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Home My WebLink About15243-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate O[ Occupancy No. Z14968 Date October 6, 1986 THIS CERTIFIES that the budding Deck add it ion ~ ....... hO0 Beebe Dr~ve Cutchogue N.Y. Location m r~m,:~ty ..................................... : .............. House No Street Hamlet County Tax Map No 1000 Section 0..9.7 ........ Block . .. 9 7. ........ Lot .. 9.3. .......... Subdivision ........................... Filed Map No ......... Lot No ............. conforms substantzally to the Apphcahon for Bmldmg Permit heretofore fled m tins office dated .~.u.g.u.s.t..2. ] ~ .........,1986 pursuant to winch Bmldxng Perm;t No . .13.25 ~,g ............ dated ...S.e.p.t.e.nll~ ~ ¥..8~, ........ 19 .Q6, was msued, and conforms to all of the reqmrements of the apphcable provisions of the law. The occupancy for winch tins certfficate is msued is ....... D.e..c k..ad..d ~.t.m.o..n..tq .e.x.m s t..~n.g..o.n.e.f.a..m ~.l.y...d.w.e 1.1..m.n~ .................. The certificate is issued to Eve lyn Ryan (owner, of the aforesaid budding. Suffolk County Department of Health Approval N / N/A UNDERWRITERS CERTIFICATE NO .............................................. Rev 1ia1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P EPO,~,IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 15243 Z County Tax Map No 1000 Sect,on . ..~:~..'~.. . Block ....... ..l~...'~J.. ...... Lot No ...... ..~...~.. ........ pursuant to apphcotlon doted ~.L'R-~g~. ~- I .. , 19 ~ ~ and approved by the Building Inspector Fee $.,,~ '. . _ 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 Instructions 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 oatural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dlsposal-(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. For existing buildings (prior to April 19574 Non-conforming uses, or buildings and "pre-existing" land urns: 1. Accurate survey of p~Copertv 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 requ ired to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Cemficate of occupancy on pre-existing dwelhng 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewConstruction ...... Old or Pre-existing Bui[dmg $15.00 Date ............ Vacant Land ............. Location of Property ......... , ................. : ..... Owner or Owners of Prope~y.. ....................................... .... . . . . County Tax Map No. 1000 Section .... ~ ........ Block ...... ~ ....... Lot....~ ........... Permit No. /.~.~.. Date of Permit ~ .,,, .................. Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval .................... . . Reque~ for Temporarg Certifmate .................... Final Certificate ....................... Fee Submitted $. ~ ....... v..[[ ........... Construction on above descr,bed building and permit ~eets all aP~.hca~odes and regulations. FIELD INSt~ECTION DATE COMMENTS ~OUNDAT'rO~ (1~[) I, ?OUNBATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE , ,, ~NA~ ,,, ADDITIONAL ,, WILLIAM C PHO£L /''AS?' CUTCHOGUE TOWN OF SOUTHOI'O SUFFOLK COUNTY, N Y SCALE- I"-' 40' NOV 17, i967 DEC ;Z, 1967 fJ~R.25,196B 765-11102 BUILDING DEPT, INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG, FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ~ /¥ DATE Approved FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.. 765-1803 Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN'OF SOUTHO Recexved ........... ,19. Date ......... 19 INSTRUCTIONS a Ttus application must be completely filled in by typewnter or in mk and submitted to the Budding Inspector, sets of pIans, accurate plot plan to scale. Fee accordmg to schedule. b. Plot plan showmg location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc str~ or areas, and giving a detmled descnphon of layout of property must be drawn on the dmgram which is part of this al: cation. c. The work covered by ttus application may not be commenced before issuance of Buddmg Permit d. Upon approval of this application, the Bmldmg Inspector will issued a Buddmg Permit to the apphcant Such shall be kept on the premises available for mspection throughout the work. e No buddmg shall be occupied or used m whole or in part for any purpose whatever untd a Certificate of Occupa shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmld~ng Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinance Regulations, for the construction of buddings, addltsons or alteratmns, or for removal or demohhon, as herren descnl The applicant agrees to comply with all apphcable laws, ordinances, budding 9ode, housing codg~ and regulations, ant admit authorized mspectors on premises and m bufldmg for necessary inspections. ~. (Signature of apl31aea'nt; or dame, if a corporation) (Madmg address of applicant) State whether applicant is_owner, lessee, agent, architect, eno~neer, general contractor, electnman, plumber or bmk ;am~'ofownerofpremlse~'~L~:~ .. ~:~i~) '~-.~.'~..' (as on the tax roll or latest deed) If apphcant ~s a co~oration, s~gnature of duly authorized officer (Name and title of corporate officer) Builder's License No Plumber's License No Electrician's License No Other Trade's License No, County Tax Map No Subdivision Location of land on which proposed work will be done [louse Number Street 1000 Section ~ (Name) Block Filed Map No Hamlet . Lot .q~ .... · .T,~...~ . Lot ~.7. J. .... State existing use and occupancy of premises and intended use and occupancy of proposed construction a. Existing use and occupancy ~d[/'~'- /~e~)~ t?~d,f. ./~-~'../d_~ ff..r~'. ~ <: ......... b. Intended use and occupancy .. ' 3. Nature of work (check which applicable). New Building ..... Ad&tlon ~' . .. Alteration .... Repair . Removal ....... Demolition ............ Other Work. .... 4 Estimated Cost .~. ~..~ .................... Fee ../ ' (to be paid on filing this appli~tion) 5. Ifdwelhng, numberofdwellmgunits, .~/~ .... Number of dwelhng units on each floor .~4~/)~.. .... If garage, number of cars .. ~.~./,~]' ............................... ,/~.., .. 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... .... ,,~./..,~.gt... 7. Dimensions of existing structures, if any Front ......... Rear .......... Depth ~. ..... Height .............. Number of Stones ........................................ Dnnensions of same structure with alterations or additions Front ..... Rear ...... Depth ............ Height ............... Number of Stones ............. 8 Dimensions of entire new construction Front ...... Rear ........... Depth ........ Height ........... Number of Stones ....... , .) ........................ ? ........... 9. Sxzeoflot'Fr~nt ...,:,,?,.,. ,~.~'/~"! ....... Rear . ./.g:P ............. Depth ..~,~7 ........... · .,.~gG.~'X? ....... Name of Former Owner .,,r~...,~.~A.(~'. ............. I0, Date of Purchase 11. Zone or use dmtnct in which-- premises are situated . ./~ ~'.-R' ................................... 12 Does proposed construction wolate any zoning law, ordinance or regulabon . .~.~. .................. 13. Wall lot be regraded ..... .2~.~.: ... n .. . Will excess fill be removed from premises. Yes N. 14 Name of Owner of premises ~...r,..,,~.q ,~ tv,/. Address ............ Phone No ............ Nan~e of Architect ........................ 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. PLOW DIAGRAM Locate clearly and chstmctly all buddings, whether existing or proposed, and, indicate all set-back dzmensmns fron property hnes Give street and block number or description according to deed, and show street names and md~cate whethe interior or coruer lot. STATE OF NEW YORK, S S COUNTY OF ...... .... ~..,~.~.~99. ZP.~. .... /~/.~].,~/~.. ,. being duly sworn, deposes and says that he m the apphcanl (Name of ind~wdual m~ng contract) above named. He m the .... .~.~.~g~ ~ ......................................................... (Contractor, agent, corporate officer, etc ) of smd owner or owners, ~d apphcahon, that ail statements cont~ed m ~s apphcat~on are true to the best ofh~s ~mwledge and behef, and that the work will be perfomed m the m~ner set forth m the apphcat~on flied therewith. Sworn to before me th~s ..... ...... Nota~ Pubhc ....... ~~ .... County ~a~ Public, State of ~o 4822563, Suff~ ~un~W~