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Home My WebLink About15183-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-16212 Date September 29 1987 THIS CERTIFIES that the bmld[ng ALTERATION &..ADDITION.. TO... EXISTING....... ...... PORCH &. DECK.... ADDIT Location of Property .9.50 Sterling Roa.d House No. County Tax Map No 1000 Section 104 · .C.ut.c.hpg.ue~..N.e.w..Ypr.k... Street 4 Block .......... Lot. Hamlet I0 Subdlv~slon ........... ·.. Filed Map No ...... Lot No ........... conforms substantially to the Application for Building Permit heretofore fded in this office dated ..August. ..13 ,. 1986 pursuant to winch Brai&nE Permit No 15183. ...Z .. . ..... dated August 13, 1986. . .. waslssued, and conforms to all of the reqmrements oftheapphcableprovmonsofthelaw. Theoccupancy ~rwhchtinscertfficatem~ssuedis .... ENCLOSURE & ADDITION OF EXISTING PORCH & DECK ADDITION TO EXISTING ONE FAMILY DWELLING PETER & LORETTA SENKO ......... ow. g : f4;i X ............ The cerhflcate is issued to of the aforesaid building. Suffolk County Department of Health Approval ... UNDERWRITERS CERTIFICATE NO N/A N810868 PLUMBERS CERTIFICATION DATED: N/A ~ B~ng Inspector Rev 1/81 I'OB,~ NO. · TOWN OF $OUTHOLD BUILDING DEPART/v~ENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15153 Z Building Inspector. Rev 6/30/B0 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~nstructlons A This application must be fdled m tVpewr~ter OR ink, and submitted m~--,-~-., to the Building Inspec- tor with the following; for new buddings or new use 1. F~nal survey of property w~th accurate location of all buddings, property lines, streets, and unusual natural or topographm features. 2. F~nal approval of Health Dept of water supply and sewerage disposal--(S-9 form or equal} 3. Approval of electmcal installation from Board of F~re Underwmters. 4. CommercmI buddings, Industrml buddings, Multiple Residences and similar buildings and instatla- tlons, a cert~fmate of Code comphance from the Architect or Engineer responmble for the building. 5. Submit Planmng Board approval of completed rote plan requirements where applicable. For exmt~ng buddings (poor to Aprd 1957}, Non-conforming uses, or buddings and "preexisting" land uses: 1. Accurate survey of p~perty showing all property lines, streets, buddings and unusual natural or topographic features. 2 Sworn statement of owner or prewous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buildings or premmes, or other pertinent mforrna- t~on required to prepare a cerbf~cate. C Fees: 1.Certff~cateofoccupaoc¥ $25.00 -- BUSINESS $50.00 ACCESSORY $i0.00 2. Certificate of occupancy on pre-existing dwelhng $ 50.00 3. Copy of certlf~cate of occupancy $ 5.00, over 5 years $10.0/0 5.Updated C.O. $ 50.00 Date .............. NewCOn$ %ruc~zon ..... Old or Pre-exlst~ng Budding ........... Vacant Land ............. kocat,on of Property ........... . .'~.~. ................ .~'..c-' .~.~./ . House No. Street Ham/et Owner or Owners of Property..~..~.(~-...~....~...' .~..~?..~'..~....~,..~...~..~...~.~....~..~..~..~..~. ..... CountyTax Map No 1000 Sect,on ...Z/.D~. ff. ...... Block .... ~ ....... Lot .... /..~. ....... Suhd,v,s,on ............................. F,,ed Map__ ............ ......... ' Parm,t No./.I~'~'..'/.2~. ?...~, Date of Permit____ Applicant . . .~,.-.~ Health Dept. Approval .................... Labor Dept Approval ........................ Underwmters Approval ................... Planmng Board Approval ..................... Request for Temporary Cert~fmate .................. Final Certificate ...................... Fee Submitted S ....................... Construct,on on above described bu,ldlng and p/~eets all ~¢cable c~es and regulat,ons, App,,cant . ¥? ....... Rev 10 10 78 t0% FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE (2nd) FINAL ADDITIONAL COMMENTS: -- ~ - ~._ ~ _/- / TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. /_--/~/ An application is not on file. /~/ /2/ /~/ for Certificate of Occupancy No Underwriters Certificate on file. The check is(outdated~ on ~'~ No tlealth Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tt / ~4-/ F ~ Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being - issued after April 1,19~4 ) TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTIIOI.D, N.Y. 11971 TEL 765-1 g~2 To whom This May Concern, We are unable to completc your Certificate of Occupancy because of the following reasons. /~ An application for Certificate of Occupancy is not on file. /_--/ No Underwrltezs Certlficnte on file. /Z/ The check is(ouul,ited~ot /~/ NO llealth Dept. Approval on file. /~/ No final inspection ]las been made. Please contact ouz offic~ on this maLter. Thank you for your cooperation. Building Permit tl / ~ / f ~ Z Building Dopt. ***/--_/ No Plumber Solder Cert%ficate on file. ( all permits involving plumbing being · issued after April 1,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971. TEL.. 765-1802 Exannned ~./ .~ , 19~ Approved~P~ /. 3 "19~Pemlit No / ~/~ ~ Disapproved aJc ................ Received..~.~./..~. .... ,1 (Building Inspec or) APPLICATION FOR BUILDING PERMIT Date ................. I INSTRUCTIONS a Tlus application must be completely filled in by typewriter or in ~nk 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 ad3ommg premises or public street' or areas, and giving a detailed description of layout of property must bc 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 Budding Permit d Upon approval of tins apphcation, the Building Inspector will issued a Bmldmg Permit to the applicant. Such perml~ 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 die Building Inspector APPLICATION IS HEREBY MADE to tile Building Department for the issuance of a Building Permit pursuant to the Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o~ Regulations, for th~ constmchon of buildings, add~hons or alterations, or for~moval or ¢e4nolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, buddja,~96_de, hous, tfi~code, ~d regulations, and to admit authorized inspectors on premises and m budding for necessary Ins (Signature of,a. ppl~ant, or nanj~, if a corporation) .............. ,~ ./ (Y-~lhn~ a~ldress of a~phca~t) agent, architect, engineer, general contractor, eltfctncian~, plumber or builder State whether applicant is(ownerfllessee, ......... Name of owner of premises ... If applicant is a corporation, signature of duly authorized officer. (Name and t~tle of co__er) Builder's License No. . Plumbel's License No ......... Electrician's License No ........... Other Trade's License No ......... (as on the tax roll or latest deed) 1. Location of land on wtuch proposed work will b.e done. Itouse Number Street County Tax Map No 1000 Section . . ~ ~ ~ Hamlet Subdivision .... (N'a'n[e) Filed Map No ...... Lot . . . · - · State emstmg rise and occupancy of premises and intended rise and occupancy of proposed construction a. Existmguseandoccupfincy . f~(:'~'-,(',~..,6"~...~-.. ~f_,~'./?* .,~.. ,~, ;~.4~: b. Inte de use and occupancy 4'- r'.,,ff.. , 3. Nature of work (check which applicable) New Budding . . Addition...~'~ ... . Alteration ...~- .. · Repair ............ Removal ......... Demolition ........ Other Work ........... ..~ .~.0~..~'~, (Description) 4 Estimated Cost .. .O.t~ ~. ..................... Fee . .~.~Z. .................. (to be paid on filing this application) 5. If dwelling, number of dwelling units.../. ,/ .......... Number of dwelling units on each floor ............ ....... ................................... ,z. ...... If garage, number of cars 6 If business, commercial or mixed occupancy, specify nature and extent of each ty,,pe of use . ,,~_~',f,~. ........ / I /" - /,7' 7 Dimensions~o~/xjfiting structures, If any Front . ,/~ . . ~.ear . ..x/ff ..... Depth ........... Height . ~-.~'.2r:. ....... Number of Stones .... Xr.. ............................ Dimensions of same structure with alterations or additions Front .............. Rear ............. Depth ................ Height ........... Number of Stones · " " , " e' ,'t / . 8 Dlmenmonsofentirenewconstruction. Front.. ~,q-.~-...~.... Rear ~,~... ~.././. l~e'~t~ "~.~.~.i.i. i Height ......... ,.~_~z..~Nunlber of Stones .................................. 9 Size of lot. Front ............. ,,,~,. Rear. 7',-('-./ .......... Depth ~1~.o. ~'. ~. ...... 10 Date of Purchase ........................ Name of Former Owner .................... 11 Zone or use district in which premises are situated ............................. 1 2 Does proposed construction violate any zoning law, ordinance or regulation ........................... 13. Will lot be regraded ..... ~..,,x- ;...~;../... Will ex.,gess f~7~oved ~/m premises Yes b 14 Name of Owner of premises~'~,~--~. ~iX~.~_~.,~-.~9.. Address~.v/'~ .7'~,~tg/,~p~...QPhone No.~.~.?.~'. ~.~-(,~ Name of Archttect ........................... 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 all buddings, whether existing or proposed, and indicate all set-back dtrnensions fro property lines Give street and block number or description according to deed, and show street names and mdmate whetti ntenor or corner lot. J~ F'~~ ~ ~ ;TATE OF NEW YORK, ~OUNTY OF2. ,,~ S/S (Name of individual mgnmg contract) bore named. being duly sworn, deposes and says that tie is the apphcal ie is the .................................... , ......................... (Contractor, agent, corporate officer, etc ) ,f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tk pplication; that all statements contained in this application are true to the best of hm knowledge and belief, and that tl york will be performed in the manner set forth in the application filed therewith. ;worn to before me thru ,[otary Public, 1~1~I~1~__~ (S,gnature of applica