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Home My WebLink About16153-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16624 Date February. 2, 1988 THIS CERTIFIES that the building ....D.e..c .k ........................................ Location of Property 1490 Waterview Drive Southold House No, Street Ham/et County Tax Map No. 1000 Section . . . 0..7 .8 ...... Block ..... .0.7 ........ Lot 54 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..J u.n.e..2.2 . ).9.8. 7.. , pursuant to which Building Permit No....1.6.1.5.3. .Z ............ dated Jun e 2 9, 198 7 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 ......... ..... D. ec.k.i.n.g..a.r, qu..n.d..a.n...a.c, qe..s.s.o.r.y.p.qq]....a.s, applied for. The certificate is issued to ROBERT & LAURIE STARON ..................... ?o¥.'o;, x x x .................. of the aforesaid building. Suffolk County Department of Health Approval ..... .N./.A. ................................. UNDERWRITERS CERTIFICATE NO. N /A PLUMBERS CERTIFICATIOI~I DATED: N/A Building Inspector Rev. 1/81 FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TNE WORK AUTHORIZED) Permission is hereby granted to: /~ ._~ ..... ............ at premise, located at ...[..~..~ ............................................................ ~ ............... County Tax Map No. 1000 Section ...... ..~..?....~. ...... Block ....... ..C~...'].. ...... Lot No. ,....'.~.. ........... pursuant to application dated ....... ...~...~...~..'~... ............ , Jg..~....~., and approved 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 Instructions BLDG. DEF?, TOWN OF SOUTHO, LD A. This application must be filled in typewriter OR i6k, and submitted m ~ 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 1§57), 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 .~5.0~0 1. Ce~tificate of occupancy New Dwelling $25.00, Accessory '$[0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50,00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land c.g. $ 20.00 5.Updated c.g. $ 50.00 Date .... ~ ~, ~:>7;_....w/.... ...... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property /Z/ga ZV~//~ p.~. ~ 3-¢O?dOU~ ./f..e..~ .,t/~.£./d House No, etroet Ham/et Owner or Owners of Property .......... L, .~.°/../~/~' ~'.~-.'~.~)/~' ..... .h0.0 f~ ~. T .................................. County Tax Map No. 1000 Section . .............. Block ............... Lot ................ Subdivision ;~;~i_~../~]. l~. .......... ~' ~,,,f,;~,.Filed Map No ........... LotNo ..... ......... Permit No ........ .~.' Date of Permit . f~77~P~.Applicant ., Health Dept, ApprovaJ ....................... Labor Dept. Approval ................... Underwriters Approval ,.-. --:,~J / ~ ............. Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... FeeSu~mitted ~ ......... /.0.: O0 - . .... Aool cant .... .~. ~ Rev. 10-10-78 oL E L ,, S~ ~o~,~: ~ NsE..!S UNCWFUL ,. ~ -? ' CERIEICATE UNDATION ( 1 st ) UNDATION (2nd) UGH FRAME & PLUMBING 'SULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 'WATERVIEW DR. S,, ;58037` 50" E . Ioo. od 0 / ~ty. ~r. ho~,¢ .~,0' N ,39°09 40 W. CERTIFIED TO: TICOR TITLE GUARANTEE NORTH F~K BANK AND TRUST COMPANY. SOUTHOLD SAVINGS BANK ROBERT P. STARON LAURIE A. STARON N/o/F IRVING WEXLEI~ 1000 LIC. NO. 49618 ENGINEERS , P. C. PEC ONIC SURVEYORS (516) 765 ' 5020 P,O, BOX 909 MAIN ROAD SOUTHOLD~ N.Y . 11971 125. O0 ~//' SURVEY OF PROPERTY AT BAYVI EW TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. - 078 07 ' SCALE I"= $0' MAR. 5, 1987 54 ~or ~c~ ~=~ ~y ~he N~ Y~r~ State L~nd ~t~e Association, 87 - 173 'FORM NO. 1 '[OWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL,: 765-1803 Examined .itl4-~,~ .~...~.., 19~.. 7. Approved .~...~..c~.., 19~ ~. Pe~it No./~ ].¢7~. ~ Disapproved a/c ................................ .~ (Building Inspector) ~PPLICATIO~ FOB B~IkDI~G PEBMIT BOARD OF HEALTH ...... 3 SETS OF PLANS .% --~-.. SURVEY ..~.o CHECK .. -t~- ..... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: :.' ........ ,197. . INSTRUCTIONS a, This 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 permil 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 uhtil 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 t6 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other app~k~able Laws, Ordinances o~ Regulations, for the construction of buildings, additions or alterations~pr for removal or~emj61ifion, as herein described The applicant agrees to comply with all applicable laws, ordinances, ~uilldin~, code,~Cn~' ¢-~de~-ara.d regulations, and tc admit authorized~., inspectors on premises and in building for necessarg.. '.~e2~~e~.~. . .~~ ......... (Signature of applicant, or name, if !t-qorporation) .. ,, ,,. . m (Mailing address of ap{olicant) ~'e/ / State ~hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... ................................................................................ Name of owner of premises ...~..~..~.~.~.A/... .t...~. '..~..7.~. A0iD .~. ........................................... (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 cON, TRACTOR'S MUS~T~,B/jE~UFFOLK COUNTY Builder s License No .... ~ ............... Plumber's License No ......................... LICENSED Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.. '/'~' .~.~..../~..~..F.~'.~.~/..~'.t~....~..~r.t...?..~.O..T.$-/~.7'~.. House Ntuu ber Street Hamlet County Tax Map No. 1000 Section ...~. ?..~. .......... Block .... .7. ............ Lot...'~..~ .............. ' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting use and occupancy of premises and intended nde and occupancy of proposed construction: a. Existing nsc and occupancy . . . ~./4/.~.~.~..~..~..p! ~ ' ''~ I~ *J ~tA.I~ ~ b. Intended use and occupancy ................................. ...'} ~' ~*u4~ ~ Nature of work (check which applicable): ~New Building ..... ' ..... Addition .......... Alteration .......... Repair ......... Removal ; · · · Demolition ........... J . Other Work .~.t[¢J~....~.... (Description) e.,~. [.~ ~ Estimated Cost .............. ~q...qO ............... Fe . { ........................... ~ (to be paid on filing this application) :. If dwelling, number of dwelling unit} .... ~.~..~'~ .... Number of dwelling units on each floor ................ , If garage, number of cars ...... ~.~ I 1~: .... ,. If bu.aness, commercial or m~xed occupancy, s~cffy n~t~r~nd extent of each type of use .......... : ......... ' Dimensions of existing st~ctures, if~ny: Front... ~'t' (~ "'" Rear .............. Depth ............... Height ............... Number of Stories .... ~.. j...[../: ................................. . ......... D~ensionsof s~me stmctuge with alterations or addition: ~ ................. Rear ........... . ...... D~p/h'.' ....... '. ~ .... ........ Height ........... /. ~[. [ ~. · [. Number of Stories ...................... :. iDimensions of entire new construction: Front .......... [.... Rear ............... Depth ............... Heig~.~ ~ ~.. Nmnber 0f Stories .............................................. '. S~ e o~r~n~... ~d~ ............ Rear... f~ .............. Depth . ~. ~ .............. }. Date of Purchase ..... ~...5~ .............. ~ame of Fon~er Owner ............................. .: Zone or use district in whicB premises are situated.., ff~ ...................................... '..Does proposed construction violate any zoning law, ordinance or regulation: . .~ ...................... . Will lot be regraded .... ~ .~ ............... ~... Will excess fill be removed from premises: Xes N~e of Owner of premises .. ~'~ ~. ~ ~.~, Address ................... Phone No .............. Nme of Architect ........................... Address ................... Phone No ........... N~e of Contractor ....... .............. Address .... : ............. Phone No ........... ~.... .... .. Is thSs property located w~th~n 300 feet of a tSda[ we¢land? *Yes ..... No ..... ~If yes, 8outhold Town Trustees PermSt maybe requSred. PLOW DIAG~M Locate clearly ~d distinctly ri bufld~gs, whether existing or proposed, ~nd. indicate fll set-back d~ensions from aperty lines. Give street and block number or description according to deed, ~d show street names and indicate whether :efior or corner lot. ,,.~.,. ,7~' , /. ~ , . 125.00 N .3~":'Og 40 W. 'ATE OF NEW YORK, ~ mm?,5 oF .................s.s .... /~..~.~../?T...~.7~.~.6..~. ....................... being duly sworn, deposes and says that he is the applicant - (Name of individual signing contract) eve named. the. .... ........ ! ............................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~rk will he performed in the manner set forth in the application filed therewith. ,om to before me this ......... ~.~.~./,/'~ ·...Say of...~J'. ~...',~, ...... ,19 <~.~ ~ '"'~/~ $~~,~ York (Signature of applicant)