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Home My WebLink About15229-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAiqCY No Z-17397 Date OCTOBER i1r 1988 THIS CERTIFIES that the bulldlng. ADDITION Location of Property 3955 STARS ROAD House No. County Tax Map No. 1000 Section 022 Block 02 Subdlvis~on Filed Map No. EAST MARIONr N.Y. Street Hamlet Lot Lot No. 39.1 conforms substantially to the Application for Building Permit heretofore filed in thzs office dated AUGUST 14~ 1986 pursuant to whzch Building Permlt No. 15229-Z dated SEPTEM]~ER 4~ 1986 was issued, and conforms to all of the requmrements of the applicable provisions of the law. The occupancy for which this certificate is · ssued is DECK ADDITION TO EXISTING ONE FAMILY DWF/,LING AS APPLIED FOR The certIficate zs issued to FRANK SIMON & GEORGE SANBOP/q (owner, of the aforesamd building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / B~din~ InspeCtor TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P E PJ',4,1T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15229 Z Permission is hereby granted to premises located ot _~,;~..c:j_~...~. ...... .'~.-~...~ ..... ...~...~ ..... ..~.. ~ ............... County Tax Map No 1000 Sect,o~..%....C~..?:-....2- pursuant to clpphcatlon dated ~-~.u"~, Budding Inspector. Building Inspector Rev 6/30/B0 A FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG DEPT TOWN OF SOUT~H. OLD ~ Instructions Thru application must be filled in typewriter OR ink, and submitted I~ to the Building Inspec- tor with the following; for new buildings or new use' I Final survey of property w~th accurate location of al~ buddm§s, property lines, streets, and unusual natural or topograph ~c featu res. 2. F~nal approval of Health Dept. of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrical Installation from Board of F~re Underwriters. 4. Commercml buddings, Industrial buddings, Multiple Remdences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the budding. 5. Submit Planning Board approval of completed rote plan requirements where apphcable. B. For existing buddings (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, buddings and unusual natural or topographic features, 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any houmng code or safety inspection of buddings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. CertlfJcate of occupancy New Dwelling $25.Q0, Accessory ,$[O.00 Bus,ness $50.00 2. Certificate of occupancy on pre-exist~ng dwelhng $ IOO.OO 3. Copy of cert~fmate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50 00 Date .... ]~0/.~/.~ ............... NewConstruct~on .... Old or Pre-ex~stmg Bu~ldsng ........... Vacant Land ............ Location of Property . .3955. Stars.[~o~. ..................... . ~, .~a~i, qz~ ............. . ~. House No. Street Ham/et Owner or Owners of Property Fra.nk Simon/.Georj~ San. born County Tax Map No. 1000 Section 022 Block 02 Lot 39.1 Subd~vrs~on ......................... Fded Map No ...... Lot No ............. Permit No. 15.Z%9.Z .... Date of Permit .R/.4/.86....Apphcant .~'a,~]~. ~J~PD. ..................... Health Dept. Approval ..................... Labor Dept. Approval ........................ Underw,ters Approval ........................ Planmng Board Approval ...................... Request for Temporary Certffmate ....... Final Certificate . .~ .................... A pphcant..: .-'-(~.J,-f~'~. ¥.~ry~A~¥~,,, ....................... Rev I0-10-78 --1 CEDAR [?RIVE ~4o,co ROAD FiEL~ IN~FECTION ~-A COMMENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: n ~ CEDAD. , DRIVE ~----4- ~~. ...... ,.%11 ro ~OAD APPrOVeD AS NOTED ~ NOTI~ BUILDING DEPARTMENT AT 765 lSO2 9 AM TO ~ ~ ~R THE FULl OWING INS~C~ONS' FOUNDATION ~O ~E(~RED POP ~OUREO CONCRE'[~ ; ROJJGH ~RAMING ~ PLLJMBING 3 INS~JLA r~Or~ 4 F~,~, CONSTRUCT~N ~UST ALL CON~TR~CTION ~L ME~ THE REQUIREMENTS ~ T~ NJY ~ ~T~ CONS~UC~ON & ~ER~ CODES NOT R~S~E ~R ~iGN OR CC ~ON ~RORS, OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFi TE .OF OCCUPANCY NOTII=Y BL)ILDING DEPARTMENT AT 7~5.18G2 9 AM TO 4 ~ ~R FOL[ OWING INSPEC~ONS FOU~DA~tON ~O ~Q~RED 2 ROU(~H ~RAMING & ~UMBING ~. 4, FINAt CON~RUCT~N ~UST 8E CO~E~[ FOR C.O. ALL CONSTRUCTION SH~ ME~ THE REQUIreMENTS ~ THE ~A~ CONS~UC~ON & COD~ NOT ~S~NS~ m~N OR CC,~S~ON ~RORS OCCUPANCY OR USE IS UNLAWFUL ~ WITHOIJJI' CERTIFICATE OF OCC~JPANCY Examined ~ ~ ^pproved 4 Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 TEL.. 765-1802 ,19~.~ Verm,t No 1 ~..-.3.Zx~ (Bml&ng Inspector) APPLICATION FOR BUILDING PERMIT TOW~ OF 'SOU~O' t~ l~ece~.ved ........... ,19... Date . 8/12 19 86 INSTRUCTIONS a. Tlus apphcation must be completely filled in by typewriter or in mk and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showing locatmn of lot and of buddings on premmes, relanonsh~p to adjoining premmes or pubhc street- or areas, and g~vmg a detmled descnpnon of layout of property must be drawn on the dmgram wh,ch m part of thts applk canon. c. The work covered by ttus apphcanon may not be commenced before ~ssuance of Building Permit d Upon approval of th~s apphcanon, the Bmldmg Inspector will ~ssued a Building Permit to the applicant Such perm~ shall be kept on the premises available for mspecnon throughout the work. e. No building shall be occupied or used ~n whole or in part for any purpose whatever until a Certfficate of Occupanc5 shall have been granted by the Bml&ng Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Budding Permit pursuant to thc Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances m Regulanons, for the construction of buildings, additions or alteranons, or for removal or demohtmn, as hereto described The apphcant agrees to comply w~th all apphcable laws, ordmances, bufldmg code, l~'~smg code,~ regulabons, and tc adm~t auth°nzed ~nspect°rs °n premises and m budding f°r neceslary. Tspe~t:°~s~~_~. ~ ...... (S~gnature of a~hcant, or name, ff a corporanon) .S. ta rs .Rqa. d ,.E..Ma.r i.qn.,.N ..Y...11.9.3~.. (Marling address of apphcant) State whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or builder. Name of owner of prem~ses . Frank. ~m. qrl/q~qrge.S~rlbqr, rl .................. (as on the tax roll or latest deed) If apphcant m a corporanon, signature of duly authorized officer 2 (Name and t~tle of corporate officer) Budder's Lmense No ~ 3~-4 Plumber's L~cense No Electrician's License No Other Trade's L~cense No Locatmn of land on Much proposed work will be done Sta r~ .ROQrj,E. ,MQ r. [o0, .N -.Y. · 11 ~. %%5 . .... House Number Street Hamlet County Tax Map No 1000 Section 022 Block . .2 ....... Lot. .~ ..... Sub&v~smn ..... Flied Map No .. Lot (Name) State ex~stmg use and occupancy of premises and ~ntended use and occupancy of proposed construcbon a Existing use and occupancy b Intended use and occupancy Second Home S~990~ HgCe. O}de ....................... 3 Nature of work (checkwhlch applicable) New Building ...... Addition. ...X ... Alteration Repair ....... Removal .......... Demolition .......... Other Work .......... (Description) 4. Esnmated Cost .... $.1 ,.0.00 ................ Fee </j~ .~-Co ~ ' (to be paid on fihng this appl,cation) 5. If dwelling, number of dwelhng units ......... Number of dwelling umts on each floor ........ If garage, number of cars .......................................... 6 If business, commercial or mined occupancy, specff;/nature and extent of each type of use . . . 7. Dimensions of exmtmg stnmtures, if any Front...z.~ ....... Rear ... "~ ........ Depth .. ? ......... 11/2 Height ........... Number of Stones ...................................... D~nenmons of same structure w~th alterations or additions Front ............. Rear ............... Depth ................... Height ..................... Number of Stones .................... 8. Dwnenmons of entlre new construction' Front ........... Rear ............ Depth .......... Height ........... Number of Stones ................................. 9. Size of lot, Front ................... Rear .................... Depth .................... 10. Date of Purchase ... 1.~7~ ........... Name of Former Owner . .B.e. th. ?.l.l.en. .............. 11 Zone or use d~stnct in which premmes are mtuated ....................... 12 Does proposed construction violate any zoning law, ordinance or regulation . .N.q .......................... 13. Will lot be regraded . . .Nq ........... Will excess fflI be removed from premises: Yes N 14. Name of Owner ofpremmes . F.S. imqq ........ Address .StArs..R. qa.d ....... Phone No..~.7.7.-.22.86. ..... Name of Architect ..................... Address ............. Phone No ............ Name of Contractor . ?.h U.(p. F.r. urq~.ntl ...... Address . StArs..g. qa.d. ...... Phone No..~.7.7-05.1.6 ..... No . .X... 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permzt may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dnuenslons fro~ property hnes Give street and block number or descnptmn according to deed, and show street names and indicate wheth, interior or comer lot. See attached plot plan' Area in red ~s where deck will be located. 1 1 I ~c K STATE OF NE~ ~ S S (Name of ~d~vidual mgmng contract) above named. He ~s the ........... ~c~9.c~.. k< .............................................. (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 tt~ application, that all statements contained m th~s application are true to the best of h~s knowledge and belief; and that ti work wdl be performed m the manner set forth m the application filed therewith Sworn to before me tins ;~i~'~,' ......... day of....~ ~..~ ..... 19~. . County (Signature of apphcar