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Home My WebLink About15841-zTOWN 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~ 15841 Z Permission is hereby granted to: , ~, ~ . .~.~.~ ..... ,.'..J..~.~...~~ .... .~...~..~.....~.~...~....~.,..~.,,,~<: at prem,se, located at ..../..~...a~.'......~..~......~..~.......~....: ....... .~...~ ................ County Tax Map No. 1000 Section ..... /.....'~..7. ........ Block ...... .,~..,.~. ....... Lot No ..... .(~..~. ............ pursuant to application dated .................. ~~ ~ ................. , 19..~...?..., and approved by the Building Inspector. Fee $..~. ................... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all build!ngs, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings o.r premises or other pertinent informa- tion required to prepare a certificate. C. Fees: Addit i°ns~ 1. Certificate of occupancy New Dwelling. $257.(10, Accessory iS ]0.00 Business $50.00 2. Certificate ofoccupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truction ...... OJd or Pre-existing Building ............ Vacant Land ............. Location of Property ............... ,~, ,0, j.., ,~, .~,, ~ .......... - ............. House No. Street Ham/et Owner or Owners of Property ................................. County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.t~. ~.~.[ ."~ Date of Permit ~ IZ l~.Applicant ¢, ~..~.~./,~ (- ~-~ Health Dept. Approval .......... fO./.~ .......... Labor Dept. Approval ........ ~./..~ .......... Unde~riters Approval ........ ~ ~ ~ .......... Planning Board Approval ........ ~ l .~. ........ Request for Temporary, Certificate ..................... Final Certificate ....................... Fee Submitted $ ...... .~.~. .................. Construction on above described building and permit meets all applicable codes and regulations. Rev, 10-10-78 ~'~~ " ' ' TOWN OF SOUTIIOLD OFFICF, OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTIIOLD, N.Y. 11971 November 18, I987 TEL. 765-1802 Peeonic Development Corp. P.O. Box 594 Mattituck, New York 11952 Re: Michael & Virginia To Whom ThJ..', Ma~ Colacern, Wc~ are unable t.o complete your Certificate of O<:cup/lncy because .of tile following reasons. Neville / / An ;tpplic:ation for Certificate of Occupancy Jr; not on fi](.'. /~/ No IInd(:rwriters Certificate on file. / ~/ Tho ch{:ck J:;(outdated/not on file.) / / No lleaJ, l-h l)cpt. Approval on file. /~? He) final inspection has been made. l']ca.';e contact ()ur office Thank you for your cooperation, ilu.i ld ir'.g on this matter. Permlt {! l 5 8 4 l Z Dr2pt. **~/"'/ rio Plumber :;older Certificate on file, ( ~l. 1 permits involving plumbing being i:;suod afl'or April 1,1984 ) NOTE: DECK IS LARGERT THAN APPLIED FOR. AMEND FOR ADDITIONAl, DECK DISTANCE PROM SIDE LINE. BUILDING DEPT. ~ INSPECTION DATE OUt, DA TIO.~ ( 1 s t ) OUNDATION (2nd OUGH FRAME & PLUMBING iNSULATION ?ER N. STATE ENERGY CODE FINAL . ADDITIONA'L COMMENTS: 0 81 MONUMENT SU~;FOLK CO TAX MAP Dior[. lo00 Sd[CT. 127 BL.06 LOT 007 · O rA. ^REA-- S,F.,. LOT NUMBERS REFER TO MAP OF SUBDIVISION OF LOTS 52 ~55 - LA~JR~L PARK~ AND OTHER PROPERTY OF RAVATONE REALTY CORP." FI~ED ltd THE OFFICE OF THE CLERK OF SUFF. CO. ON DEC. 2,1g~O ASlMAP 212. SURVEY FOR MICHAEL NEVILLE ~ VIRGINIA NEVILLE AT LAUREL 1GWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK NUNAUTHORIZ[O ALT[IIATIOff 01~ ADOITION TO Nil' YONK STAT[ EMJCATIOfl LAW #COI~I£S I~r Tills ~URV[y NOT MARiNe THE I.ANO SUnVeTON'S INKED S~AL OR [I4iIOSSED NO. GUARANTEED TO MICHAEL ~ AOUE.O S Ae 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY .2¥.2¥ ..... TEL.: 765-1803 Examined...,~....~...., 19 .~."}. [~~5 tOea.t.¢~, ~.g ' 19~.7. Permit J..~..~.~..I ..'~. ~ Approved . .~.. ~..., No. //g~0 Disa proved a/c ..................................... ...7 ............................ ........ . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19... , ' , , : INSTRUCTIONS , ....,.iil ~ ~' ',:*'t, a. This application must be ¢?mplet~ly. filled'm%y:typewn,ter or m ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot'plad to sdab. Feb a6cordiflg;to salle,dule. b. Plot pl~ show~g !O~ation qf'Jok and of build~gs on premises rdationship to adjoNing premises or pubic streets or areas, and g~vmg a detmled dcscr~p~mn of l~yout-of,property must be drawn on thc dmgmm whmh is pan of this apph- cation. . , c. The work covered by t~s application may not be commenced before issu~ce of Bulldog Permit. d. Upon approval of this application, the Building Inspector will issued a Bugd~g Pemit to the app~cant. Such pemit shall be kept on the premises available for ~spection throu~out the work. e. No building shall be occupied or used in whole or in p~t for any purpose whatever unffi ~ Ce~ificate of Occup~cy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Dep~tment for the issuance of a B~lding Permit pu~uant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or Regulations, for the construction of build~gs, additions or alterations,gr for removal or demolition, as herein desc~bed. The applicant agrees to comply with all applicable laws, ordinances, b~d~g code, housi¢~ code, and regulations, and to admit authorized inspectors on premises and in build~g for necess~pe~tions. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. o ¢X .................................... , ......................................... Name of owner of premises .../.~./f. ?../../:'.L'../z.-~... [~.. /.~'...P-( .Al..~.-.ir...~f-..~./../~..g-(-~..1.~. ...................... (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 I~UST BE SUFFOLK COUNTY LICENSED Builder's License No .... .OPe..~ ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .....c./?. . . . .¢.,3. ................ . . ..... ............. House Nmnber Street Hamlet County Tax Map No. 1000 Section /c~'7 Block ~)~ Lot O~ 7 ' 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 .... f{~ .o: .vv...Q ?.(( . .~..J..er-......~.~... ?..c.o.d...,~Af..3. ...................... 3. Nature of work (check which applicable): New Building ' .... Addition · · · i ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ,~ ~.~. ~ -~ (Description) 4. Estimated Cost. ~9 .,~.~.. ..................................... Fee . : ................................ (to be paid on filing this application) 5. If dwelling, number of 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 ........ , ..... Depth Height ............... Number of Stories ........................................................ Dimensions'of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of S~ories ...................... 8. Dimensions of entire new construction: Front .......... . ..... Rear ......... i ..... Depth ............... Height Number of Stories 9. 8izeoflot: Front .... t'/'/:z .............. Rear ...................... Depth ...................... 10. Date of Purchase ......... /.,~.~ ................ Name of Former Owner ~l~./~7. t[./?.°sT':.~P..~. ..... 11. Zone or use district in which premises are situated ........................... .......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... ~ .......................... 13. Will lot be regraded ... ~ .D. ....... .., .............. Will excess fill be removed~fr, om premises Yes No 14. Name of Owner of premises ~.,.e~o~ ~. ~z,g4t~tt./~..% fl.eAddress . ..~.q ~..d .&~.q .0~...((~. Phone No.~.q.~'. Z .5..~.~..g .... 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 ..... · 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 :roperty hnes. Give street and block number or description according to deed, and show &treet names and indicate whether nterior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY FOLLOWING FOIJNDA'qO~ 'r~tO ~GUIRED ;TATE OF NEW YORK, S.S .'OUNTY OF ................. being duly sworn deposes and says tha~ (Name of individual signing contract) ~ e is the ........................................................ (Contractor. agent corporate officer, e~{~ ~, ~, ~. ~ ~ f said owner or owners, ~d is duly authorized to perform or have perfo~ed tho Said work a~e.ah~ file tlfis. pplication; that all ,statements ~ontalned ~ this applicatiof~ .are~ true to the best of hm~hno~ledg~ and behe~;~anfl that the ~ork will be perfo~e~ i~ the m~ner set forth in the application filed therewith [ ~,.~ .... .,. ~' ;worn to before me this i . ~. 4707878, ~ k