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Home My WebLink About16486-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z- 16260 October 6, 1987 Date ................................. THIS CERTIFIES that the building REPAIR ENCLOSED PORCH Location of Property 3600 Little Neck Road Cutchogue, New York House No. Street Ham/et County Tax Map No. 1000 Section 103 .Block 09 . .Lot 13 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated September 25, 1987 16486 Z ...................... pursuant to which Building Permit No ...................... dated............................September 28, 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 ......... REPAIR EXISTING ENCLOSED PORCH AS APPLIED FOR The certificate is issued to DORIS MOELLER of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO ..... N/A N/A PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 ~OE~I NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERUIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_ l~Sd z Permission is hereby granted to: .~..~.~~....~.~...r.....~.: ..... · ~.~.~.....L..~...~.~....~ ....... ~~..~.:~.:. ...... ~.~..~.~ ..................... ~'~i'~Z';~'~'~;~;'i'~.Z i' ~."~ i'i~'~ i'"'~,~'Z i~; i"i i'i i"~ ...... ii'i ...... ~ . ..... .~..~..~.~..d.~.~.'-~..). .................................................................................... County Tax Map No. 1000 Section ..... ~...(~....~. ......... Block ....... ,,~,..°l.. ........ Lot No ....... I...,~. ........... pursuont to opp,cot~on dot~ ..... ~.Y.~.....~.[ ......... , ]9~..'/.., °nd opprove~ by the Building Inspector, 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 BLDG. DE~T. TOWN OF SOUTHOLD Instructions This application must be filled in typewriter OR i6k, and submitted aa ~ 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: Additions $25.00 I. Certificate ofoccuDancy New Dwelling $25,00, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre~existJng dwelling $ 50.00 3. Copy of cert{ficate of occupanc¥ $ 5.00, over 5 years $10.00 4oVacant Land C.C. $ 20.00 5. Updated C.O. $ 50. O0 Date ...S.ep.~.q$.bp.r..~O~..1.9..87... NewCons tr'uc %ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 3.G.0Q Little Neck Road Cutchogue House No. Street Ham/et Owner or Owners of Property Doris Moeller (Foster) County Tax Map No. 1000 Section .... .~.0.~ ....... Block ...0.9. .......... Lot. Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~,~).~86Z Date of Permit 9/28/87 a.~;~.,~vironment East, I.n.o fo~ Owner Health Dept. Approval ........................ Labor Dept. Approva~ ...................... Underwriters Approval . . ?./~ .................. Planning Board Approval . ?.,./.A ................. Request for Temporary Certificate ..................... Final Certificate .... ~. .................. Fee Submitted $ .,?,~, .0'.0. ...................... Construction on above described building ~~//~JTnd regulations. App ......... Rev, 10-10-78 'FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 (Building Inspector) ~O~-b~Sbu~O~ APPLICATION FOR BUILDING PERMIT Date ...A~g~A~.~ · []~. · · Received ........... ,19~.. ·., 19.8 7 INSTRUCTIONS a. Tiffs ~pplication must be completely filled in by typewriteCor in ink and submitted to the Building Inspector, with 3 ;ts 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 r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 aMI 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 g Certificate of Occupancy hall have been granted by the Building Inspector. APPLICATION IS H,EREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the milding Zone Ordinance of the Town of Southold, and other applicable Laws, Ordinances or ~egulations, for the construction of buildings, additions or or demolition, as herein described. 'he applicant agrees to comply with all applicable : code, and regulations, and to dmit a~thorized inspectors on or name, if a corporation) ~o ak Lane · iL95@ ...................... address of applicant) Rate whether applicant is owner, lessee, agent, general contractor, electrician, plumber or builder. .o.e n.e.r.a.% c. ............... qame of owner of premises ...Dgp/.s .Moe.l. ler..(.. ~oe.t;e~.) .......................... (as on the tax roll or latest If ap~~nature of duiy au thorized officerf · ./F/,.,,~./.I.f,,,.<~.t,/,/~..,d:..< ...... J?2a.e st~nt ...... : c/ (Name and title of corporate officer) Builder's License No ...... },ti..~55. 6 ............ Plumber's License No ......................... Electrician's License No .......... , ............. Other Trade's License No ...................... Location of land on which proposed work will be done. ~ ' ~' ·. .................. T~,' REOU~E~EN%"; 0~, .~'~4~i. ~. Y. 3600 Lit ~1~..a~qk. Rqa4... House Number ' Street County Tax Map No. 1000 Section ....... Z03 ........ Block ....... 9 .......... Lot ........ ~3 ......... Subdivisiou ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and &ntended use and occupancy of proposed construction: a. Existing use and occupancy . .0.ne.. ?a~.% Y. ~5>[e. lli.ng ............................................. b. Intended use and occupancy One . ~P.L~Y. ~.~$~J-~g. .rcp.~.i~ d..porch. ........ 3. Nature o rk (check which a plicable): New Building .......... Addition .......... Alteration ......... Repair . ..a. .......... Removal .... , ........ Demolition .............. Other Work'. ....... ....... (Description)' 4. Estimated Cost ............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...'~ ........... Numberofdwellingunitsoneachfloor ..... : ..... , .... If garage number of cars ' ~'-. ' ...... ~ If business, commercial or mixed occupancy specify natur, e. and extent of each type of use . ................,... Dimensions of existing structures, if any: Front .... : f, ?. ':. ,~ :..'Rear ....... ' .... ':'; . Db'pth,.. ~,. ,, ......... Height: ........ ..... ;, Number of Stones ......................................................... Dimensions of same tructure W'th alte ' ' ' Front Rear ' s i rations or additions: ................................... Depth; .~ ....~:.~.~,~.~... ,,,. Height ...................... Number of Stories ............. ...., ..... Dunensions of entite:?le~O'~onstructlon: Front ............... Rear ............... Depth .............. Height .... ~ .......... Num her of Stories ......... ~. ..... · .. ........ ';. ~.... ,.. .......... Size of lot:. Front .., J ...... i ............ Rear ........ ..... i ........ Depth ...................... Date of Purchase Name of Former Owner Zone or use district in which p~emises are situated R~ ai~iq, i;ial , / Does proposed construction vi4late any zoning law ordinance or regulation: ~ ; Will lot be regraded ...... ~o .................... Will excess fill be removed from premises: Yes No Name of Owner of premises 9q~.:L ~,. ~cl~ ~-,L~.(.F~a~i~6I-ess ,~0OP..~, ~.~Ae.~l~. ~hone No. 73k~ 00aS. ..... Name of~chitect Address ~9~qgg~ ~ :' Phone No 7 - Nma ofContracto~ 9Y.(~q O~P.~} .~.~q ~. ~.~q ~.. Address 307 Indian Nk ~hane NO.. ~.~ .757.a ... P~T DIAG~M Locate cle~ly ~d dist~ctly ~1 hurtings, whe~er existing or proposed, ~d, indicate ~1 set-back d~ensions from~ ,ropeny Hnes. Give street ~d block number or description accord~g to deed, ~d show stree~ nmos ~d ~dica$e who~er (Name of indiviouai, si~ing contraqt tO. 13. bore named. sworn, deposes and says that he is the applicantl is the .......................... - ....... , ,_,_~.~. .................................................. "'' C: (Contr~ctor,~a~ent, corporate officer, etc.) - said owner or owners, and is duly au~th-o-rizert-t-o iS-~orm or have perfumed the said work and to m~e ~fl fi~his' pplication; that ail statements contained ~ this application are true to the best of his ~owledge and belief; and that the .ork will be ~erformed in the m~ner set forth ~ the application filed th'erewith. ~om to before me this : ,ot~ Public, · ............ ~ ...... ~. ............. , w ~g~ ~l,c, 9ja!e~NeOork ' ~ ~ ~ ' ~i~ature of appli~t) , erin ~pires oct~al, I~ 765-1802 BUILDING DEPT. INSPECTION [ ) FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING REMARKS: ] INSULATION DATE YIELD FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONAL COMMENTS: