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HomeMy WebLinkAbout16016-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-15886 Date June 25, 1987 THIS CERTIFIES that the building .D. ECK ADD ITION ..................... Location of Property . I30 Watersedge Way Southold, New York House tVo ............. St/eet ..................... ~lam/e~ County Tax Map No. 1000 Section 088 . Block 05 .......... Lot 53 Subdivision ....... Filed Map No · .Lot No ......... conforms substantially to the Application for Building Permit heretofore filed in this office dated ~.a.y.. 4., I. 9. .8.7 pursuant to which Building Permit No 1 6 0 1 6 z dated .M.a.y. 2 7,....I 9 8 7. ... .... was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for wluch thls certificate is issued is ..... DECK ADDITION TO EXISTING ONE FAMILY DWELLING RAOUL & MARY PSAKI The certificate is issued to .... ...... ............... of the aforesmd building. Suffolk County Department of Health Approval .. Iq / A UNDERWRITERS CERTIFICATE NO ......... .N/.A. ...................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev 1/81 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~ 16016 Z Permission is hereby gronted to: ..~.~.~..~.....~.~,..~.~.-. ............. ~...~..z~~....,...:.l.........u..~...¢....o .............. ............. .................................... ......... ............... at premises located at ....~....~ .......... Ld~..~.O~..~.& ....... ~...~ ............ ~ ....... County Tox Map No. 1000 Section ..... c::~ Block ...... ..~..~. ........ Lot No. ~.'~. pursuont tO opplicotion dated .... ...~7~.~...~ ............. , 19.~...'~.., and approved by the Budding Inspector. Building Inspector Rev. 6/30/80 A 765- 1802 APPLICATION FOR CERTiFiCATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hail Instructions This application must be fdled in typewriter OR ink, and submitted .- ~ to the Building Inspec- tor w~th the following; for new buildings or new use. 1. Final survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topograph ~c featu res. 2. F~nal approval of Health Dept. of water supply and sewerage dmposal--(S-9 form or equal). 3. Approval of electrmal ~nstal[at~on from Board of F~re Underwmters. 4. Commercial buildings, Industrial buddings, Multiple Remdences and simdar buddings and instaila- tions, a cemficate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where applicable. For existing buildings (proof to Aprd 1957), Non-conforming uses, or bu[ldings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographtc features. 2. Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buddings or premises, or other pemnent mforma- t~on required to prepare a cemflcate. Co Fees' 1. Cemficate of occupancy ~$25.00 -- BUSINESS $50,00 ACCgSSORY $)0.00 2. Cemflcate o¢occupancy on pre-existing dwelling $ 50.00 3. Copy of certlfmate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date 6/ ?3/ 57 NewConstruct ion ...... Old or Pre-ex~stmg Budding ............ Vacant Land ............. Location of Property ...1.3~] .W..gt..er.s. gd. Se' .9. r.~.v..e., .~?~gt.~.,. NY 1197] House No. Street /Yarn/et Owner or Owners of Property Raoul Psa~ County Tax Map No. 1000 Section . .78 ........ Block .. 05 Lot 53 Subdiws~on ...................... Filed Map No ......... Lot No ............. PermltNo, .1{~015. .. Date of Perm~t . ,:,,ay.?,,/. Applicant kAJ~OLE & KF, EW BLtILDERS INC. Health Dept. Approval .................... Labor Dept Approval ........................ Underwriters Approval ..................... Planmng Board Approval ...................... Request for Temporary Certffmate Final Cert~hcate Fee Submitted $... q?5. Construction on above described budding a,~ts all apphcable codes and regulations. Appbcant .............. Rev 10 10 78 P.O. BOX~I~ ,k E~,ST MORICHES, N.%". II940 TOWN OF SOUTIIOLD ©FFICE OF BUILDING INSPECFOR P.O. BOX 728 TOWN ftALL fiOUTIIOLD, N.Y. 11971 TEL 765-1802 To whom This May Concern, We are unable to complete your Certificate of Occupancy because of Lhe following reasons. An application for Certificate of Occupancy is not on file. /Z/ No Underwriters Certificate on file. The check is(outdated/__not on file.) No llealth Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this laatter. Thank you for your cooperation. Building Permit I[ _~_ & ~,) _.~ ~ Z Building Dept. ***/~/ No Plumber solder Certificate on file. ( all permits znvolving plumbing being issued after April 1,1984 ) ST-c. '~ OUNDATtON Ils t) OUNDATIO~ ( 2nd ) OUGH FRAME & ?LUMBING NSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION REMARKS: [ ] FRAMING [~INAL DATE Approved ~.~'~ Disapproved a/c .. FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL: 765-1802 ,199-/ · 19~7 Permit No ). BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY ......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL .... Date A~ril 29. . , 19~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus application must be completely filled ,n by typewriter or ~n mk and submitted to the Budding Inspector, wv sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing locatmn of lot and of buddings on premises, relattonsh~p to adjommg premises or pubhc str or areas, and g~vmg a dettuled description of layout of property must be drawn on the dmgmm winch m part of thru a~ cation. c. The work covered by tlns apphcabon may not be commenced before msuance of Budding Permit d. Upon approval of this apphcanon, the Bmldxng Inspector will issued a Budding Permit to the applicant Such pe~ shall be kept on the premmes avaflable for mspectmn throughout the work e. No buildmg shall be occupmd or used in whole or ~n part for any purpose whatever until a Certfficate of Occupa shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Braiding Department for the msuance of a Braiding Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulations, for the constructmn of buildings, addmons or alteratmns, or for removal or demohtton, as heretn descnl The apphcant agrees to comply w~th all apphcable laws, ordinances, budding code, housing code, and regulatmns, an, admtt authorized respecters on premmes and m bmlding for necessary ~nspectmns KANDLE & KREW BUILDERS INC. (Stgnature of apphcant, or name, tfa corporation) P.O. Box 31fl,. ~a.s.t ?pr. lc. he.s, .~¥ . 1.1.94.0. ... (Madmg address of applicant) State whether apphcant m owner, lessee, agent, arctutect, en-Mneer, general contractor, electncmn, plumber or bmlt Builder Name of owner of premises Raoul & Na.r.y Psakz. (as on the tax roll or latest deed) If applicant ~s a corporation, mgnature of duly authorized officer (Name and htle of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Budder's License No .8.28.3 kt.i . .. LICENSED Plumber's L~cense No Electrician's License No Other Trade's Ltcense No .. 1. Locahon of land on which proposed work will be done 130 .Wa?ers edge Way tIouse Number Street 130 WatArpe~ge ~Aya.~opthold~ NY .. ~9u~ho~d0 ~Y Hamlet County Tax Map No I000 Sect/on I3B Block 5- Lot. 53 2 Subdtv~mon Fded Map No Lot (Name) State exmttng use and occupancy of premmes and intended use and occupancy of proposed construcbon a Ex~stlng use and occupancy Residence ............ b. Intended use and occupancy .... Same ~"M/r'~ ............ 3. Nature of work (check which applicable) New Bufl&ng Repmr ... Removal 4. Estimated Cost SZT[ltl .... 5. If dwelling, number of dwelling units Addition . m .....Alteration .... Demolition ........ Other Work ~:~C k . . (Description) ......... Fee .$50... .................. " (to be paid on filing this application) ·.. 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. Danenslons of existing structures, if any Front , Rear ...... Depth .... Height .... Number of Stories .............. D~mensions of same structure with alterations or additions Front .... Rear .. Depth ........ Height ........ Number of Stones ................ 8. Dimensions of entire new construction Front ~.5 .. Rear ... l(! ....... Depth ......... Height ...... Number of Stones ................................ 9 Size of lot Front 100 .. Rear 175. ....... Depth ............ 10 Date of Purchase ......... U ._Name of Fo~rmer Owner ................ 11 Zone or use district in which premises are situated .~f'~ ~.-¢~. ~ ~ ............................. 1 2 Does proposed construction violate any zoning law, ordinance or regulation' . ~J~ .............. 13. Will lot be regraded . . ~ ~ ..... Will excess fill be removed from premises Yes No I4. Name of Owner of premmes Raoul ~aak~. .... Address . .Sqmq .......... Phone No. 7.65 .2.¢.7.5. .... · Name of Architect. .......... Address ............ Phone No ........... Name of Contractor KANDbE & KgbW.. I,N.G.' .... Address g.x. 31.~..g ?lo.r.i.c. he.s . Phone No...8.78..90..8.3. .... No . x, x. x. x. 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maybe requzred. PLOT DIAGRAM Locate clealy and d~stinctly all buildings, whether existing or proposed, and ~ndlcate all set-back d~rnenslons from r>roperty hnes Give street and block number or description according to deed, and show street names and lndmate whether ,ntenor or corner lot 3TATE OF NEW YORK, S S 3OUNTY OF Robert g. kandle (Name of individual signing contract) tboYe named being duly sworn, deposes and says that he is the applicant telsthe ......... -B .u 3 .[ d .e y .... ..-... ... . ............................ (Contractor, agent, corporate officer, otc ) ~' )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file flus tpphcatlon, that all statements contained m this application are true to the best of his knowledge and belief; and that the york will be performed in the manner set forth m the application filed therewith. ~worn to before me thru (Signature of appbcant) , I