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Home My WebLink About16095-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy March 15, 1988 Date ................................ THIS CERTIFIES that tbe building CONSTRUCT DECK ADDITION Location of Property 1370 Cases Lane Cutchogue, New York House No. Street Ha~nlet County Tax Map No. 1000 Section l 0 9 ..... Block 0 5 .Lot 24 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May I9, 1987 16095 Z ...................... pursuant to which Building Permit No ...................... dated J u n e 19, 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 APPL'IED FOR The certificate is issoed to EDWARD & MARGARET KREBS ..................... ?o¥.'o;, 'rg ' gC.t r 'g ..................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO ............. N/A PLUMBERS CERTIFICATIO~ DATEB: N/A 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~ l~0~5 z Permission is hereby granted to: ....'%.~.,,,,,..~..~...o.. ........ / .................................... .... ~..,,,,,~,_...~.:~.:...u...~.~ ~.. .... , · ~S 4) ..~..~ ..... ' . . .:. ........ et prem,ses located at ......... .~. ......... County Tax Map No. 1000 Section .... !....0....~ ......... Block .......c~....~... ....... Lot No.....~...~. ............. pursuant to application dated ....... ..~....(~....).~ .................. 1c).~,.?.., and approved by the Building Inspector. Fee $...,~A. ...... : .......... 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 ImII 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 featu res. 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 instatla- 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- t/on required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25,00, Accessory ,$10.00 Business $50,00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, ever 5 years $10.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ 5 0.0 0 Date.../.Y//~. t~ .(2. ~... ".~!/.~..~?. .... New C OhS truc t: ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ...~ :~32 o. .... ~ .~ .~..~. -.~.....~?. ~f//,~.. .................... .~. d '[.C. ~. O..~..07.. House No. Street Ham/et Owner or Owners of Property .... ?..,. ....... County Tax Map No. 1000 Section .... ,/.o,q ....... Block .... .0.~.'~ ....... Lot... ,~..Y .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. /.{~ 9. (].~..-.¥. Date of Permit .~.~ ,( .~.-.~. ?.Applicant....~.'.b. ~v'.~ ~.j~... ~...,~.~...k~-.~..~.... Health Dept Approval ~ Labor Dept Approval - Underwriters Approval ......... Planning Board Approval ...................... Request for Temporary Certificate -- . ..... Final Certificate .... ~- . Fee Submitted $ ~.5-~ ~b Construction on above described building and permit meets all applicable codes and regulations. Applicant ....... ?~../~'.~w~......~.. ............................ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. INSULATION ~ FINAL OUNDATION (1st) 0UI~DATION ( 2nd ) OUGH FRAME & ?LUMBING i~SULATION PER N. STATE ENERGY CODE Fi ,AL ADDITIO~IA'L COMMENTS: FORM NO, 1 SURVEY .......... TOWN OF SOUTHOLD CHECK ~0~ ...... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 NOTIFY CALL p~:~&O) ........ MAIL TO: Examined.....~. 1.~., 19~.7. Approved... Czl.zct, t~. l.~., 19~. 7. Permit No. 1 .~.°..~. DisapproYed a/c ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tiffs 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 issuance of a Bu/tding 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 premi%es and in building, for. necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) I ( State whether applicant is owner, lessee, agent, architect, engineer, general 6ontractor, electrician, plumber or builder. Name of owner ofpremises ~&) ¢Y/q ~- ~ ~..../~ ./~.~..~¥.~.~ ~" .T.. /~. ~- ~-~ ........... (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 MUST lie SUFFOLK COUNTY LICENSED Builder's License No ........ ,~.~.~' L .~ ............ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .. 1.¢.-? ............... ._:r. E..s....z..,!. .......... c.,. 9. T.e. ¢( 9. .¢. 7..37.... House Number Street Hamlet County Tax Map No. 1000 Section ..... / .0..q ........ 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 ....... L~'... (L~G~xx. ........................................... 3. Nature of work (check which applicable): New Building ' Addition . ......... Alteration .......... Repair .............. Rem6val .............. Demolition .............. Other Work ............... .~..Z~. ?.. ,C?. (DescripXion, 4. Estimated Cost .......................... Fee ...................................... . ~' (to be paid on filing this application) 5. If dwelling, number of dwellinglunits ...... ~ ...... Number of dwelling units on each floor ................ If garage number of cars 6. If .... business, commercial or mixed, occupancy,, specify nature, ando extent~ of each' typelo~/of use .=.-? ...... . 7. Dimensions of existing structures, if any: Front .... .~.[..S-. ?.~.. Rear ....~.~. ....... uepttl i i i .~.'~ie'i 6 Height .......... Number of Stories .1 .......... ,; ......... .z , , ...... Dnnenmons'of sa~e structure w~th alterations or additions: Front ...... b..t ....~... Rear .... ~?...o. ........ Depth ....... .~.~.~...O .... ~.. Height .... v '' . NumberofiStories ...... l.. Dlmenmons of entire new construction: Front ..... ~.{...~. .... Rear ..... fl./..3. ..... Depth .. ].c~..a. ....... Height ............... Nurpber of Stories ................. z ........... ............... ~ ........... 9. Size of tot: Front ..... /.t(. ~. i.. ~C ....... Rear ....... l .~..c/ ........... Depth ..... l .~'. ~. ............ 10. Date of Purchase ...... /.'7..2.°....~.~( .......... Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction rio}ate any zoning law, ordinance or regulation: ........ /~..0 ..................... 13. Will lot be regraded ........ i .-7. ................. Will excess fill be removed from premises: · Yes 14. Name of Owner of remises ~.~i[1'~ ~) ~' ~l ./C~.Cr'~'CAddress f'~ ~e,~2. (~ o Ph,~ne No ~.~ q/ 6 G ~ [ . Name of Architect P. ........ [ ................. Address ....~'. ?.T..c.~fi.? ?.'5.. Ph;ne No. Name of Contractor ........ : ................. Address .... : .............. Phone No... >~ ........... 15. irs this property locatedlwithin 300 feet of a tidal wetland? *Yes ..... No ..~q., *If yes, Southold Town Trdstees Permit maybe required. PLO~ DIAGRAM Locate clearly and distinctly al~ buildings, whether existing or proposed~ and. indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. NOTED PLUMBING S~AL.L ME~ STATE OF NEW(T~RK,, , ,,2~ S.S COUNTY O~~.(Name of individual s' i ..g'c~'o'n r~, .......... ·. · · · · .--.. --. · · ni~, ., .... being duly sworn, deposes and says that he is the applicant above named. He is the ................. .~~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du]y 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 his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this N, otq,y Public, (Signature of applicant) !LIZABETH ANN NEVILLE Public, State of New York i2-812§850, Suffolk Cou. nlv,-- Expirea Ootebnr .ql