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Home My WebLink About16018-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N,Y, Certificate Of Occupancy No.. z-15805/~. Date May 28, 1987 THIS CERTIFIES that the budding . Deck.. ...additi°n.. .. to.. ..exist zng . ...........°ne .....family. dwe 11 i. Locahon of Property 445 Alvahs Lane Cutchogue, New York County Tax Map No 1000Sechon . .10..9 ..... Block. 0.1. ...... Lot...30. .......... Subchvis~on ........................ Fded Map No ....... Lot No ............ conforms substantially to the Apphcahon for Building Permit heretofore rifled m this office dated Ma y 2 1, 1987 pursuant to winch Building Permit No. 160 18 Z dated. Ma. y .28..., 1.98 .7 .... .... was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy ~r w~ch tls certtficate is l~ued m ....... DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR ROBERT & LOUISE SCOTT ........ ¥ YoX ,ii w ............. The certificate is issued to of the aforesaid building Suffolk County Department of Health Approval .... N. / A ....................... UNDERWRITERS CERTIFICATE NO ..... N / A PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 FO~IM NO. ~' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16018 z Permission is hereby granted to: ..e~...~~...~...g.......~.:..~--~'~ - -- .~.~T.. ....... . ~o ..~~.....~..~.~.......~ '...~....~......~,..~......m,~-, a rem,ses Mcat at ....................................... ~ ",/-.~. ~ ~ c~ ~ ..................... ~ ...... t p · ~ :_~....~e... ~~ County Tox Map No. 1000 Section ..... x/,~).~ ....... Block ...... ,,,~...[ ....... Lot No ......,,~,,..~,, .... pursuant to application dated ....... ..."~.~. ~...1 · Budding Inspector. Fee $...~..*...~ ......... , 19..~...']., 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 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Thru apphcation must be filled m typewriter OR ~nk, and submitted m~,.,~,-~, to the Budding Inspec- tor with the folIowmg; for new buddings or new use. 1. Final survey of property with accurate Iocatmn of all buildings, property hnes, streets, and unusual natural or topographm features. 2. Final approval of Health Dept of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electmcal installation from Board of F~re Underwriters. 4. Commermal buddings, Industrml buddings, Multiple Residences and mmilar buddings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the budding. 5. Submit Planning Board approval of completed rote plan requirements where applicable. For existing braidings (prior to Aprd 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographm features 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety inspection of buddings or premmes, or other pertinent informa- t~on required to prepare a certificate. C. Fees- 1, Cert~hcate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 2 Certificate of occupancy on pre-exmt~ng dwelling $ 50.00 3 Copy of certffmate of occupancy $ 5.00, over 5 years $10.00 5.Updatect C.O. $ 50.00 Date ....... NewConst, ruction ..... Old or Pre-ex~stmg Building .......... Vacant Land ............. ' ./4 Locatmn of Property .... ~. .~,~.~... ?~ .... ~ ~ OwnerorOwnersofProperW . .~r~.. ~?~. ~.~ /.~ ¢ .... ~.~ .......... c=,w oo0 S,c ,o, .... /d.? .... s,o, .... /, ......... Lot... ........ ............ - .. ~ ......... FlledMapNo . .~ .... Lot No ........... Permit No ........... Date of Permit ......... Apphcant .. , ' -~- ,. .q~. Health Dept Approval ........... .~.~. ......... Labor Dept. Approval ........................ Underwmters Approval ~ Planmng Board Approval Request for Temporary Certlfmate ................ Final Cert~fmate Fee Subrmtted $. , . ,_~.~-- ¢O Construction on above descmbed budding and permit meets all apphcable codes a~d regulations Rev 10 10-7a P,~c.32o{ o OUNDATION (1st) OUNDATION (2nd) OUGH FRAME & FLU~BING NSULATION FERN. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~INAL INSPECTOR Disapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SE?TIC FORM TOWN HALL ?~X)UTHOLD, NY 11971 NOTIFY ~¢~ j.O¢{ TEL.: 765-1802 CALL -~- ....... MAIL TO' TOW~ o= SO~OLO (Budding Inspector) APPLICATION FOR BUILDING PER~IT INSTRUCTIONS a. Tlus apphcatlon must be completely filled m by typewriter or m ink and submitted to the Building Inspector, w~t sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showmg location of lot and of buildings on premises, relationship to adjoining premises or pubhc strc or areas, and glvmg a detailed description of layout of property must be drawn on the diagram which ~s part of thru ap carton c The work covered by tlus application may not be commenced before ~ssuance of Building Permit d. Up~nappr~va~~fthisapphcati~n~theBui~dingInspect~rwilIissuedaBm~dmgPerrnitt~theapphcant Suchpe~ shall be kept on the premises available for mspectmn throughout the work e No building shall be occupied or used m whole or m part for any purpose whatever untd a Certificate of Occupa, shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bmldlng Permit pursuant to Bmldlng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein de,rtl: The apphcant agrees to comply with all apphcable laws, ordinances, building code, housing code, and regulatlorl~, ~nrl admit authorized inspectors on premises and m building for necessary inspections. (Signature of applicant, or name, if a corporation) (Malhng address of apphcant) ' //~ Stat~ whether applicant ts owner, lessee, agent, architect, engineer, general contractor, electnclan, plumber or built Name of owner of premises 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 No Plumber2~-Llcense No . . -Etet~mman's License No Other Trade's License No~ (as on the tax roll or la~r[!eed) ~r'~'/'~t-t ~,e ~ - Y. L. NO~ ~ILDIN(~ Oe~ARTM~ A 76~ 1~2 9 ~ TO ~ ~ ~R ~' Location of land on which proposed work will be done lIou~e Number Street County Tax Map No I000 Section /O 9 Block /. . Lot '~(~. .. Subdivision ~ Filed Map No . Lot . (Name) 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 3 Nature of work (check which applicable) New Building Addition .z~'.e,c. g~ .. Alterat,on .. Repmr Removal ..... Demolition ....... Other Work .......... (Descnphon) 4. Estimated Cost .... --.,~. (~..(~. ........... Fee .... .'g~...C-.'~. ... ' (to be pad on fihng thts apphcahon) 5 If dwelling, number of dwelling units . . .---- Number of dwelling units on each floor . .------r. ...... If garage, number of cars ..................................... 6. If business, commerc,al or m~xed occupancy, specify nature and extent of each type of use . -----. ......... 7. Dimensions of existing structures, if any Front ..... Rear . . Depth .... Height ....... Number of Stones ............................ Danenmons of same structure w, th alterat,ons or addit,ons Front ........ Rear ............. n~+~ ~ .; ~ ~ Hmght . Number of Stones 8. Dimensions of enhre new constmctmn' Front ...... Rear ......... Depth .......... Hmght .......... Number of Stones ..................................... 9 Size of lot. Front ....... Rear .............. Depth ............. 10. Date of Purchase ................ Name of Former Owner .................. 1 1 Zone or use district in which premises are situated ................ 12 Does proposed construction wolate any zoning law, ordinance or regulation ............... 13 Wz!l lot be regraded ........ Will excess fill be removed from prem,ses: Yes N. 14. Name of Owner of premises ... Address .......... Phone No .......... Name of Architect ......... Address ......... Phone No Name of Contractor .................. Address ............. Phone No ........... No . ..YT.. 15. Is this property located wzthin 300 feet of a tidal wetland9 *Yes ..... *If yes, Southold Town Trustees Permit maybe requzred. PLOT DIAG RA~ Locate clearly and dist~nctly all buddings, whether ex~stmg or proposed, and ~ndlcate all set-back dtmensmns frm~ t, rt~n~rtv hnes._G~te_$treet and block number or descnpnon accordmg to deed, and show street names and indicate whethe (Name of md,v,dual signing contract) above named Heis the . ~ ~V~.~ .. (Contractor, agent, corporate officer, etc ) of said owner or ownem, ~d ts duly authorized to perfom or have perfomed the said work and to m~e and file thJ apphcatmn, that all statements contmned m thxs apphcabon are true to the best of bm knowledge and behef, and that th work wdl be perfonned m the m~ner set forth m the apphcatmn filed therewith. Sworn to before me thru ~ ~.~... dayof. . ~.q~. ,19~ 7 (Slgnature Of apphcan: · . 7'Z*09'30 t S 72°03'10"~ now or formerly d, ~ M, Higbee frame chicken Area = 24,725 sq ft ~. g~rage now or formerly C.U McCaffery, Jr. story £rome pip~ fn~. ? fnd M IN D ( /w.s. me Zn ) ROBERT SCOTT ~ LOUIS~ ;~COTT /~;Tf~J/')~. ,Z:' ~ - DATE ' JA~ 19,19~8 AT ~,~,,~EUE . -, ' ,,' - TOWN OF SOUTHOLD .- ;[ , SCALE' SUFFOLK COUNTY, NEW YORK ~~ . _: NO. ~ MENTAL AGENCY AND LEND~NG INST[TUT}ON LtST~q- t I t [t~l'' ~ ~ J IUUJ~g IUUJ~g RIVERHEA ,NE 0 i ~ J AND LAND SURVEYOR NYS. LiCENSE NO 12845