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Home My WebLink About14898-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z-16290 Date October 15, 1987 THIS CERTIFIES that the building DECK ADDITION L ..... 2700 Bridge Lane Cutchogue, New York ocarlon oI ~'roperry ............................................................... House No. Street Hamlet County Tax Map No. 1000 Section 085 .Block 02 .Lot 004 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated May 9, 1986 1/4898Z ...................... pursuant to which Building Permit No ...................... May 16, 1986 dated ............................. 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 JOHN Ao & AMY S. BAGLIVI The certificate is issued to ..................... ~d~n'o'r,'~'o~-'~~x ................... of the aforesaid building. Suffolk County Department of Health Approval N / A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: ~/Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJq~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~? 1~8a8 Z Permission is granted ....~....o...:..~.~.x ............. z..o....~..o.. ............... ......~..~.m.~z<~.~,,......,v.:.~ ....... ,..?..~.~- ,o .......... .C.O..~.~.~.o..~........r.2~.c~. ...... ~.,d..<?.~..~o.~......z...'~. ...... zO..~... ................... .......... ~.~.~..~..~/..~.q' ........... ~..~c.c.,/?~ ........................................................................... 0t p~em,ses ,,~a,ed at ......... --"7" ................ ...... ~ ............................ ;., .......................................................................... ...~....~.~t~.~.:~ ,~./..5..cw,,~,~......~.c~ ............... ~.~..7.Z ....................... ~.7..'..~..?... .................... County Tax Map No. 1000 Section .... ................... .... Block .............. ot ...... eapplication dated pursuant to ~.~ ..~... ........................ , 19 ...... o pp ed y 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 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 features. 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 buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5o 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 a~ 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 inform+ tion required to prepare a certificate. C. Fees: Additions $25.00 1, Certificate of occupancy New Dwelling. $25.(10, Accessory ,~ t0.00 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 /.~./o//~/~/..~. 5.Updated C.O. $ 50.00 Date .................... NewConstruction ..... Id or Pre-existing Building ............ Vacant Land .............. Location of Property.. ~, .~.00 .... *~./~... ............................ House No. Street Nam/et Owner or Owners of Property ................................................. County Tax Map No. 1000 Section .... ¢.~, J, .~ .... Block ...... ~.~ ...... Lot. ,~,/: .......... Subdivision Permit No?¢~,~.... Date of Permit ......... Applicant .... ~. ~.4k/,~',../,~ ,~,..~.' ~,~; .~, ...... Health Dept. Approval '----. ,, ,Labor Dept. Approval ,~'7,, Underwriters Approval ......... -TT;. ............ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Sub?itt~d $ ............................. /' Construction on above described building an~,~7);~ee,~; ~cable codes and regulations, 533 ¢¢ FIELD INSPECTION ' DATE COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. Y. STATE ENERGY QODE FINAL ADDITIONAL COMMENTS: 7~ 9 0 '~ ,~.' ~ "~¥OW~OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 Examined .... '-tv.'. .... ,19 . Approved ............... .~.7~.(. , 1 Permit No../..~..~.7.... APPLICATION FOR BUILDING PERMIT TOWN OF SOUT~-7OLD Received ........... ,19... Date .................. 19 0~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate pict 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 throuCtout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the 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 apj~licable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or deC/olition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing/~oC¢, an4 regulations, and to admit authorized inspectors on premises and in building for necessary inspect~.~ (Signature~ applicj~l¢, ~ ~-/ -:n~ ~ _ !.&...2~. ..... .' ....... i' i.',' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, p~umoer or eunaer. Nameofownerofprem,ses ....... ........................ (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 .................................................. .............. .,9. ...... ............ .......... Street Hamlet House Number ~)~ ~"-~ c~ ~/.~'. ......... County Tax Map No. 1000 Section .................. Block .................. Lot ....... Subdivision ..... t.,~.j¢.~..& ...... /~..C.'.~.~L'. ...... Filed Map No. . .~-.c.~ .~.~_¢.. Lot .... .?. ........ (Name) 2. State existing use and occupancy of premises and intended use and occupanqy of proposed construction: a. Bxisting use and occupancy ............. ~. ! ......... / ......................... b. Intended use and occupancy ...... . .-~...~..( .~..fT.J..~..~...-~.... ~J/...~. ~..C..~:. ~. ~./~././~.O~ ....... 3. Nature of work (check which applicable): N~e~y Build~ . n., ......... Altei'ation .......... Repair .............. Removal .............. Demolition .......... I ....Other Work...~ .~.~/~ ...... 4. Estimated Cost ...................................... Fee ................ = ......... : ' {to b,~ paid on filing this application) 5 If dwelling number of dwelling units ~ Number of dwelling un'its 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. D~mensionsofexmt]ngstmctures ffany Front .~..~ . Rear . .}l..i ........ Depth .. 3.~ ......... Height ...... .~.~ ..... Number of Stories .,. ~ ................... ~.~ ................... ... DeDimensi°n~-°fpth 'J'/~ samed_ s~ructture/~ with alterationSHe~ght or__additions: ....... Front ~.~.' ~,, , . ........... ~,, Rear2~, ~' :~' '~''i . ....... ~ """ .... · ~. ,., .......... Number of Stones ............... 8. Dimensions of entire new construction: Front .. , .-(.ff. ~ :e. ..... Rear .. ¢. ~. *.I; ........Depth . . .{(.¢. j ......... Height .w2~ ............ ~Nu~ber of Stories .... ...... 9. Size of lot: Fron~2~/,~.../.~.3.: .......... Rear ~.. i~.J~./.'~.i'{);;~t~';~/~' '~" 'd/~5~f r' ' 10. Date ofPurch ase . ..................... mame. ofFo n-i '6 v er'!.., i 1 1. Zone or use district in ~wh~ch premises are situated ....... ff-~ff/~)~'~r~,fX~. ~ .......................... 12. Does proposed constructiort y~olate any zoning law, ordinance or regulation: ...i ..... ~(~.~. ............... :. 13. Will lot be regraded . . ..~...~ ...................... Will excess fill be removed from premises: Yes 14. Name of Owner of premises .~.ff/g[,(~../,~. ...... Address .............. i .....Phone No ....... i ......... Name of Architect ............. ~ ........... Address ........ ~...j ..... Phone No .... ~ .......... Name of Contractor ......... ~.. .Address .--. ....~ ................... i .....Phone No... z ./ ......... 15. Is this property located withinl~0 feet of a tidal wetland? ~! Yes ..... No .~. · If yes, Southold Town Trustees Permit may be required. PLOT D ~ AG RA_~ Locate clearly and distinctly all buildings, whether existing or proposed, and~ it~dicate all set-back dimensions from property lines. Give street and block number or description according to deed, and sh6w street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF ................. .......... '~dn~; ........................ ~ ..... be~j~ly sworn, depbses and says that he is the applicant ( of individual signing contract) above named. '.~,---~ -. ' ' ' "' He zs the ............................. ~ ,...... ...... ...,<. ............ : ................... ....... .. (tzontractor, agent, corporate officer, etc.!) of said own.er or owners, and is duly authorized to perform or have performed the ~aid 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 Notary enblic, . ......... ~~.~. ~..~ .... County O ~J TiE DI~T, ~? ~ NS. 5-18-~OVJ $76,00 L~R I DGE, LAME 1~3, 60