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Home My WebLink About16529-zFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTM]ZNT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20465 Date JANUARY 10~ 1992 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 160 LAKVIEW TERRACE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 9 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 9, 1987 .pursuant to which Building Permit No. 16529-Z dated OCTOBER 14~ 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 ADDITION & ALTERATION TO CHANGE SEASONAL DWELLING TO YEAR ROUND ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to NORMAN & JUNE WOODCOCK (owners) of the aforesaid building. SUFFOLK COUNTY DEPAR~4ENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 H-025009 - OCTOBER 16~ 1991 JAN. 9, 1992 - NOP~4AN ~OODCOCK ~ld~i~g~Inspector 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 16529 Z Permission is hereby granted to: ~.~.~....~..~~ ........ '~..~..?.~, .~....~ ......... ..).~~...,.~.:..~.....!~.~..:.~ ................ ,o ......~.~.~ ...... .~..~..~.~...~.,..~...~.,~ ....... ~.~.~.~.~.~~....~~...~ .............. ~;:...~ ................ ~ ........ at prem,ses located at ~...~...~..~ ........ ~..~-. ......................... ~ .......... County Tax Map No. I000 Section ....... ,,C~..~.,) ....... Block ....... ,.~....~ ...... Lot No ..... )...~. .............. pursuant to application dated ....~..~....~..3 ........................ , 19,~.,1..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This,application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. ~ 5. Commercial building, industrial building, multiple residences and similar buildings ~ and installations, a certificate of Code Compliance from architect or engineer responsible for the building. · 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a COnsent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C.' Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $i0.00 4.Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of O~cupancy - Residential $15.00, Commercial $15.00 · .ew Construction ........... Old Or Pre-existing Buildin ............... House No. Street Hamlet ......... :ounty Tax Map No 1000, Section..~ ) .... Block ...... ~ ......... Lot ..... ~[~ .... ;ubdivision ......... ............. Filed Map ............ Lot ............... ' ...... ermit No., · · .... Date Of Permit. · ...... ~cant. ..~Of5~O~ ...... ealth Dept. Approval ...................... Underwriters Approval !auning Board ApProw~l ..................... ~q-est for: Temporary Certificate ........... Final Certicate..~ ........ ~e Submitted: $.~.~/~ TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 C E ~ T I F I C AT i O N Date Building Permit No.y~9~yZ Owner fiJ~J~_~tX3ooOooo~ -- (pleaSe print) ' Plum~er. /%;o~D~ tO~oOo~o ~ (please print) I certify that the solder used in the water supply system contains less' than 2/10 of 1% lead. Sworn to before me this ~;Otary Public,~ C~ounty (plumber's signature) Notary Public ' HELENE D. HORNE Notary Publi;, State of N~v Yo~ No. 4951364 . ,_ Q. ua!lf/edin Suffolk County tz~rnm~mn Expires May 22, 19 / ~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 802~184 SURI.=AU o~= m_Ec'rmcrrY 10038 [ 85 JOHN STREET. NEW YORK. NEW YORK ~'roBE~ ~6,~9~1 7~74.~0ql/9{ ~ 025009 ~t~ Ipplication ~o. on fil~ H. ~DC~, 160 I,AK~VI~;~ TERRACE, POhE~I. 5~, k~.,~ ~;ADO~, I~.Y. and found to be in compliance tcith the requirements of this ~oard. RXTUIE RXTURES OVENS ~SH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE AlqqIANCI ~ TIME Q.OCKS SERVIC~ DISCONNECT S E R V I C E OT~R APPARATUS: ~OTOR~:I-,50 ~.P, ~MOK~; ~)ETECTOR:--2 P.O.BOX 625 ~~ Per ~ This ce~ifka~ m~t not ~ alter~ in any ~n~r; r~urn to t~ office of~ ~rd if incorrect, Insp~rs ~y ~ i~ by t~ir credentials. 765 -1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] /~)UGH PLBG. FOUNDATION 2ND [/] INSULATION [. ] FRAMING REMARKS: FINAL DATE 765.1802 BUILDING DEPT. INSPECTION ] ~OUNDA~ION ~S~ P'~OUG# PLBG. FOUNDATION ZND ~ ~ INSULATION ~FRAMING ~ ~ FINAL FOUNDATION {1st] FOUNDATION (2nd) 2. ROUGH FRAME ~/// .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL BOARD OF HEALTH ..':1:% 3 SETS OF.P~ANS~ .0...~,... FORM NO. I SURVEY . ~. ~% .... TOWN OF SOU/HOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1803 CALL .... Approved ~.~....0~..., .)..~,., 19~..3. Permit No./..~.~.~.q...~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ... 6. 6.~i. $;- ........ 19~'~, 7. 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 Building 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 admxt authorized inspectm~ on premises and h~buHd~g for necessa.%,.~PL~t.i~ns. ~/'---/.~.~..~. ~: ~.~,~..~.. ,~.. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · .................................................................... Name of owner of premises ~. 0~.~/~../7/, .~. ¢.o.D.~.o.q~ ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .... ~ ............. 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 . . .O/~.i ............. Block . . .~.' .............. Lot .}. 12 ................ 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 J] ,~. ...... ~ oq ,,¢29,.. JR/Q?4~... b. Intended use and occupancy ~'~P.~f/~L- l~p~l~.g~. 7-]P ~/~.t~ ~P.olq.,O ff. OO.~· 3. Nature.of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ...... . .... Repair ........... :.. Removal .............. Demolition ............ Other Work ............... (Descrip~tion) 4. Estimated Cost .~ ~,.o. .... ......................... Fee .................................... " (to be paid on filing this application) 5. If dwelling, numbe.r of dwelling ~units ..... { ......... Number of dwelling units on each floor... J ............ If garage number of cars .. -I ..... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... ................ 7. Dlmensmns ~of exmt~ng stmcture~, If any Front..~. 6 ..... ;... Rear . .,( ~ .... Depth ,. ¢7.~ .......... Height . .~ ............ Number of Stones ............. '..' ......... ~ ....... Dimensions of same structure w!th alterations or,additions: Front .,°.' .............. Rear J.[' .............. ;~.~. ' ight Depth ................. i.. He ................... Number of Stories ..................... . 8 Di h F R pth -- . mensions of entire new constr ction: ront.. ......... . ..... ear ............... De ............... ' Height ~ ........... ,.. Number of Stories . .ll~ ........... ~ .......................... ~ ................ , 9. Sizeoflot: k'ront .~. ........ Rear b.../,7~ . Der~th J~f.. ........... 10. ~Date ofeurch~as.~ /.~'.7.~. .... i .................. "Na~ o~o'r~e'l[i~v~l~; /~/A~'i~.'iiiiii ........... 12. Does proposed construction violate any zoning law, ordinance or regulation: /~..o ............................. 13. Will lot be regraded ......... i ................... Will excess fill he,~moved from premises: Yes Bio 14. Name of Owner o f premises 21/.0~/~t. ~./-J, ' ~qqglP'c'°'c'~Address/gB~t~*o ~ .~ ~'.'Y- ~.~:/.o.'. Phone No...: 3q, c/,.~.~ 77. · Name of Architect , Address Phone No Name of Contractor ......... , ................. Address .... : .............. Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? ~Yes'. .... No · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE.~.¥O_RK,... COUNTY OF .'~.. S.S (Name of ir~dividual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d~ly author~ed to perform or have perfomed the said work and to m~e ~d file this application; that all statements coniained ~ this application are true to the best of his knowledge and belief; and thht the work w~l be perfomed in the m~n~r set forth in the application filed therewith. Sworn to before me this ~A~E~ E. BUTCHER NOTARY PUBLIC, State of New York ~ · , - NO, ~.555~56o ' ............ Qqallfled In Suffolk County ' (Signature of applicant) '\ E NF__P,~Y CODE CALC01 /VFION6 WATER HEATING PER 7813.31 THRU .38. PIPE INSOLATION 7813.1~ WIb~)OWS - EOUBLE GLASS. C~STRUCTION TO MEET N.Y.$. E~G~ CODE. IN C~MPLIANCE WITH THE CODE. /USE tS,UNLAWEUL' : FI