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Home My WebLink About15829-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19119 Date JUNE 7t 1990 THIS CERTIFIES that the building Location of Property 2540 BRIDGE LANE House No. County Tax Map No. 1000 Section 85 Subdivision ADDITION CUTCHOGUEt N.Y. Street Hamlet Block 02 Lot 23 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11, 1987 pursuant to which Building Per~it No. 15829-Z dated MARCH 31r 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A STEVEN & BEVERLY SPIELMAN Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUS~T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15829 Z Permission is hereby granted to: ~.~ ........... ~.~ ....... ~ ................................. ...~~..~..:.~.,.....u...~.~.~. ......... , · .A.'/ .... ~...~ .......~ ...... County Tax Map No. 1000 Section ..... ,,.0.'~....~.':.. ..... Block ....... ,,~,..,.2.~. ..... Lot No...~....~. · .......... pursuant to application dated .... ~ ..(:~....~...L.I. .................... , 19.'~..'].., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLD . ' , TOWN OF This application'must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept.' of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. ~ 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from~architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ·" 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C., Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ' ' / Date . .. ~,/~.~ New Construction.. ......... Old Or P~e-existing ~uilding ................. Location of Pmoperty .... ~, .~... 5~.~.~...' '~C .......... '~ '~ .~' ......... · House No. Street Ham}et Oawer or Owaers of Property.. ~.~...-~,,~-~_...g.~l..~.~.~. ' County Tax Map No I000, Section....~.~..'--'-''''-'7 '~ ''~ I[/~ ..... Block ....~'~ ........ Lot..''"~'i''''' '" ' ''..~.~.....'........ ' ' Subdi~ision ............................... Filed Map .... :;:.' .... Lot ................ Permit No./~.~.g.~...~.'. f Permit..~..t['.l~.~ ...... Applicant.~.~.$p\.~...~r.~ ...... tealth Dept. Approval.:''~'~0 ..Underwriters Approval...'.~.:~. ............. ::::: ?lanning Board Approval ...... .~...~. .... :.//..::. ~ ~equest for: Temporary Certificate·..~.~.~. Final Certicate ........... ~ee Submitted: $ ................. . , ' ' TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECTOR P.O. BOX 728 TOWN }{ALL SOUTHOLO, N.Y. 11971 May 24, 1990 STEVEN & BEVERLY SPIELMAN 2540 BRIDGE LANE CUTCHOGUE, N.Y. 11935 TEL. 765-1802 To Whom This May Co~cern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. /V/An_ application for Certificate of Occupancy is not on file. '(ENCLOSED) /5// NO ~nderwriters Certificate on file. /_// The check is(~a~not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit II I 5 8 2 9 Z Building Dept. ***/]/ No Plumber solder Certificate on file. ( all perlnits involving plumbing being issued after April 1,1984 ) OU~]DATION {1st) OUNDATION I2nd) OUGH FRAME & PLUMBING ]~SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-Z.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING DATE L 'L.. ,"HE F~ISIENCE OI~ RIGHT OF WAYS' ' '.--,~/- =--~ z~-. ""' ' · ANY, IlOl ~IIOWN A~E NOT. . . ,- .--..:. -: . , ,.~: ~.~'c.~ .. ~ ~.~t~-~, .'~ . . . . ~i ... ~. . ~...;.., : ,~. . ~ ~C~~ '" ' ' .~~ ~ ~ ,... ~.~. FORM NO. 1 · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined ...~..~ .~.!.., 19~.'/. Approved ~ ./'.., 19.~.7. Permit No./.~.~ .~.;~ Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 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 shail 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 inspections. /~Signature o~applicant, or name, if a corporation) .................... (~aiii~g address'~f ap~i~ .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...... . ...................................................................... Name of owner ofpremises .S.~.{~....~..47...~..~. $.~.~.~.~..~t~..~. ............................ ...... '](as '~n the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) 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..~. ............................................. ...... 6. ........... . .Co.. :r'cc,,m. ...................... House Number Street Hamlet County Tax Map No. I000 Section ....0.~. ......... Block . ~ .............. Lot..~9.~. .............. 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 ..................................................... b. Intended use and occupancy . .% .~. 5~. ~.B¢~ .~.~....~f~ ~...QIb.~.~ .~..~..~.~....~.~Ib~.~ ...... 3. Nature of work (check which applicable): New Building .......... Addition ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... 4. Estimated Cost 0.1~). ~CI, Fee (to be paid on filing this application) 5. If dwelhng, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .................................................. ....................... 6. If business, commerciai or m~xed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing struct res, if any: Front ...... ~.~ ...... Rear . .~11~ ......... Depth . .~..o,~ .... Height ............... Number of Stories ....~. ................................................... Dimensions of same structure :with alterations or additions: Front ................. Rear .................. Depth .................. ~ ....Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Hmght ............... N~mber of Stones ................ 9. Size of lot: Front .... 15~:~. ............ Rear ........ I.~.~. ........... Depth . 10. Date of Purchase .D[ ~['~Or. ! .................... Name of Former Owner ./-J~N.'f~, .................... 11. Zone or use district in which premises are situated...R~'5~\ ........................................ 12. Does proposed construction violate any zoning law, ordinance or regulation: . ..biO. ........................... 13. Will lot be regraded ....... ! .... ~, ................ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises g.l~.. ~.5~.3~..~.. Address~. ~.~#.[,~l/~ed ..... Phone No. 9~.'111.~ ....... Name of Architect ' ~ .. Address ................... Phone No ................ Name of Contractor ....... ! ................... Address ................... Phone No.. ~ ............ 15. Is this property located within 1100' feet of a tidal wetland? * Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~ STATE OF NEW Y..O~,K, COUNTY~OF...~} J'~ ..... S.S .................. ..... ' 'il~ir~,____ ;'f'i~i'vidual si "ning contract) being duly sworn, deposes and says tha~he is the applicant above named. (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 contained in this application are true to the best of h~ld~nowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this applic~t)