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Home My WebLink About16443-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Zy.19~6~.. Date A?T~.I' ~. 1.98§. THIS CERTIFIES that the buridmg GARAGE ADDITION Location of Property 350 The Short .Way ...... E..a.st..Mari. o.n:..N..Y... ..... House Ho County Tax Map No 11300 Section Subdivision .. 03.0 .... Block Street Hamlet 02. ....... Lot 08 Fried Map No ..... Lot No ........... The certificate ts issued to of the aforesaid building conforms substantially to the Apphcahon for Building Permit heretofore filed in thru office dated S. ep.t.em, ber 8~ .I98.7 pursuant to winch Bmldmg Permlt No 16447. Z ........ dated S e.p t .e.m.b.e r. 9, . 1987 . . was issued, and conforms to all of the reqmrements of the applicable provtsions of the law The occupancy for winch tins certificate ts issued ts .... GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING DANIEL & MARY BOVE ........ o' de'r, x .......... Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO . N853593 - Feb. 16, 1988 N/A PLUMBERS CERTIFICATION DATED: Burid~ng Inspector Rev 1/81 TOWN OF SOU'i'HOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No Y. BUILDING FEIU~IT (THIS PERMIT MUST BE KEPT ON THE PREMISE5 UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 16443 z Permission is hereby granted to: ..~.+.:...~.~_~ .~.. "~?-L;".'4'~ .......... ~' ........... ..~.~.;~., ......... %....u.~. ...... I. ....... r,~..~ ~.-~.~.~ .~~_F~~ .................. ~ ........... , ...... at premises located at County Tax Map No 1000 Section ... ~:).~..4~) . Block ...... ..~.. ........... Lot No ...... pursuant to application dated .... ~..~. ..... , 19.~.2.., and approved by the Building Inspector. Fee $...~......:..~. Building Inspector Rev. 6/30/80 ~iELD FOUNDATION ( 2nd } ROUGH FRAME / PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUT,O D Budding Department Southold, NY 31971 765- I~02 ~ ' APPLICATION FOR CERTIFICATE OF OCCUPAN ¥ TOWN O~ SCUm. Instructions A This apphcat~on must be filled in typewriter OR ink, and submitted m ~ to the Buddmg In~ec- tor with the following, for new buddmgs or new use 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topoqraph ~c featu res 2. Final approval of Health Dept of water supply and sewerage dlsposal-(S-9 form or equal) 3 Approval of electrical mstallatlon from Board of F~re Underwriters. 4. Commercial bmldmgs, Industrial buddings, Multiple Remdences and stmdar buildings and mstalla- t~ons, a certificate of Code comphance from the ArcMtect or Engmeer responsible for the buddmg 5 Submit Planning Board approval of completed rote plan reqmrements where applicable. C NewConstt*uctzon .... Old or ~re-exlstmg uu ddlng LocaBon of Property . .o ? . Holzse No Owner or Owners of Property County Tax Map No 1000 Section For existing buildings (prior to April 1957), Non-conformmg uses, or buddings and "pre-ex~stmg" land uses' 1 Accurate survey of property showing all property hnes, streets, buddmgs and unusual natural or topographic features 2. Sworn statement of owner or prewous owner es to use, occupancy and condition of bulldmgs 3. Date of any housmg code or safety inspection of buddings or premises, or other pertment reforma- tion required to prepare a certificate Fees' Additions $25 O0 POOLS $25.00 1. Certlflcate of occupancy New Dwelling $25 00, Accessory ,$~0.00 Buszness $50 O0 2 Certificate of occupancy on pre existing dwelhng $ 50.00 3 Copy of certlflcate of occupancy $ 5 00, over 5 years $10 00 4.Vacant Land C.O. $ 20.00 ,~/ 5.Updated C.O. $ 50.00 Date ,/J~ ......... ..... Vacant Land ........... ........ Stre~ t I¢~m/e t . ¢ .¢.'*"¢.'/. ..................... .q%.q .... Block ...O.A ....... Lot ....Q~ ...... Subdlwslon ........ FHed Map No ..... Lot No ......... Health Dept Approval ..... Labor Dept Approval ................ Underwriters Approval ................... Plannmg Board Approval .................... Request for Temporary Cert~hcate . , . Final CertCmate , V/ Fee Submitted $ Construction on above described building and permit meets all apphcable codes and regulations Apphcant ..... ~..)~. . . t~. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~/FI NAL DATE 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST I ] ~OUGH PLBG. FOUNDATION 2ND ~,~ INSULATION [ ] FRAMING REMARKS: FINAL 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION ZND [ ] INSULATION [~FRAMING [ ] FINAL REMARKS: ~'~ ~/~-~ DATE 765-1802 ;UILDING DEPT. .dSPECTION [ ] FRAMING REMARK5: [ ] FINAL /* -! DATE INSPECTOR~__~~ THIS CERTIFIES THAT ~,e,a,,meao. February 0[, [988 andfoundtob~,ncomphanceu,~hthere,tu,re,,~ent~ofth~B~rd FIXTURES ~H W~HAUST FANS SYSTEMS OTHER APPARATUS i-G.Y P.O. BOX 1768 $outhold, NY 11971 Lic~'3635E ~u~a Th~s cedd~cote must not be altered m any manner, return to the off*ce of the ~ard d incorrect Inspectors may be ~dentd/ed by their ¢r~enhats COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Approved~.~. C~ , 19~?.7 Permit No lb ~ ~. Disapproved a/c .... (Building Inspector) APPLICATION FOR BUILDING PERMIT FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT SE?TTC TOWN HALL $OUTHOLD, N.Y. 11971 TEL . 765-1802 CALL MAIL BOARD OF HEALTH SETS OF FLA S SURVEY .......... CHECK .......... FORM ............. TO' Date ...... 19 INSTRUCTIONS a Tins application must be completely filled m by Wpewnter or in ink and submitted to the Building Inspector, w~tl sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc sire or areas, and glvmg a detmled descnptmn of layout of property must be drawn on the dmgmm which is part of tbas ap cation. c. The work covered by ttus apphcat~on may not be commenced before issuance of Budding Permit d Upon approval of this application, the Building Inspector will issued a Budding Permit to the applicant. Such pen shall be kept on the premises available for inspection throughout the work e. No bmldmg shall be occupied or used in whole or ~n part for any purpose whatever until a Certificate of Occupm shah have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldmg Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordmanc.- Regulations, for Il-, :oustructaon of buddings, additions or alterations, or for removal or demohu ,-, as hereto describ The apphcant r =~ ~.s to comply with all apphcable laws, ordinances, buddmg code, housing code, and regulations, and admit auflho,~ze4 m*pectorq on premmes and In budding ~or necessary m~ections (Signature of apphcant, or name, if a corporatmn) ~Q7 ~ ~C'_~.~ }t- ~,]SYI admg .a d d r~s.s .o~ ap phc an t ) State whether apphcant ~s owner, lessee, age~,~chitect;e'ngmeer, general contractor, electncmn, plumber or bmld N~eofownerofpremmes ~.C~. ~':}~;~e].' .............. (as on the tax roll or latest deed) If apphcant ~s a co~orat~on, s~gnature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No ~ ·/Pt '"~'~,~l . LICENSED Plumber's License No .... Electrician's License No Other Trade's License No .. I Location of land on which proposed work will be done ...... Itouse Number Street County Tax Iv~p. No 1000 Section (Name) 2 Hamlet Block. . .'~-' . Lot. ~ Filed Map No Lot .... State ex,sting use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy -~h7 ~C, ]-- L/' ~v~ ... ...... b. Intended use and occupancy JO/~ -~ ~' .... 3 Nature of work (check which applicable) New Budding ...... Addition . ,~~o~-- . . Repair . .Removal ........ Demolition . . . I-i~li~ll;' · - . ,~ dj O'// ,'ar4/' _ ~,scnphon) 4 EstlmatedCost .... ,~.~:7(:~.~.~'~..~ ......... Fee..-?.~.,..Oz~..,~l~ lilt .. 5. If dwelhng, number of dwelhng units ....... Number of dwelling unlts on each ~Ibo~.. j. . . 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 Stones. .t ............................... Dtrnenslons of same structure with alterations or additions Front ..... Rear ........ Depth ..; ....... Height ...... ~ .... Number of Stones . .I ....... ' 8. Dimensions of entire new construction Front . .. Rear ........... Depth ]. . :... Height .... . ./'{umber of Stories .... ; ................. ; , , ...... 9 Size of lot Front ...... ~. , Rear...2 ........... Depth . .. : . 10. Date of Purchase .... : .... Name of Former Owner : ................... I 1 Zone or use d~stnct in which premises are s~tuat~d ...... , .~ ................. 1 2 Does proposed construction violate any zoning law, ordinance or regulation' . 1413NameWlll lot be regradedof Owner of-, ' a." ^ddress ........... Phone No ............ pre~'ises' Will excess fill be removed from premises' Yes N Name of Architect .............. Address ............. Phone No ......... Name of Contractor ............. Address ......... Phone No ........... 15. Is this property located wzthin 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permit maybe required. PLO~ DIAGRAM Locate clearly and dlstmctly all buddings, property hnes. Give street and block number or interior or corner lot. exisnng or proposed, and indicate all set-back dm~enslons fro~ mon according to deed, and show st[eet names and indicate whethe STATE OF NEW YORK, COUNTY OF SS (Name of individual signing contract) above named being duly sworn, deposes and says that he is the apphcanl He is the ........................................ (Contraclm', agent, corporate officer, etc ) of said owner or owners; and' is duiy authonzea to perfdrm or have performed the said w6rk and'to make ami file tin: application, that all statements contained m this application are true to the best of ins knowledge and belief, and that th{ work wJl be performed in the manner set forth in the application filed therewith Sworn to before me this NtELEN lC DE V~ YedL NOTA~ PUBLIC, Stat~ of Ifa 4707878, SuffWk Coufll~'~, .~ Expres Mamh 30, !9 ~/ · . , 19o°..7 WATER AlaPROVED AS NOTED';', :. IN ....... ~ ~ ~.~ '~,~ -.. :, "ppLy'SYST£MCAt~w ~~ '' LEAD C~BEFORE wiTHoUT CERTIFICATE