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Home My WebLink About16104-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16287 Date October 14, 1987 THIS CERTIFIES that the building . .S.U.N..R.O.O.M..A.D.D.If.I.0.N.y. Iy....~77.~?.~?. y?.o..o.~.c?. ..... Location of Property 1225 Schooner Drive Southold, New York House No. Street Hamlet County Tax Map No. 1000 Section ...0.7.9. ...... Block 04 .Lot 02 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June I, 1987 pursuant to which Building Permit No. 16 I04 Z dated June 22, 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 ......... SUN ROOM ADDTTION WITH ATTACHED WOOD DECK TO EXTSTING ONE FAbIILY DWELLING The certificate is issued to WILLIAM COLE ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ............... N835198 N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 ~O~m~ NO. 0 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) NO_ 16104 z Permission is hereby granted to: ,o County Tox Map No. 1000 Section ........ ,.O....']...~ ..... Block ....... ..~...~. ...... Lot No ........~....~'.. .......... pursuant to application doted ....... ...~.....~...( ..................... , 19.~....~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 1ooo~21THE NEW YORK BOARD OF FIIRE UNDERWRITERS October 1 1987 Jpplic.~io. No.o,,file 505843/87 N ,j William Cole, 1225 Schooner Drive ~Southold ,N.Y. in ,hefollowlng loeatlon; [-~ Basement ~ Ist FI. ~ 2nd FI. ~;ecti .... ll&~.k ~t~sexatrli~edon September 21 1987 andfoue~dtole~nco.~lH~at~cew~rhth~,re,tuir~.~er~L ofthisLoard, FIX~'URE FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT SERVICE DISCONNECT eTHER APPARATUS: 1-6,0 ~ Heater GFC I - 1 for Jacuzzi Hot Tub i Paul Burns · 275 Town HARBOR Lane I, ic~/282-E ~/ I Southold,New York 11971 ! o~ At Aa~n ~ l~hy 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST r ] ROUGH PLBG. FOUNDATION 2ND [ ] I/I~ULATION FRAMING [~] FINAL REMARKS: INSPECTOR UNDATIO~ (1st) UNDATION (2nd) UGH FRAME & FLUMBING SULATION PER N. Y. STATE ENERGY CODE - ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~EFTT¢ TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL BOARD OF HEALTH .~.~... 3 SETS t~ PLANS ....... SURVEY · FORM ............. Examined ...~.4,~ro.L,..~,...l?., 19 ~.'~ Approved ...~,4.*A,~&..2e..~.., 19~..~. Permit No. I.~..l?.~...~.. Disapproved a/c ..................................... ................................ ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT TO: Date ' ..,19... INSTRUCTIONS a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 I sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relations, hip 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 Btfilding 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 premises and in building for necessary inspectionsa ~ -- -, /~U~ ~ea~,-w5 (Signature of applicant, or name, if a corporation) (Mat~ing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ...~/.~ (as on the tax roll or latest deed) If applicant is ~ corporation, siglaature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFI*OLK COUNTY LICEltSED Builder's License No.../.4~'~ .~./Y.Z ............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done~ ................................................. ....................... ................. .................. House Number Street Hamlet County Tax Map No. 1000 Section ........... .~. ~.... Block ..... .~. ........... Lot....~. .............. 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 ....... ~ ............................ - ......................... b Intended use and occupancy ~ ~ 3. Nature of work (check which a ,plicable): New Building' Addition ......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... J (DescripIion) 4. Estimated Cost ~ ] ~.~ ....... O.~ ................... Fee ..................... ~-' " (to be paid on filing this application) 5. If dwelling, number of dwelllng!u_nits ...... /. ....... 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 Uae :... ~..' ...... ,, ....... 7. Dimensions of_eg~isting structurbs, if any: Front...~ .~..~. ....... Rear . .~:~ .......... Dep~th 7..,~..~.o. .... Height ... ~ .......... Number of Stones ........................................................ Dimensions'of sam~ structure with alterations or additions: Front .... ~J~'. ......... Rear ...~'.~.: ........... Depth ...... /'.~.: ......... ... Height ../.~. ~... v ............ Number of Stories .... ./ ................. "8. D,mensmns of entire new construct, on: Front ... ~ .... . ..... Rear . ..R.a ........... Depth . fl:. ............ Height .... [g ......... Number of Stories ............ ~ ................................. 9. S~ze of lot. Front ...... ~. .............. Rear...../., [ ....... :., ...... Depth ...................... 10. Date of Purchase .......... ' ................... Name o.f,,Fortp~t~Owner ............................. 1 1. Zone or use &str, ct ~n winch pr.emmes are s, tuated ..... ~ .................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~qr7.. ......................... 13. Will lot be regraded ........ ~ ............... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises r .~'~..~(a~ .... Address . ./.~..~...-.5~ .... Phone No..'7.~:-. t~..Y'.~... Name of Contractor ~.~ ~v~.. ~.~..~ Address Phone~e,,~ 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes ..... /No) ..... *If yes, Southold Town Trustees Permit maybe required. ~ i PLOT DIAGRAM Locate clearly and distinctly alI buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or lescriptionaccordin~ to deed.and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, ! S.S COUNTY OF ................. (Name of individual sighing contract) above named. being duly sworn, deposes and says that he is the applicant He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 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 mann ~r set forth in the application filed therewith. Swum to before me this ............. .; ....... day o'f ............... l tT. Notary Public,..~....~...i.~. %..~J...0~.. ..... County HI[tEN K. Df[ VO£ NOTARY PURLIC, State of New York ................................ I~. 470787f1, .Suffolk Cour~,~q, (Signature of applicant) Term Exl~iros Mero~ 30,1~