The URL can be used to link to this page

Home My WebLink About16455-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy ZI6269 No .......... Date ...??t. ob?? .~,..19.~? ........ THIS CERTIFIES that tile bufldmg . .A.d.d.z r.~. 9 .n ....................... 640 Longview Lane Southold Location of Property H[~dtse iVo ............ '8't/e~i .................. ['l[~mle~' County Tax Map No 1000 Section . .0 8 8.. . .Block .0.4 .... Lot 5 I Subd~vimon... ...... Fried Map No ...... Lot No ............ conforms substantmlly to the Apphcahon for Buridlng Permit heretofore f'ded in tins office dated 8 e p t. 9, 19 8 7 pursuant to wluch Bmldmg Permit No. 164 5.5 Z dated .. . S..e pti.. I I , . ! 9 8.7. .. was issued, and conforms to all of the reqmrements of the apphcable prov~mons of the law The occupancy for winch tlus cemficate ~s ~ssued ~s ..... . Deck..addx.t~io~..t.Q.gB exzg.t%n.g o. ne. fa.m.z, ly. d.w..el.l.z.n~.. ...... CHARLES & CATHERINE ROWAN The certfficate is issued to .... (owner, ~tfeYoX ~F~b~X X X X of the aforesmd bmldmg Suffolk County Department of Health Approval ....... .N./.A. ................... UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A Buridxng Inspector Rev 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CI"HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 1 ~5455 Z Permlsston is hereby granted to: ~ ...~..~_0~_~~.. .... ~...v...o.....~~..T..~......~ ............. ...~~£......-......'./.:.....,L!.~..~. ....... ,q , at premises loc~ted at ...~..~ ...... , .~,,~..~.~...,,~,-~ ...... .t~:~~~ftw~:.. ............ pursuant to opphcotlon doted ..... .~..~..~ ...~ ....... 19.~...'7., and opproved by the Building Inspector. ,f Fee $.....~.... ............. 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 typewmter OR ink, and submitted m ~mm,=~ to the Building Inspec- tor w~th the following; for new buddmgs or new use: 1. Final survey of property w~th accurate location of all buildmgs, property lines, streets, and unusual natural or topographic features. 2.Fmai approval of Health Dept of water suppt¥ and sewerage dmposal--(S-9 form or equal). 3.Approval of electmcal installation from Board of F~re Underwmters. 4. Commercial buddmgs, Industrial buddings, Multiple Remdences and similar buddings and mstalla- t~ons, a certificate of Code compliance from the Architect or Engmeer responsible for the buildmg. 5.Submit Planmng Board approval of completed site plan requirements where applicable B. For existing buildings (proof to Aprd 1957), Non-conforming uses, or buddings and ' pre-ex'st'ng" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographm features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety mspect~on of buddmgs or premises, or other pertinent mforma- tion required to prepare a certificate. C. Fees. Additions $25.00 1. Ce~bficate of occupancy New Dwellzng $25.O0, Accessory ,$10.00 Business $50.00 2. Cerhflcate of occupancy on pre-exist~ng dwelling $ 50.00 3. Copy of cert[f~cate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O, $ 20.00 5.Updated C.O- $ 50.00 Date ...S.~.p.t... ]0, ]987. Newconstruction ...... Old or Pre-ex~st~ng Buildmg ......... Vacant Land ............. 640 Longvlew Lane Southold Location of Property ................................................................. House No, Street Ham/et Ow O of P perty CHARLES E & CATHERINE ROWAN net or wners ro ................. ' .......................................... Count,/Tax Map No. 1000 Sectton. 88 Block 4 Lot....5.] ...... Subdiwmon ............................ Fded Map No .......... Lot No .............. Permit No ........... Date of Permit ......... Apphcant.........Charles. .E,: ....................& Catherine Rowan Health Dept Approval Labor Dept Approval ....... Underwriters Approval ....................... Planning Board Approval ...................... Request for Temporary Certificate Final Certificate . Fee Submitted $. 25.00 Rev 10-I0-78 .-i£LD .t,,S ..... O. IIDATE lt FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & ?LUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [] FRAMING [~FI~ REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL REMARKS: DATE '7/ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORMNO I SURVEY .......... TOWN OF SOU/HOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY '~-j.0. c~.. ~ TEL.: 765-1802 CALL ....... MAIL TO: 19~3 Perm,t No ~ .~ .~.~.".~. ~'- Disapproved a/c , . . (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .. , 19.. INSTRUCTIONS a This application must be completely filled m by typewriter or in ink and submitted to the Bmldmg Inspector, with 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 stree or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this app! cation. c. The work covered by this application may not be commenced before issuance of Buddmg Permit d. Upon approval of this application, the Building Inspector will issued a Bmldmg Permit to the apphcant Such perm shall be kept on the premises available for mspechon throughout the work. e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever untd a Certificate of Occupant shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Braiding Department for the issuance of a Bmldmg Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demolition, as hereto describe, The applicant agrees to comply with all appbcable laws, ordinances, budding code, housing code, and regulations, and admit authorized inspectors on premises and m bmldmg for necessary lnspe, oCtpns/~ (Sxgnature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bmlde " J ........... Name of owner of premises . ..... (as on the tax roll or latest deed) If apphcant ~s a corporatmn, szgnature of duly authorized officer (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Budder s License No . . Plumber's Llcense No Electrician's License No Other Trade s License No House Number ~ Street Hamlet County Tax Map No 1000 Sect,on ~/ Block .~'z./ .... Lot .'-5~../ Subdtvmlon Filed Map No Lot .......... (Name) State exmtmg use and occupancy of premises and intended use and occupancy of proposed construction a. Exishng use and occupancy /'~ J~Y~,..cq-~.¢.~c,.,~,t~,.,,~_ '- .......... b Intended use and occupancy . ~. . ...... 3 Nature of work (check which apphcable). New Building .... Addition , At~ratxon _. :,,.. Repair ..... Removal ,.. Demoht~on ........ Other Work : 4. Estimated Cost ~ l~'O: ~.: ............. Fee .............................. · (to be paid,olLfi ~g.l~Ppl~[~.w~__~~ 5. If dwelling number of dwelling umts .......... Number of dwelhng umts onleac~~L;:. If garage, number of cars .............................................. 6 If business, commercml or msxed occupancy, specify nature and extent of each type of use ............ 7. Dlmensmns of exmtmg structures, sf any. Front ...... Rear ....... Depth ........ Height .. . Number of Stones .............................. Dimensions of same structure wsth alteratmns or addxtmns Front .......... Rear .......... Depth ...................... Height ............ Number of Stones ............... 8. Dimensions of entsre new constructson Front .............. Rear ............... Depth Height ........ Number of Stones .................................... 9. Size of lot Front ........ Rear ........ Depth .............. 10. Date of Purchase ................ Name of Former Owner ................... 1 1 Zone or use &strict an which premises are sstuated ........................... 13 Will lot be regraded .................. Will excess filI be removed from premises Yes N, 14. Name of Owner of premises ....... Address ....... Phone No ...... Name of Architect . Address . Phone No. Name of Contractor .............. Address .......... Phone No ........... 15. Is this property located within 300 feet of a C~dal wetland? *Yes ..... No *If yes, Southold Town Trustees Permit maybe required. PLOT D~AGRA~ Locate clearly and dsstmctly all buildings, whether ex~stmg or proposed, and indicate all set-back dnnenslons fron property hues Gwe street and block number or description according to deed, and show street names and m&cate whethe, STATE OF NEW YORK, COUNTY OF .... SS (Name of individual ssgnmg contract) above named .... being duly sworn, deposes and says that he is the apphcant tle ss the ................ (Contractor, agent, corporate officer, etc.) of sa,d owner or owners, and ss duly authorized to perform or have performed the smd work and to make and file tins application, that all statements contained m thru application are true to the best ofhss knowledge and belief, and that the work wflI be performed in the manner set forth m the apphcatson filed therewith. Sworn to before me this ....... /..D. . .day of ..... Notaryeubhc,... ~--~.....~/'....~).~. I~ 470~7a, S~olk C~nt't~-~, (S~gnature of applicant) ~ T~'ra Expires I~h