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Home My WebLink About15076-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..g%~.7.3. ......... Date October 9 19 86 THIS CERTIFIES that the building Addition to Accessory building. 5745 Alvahs ~L.a.n? Cutchogue Location of Property House glo. Street Ham/et County Tax Map No. 1000 Section ...19.1. ...... Block ... 9.2 .......... Lot 015 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... JUJ~..7 ........... 19. ~.6pursuant to which Building Permit No. 15076Z datedJ.U.1,y. ..19 ..................... 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 is ......... Ad,d, ition to existing access.o, ry building for storage. The certificate isissued to Denise & Dominic Antignano (ow,~r, of the aforesaid building. Suffolk County Department of Health Approval n/a n/a UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Inspector TOWbl OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOL. D, bi. Y. BUILDING PER J'AIT fi'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 15076 Z Permission is hereby granted to: .... ~......C_.~. ~..~.~.~.~.~..~ ................. .... ~.~,..,,L.~.,~..Z~ ........................................ ....... ~c~'~l.o.~.,....~.....~.... .................... ~o ...... ..C..~. c~ .~..~..~.~..cTT...../:-~.~,.~...~ .~....~_.....~-~.~::~. ~.~.....,(~,~-,~:---'~- .~a/~,%-' ...T-~...L~.~...~.~..~....'~.~:....'~h-~c-~?....; .......................................................................... o, premi e.,, ated o, ..... ................................................ ~...':Z.....'~....~.......'- ~**,~**.~._.~.~........L,,~,,,?. ......................... ................................................ ~....~~.~...~....c~......~...... ........................................ Coun~ To× Map No. ~000 Se~on ...I..~..I .......... BIo¢~ ...~....~.... ...... Lot No...C~...!..~.. ..... pursuant to application dated .... .'~_..~...C~...'~TE~...........~. ...................... , 1~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bui;ding 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. 5. Submit Planning Board approval of completed site plan requirements where applicable, For existing buildings (prior to April 19§7), 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 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 safetv inspection of buildings or premises, or other pertinent informa- tion required to prepare 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 5. Updated C.O. $15.00 $15.00 Date. '1~'' ' '~' '~' ?ewConstruction. ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .~..?.z.~., .,~. ..... /~,J,~./../¥.~...~..,_~ ................. ..~r~.. ,C~,,~.. House No. Street c,, Ham/et Owner or Owners of Property ~)e_V31'~.~_ -+- ~,.~(~Fl~f'~'~l"~.,;~. ' .~.,.~.~]~ County Tax Map No. 1000 Section .... /..,0, ( ...... Brock .... ,~, .,c~, ...... Lot....(?. (,~, ....... Subdivision ................................. Filed Map No ........... Lot No .............. Permit ,o. ~..~..0.7..(P.. Date of.Permit ,7,'~/, ,O.-.~.¢.Applicant B.~, ,~.. ,~,~,'. Health Dept. Approval ' ...Labor Dept. Approval .......... , ............ Unde~riters Approval .... -,.. Planning Board Approval Request for Temporary Certificate ....... ,-; ............. Final Certificate ....................... Fee Submitted $ .... ~t .0.~ ................. Construction on above described building and permit meets all appJ-icable codes and regulations. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ~FINAL REMARKS: FIELD I~$PEC?ION COMM~N~I'~ FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION FER N. Y. STATE ENERGY ?DE FINAL A ADDITIONAL COMMENTS: N/O/F SUFFOLK COUNTY lN'25~'37,40`'w' 125.46' DEED $,35°41'40"E. 125.00' '' ACT. $.~,~* $1'40"E. ~25. O0 ' 0 O ~oo, oo' ..,~la a4~ ALVAH'S LANE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined...~..". Approved..7.'ff... l.O. ..... , l~q~.~. Permit No.t ~.~..'I~.Z Disapproved a/c ......... ~ ....... ~/~.....~... ....... . .-C'. ............ - (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG. DEPT, , 'FOWN OF,,$OUTHOLO ---, Received ........... ,19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 lets 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 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 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. ~ ~4 ,. (Signature of applicant~r name, ' v ' j (Mailing address of applicant) ~-~ State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. Name of owner of premises .... ~. ~.g~].,..A~../.~....~-..~ ~r~..Ad./~'.~.... ~4.~)...7~.! ~ .AJt~ .~.t~ .................. (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 ........ .~.y'..b~.. ........... Plumber's License No ...... -7 .................. Electrician's License No ....................... Other Trade's License No ~- 1. Location of land on which proposed work will be done .................................................. ............ .5. ?, ...... ,4/, ................ ............. House Number Street Hamlet County Tax Map No. 1000 Section ..... /..iD..[. ....... Block ..... ~5. ~ ........ Lot .... .o..{.~' ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State ex/sting use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .' .... . . .c~...s..r~. 4,C ./u[. ?/4 ~ ........................................... Re,airp · . ....... ~T'g ..... ~ :J, ii.~:'1 .............. Demolition .~ ............. Other Work ............... (Description) 4. EstimateclCost,.,,,..~! ....... D~..o..o, .o..o. ................ tee ..,,r..---~..~.. ............................ "' ' "'?./? /'~i~ ~,~ " (to be paid on filing this application) 5. If dwelling, number of dwelling uhits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business, commercial or mixed 9ccupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing structures,: if any Front l~. '~" Rear z~,'~" Depth' ~ ~. Height .... l ~". ~ Number o f Stories. ,~._ ................................ Dimensions of same structure with alterations or additions: Front... ./~.".aa, "/ ........ Rear ..... /..o.'.-q-..~. ...... Depth , ;,.. ~.m f.~ff ....... i Height ..... .r .,3-. ~.. ~'. ~. ...... Number of Stories ...... /. ....... ~ ....... 8. Dimensions of entire new construqtion: Front /~.-/ , Rear . g .~.." .... Depth ....~..o...~. ]' .... Height .... .4 ,:~:.. ....... Numb'er of Stoties .... ..... f. ................................... 9. Size oftot: Front ...... [..~..~... ~ Rear .... t.~..g~..,.~.&../. Depth ,5'~.'.'.'.'.'.'.'.'.~,,o°o~.,~,~.,( .... 10. Date of Purchase ............ i ................. Name of Former Owner ..... ,~,q-t,.77~.g't_ .............. 1 1. Zone or use district in which premises are situated....~Y~., .......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....~...C~.t ........................ 13. W~I1 lot be regraded ..... ~'. · · 1 ....... ,.,~ ......... Will excess fill be removed from premises: --Yes 14. Name of Owner of premises "~.o.~ t.~.t.t....41..T. I~f,,P~l,yo Address . .,4ltl q.~ff.~.t~?.~..~.'F,. Phone No..'2p. ~..~.~. ~.. ~' Name of Architect ........... i ................ Address ................... Pho"e xr,,. ............... Name of Contractor ..e~.e ~..~...t'.l.~.~.~.f.~ ......... Address .~..~.d.&.~.~, .~..~. ~. 7'r.~.~o Phone ~.. 7.4. ~-..-,q4 ftC.. 15. Is this property located wSthin 300 feet of a tidal wetland? *Yes ..... No .~'~. · If yes, Southold Town Trustees Permit maybe required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from ~roperty lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot.,, ;TATE OF NEW YORK, S.S ,~OUNTY OF ................. ............................... i .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. le is the ......................................................................................... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly ~uthorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the 'ork will be performed in the manner s~t forth in the application filed therewith. worn to before me this (Signature of applicant)