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Home My WebLink About15220-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18401 Date SEPTEMBER 21r 1989 THIS CERTIFIES that the buildin~ Location of Property 8145 ALVAH'S LANE House No. County Tax Map No. 1000 Section 101 subdivision ACCESSORY Street Block 01 Filed Map No. CUTCHOGUEr N.Y. Hamlet Lot 14.2 Lot No. conforms substantially to the Application for Bulldlng Permit heretofore fzled in this office dated AUGUST 12, 1986 pursuant to which Building Permit No. 15220-Z dated AUGUST 29. 1986 was zssued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is lssued ~s ACCESSORY NORSE BRAN & CORRAL AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ROBERT & DARCIE CLARK PENDING - SEPTE/~BER 19r 1989 N/A ~Bu~g Inspector TO~'VN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. SOUTHOLD, N. ¥. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15220 Z Perm~sslon ~s hereby gr~to' ~ A ~-~~.~_ ~..b....~. _ _~ ...... ~.~.~.~:.. 0~.~.~....o~...~ ....... ....e~t:~ .~...¥,......~.~.,~. ,0..~~.....~.~:~. ~...~.......~....~. ~ ............................... ~ ......... . ..... ~ .... ~ ............ ~ ....................................... co.,~ To× Mop No ,000 Sec~./ a /.. ,,o~k .... ..0.. L ........ ,o, No..../..t;..~ pursuant to apphcatJon doted~ ')"~,~,,,4.~'~'- ~ :~- ........ , 19~. ~, and approved by the Budding Inspector Building Inspector Rev 6/30/80 TOWN OF SOUTIiOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE:~ ; . . NEW CONSTRUCTION .-~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ~o~u~o~ o~ Pro~.....e. ~..~. 77. ..... ~..~..~ ':~...l?..~ ...... ~:~:~.~..~ ...... HOUSE NO. STREET HAMLET ....................... Subdivision ....................... Filed Map ........ Lot .......... Health Dept. Approval .................. Underwriters Approval .............. Planmimg Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: rev. 10/ I4/8~ INFORMATION FOR BUILI)ING 1)EP%RTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE, THE NEW YORK BOARD OF FIRE UNDERWRITERS D~E ~{ ' [ INSPECTOR FORM IBD {RLV I TOWN OF SOUTIIOLD OFi'ICE OF BUILDING INSPECTOR P.O. BOX 1179 TOWN 11ALL SOU% IIOLD, N.Y. 1197I AUGUST 31, 1989 TEL 765-1502 ROBERT & DARCIE CLARK 8145 ALVAHS LAME CUTCHOGUE, N.Y. 11935 To Whom This May Concern, We are unable to complete your Certif!cate of Occupancy bccause of the following reasons. /~/ An application for Certificate of Occupancy dis not on fz]e. (ENCLOSED) No Underwriters Certificate on file. The check k:, geYaX~YaXJ~ot on file. ) Mo 1!em]th Dept. Approval on tile. No final mnspect, zon h~s bcen made. PleasP contact: ()ur office on this matter. Thank you for your cooperatzon. lh~[ldir.~J Perhlkt It [ ~ ~ .~ .~ Z Bt~ild inq Dept. *~*/~/ HO Plumber soldei Certificate on file. ( all permits involv]~ng plumbing being issued after Apr5l 1,1984 ) F1ELD~IN$['~CTION DATE COMMENTS FOUNDATION ( lst} FOUNDATION (2nd) ROUGH FRAME & ADDITIONAL COMMENTS: ' ~-tt - I~ ---l~.~ci ~u; '-~.-~ -~ '~' :.,~'~ .OCCUPANCY OR USE IS UNLAWFUL :WITHOUT CERTIFICATE i0F OCCUPANCY APPROV~-D AS NOTED ~OTIF¥ HUILDING DEPARTMENT AT- . ~F5 1802 9 A~ TO 4 ~ ~R THE OL' OWING ~ ROUGH F~ IN~A FlOr ~ ~E CO~DI ALL CON~T~UUTION THE REQU~P~N~S O~ THE t4 Y ~TA~ L~OflS~i~CTI~ C'jDES ~OT ~NS~E ~R L~ 7GS.'1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~NDATION 2ND [ ] INSULATION / [//,]/FRAMING [ ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: DATE INSPECTOR Examined ~(~~ O'tt Ap pr ove~~,tT-O-~ D~sapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL £OUTHOLD, N.Y 11971 TEL.: 765-1802 ,19 ¢ , l l, Perm,t No. l (Braiding Inspector) APPLICATION FOR BUILDING PERMIT Date .. , 19 INSTRUCTIONS a This apphcatlon must be completely filled m by typewriter or ~n mk and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule· b. Plot plan showing locatmn of lot and of bmldmgs on premises, relatmnship to adjommg premases or pubhc stree or areas, and gavmg a detmled descnptaon of layout of property must be drawn on the dmgram which is part of thas app cataon. c. The work covered by this apphcation may not be commenced before issuance of Building Permat d Upon approval of tlus apphcahon, the Bulldang Inspector wflI assued a Budding Permit to the apphcant Such perm shall be kept on the premases available for mspectaon throughout the work e. No bmldmg shall be occupied or used an whole or m part for any purpose whatever until a Certfficate of Occupan, shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Building Department for the assuance of a Bmld~ng Permat pursuant to tl Budding Zone Ordanance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances, Regulations, for the construction of buildings, addabons or alteratmns, or for removal or demohtaon, as hereto describe, The apphcant agrees to comply w~th all apphcable laws, ordanances, budding code, housing code, and regulations, and , admit authorized inspectors on premases and m budding for necessary inspections. (Sagnature of apphcant, or name, ff a corporataon) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or ual e (as on the tax roi1 or latest deed) If apphcant is a corporatmn, s~gnature of duly authorized officer 2 (Name and title of corporate officer) Budder's Lacense No t~4-cm'~2-'' . Plumber's License No Electrician s Lacense No Other Trade's Lacense No Location of land on which proposed work will be done House Number Street County Tax Map No I000 Section ] O/ Subdivismn (Name) Block / Filed Map No Hamlet Lot / 5t. ,2, Lot State existing use and occupancy of premises and intended rise and occupancy of proposed construction a Exmtmg use and occupancy b Intended use and occupancy 3 Nature of work (check which applicable) New Budding . .~X . Addition .......... Alteration ......... Repair Removal ...... Demolition .. . Other Work ~.. . .~ '~,~ (Description) 4 Estimated Cost ~3 . Fee (to be paid on Ffiing this apphcation) 5. If dwelling, number of dwelhng 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 Dlmenslonsofexistlngstructures, lfany Front ..(~ .... Rear .... (a,~... Depth. ~ ...... Height /~ ~ Number of Stones Danensions of same structure with alterations or additions Front ........ Rear ..... Depth ....... Height ... ~ .... Number of Stones ................... 8. Dnnenslons of entire new construction Front .. ~3..q2 ..... Rear ~-~. ........ Depth .. ~. ........ Height . t'~ '. . Number of Stones .O. ~.~. ............................. 9 Size of lot. Front . . ./. 7~tt~.~.~ Rear ... ./.7.~. ....... Depth ?77? .......... 10. zD; thee Oofr 5;c~:st; .... t~/'e .d(d ....... ~T?b.o~ ~F o.fnj,~r .~O. w n ..... ~' ...... 6.~'~ .... 11 lct,nwhich aremtuated .. .e: f..~f: 7.. ~.~..~.d?.6-! ... 12. Does proposed constructlo,n ?relate any zoning law, or&nance or regulation .... 4~.~ ................ 13 Wgl lot be regraded /[1'. ~ . ..,,. ~ . .. Will excess fill be removed from vremises. Yes 14 Name of Owner of premlses~fO.~aTe--~ (,-$ (--J./~,fdd Address~'~'*~2 ..... Name of Architect ..... Address ........ Phone No ........... Name of Contractor ............ Address ........ Phone No... x'/ ......... 15. Is th~s property located with~nl00 feet of a tidal wetland? * Yes ..... No .~.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all bufdmgs, whether existing or proposed, and indicate all set-back dnnens~ons from property hnes Give street and block number or description according to deed, and show street names and indicate whether lntenor or corner lot ,t STATE OF NEW YORK, S S COUNTY OF ...... Count. y...~..~..~......~. ............. (Signature of applicant) Sworn to before me this ~¥ ~ ~ ~ ~, [9,, ,, ......... being duly sworn, deposes and says that he is the applicant · (Name of individual signing contract) ~ above iJallled He is the .. (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 tins apphcatton; that all statements contained m this apphcatlon are true to the best of his hmwledge and belief; and that the work wlll be performed in the manner set forth m the application filed therewith.