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Home My WebLink About15002-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No. z14616 Date July 10, ... .................................................. 19 86 THIS CERTIFIES that tile building deck addition Location of Property 1930 Marlene Lane MatLituck, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . .1.4.4. ....... Block , 02 . .Lot 032 ' Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 4 ~ 19 .8.6, pursuant to which Building Permit No. 15 0.0 2 z dated ..... .J.u.n.e...2.0.~. ............. 19 .8 .6., was issued, and conforms to all of the requirements of the applicable provisions of the law, The occupancy for which this certificate is issued ig ......... Deck addition to existing one-family dwelling _, The certificate is issued to Walter & Catherine Sharkey (owner, Je~x of the aforesaid building. Suffolk County Department of Health Approval - , .N./.A. .......................... UNDERWRITERS CERTIFICATE NO .................... .I.I.I.N/.A. .......................... Rev. 1/81 TOWN OF SOUTHOLD BUU. DII~IG DEPAR,TN~[NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15002 Z Date Permission is hereby granted to: ...~...o...~.~. ................ ~ ......... ~ ......................... ...~~.....u.:.~ ....... !:..~..~:.~... ~o ...~~.....~-...&..~....~....~...~....~~...~- ~..~.?.~.~....~......~~....~.... ....... ,. .................. , .............. ,. ........... at premises located at ...}...0'1..:~...........~. ~.~ ....... ~.~'~ ........... Coun,y To× Map ,o. lO00 Sec,ion ........ ./...~.~ ..... Bmock ...... ~.~ .... Lot No ..... .'~2....~ ...... aursuon, ,o c~pplication doted ....... ~..~ ........................ , 19..~.~, ond approved by the Building Inspector. Fee $..~.... ............... Building Inspector Rev. 6/30/80 TOWN oF souT.O[D Building Department Town Hall ,~}outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in duplvicateto A. This application must be filled in typewriter OR ink, and submitted ' ~he Building Inspec- tor with the following; for new buildings pr new use: I. Final suwey 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-la-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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survev of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 predate a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date ..... ,~,. ,-. · , ,'~..-~..?, .~, · · · New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~,% .~..~.....~..~ .~ .~..~?. ~. ~ .... ..~7..(~. ,~ ........................... House No. \ /~,~ Street Hamlet Owner or Owners of Property..~,J~.(~.~,~ ~... ~...~',,~ .~...\..~, ~'~-~..~--~..~ ~-~ ~{,, County Tax Map No. 1000 Section..t..~-'..~ ....... Block... J~), ~. ...... Lot, .O .~?'~..'~ ' Subdivision ~...~. ~ ...................... Filed Ma o ........... et No .............. Permit No. . [30. ;~,', Date of Permit . . .Applicant ............ ~. ..................... Health Dept. Approval ........................ Labor Dept. Approval ....................... Underwriters Approval ........................ Planning Board Approval ..................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. Construction on above describ~dpbp:i~::~g. ,~.~.~1~::11c~i: ::i:s,~,~ I~... Rev. 10-10-78 Fi£LD INS[~ECTION FOUNDATION (1st) COHMENTS FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS 765-~802 BUILDING DEPT. INSPECTION ~j ~,...,o. ~,,. ~ ,.~.~,o. [//]/FRAMING [ ] FINAL REMARKS _ , FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved . .~....4~....&..? .... ~.~.. Permit No. J.~.O.O. ?...~ Disapproved a/c ..................................... ...................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19... 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 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 k d. Upon approval of t] shall be kept on the e. No building shall have been menced before issuance of Building Permit. issued a Building Permit to the applicant. Such permit or in part for any purpose whatever until a Certificate of Occupancy artment for the issuance of a Building Permit pursuant to the Buildin Suffolk County, New York, and other applicable Laws, Ordinances or · alterations, or for removal or demolition, as herein described. The applicant laws, ordinances, building code, housing code, and regulations, and to admit authorize in building for necessary inspections. ..... [~]J_i~g address of app~l:c.a State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pmmoer or ouimer. Name of owner of premises .... ~'A-:~[' . · .~C~.~.¢~":~. · '~' · ' ' · '~' '/· '' '~fa~' ·: '~ '~ (as on the tax roll or latest deei~p~OVEI If app~~authorized officer. ....... (Name and title of corporate ot'f~ Builder's License No....~.~..'~.... f~.'..~.~..e~... ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... [SATE: 6,/-:~-o/~, B.P. FEE:~ NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AhA TO 4 PM FOR THE FOLLOWI N~'~, IN!S:PFCTIONS: 1. FOUNr'ATION - ~WO REQUIRED FOR P~[JRqD CONC~F~TE ~. ROUGH - ¢'~AMING & PLUMBING ...... %,~ tON ~UST BI ALL C~;'<:~' C:'~ON S~-~ALL 1. Location of land on which proposed work will be done .................. .Tt4~ -WF.m% :?x M!-~',Tf~ .~F' 'CH~ '~: Y: House Number Street ~l~e{~ CONST~T~O'NI County Tax Map No. 1000 Section .... 1..~.~., ~0 ...... Block .... (~."~.., Lot. CO ~'~2-~ O OO ' Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and ocqupancy of proposed construction: a. Existing use and occupancy .............. ~A.~..~... ;~.~\? ..... ~ .................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition ............ Other Work...'-~P,j~', ..... ' (Description) 4. Est{rn/tted*Cost Fee ~ (to be paid on filing this application) 5. If dw:elling, number of dwellin~ units ............... Number of dwelling units on each floor ..... If garage number of cars" 6. If business, commercial or m~xed occupancy, specify nature and extent of each type of use .......... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .... Height ............... Number of Stories ............................................. Dimensions of same structure ~ith alterations or additions: Front ................. Rear ....... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height u~n 9. Size of lot: Front .......... ~ ............ Rear ...................... Depth 10 Date of Purchase ' Name of Former Owner 11. Zone o~ use district in which p~emises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... L)O ................... Will excess fill be removed from premises: Yes ~ Address .. Phone No. -~ 14. Name of Owner of premises . ~ ............................................. Name of Architect ........ q .................. Address ................... Phone No ...... 15. Is th±s property located w±thin 1.00 feet of a t±dal, wetland? ~ Yes ..... No ..... ~ If yes, Southold Town T~usCees Perm~tt may be requ±r.e~ Locate clearly and distinctly all buildings, whether existing or proposed, an& indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether 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 contr~t) above named. He is the .................... t. ~ ................ '.. .................... ' ........ .~ ......... ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dhly 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 man~er set forth in the application filed therewith. Sworn to before me this