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Home My WebLink About15268-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No z15417 Date March 23, 1987 THIS CERTIFIES that the bufldmg ......... .A.d d.z..t .i,o.n. ..................... ] 10 OAK DRIVE CUTCHbOUE Location of Property House No[ ................ ~/e~t' .................. County Tax Map Mo. 1000 Section . } 04 ...Block .0..5 .......... Lot ...26 ........... Subd~wmon ........................ F~ed Map No ........ Lot No ........... conforms substantially to th~ Apphcahon for Bulld~ng Permit heretofore ~led ~n thru office dated ~ ~ p.t....8 .... 1 9. .8 6 ...... pursuant to winch Bmldmg Permit No . .I .5.2.6. .8 .Z ........... I 7, 1 9 8 6 was issued, and conforms to all of the requirements dated..S.e.p.t... .............. of the applicable prov,s~ons of the law. ]'tie occupancy for winch tins certificate is issued is ..... D.e.c.k addztion to existin one family dwelling. The cert~ficate is issued to FLORENCE L. PARKER (owner,~gZrX~Xzj~ of the aforesaid bull&nc. Suffolk County Department of Health Approval . N/A. ....................... UNDERWRITERS CERTIFICATE NO..-. --- - .N./.A ............................... PLUMBERS CERTIFICATION DATED: N/A Rev 1/81 FORM NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEILMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLb-I'ION OF THE WORK AUTHORIZED) Z Permission ~s hereby granted to' .... .~~.~..~.....~~ ............... .....~..~..~ .?.. ~..~ ................................. ...e~Z.~b~.~..~ :..~........~z.t ~. .... . ........ ............................ at premises located at .../. ............. .~..~J~n .......... .~::~,..L~ ........ ,.~.~.~~ ............ Coun~Ta×MopNo ,000Sect,on I.O~ B,~ ~ ,ot~o.~.L~ pursuant to c~pphcot~on doted ~'~,f~ ~ ...... , 19~.q.., and opprov~ by the Building Inspector Bui{cling Inspector Rev ~/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Depat i.i~ient TOWN of sOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hail Rece,pt NO. 51 5~- 5 Soutbold, NewYork 119'/1/ ~/~ pec- Date ..... J/..~, o~.,~,,.Z ........... sual z. ..................................................... ~- [4t ..... /100 DoLLars ilia- .......................... . rog. -or : O. Z .45 .~.'..? ~ C~ ....................... · ' .......... ' ....... Fee for Fee for . ~_C,..~.o... Fee for Fee for [] H I C []Bulld~ng Permit z. ~;ertlticate of~6E66panc~/on pre-existing dwelling ~ofOttflcate ccupancy [] M~sc Budding Inspector ....... v~y ,,~u.uu ~uslness $50.00 $50.00 or 3, Copy of certiflcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .. >~,-.~/~.~r.~'7'.~. ............ NewConstructzon ...... Old or Pre-existing Building .. - ..... Vacant Land ............. Location of Property House No. Street Hamlet Owner or Owners of Property ../~.~p.z~.N~.7.~.... ~,..'. '.~/~,~..~,~ ............................. . County Tax Map No. 1000 Sect,on ../.~..~. ....... Block ...~..~.~. ....... Lot... ?~.~..~. ........ Subdiws~on ................................. Fded Map No ........... Lot No .............. - Permit No/,.~'..~. .~'..~.Z- Date of Permit . .Applicant ~.~.~. ~'~>/~.....~.,.~. tT.~. ......... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate Final Certificate . .. Fee Submitted $ ............................. Construction on above described building and permit meets all apph.c~ble codes and regulations ........................ COMMENTS FIELD INS[~ECTION 1. FOUMD~TION {~st} FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Ld LL.J I01 40~ ~7 Or NOTE · = MONUMENT ELE",/ATtONS SHOWN THUS ~o 5 ARE REFERENCED TO AN ASSUMED DATUM SURVEY FOR COLONIAL MORTGAGEE CORP PECONIC TOWN OF SOUTHOLD SUFF CO, N Y GUARANTEED COLONI.4L MORTGAGEE CORP SCALE I" = 40' ~O~E TITLE GUARANTY CO VETERANS ADMINISTRATION DEC 4, 1962 PROFESSIONAL ~'NGINEE~ ANO LAND SURVEYOR, N YS LIC NO RIVERHEAD, N Y App roved ~~ D~sapproved a/c ,19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971. TEL.. 765-1803 , 19 'g{~ Penmt No / ~.~ ~ag..~ (Budding Inspector) APPLICATION FOR BUILDING PERIMIT INSTRUCTIONS T~OWN OF '~O[Jlel~lOI-D / Received ........... ,19.. a. Tlus apphcahon must be cmnpletely filled in by typewriter or in ink and submitted to the Bmld~ng Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc street or areas, and g~ving a detaded description of layout of property must be drawn on the diagram which is part of this applt ,cation. c The work covered by flus apphcahon may not be commenced before ~ssuance of Buildmg Permit. d. Upon approval of this apphcatmn, the Building Inspector wall issued a Budding Permit to the applicant Such petrol shall be kept on the premises avallable for mspectlon throughout the work. e. No bmldmg shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupanc5 shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to iht Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the construction of buddings, additious or alterations, or for remora! or demolition, as hereto described The applicant agrees to comply with all applicable laws, ordinances, bmlding code, housing code, and regulations, and t¢ admit authorized inspectors on premises and m building for necessary inspectmns. (Signatnre of apphcant, or name, if a corporation) (Ma~hng address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder N=ne of owner of prem,ses . .W. . ?¥ ............................. (as on the tax roll or latest deed) If applicant is a corporation, mgnature of duly authorized officer. (Namd at;~ 'titld of ~orporai~ o~6~;r') Budder's License No o-w')nA4/ . Plumber's License No .... Electrician's License No ............. Other Trade's License No .............. Location of land on which proposed work will be done ............................................. t\o ... be,he ..... House Number Street Hamlet County Tax Map No. 1000Sect,on /O0.~P .]O'~ Block .... ~ ....... Lot .... o~. ~ ....... Subdiwsion ' ' ' (Na;n¢} Filed Map No Lot State existing use and occupancy of premises and intended use aud occupancy of proposed construction' a. Existing use and occupancy .~. ~ ~.c~.~k°'~ ~. ................................ b. lntended use and occupancy .. .3. Nature of work (check which applicable) New Bmldxng ..... Additmn ...... Alteration Repair ........... Removal ............ Demohtmn . Other Work ... (Description) 4. EmmatedCost .. . :~ ................ Fee ............................... ' (to be paid on filing thru application) 5 If dwelling, number of dwelhng umts .. [ Number of dwelling units on each floor. If garage, number of cars ...... NO.~.~; .................................... 6 If business, commercial or m~xed occupancy, spemfy nature and extent of each typ~ of use 7 D,mensionsofex~stmgstructures, ifany Front ...~.. . Rear. .~t..~ ..... 'I~e;t'h' lteigbt ... l~ ........ Number of Stories .... ............ ............... z4 .... Dtmenmons of same structure w~th alterations or additions Front .... .~.. ~. ...... Rear ............. Depth ..... ;~.~,-.'.~. ......... Height .. . t..~. ~. Number of Stones . .'~. 8. D~menmons of entire new construction Front .... .%c¥.,,~.. Rear .... .%er...Yin..~ . Depth %¢_,,,- ,e tteight. ...~ .°~,x. ~.. Nqmher of Stones ...eor~,o*~ .............. 9. S,ze of lot' Front ...... ~ ~ 1~.I ..... Rear. .r'/~.o.Sq.' ....... Date of Vurehase ..... ............. Name of Former Owner . i ..... I I Zone or use district in which premises are situated .... ~..2o~tt~ ......... 1 2. Does proposed constructmn violate any zoning law, ordinance,or regulation 1'4 Q .................... 13 W~ll lot be regraded ..... I'4.O. ........ Will excess fall be removed from Dremlses: Yes 14. Name of Owner of premises .F. LP,~¢~ce .k-..~'~.t~L~Address ~t~. ~.ce~ . !~.~..c-oP~. ~one No .~!~. 7. sq :5-q ~.. fA N -- Name o rch~tect ........ l--xo~o~ . Address ~ Phone o ......... Name of Contractor ..... ~. 9.~. L, ...... Address .... .'77. ........ Phone No ........... 1.5. Is this property located w±thin 300 feet of a tidal, wetland? *Yes ..... No *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly MI buildings, whether exlshng or proposed, an4 ~nd~cate all set-back dtmenmons fro ~roperty hnes Give street and block number or descnptmn according to deed, and show street names and indicate wheth ntenor or corner lot. coEIg A:°Aa~.;~ ~, 3TATE OF NEW YO~K, ,;~. ~' S 'OU~OFrdp..._./.c~.~. . ~ .~... ~~ ........... bmng duly sworn, deposes and says that he ,s the apphca (Name of ~n&vidual mgnmg contract) ,bore named le Is the ..... (Contractor, agent, corporate officer, ftc ) )f smd owner or owne~, ~d m duly authorized to perform or have performed the sa~d work and to m~e and file ti ~ppbcation, that all statements contained m thru apphcatmn are true to the best of ins knowledge and behef; and that tl uork will be perfomed ~n the m~ner set forth m the apphcat~on filed therewath. ;wom to before me thru .o a. (Signature of apphcat