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Home My WebLink About16166-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z17017 June 23, 1988 ................. Date ................................ THIS CERTIFIES that the building P o o 1 ~ . Location ~*' ~ 375 Alvah's Lane Cutchogue el rroperry ........................ Ho, se Ne. ' ..... County Tax Map No. 1000 Section 109 .Block 0 I .Lot 3 I Subdivision ............................... Filed Map No ......... Lot No .............. cohforms substantially to the Application for Building Per'mit heretofore filed in this office dated .... .J.u,n.e...2.2.,.. ! .9.8.7.. pursuant to which Building Permit No. 16166Z dated.,,,...........Ju 1 y 1,. 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 ......... In~round'pool and fence as applied for. · The certificate is issued to WADE & GISELLA DAVEY ..................... ......... .......... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N011545 t,la¥ 9, 1988 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FORM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ..~. .~.~...~.~.~ ............................................. / ~, ,.~, , I'~o ............ ,o ..~....~...~~..~.~...~.. ~ ....... County Tax Map No. 1000 Section .... )....C~..~ .......... Bkx:k ....... ..~......~ ...... Lot No ...... .~ ............ pursuant to application dated ..... ....~...~.......'~.....2~... ............ , 19.~..~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 L FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall BLDG. DEPT. Southold, N.Y. 11971 ,TOWN OF SOUTHOLD 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, 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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~'operty 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 1, Certificate of occupancy New Dwellln§,$25.00, Accessor¥,,,$10.O0 Buslness $.50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3o Copy of certificate of occupancy $ 5.00, ore, $ ,ear~ $IO.OOj.?/~. 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ............... NewC°nstructi°n ...... Old or Pre-existing Buildin§ ............ Vacant Land ............. Location of Property ................................... .~. ~. ,~. . ~. J.~. ~ ~ ' .... ~ ~ ...... ........... House No, /$tr?t ~, Ham/et Owner or Owners of Property ........ ~.~...~. ..... . .~. i .~.~.. ~~ County Tax Map No. 1000Section .... J.,(?,~ ...... Block ..... .,~, I, . Lot...,",,',~, t . Subdivision ...................... ; .......... Filed Map No, , ~'o ....... Lot No .............. Health Dept. Approval ........................ Labor Dept. Approval .............. .. ...~..~. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............... Construction on above described building and permit meets,~ll applicable codes and regulations. Applicant ................................ UNDATION ( 1 s t) UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE · ADDITIONAL COMMENTS TO~VN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 '~ a p"'r 5 TEL. 765-1802 tx). Oa~;E~ TO Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_--/// An application for Certificate of Occupancy is not on file. /~'~ NO Underwriters Certificate on file. /_~ The check is(outdated/not on /5/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation... Building Permit # _k ~, J__ ~ _~ Z' Building Dept. ***/5/ No Plumber Solder' Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 0~cupancy or use is unlawful without a Certificate of Occupancy. Clear up this matter as soon as possible so that legal action does not have to be taken. Thank you for your prompt attention. ~FORM NO, 1 ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~ $OUTHOLO, N.Y. 11971 TEL.: 7654803 Approved ., 19~'.~. Permit No!..~.]..~.~.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUl LDING PERM IT Received ........... ,19., · Date ..5una.17~ ......... 19~Z. 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, accurat6 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 der ,~iled description of layout of property must be drawn on the diagram which is part of this appli- cation. -~ ' e. The work c6ve~'d 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 rerpo~l or demolition,.,as herein described. The applicant agrees to comply with all applicable laws, ordinances, building cope, ~ous/ffl]g code~i~ regulations, and to admit authorized inspectors on premises and in building for necessary inspectiags.L,~/ I ] -~O - (Signature of applicant, or name, if a co p at'on) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............................................... ogeBg ............................................ Name of owner of premises .!qa.d.e..D.a.v.e.y~ .............................................................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... 9.~9..g.I ................ Plumber's License No .............. . ........... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~./.S..A.l.y.a.h ~ .s . .L .a .n .e . .3 .5 .0 .. .6 . .N ./ .O . .~l.a .~ .n . .R.d : .............. ...... 375 .Alvah$ .Lame,. Cutchogue ............................................................. House Number Street Hamlet County Tax Map No. 1000 Section .... 109 ........... Block .......... 1. ....... Lot ....... 3.~. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ;t. f~n~_J.y, r~-~l~rm~... b. Intended use and occupancy .. 20!, X. 60. ~;{g?bbur~do.. ¥;i.rty3.. 3-~-r~r. ~.~.nA¢. ~..ng. p99.~. F .i .'c .h . .f .e .n .c .e .m. . .c g .d9 ...... abl ) ' ppli ' 3. Nature of work (check which a c e: New Building I'opJ-.' ..... Addition .......... Alteration .......... Repair Removal Demolition Other W6rk ~ i,.~j ~ 0 ~ .(Descripti°n) 4. Estimated Cost:... .................................. Fee .................... (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... 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 ............... Heig~ht ' . , ~i & '-'~ Number of Stories ..o~. ~4- ........ Danensl'ons Of same s[~4~ure with alterations or additions: Front ................. Rear .................. Depth ...... ~-~. )~ql ;~ .... Height ............ Number of Stories ................ I)im~~e ~n~'.~onstrUction: Front 2.0 ....... Rear...2.0 ........... Depth .4p... .telght ........ , ..../.[.'~. Number of Stones ........................................................ Size of lot: Front .: .... ~. J..O.0 ........... Rear...1,0.0 ................. Depth . .2.5.2...6.2 ............... 10. Date of PurchaSe ,'. ?i ....... t.: ..................... Name of Former Owner ............................. 1 1, Zone or use district in which premises are sitnated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... Iqo ....................... 13. Will lot be regraded ..... ~r.e.a .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of,premises [ta~e. 9o~re¥o . ~7~. 4[~ I,a; .Cu. .tgh. ggu. $ ........... , ................. Name of Architect ........................... Address ................... Phope No ................ Name of Contractor .S .h p .w .c .a .s .e' .P 9 9 .1.% . .9 .2 .0 . .W : . .J .e r ~ c h o Tpk.e. ~. Smithtown, N.Y.. 11787 543-2221 PLOT DIAGRAM Locate clearly and distinctly al1 buildings, whether existing or proposed, and. indicat~'~!..~.tj~ack dimensions from property lines. Give street and block number or description according to deed; and show street ~ih~i~s and indicate whether interior or corner lot. · 8; 9. See attached STATE OF NEW YORK, COUNTY oF'. ..... . .s.u.f.fp.l.k.. S.S .................... Fl:~r~k. M~ ~ ~-~ ................ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. ' He is the ........................... .ag.e.n.t .......................................................... ; (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained 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 .:-: ' ': .... :" ','.'' '-: NO. $~;4844349, ,,~' P.O. BOX ~4' [;~lgnature oI appncanD