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Home My WebLink About15357-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...z. t4963 ......... Date ...... qq t:pjo.e.r.. 6., ................ 19 deck addition THIS CBRTIFIES that the building ................................................ Location ofProperty600_ '. ~/~tJs~V'olHarb°r ...... L.a.n.? ............ .......... Cutchogue, New Y.ork . . . · 'Street .................. Hamlet County Tax Map No. 1000 Section............97 Block 6 Lot 16 Subdivision Filed Map No - Lot No conforms substantially to the Application for Building Permit heretofore filed in tMs office dated October 3 , . , 19 .86. pursuant to which Building Permit No .... J 5357 Z dated O,c t ober 6, ..... 86 . ...................... 19 .... 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. .additi°n to.. existing. . on.e family dwelling. The certificate isissued to Sudhir .P. Sahu (owner, of the aforesaid building. Suffolk County Department of Health Approval ....... '...N../.A ............................. UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 l[spectr' ' FO~M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER?4tlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Permission is hereby gronted to: ., ot premises Iocoted at .....~.~:~:~ ...... ~.~...~.~ ........................................................... County Tax Map No. 1000 Section ....(~)..~.....~. ...... Block ..... .~..~.. ........ Lot No....../..L~ ............. pursuont to application dated ..... ~.....~;~ .............................. , 19-'~,..~., and approved by the Building Inspector/ Fee $.~ ' J~ Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildin~ Department Town Hall Southold, N.Y. 11971 765- 180Z APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in Wpewriter 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: I. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewConstruction Old orPre-existing Building x Vacant Land Location of Property 600 Harbor .Lan.e ... ,Cu, t~?,ho,~u,,e N Y House No. Street Ham/et Owner or Owners of Property Sudhir ?. Sahu - County Tax Map No. 1000 Section 97 .. Block 6 15 ............................ Lot ................ $15.00 Date .......................... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. 1.5.3,57~. .... Date of Permit ,1.0,/,6,,/,8.6 Applicant SudhJr P. Sahu Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters A'pproval ........................ Planning Board Approval .................... Request for Temporary Certificate ..................... Final Certificate ....... .x ........... Fee Submitted $...5. ,, O{) ...................... Construction on above described building and permit meets all applicable codes and regulations, Applicant Sudhir ?. Sahu Rev. 10'10-7S BUILDING DEPT. ~o o, INSPE TION [ ] FOUNDATION XST [ ] ROUGH PLBG. ~- [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~(~ ~ ] FINAL DATE INSPECTOR FOUNDATION { 1st} FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: C MAR 8 DATE _ Examined .~..~.., 19~.. .~. FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-180:3 Approyed c~..t~.., 1¢. k Permit No...¢.~ Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Date .................. , 19. INSTRUCTIONS sets of plans, accnrate 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 strut or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app cation. c. ~'he 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 pern~ shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or i~ par~.,f,or any purpose whatever until a Certificate of Occupan 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 ~,ith all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspector's on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ~"'U ~/~./.f~ .~. .~../~/L//U (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 .......................... Plmnber's License No .... .~../.7, ,,~,, ~ ......... Electrician's License No ...... .~. ,~J,~. ......... Other Trade's License No .................... ... Location of land on which proposed work will be done ................................................. , . ,~. . e o. . ................ ~ ~ .¢3. ,o,& .... ~ .................. .{ u. , ~ c. ?/,q ~. .d. ¥, , . , : ....... llouse Number Street Hamlet County *ax ~ap No. ,000 Se.ion ...... ¢.7. ........ ~lock ..... .Ce. ........... ~ot . ?C~f. /~ 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 .................................................................... b. Intended use anti occupancy ............ ~ ...... ; .- ........%,,, , :,~ · ¢, ~f,. ,, .................... Nature of work (check which applicable): New Building .......... Addition.. Repair .............. Removal .............. Demolition ........... Estimated Co'iq ........ ,..._. ~ ................. If dwelling number ' ~ ' of dwelhng iumts ............. ..... Alteration . .' ........ Other Work ............... (Descrit~'tiofi) ..,,.'.. Fee ........... (to be paid on filing this application) Number of dwelling units on each floor ........ ' ........ If garage, number of cars , : If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... : ..... Dimensions of existing structur{s, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .................... '.. Height ................... Numb~ of Stgries .~,~.( ~.. ~ 8 Dm~enmons' ' of entire' new constructmn:' ' Front ~A"/.2-, .'-pr. ':b'/~h2~'~ .......... ~ · .............. Rear ....... ,...,.... Height ............... Nunlber of Stories ............ . ............................................ 9 Size of lot: Front Rear ' Depth 0 Date of Purchase ' Name of Former Owner 1. Zone or use district in which pr{mists are situated ..................................................... ' 'gl ' 2. Does proposed construction wolate any zomn aw, etd lnance or regulation: ................................ 3 Will lot be regraded ' Will exce fill be removed from premises: Yes No 3. Name of Owner of premises ~ ................. Address ................... Phone No ................ Name of Architect Address Phone No Name of Contractor . Address Phone No 5. Is this property located iwith nl.00 feet of a t~'da/, wetland? ~ Yea ... No ..... ~ If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all lbuildings, whether existing or proposed, and. indicate all set-back dimensions from ,operty lines. Give street and block ~umber or description according to deed and show street names and indicate whether terior or corner lot. '[ATE OF NE~.Yp~R..K,/ 3UiVFY OF .~f. ~.'~... tx. · S.S ...... .<~..O...~.~../..~,. ..... ]-~.. ~. .....?.~ I~[ .~. ....... being duly sworn, deposes and says that he is the applicant (Name of individual signigg contract) ,eve named. .' is the ................................. ,, ...................................................... i (Contractor, agent, corporate officer, etc.) said owner or ownem, ~d is dul~ autho~zed to perform or have performed the said work and to m~e and file this plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ~rk will be perfomed in the m~ner: set for~ ~ the application filed therewith· ~orn to before me this aery Public, ............. ~ ..... 'Coun /