The URL can be used to link to this page

Home My WebLink About16584-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy THIS CERTIFIES that the bulldog BECK ABBIT ION 10735 Sound Avenue Mattituck, New York Location of Property ~s~ ~oi ....................... ~/e~[ ....................... ~1~ County Tax Map No. 1000 Section 14 I ...Block 3 .Lot 8. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 28, 1987 .. pursuant to which Building Permit No. 16584 z dated............................Oct°bet 29, 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 ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to MILDRED JOHNSON ..................... ?o¥.'o;, V g4ifz ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED: N/A B uilt~fng Iflspector Rev. 1/81 FOIL~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, No Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 16584 z Permission is hereby gronted to: .. ...L0.~....~.~LL~.:. ................... ,o ..~.....~..,~.&....~.~L...o~.....~.....~ at premises I~ated at .L~.~.~...~...~.., ......... ~.~.~~ .................. County Tox Map No. 1000 Section ..... I..,~)L.?. ........ Block ..... ..C~...~ ....... Lot No.....~.?,..! ............ pursuant to application doted ....~....~...~......~....~. ............... , 19.~)..'/.., and approved by the Building Inspector. Fee $.. ~,./,.~'-~ .:....../. · · .... Building Inspector Rev. 6/30/80 FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... · SEPTIC '~O~M ............. : NOTIFY MAIL TO: Examined .O.q~..0~....~., 19~..~. Approved ~ .~.~ /~, 19~7 Pe~it No ~ ~ ~ ~?~~)~]~J?~'~"-'~ Disapproved a/c .................................. .~. ~ ~~~}~ ~,~ .......................... ~.,~ DE~. , ~.~ TOWN OF 80~OLD '" (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree' or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl 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 perm 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 Occupanc 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 t? Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ( Regulations, for the construction of buildings, additions or alterations; or for removal or demolition, as herein describe{ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and ~ admit authorized inspectors on premises and in building for neces:~?~ .~../~... ........ (Signature of applicanUor name, if a corporation) (Mailing address of applicant) State wlmther applicant is_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises .~f~,~...~.O~rT~.~. ............................................ ~J (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) . ALL CONTRACTOR'S MU~UFFOLK COUNTY Builder's License No ................... Plumber's Lic6nse No ......................... LICENSED Electrician's License No ....................... Other Trade's License No ...................... ~--~ Location of land on which proposed work will be done ................................................. ............. ........ House Iq'umber Street Hamlet ~County Tax Map No. 1000 Section ./..'z-~. // ............ Block ...... .~. .......... Lot.....d~.../. ......... 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 a~d occupancy ......... /.~ .... : .............................. : ...... ~? Intended use and occupancy .... '~..~. · .~.......~..-.~ ............................. i ...... 3. Nature of work (check which applicable): New Building ' Addition:...~.. .~..~. Alteration .......... Repa r .............. Re oval .............. Demolition .............. Other Work ............... ' T/.,)ff~-- '- ~ O0 (Descrip~tion) 4. ! Estin~ated Cost ' Fee · (to be paid on filing this application) :5. i If dwelling, number of dwellin~ units ............... 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 use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth ............... Nu:mber of Stories .... Height .............................................. Dimensions'of same stru.cture with alterations or additions: Front ................. Rear .................. Depth t~ Height Number of Stories Dimensions of entire new construction: Front .... . ..... Rear Depth ....... Heleht ............... Number of Stories .................... 9 Size ofl0t: Front ' Rear ' Depth 10 Date of Purchase ~ Name of Former Owner 1 1. Zone or use district in which premises are situated ................................................. , .... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...... r>~..~ ~...~.ar. · .~./Q..,¢ .... Will excess fill be re,novell f. rom premises: Yes ' No 14. Name of Owner of premises .~..~(~q-~ .~/~9q~i~ldress ./~..~:3~...~..~r. Phone No. ,~5.~.ff. Name of Architect ........ , ........... ~. ...... Address ........ Phone No ...... Nmne of Contractor Address ' Phone No 15. Is this property locate~ within 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permit may be required. .. ! PLO'r DIAG1;LAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. OCCUPANCY OR USE IS UNLAWFUL WITHOUT!CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, COUNTY OF ............ S.S V., a.a. ~ILDING DEPARTM~ AT 9 A~ TO 4 ~ ~ THE ~NG INS~C~ONS: ~U~DATION 'i~O R~QUIRED ~O~ED CONCRETE FRAMING ~ ~.UMBING .................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .................... : ..................................................................... (Contractor, agent, corporate officer, etc.) of said owneLor owners, and is tluly authorized to perform or have performed the said work and to make and file this application; that all statements coiqtained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith· Sworn to .before me this ................ ~.]...day:of.z.,. 2..,:.,... .. ; ......... 19..,~ I~)tary Public ...... ~ ..... '2~' ~ U': .... ,~,....~'~"~.. County ~' ,,mty I~ ~9LlC, $~ate of I~w Y0~k {~/ (Signature of apphcant~ : ] . ~ / / ~' /:;, 76S-1802 / -{, BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] [ ] FRAMING ~/0, REMARKS: INSULATION /L 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 Wpewriter OR ink, and submitted m Ilaa~a=a~ 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 atura or topographic ~ea_tures. , .... ~ ~,~r~-o ~isnosal-~S-9 form or equal). 2. ~inal approval of Health Dept. of water suppw ~,u ...... ~ ~ - - 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-extstlng land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or o o raohic features. t p g ~ - ....... ~ nr nrevious owne~ as to use, occupancy and condition of buildings. 2. Sworn statement o~ ow.~. ~- ~-- 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: -- BUS[NESS $50 O0 1. Certificate of occupancy $ 2 5 · 0 0 ' 2. Certificate of occupancy on pre-existing dwelling $ 5 0 · O0 3. Copy of certificate of occupancy $ 5.00, over 5 yearS A.V~cant Land C.O. $ 20.00 ~.~.d~t .. 5.Updated C.O. $ 50.00 Date .... · .......... ~. Vacant Land ............. NewCo~s~ruction Old or Pre-existing Building ......... Location of ProperW ....................... 'S/reel ...... l-lam/er Owner or Owners of Property ....' ' County Tax Map No. 1000 Section .............. ock ............... Lot.. : ......... Lot No · · · Subdivision ................................. Filed Map No ........... · .......... Applicant ................................ Date of Permit · · Permit No .......... Labor Dept Approval ........................ Approval Health Dept ........................ Underwriters Approval ............ Planning Board Approval ...................... ............ yC Request for Temporar ertificate ................... Final Certificate · ' ' Fee Submitted $.. /..,0-~ ........... Construction on above described bu ilding an~-~.~mi~t ~st~l;pp'~~a.~iti°ns' Applicant . . . .~./ v'"~'~' ' '~k' '~'' w' .... i .................. R~v. 10-10-78