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Home My WebLink About15530-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, Certificate Of Occupancy No. Z-16556 January 4, 1988 Date ................................ THIS CERTIFIES that the building CONSTRUCT DECK ADDITION Location of Property 480 North Oakwood Road Laurel, New York h3$fe ~iol ....................... 's't/e3i ....................... h3r~iel County Tax Map No. 1000 Section I 27 .Block 08 .Lot 8. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in. this office dated November 26, 1986 15530 Z ..................... pursuant to which Building Permit No. dated November 28, 1986 ............................ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to WILLIAM & FLORINIA EGAN ..................... ?o¥..~g, ¥~xo~ T~;~ix ..................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 ]~0~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOI. D, t4. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~5530~ Z Permission is hereby granted to: ...................... ..~.~...~..,..%, ....... .~..~,~ ............ . ,o ...~~...~...~...~...~......~...~....~ ................ ~ p~,o, ~ted ~ ..~.~.h....~.~....~...~.....~-~ ..................... County Tax Mop No. 1000 Section .../....'~...~. ........... Block ..... ..~...~.. ......... Lot No ..... .~.:..,~ ........... pursuant to application dated .... .,~....~...e~,..~. .......... , 19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter 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 natural or topographic featu res, 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildin§s 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. B. For existing buildings (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, 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 required to prepare a certificate. C. Fees: Addi[£ons $25.00 F'OOL$ $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5,00, over 5 years $10,00 4.Vacant Land C.O. $ 20.00 .~/ //~/'7 5.Updated C.O. $ 50.00 Date ..... f.....~. ............ NewConstruction ...... OIdorPre-existingBuilding ...~q ..... Vacant Land ............. Location of Property ,/~.¢~"//....(~.q/~,' .¢)?.~'C/..,~.C/.~.~,.~....~.~/¥/?,f-;~ /j~...~, ~.[/.~ .... ~'. ,/~, , , ~' 'Street ........ ~ Ham/et House No. Owneror Owners of Property /~/' ~ ~f',5 /'U/~'/'/I g¢/?/] .'~<2 / ' County Tax Map No, 1000 Section ............... Block ............... Lot ..... '-.~...~. ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .................................. Health Dept. Approval ' .Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Reques~ for Temporary Certificate ..................... Final Certificate ..... ./xF..':~; ~'. .......... Fee Submitted $ '-~-~" ~ Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-7,9 OUNDATION ( 1 s t) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION FER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS TOWN OF $OUTHOLD OlqqCE OF BUILDING IN~PECTOP, P.O. BOX 728 TOWN HALL SOUTtIOLD, N.Y. 11971 December 29, William & Florinia Egan 1085 Iris Place Westbury, N.Y. 11590 1987 TEL. 765-1802 To Whom This May Cohcern, We are unable o complete your Certificate of Occupancy because ~of the following reasons. /~/ An application for Certificate of Occupancy i[~ not on file. ENCLOSED /~/ No Underwriters Certificate on file. /~/ The check is~%~/not on file.) $25.00 /~/ No Health Dept. Approval on file. /~/ No final in%pection has been made. Pl'~ase contact our office on this matter. Thank you for your cooperation. DuJ. ldJng Per~it ~ ._L .5 ~ ~L _0__ z lkli]ding Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTItOLD, N.Y. 11971 December 29, I987 TEL. 765.t 802 William & Florinia Egan 1085 Iris Place Westbury, N.Y. 11590 To Whom This May CoLlcern, \ We are unable ~o complete your Certificate of Occupancy because ,of the following reasons. /~/ An application is not on file. ENCLOSED /5/ No Underwriters Certificate on file. /~/ The check is~R~R~R/not on file.) /~/ No Health Dept. Approval on file. /~/ No final in%pection has been made. for Certificate of Occupancy $25.00 Pl'~ase contact our office on this matter° Thank you for your cooperation. Building Permit # .~L ~ ~ ~_ _O__ z BuJ.]ding Dept~ ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) A~ ~N~GY FOR FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved ..~. ~.&..~., 19]~.G. Permit No..}..~...~...~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. , 19. INSTRUCTIONS a. Th/s application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit 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 untied Certificate of Occupancy shall have been granted by tlxe Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) -.fY.a ............ (~iiing address of applicant) .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ·.. ~)cv &/£/~ Name of owner of premises . .b~. {k..c!.fa.~...`..'?iL.O.~/.~../.~....~..,~.{ ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature 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 ...................... 1. Location of land on which proposed work will be done .................................................. o. .V£a .... House Number Street '/'Hamlet County Tax Map No. 1000 Section .... ~.~' ~.Q ....... Block ...~ ~/.Q ~. ....... Lot...Q.Q ~ ~. ~q. ~.... Subdivision ~ ¢'Z ~ Filed Map No. ~/2 Lot · ~ ~. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~~... ~ 5 ~:... ~.. ~ ~'.~' f~. ~.. ~.*/~ ~.~ b. lntended use and occupancy ~SO~/A-~ ~5~ '~ ~¢~&r ~ ~0~ :3. Nature of work (check which applicable): New Building .......... Addition .... :~ ...... Alteration .......... , Repair .............. Removal: .............. Demolition ............ i.. Other Work ........ I (Description) 4. Estimated Cost -, ~O Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units:' on each floor. A/ If garage, number of cars ...... .A/~.~. ................................. ! ........................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..... .~../.~] ..... 7. Dimensions of existing structures, if any Front z/~ / Rear 4z 0 ~ rlan*h ~( / ..... Height [~( Number of Stories ~ / Dimensions of same structure with alterations or additions: Front ............. i .... Rear ................. Depth ...................... Height .......... ~ ........... Number of Stories ............ ? ....... 8. Dimensions of entire new construction: Front .... ?~. ........ Rear .... {,~/..~ ...... Depth .../?.' ....... Height ....... NBmber of Stories /. .: . ' ' 9. Size of lot: Front /..,~..t. Rear /..'~2 ' ....... i'i'B;;[t~"'~>~/ .............. 10 Date of Purchase .~.~t..t;?...~/.j./. ?.f(¢ Name o[~'o'r~e'r'6~v~e~ ~'~t~-'-~Ok)~z~'~. ....... 1.1 Zone or use district in which premises are situated....~..~'-~ ~ ~2.~it~7~/+z_ . ' 'Y ' i ' ' ' i ............ i .....' ' ' 13. Will lot be regraded .... .~( ...................... Will excess fill be removedlfrom premises: Yes 14. Name of Owner of premises [/,,)/4~/mu ~..F,~,~,',l//~t ~£~'ddress ~..~f,f~.~.~.~.~./ t~.?~: PhoneNo .~7~/. Narae of Architect Address ~ Phone No Name of Contractor .......................... Address ...\ ............ ~... Phone No ........... ' 15. Is this property located withint.00 feet of a tidal wetland? * Yes ..... No .~... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate a~hether interior or corner lot. STATE OF NEW YORK, COUNTY OF; ........ S.S being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 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 this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... ' .... 4~. ~.. .... , ..... day of .... ~.t:~.. ........... 1 .gd~.. (Signature of applicant)