..... Number of Stories ..... ~.. .................... 9. Size of lot: Front .......... . ........... Rear .... /h.O .............. Depth ... e'~.~: ............... ]0. Date of Purchase ..... ,~.~Wg:.h....~5 ............ N)me of Former Owner .~'.~]'mze....$g2q.~.~..~.4 ........ 1 1. Zone or use district in which premises are situated .... ~..~sr~,n-vT~?...~. ...... ~ ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....2Z.t~ ......................... 13. Will lot be regraded ..... .~/~. .......... , .......... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises Of,~..T....~".~..~.~-(.~.~.._. Address .~...Z'~.~... i.. PhoneNo..72.q. ?.?( .~..-~... Name of Architect ........................... Address ................ ;.. Phone No ......... ....... Name of Contractor .......................... Address ................... Phone No..~.~ ........... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... No ..w... · If yes, Southold Town Trustees Permit maybe required. PLOW DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from >roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. 72- ~ ;TATE OF NEW YORK, (Name of individual signing contract) being duly sworn, deposes and says that he is the applicant ~bove named. le is the .............................................................. ~ .......................... (Contractor, agent, corporate officer, etc.) i ff said owner or owners, and is duly authorized to perform or have performed the said work and to make and' file this pplication; that all statements contained.in this applicatior~ are ~trne to the best of his knowledge and belief; and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ............... g. 7 ...... day of ..... .'~ . .a~. ..... , 19 .o~.7. ~/Ter~a'Expires M~rch 30, 19