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Home My WebLink About15042-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date March 17, 1987 THIS CERTIFIES that the building ..... A d d.i~ i on .................................. Location of Property 5730 NAS SAU POINT ROAD ~CUTCHOGUE House No. Street Ham/et County Tax Map No. 1000 Section . ,. ! .1.1 ...... Block 12 .Lot 2. ! Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 19, I986 , pursuant to which Building Permit No. 15D.4.25 ............. dated ...J .u.n.q..2.8.,.. [ .9 .8.6 .............. was issued, and conforms to all of the requirements of the applicable provisions of the law, The occupancy ~r which ttfis certificate is i~ued is ......... Deck addition to existing one family dwelling. The certificate is issued to . . ,A, ,R~,O.L,D., b, .gA..Ry..B.~..I:I,R.E.R. ................................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A PLUMBERS CERTIFICATION DATED: N/^ Building Inspector Rev. 1/81 FOF, M NO. Is TOWH OF SOUTHOLD ~LilLDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEP~,~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15042 Z Date / Permission is hereby granted to: ...... . ot premises located at ...~..~..'7...'~..O. ...... ..J~,...~..~....~...~-:....-. -.~.., ......... ~~.~ ............. Count~ Tax Map No. 1000 Section ....... k.l..J ........... Block ...... I....)~/.. ........ Lot No....,.~..:..! ............. pursuant to application doted ...... ~..i...Cj ....................... , 19..~...~.., and approved by the Building Inspector. Fee $...~....:.....~... ...... 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 aa ~ 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. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1 .(30 4.Vacant Land C.O. $5.00 5.Updated C.O. $15.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 5730 NASgAU PT. RD CUT House No. Street Ham/et ARNOLD & MARY BEHRER Owner or Owners of Property ............................................................ County Tax Map No. 1000 Section 1 ] ] Block ) 2 Lot 2. ! Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo.]5.042Z Date of Permit 6/86 Appli ................... cant .................................. 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 ~e~r~it~ meets atl~applical~l.e codes ar~ regulations. Rev, 10-10-78 FIFLD INSI~ECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. COMMENTS STATE ENERGY CODE ADDITIONAL COMMENTS'. TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECI~OR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 "fOW~,l 0 ....... · ........ To Whom This May C~ncern, We are unable~to complete your Certificate of Occupancy because,of the followin9 veasons. /--~ An application for Certificate of is not on file. /-/ /-/ /-/ Occupancy No Underwriters Certificate on file. The check is(~w~d/not on file.)~9~o No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit # Building Dept. ***/Z/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 76S-180Z BUILDING DEPT. INSPECTION [ ] FRAMING REMARKS: FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL : NOTt~Y ~UILDING__~'DEpARTM~T A ~'8~:9 :~'~-'~-~ -~ THE '~ ~OUGH, FRAMING & PLUMBING THE REOUI~EMENT~ OF ~HE N Y FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined '..~.~.2do,~.~.~.., 19 .~..[P Approved ...~CA,~..~.~..., 19~..~. Permit No..].$--.O..~ .&..~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No .................. INSTRUCTIONS a. This applicgtion 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 approvai of this application, the Building Insl2ector 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 until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildir~g 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 inspection~ (/Vftailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ...................... I. Location of land on which proposed work will be done ............ ~ ...................................... House Number Street Hamlet County Tax Map No. 1000 Section .[{.J .............. Block .(~7 ............. Lot ~ Subdivision..¢.c~¢ :,..t~A 74 ¢: Yl ................ Filed Uap .......... rot { (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......... ~ f .... F~... ~ ~ ~ .................................. b. Intended use and occupancy ........ , .................. ~.}¢ e~g ~$t~q .gl~r~I~ ......... p . ............. ,1~t}~o al .............. Demohtmn .............. Other Work ..... 4. Estima ..................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling ~units ~ Number of dwelling units 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. Dimensions of existing structures, if any: Front ............... Rear .............. Depth.: ............. ' Nuinber of Stories Height . ' Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ........ ~ ........ 8. Dimensions of entire new construction: Front ............... Rear ............ Depth ./..~ ........... Height ~ ~ Number of Stories "~ '. . ' . , 9. ~,ize of lot: Front ... 1~.~. ............... Rear· 15. ]... .............. Del~th ~['"/~ - ~.. ~.~ 10. Date of Purchase [ ~/~.. 2 ........ Name of Forme Owner .~.(k^~- '~?..~.'~;~ 'i .... 11. Zone or use district in which premises are situated ................ l.¢.~. ~ .I. ~i'.'~. i i ........ ' ......... 12: Does proposed constrtiction violate any zoning law, ordinance or regulation' A,f'.o.; ....... 'i'ii 'i .... 13. Will lot be regraded ......... . 2. ........... Will excess fill be_remg,ved from premises: Yes 14. Name of Owner of premises j~.i../~.~J)~.'f~: ..... Address . .~..~-~....~'.T..(~.1~ ....Phone No . Name of Architect ........ . x ............ Address ................... Phone No .............. Name of Contractor .~.~.t:(~! .4~t. i i'~. ,i 0.~..o ~.~, Address D.~.~.T._ ~.c/7~ · ..... ...... hone No. 7. 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 ~hpw street names and indicate whether interior or corner lot. ../,4'/.'/~-F'/~..~...-~-.~. ~ .~. ~.. ;\ ~ ............... being duly sworn, deposes and days that he is the applicant (Name~d~l signing contract) above named. He is the ..................... (Contractor, agent, corporate officer, etc.) of saki owner or owners, ~d is duly au~ofized to perform or have perfomed the said work and to m~e ~d file ~is application;that ~1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfomed in the m~nek set forth in the application filed therewith. Sworn to before me this ............. ...... Term E~lr~