The URL can be used to link to this page

Home My WebLink About15882-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z15600 Date April 7, 198.7 THIS CERTIFIES that the building ..... .A.d.d.i.t.i.o.n ................................... Location of Property 1 I500 Bayview Road Southold House No. Street Hamlet County Tax Map No. 1000 Section 88 .... Block 5 .Lot ' 2 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 2, 1987 ... pursuant to which Building Permit No. 15882Z dated April 7, ! 987 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 an existing one family dwelling. The certificate is issued to ARTHUR AND CHARLOTTE ACKROYD ..................... ?o¥,,'e;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... N./.A. ................................. N/A UNDERWRITERS CERTIFICATE NO .................................................. PLUMBERS CERTIFICATION DATED: N/A uil~ing Inspector Rev. 1/81 FOBM NO. ~ 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_O 15882 Z Dote ....... ~......] ................... , Permission is hereby granted to: ~ 0~ ~'0~-'~'~4,~, (~)~2~ ~ ~, ~ ....... ~ ................................. ~.. ~.x..~..~..~. ................................................... ~~~.,....?.w..,....u.~.~.~;. ,o ..~ .................... ~.....~~..~....~..~......~ ........... ........... County Tax Map No. 1000 Section ...... ..~)...~....?. ...... Block ...... ..~..~ .....Lot No ........~......2~... ....... pursuont to opplt¢otion dot~:l .................................... , 19.~...~..., ond ~ppro¥od by th~ Building Inspector. " 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 A. This application must be filled in typewriter OR ink, and submitted ,,,~ to the Building Inspec- tor with the following; for new buildings 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 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 property showing all property lines, streets, buildings and unusual natural or topographic features. 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 or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: l. Certificate of occupancy $2.5.00 -- BUS[NESS $50.00 2. Certificate of occupancV on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $ 50.00 Date . .A.p?.~.[..2o..].9.8.7. ........... (for deck) NewConstruction ... X...OldorPre.existingBuilding ............ VacantLand ............. Location of Property ii500 Bay. view Roa~[, Southold N. ew. York 11971 House No. Street Ham/et and Charlotte Ac. kro. yd. Owner or Owners of Property ............................................... Art. h. ur. ....... County Tax Map No. 1000 Section . .El8, ......... Block 5 Lot 2 Subdivision ................................. Filed Map No ........... Lot No ......... Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ....................... . ....................... Planning Board Approval .................... Underwriters Approval . Request for Temporary Certificate ............... · ./2~inal Certificate ....................... /I Fee Submitted $ .......................... ~ / Construction on above described building and perj;n/.l~ee,t~aj)plic~ld~e codes and regulations. Applicant ........................... n,v.~o.~o.~s ~ 3/67? P. ~/×BOX ~? /5-F6'~ ~ CI~HOGUE, NY 11935 GArY FLANNEr OLSEN COUNSELLOR AT LAW P. O. BOX 706 ' MAIN ROAD · CUTCHOGUE, LONG ISLAND, NEW YORK 11935 · PHONE 516 734-7666 April 2, 1987 Re: Ackroyd to Castricone File # 45]4 Dear Georgia: Enclosed please find an application for a building permit__.for the deck and application for the Certificate of Occupancy for the ¢e~k ~long with my attorney's check in the sum of $75.00. Very ~r~ly CGARY FL~/~ O~SEN GFO:Imm · Enclosures Town of Southold Building Dept. Town Hall Southold, NY 11971 Attn: Georgia TOWN OF SOUTF;OLD BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... /OWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 CALL ................ TEL.: 765-1802 MAIL TO: Examined .... ~.'....7 .... 19~.7. Approved ....(~w~..7..., 19 .g.7. Permit No. J.~. ~.~...~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUI LDING PERM IT Date ....Ap.rj.l..2.,..19.87.., 19... 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 issuagze"gf a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York/and pther applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or fo:/~e, movj{1 or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, buildil~ 9q6de//hou~ng cod~, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecla ~s. / /// / ____ /,< ....~ ~ ~/ '///? ~~~a'tion) ....................... GARY FLANN t~ OLSEN, ESQ. P,. 0,. Box'. 706.,. Cutchogue.,. New..York..1.19.36 ...... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . . .6R.!H.U.R. .0.,, ACKROYD and CHARLOTTE H. ACKROYD (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED 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 .... 1.1.50.0..B.ayy.i.e.w..R.o.a.d ............................. 11500 ...... Bayview Road Southold House Number Street Hamlet County Tax Map No. 1000 Section .... .8.8. ........... Block 5 Lot. 2 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 for addition of deck '~¢~'~'~,""~ ..... b. Intended use and occupancy .................................. ~ ' ~ 3~. Nature of work (check which applicable): New Building ..... ' ..... Addition .. X.. j .... Alteration .......... Repair .............. Removal .............. Demolition ............... Other3Y~ork. ~. .............. .1~ I ~ '~ 1~ ~ ~ (Description) 4 Estimated Cost ' F i ~ (to be paid on filing ~his application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... 1 .................................................................... 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 ............... Hmght Num bet of Stories D~enmons of same structure W~th alterations or additions: Front .......... Rear .................. Depth ' HeiSt Number of Stories 8 Dimensions of entire new construction: Front Rear Depth Height ............... Number of Stories ........................................................ 9. Size of lot: Front .......... ~ ............ Rear ...................... Depth ...................... 10 Date of Purchase I Name of Fomer Owner 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: '. ..................... 13. Will lot be regraded ........ ~ .................... Will excess fill be removed from premises: Yes No 14 N fO fp · me o wner o remises . ~ ............ Address ................... Phone No ................ Nme of Architect · :. ..... Address ................... Phone No. Nme of Contractor ........ i .................. Address .... : .............. Phone No ................ 15. Is thSs proper~y ~ocated~ ~$th~n 300 feat og a tSdal ~eetland7 · If yes, 8outhold Tom Trfistees PermSt maybe requSred. PLO-T DIAG~M Locate clearly ~d distinctly ~1 bufld~gs, whether existing or proposed, ~d. indicate ~1 set-baak d~ensions from property lines. Give street and blocl: number or.description accord~g to deer, and show street names and indicate whether inte~or or corner lot. STATE OF NEW YORK, COUNTY OF .~[JF..F.Q[,~ .......... S.S ........ G.a.ry..F.l.a.n.ng.r..0.1.s.~.n. ...................... being duly sworn, deposes and says that he is the applicant (Name of individual slgfiing contract) above named. Attorney He is the ............................................................................. ~ ............. , (Contractor, agent, corporate officer, etc.) · of said owner or owners, and is dully authorized to perform or have performed the said work and to make and file this application; that ail statements contained, in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before m~ this .... /,,_._ ,DIANI~ II ~ . · · · : · · er~ia r~, Publl0, State of New ~ ~. (S~gnature of apphcant) _ No. 4884082 ~ Expires Ja