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Home My WebLink About14585-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ..... .Z. 1.5..8.8.0 ...... Date June 24, 1987 THIS CERTIFIES that the building deck enclosure. Location of Property 1610 P1 at t Road Orient County Tax Map No. 1000 Section 27 .Block i .Lot 10.3 Subdivision X X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... J.a.n.u..a.ry..2..4,..1.986 pursuant to which Building Permit No. 145857. dated ....... .Iv[.a.r..c.h..2. ~..1.9.8. 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 ......... ..... EnClo~.e..d. ~.c}q ,9.n..e.x..i.s.t.i.n.g. 9.n.e.T.f..arq. i..ly' dwelling. The certificate isissued to ................. JOSPEH & EDWINA HATAIER .... ?oh;,,'o;, ...................... of the aforesaid building. Suffolk County Department of Health Approval ............... N./..A ................ UNDERWRITERS CERTIFICATE NO .......................... .BI [.A. .................... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOEM NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No. 1000 Section ..... ..0.....~.....~. ...... Block ........ / ............Lot No. I tg .~,.~. pursuant tO apPJicotion doted ~....0~~......~...1~ ................ , ]9...~...~, and approved by the 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 O( TOWN OF 'SOUTI:IOLD Instructions This application must be filled in typewriter OR ink, and submitted m ~ to the Bgilding 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 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 prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling~$25.Q0, Accessory iS10.00 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.Vacazzt Land C.O. $ 20.00 5.updtatecl C.O. $ 50.00 Date .......................... NewC°nstrucl~ion ....... Old or Pre-existing Building ............ Vacant Land ............. Location of Property .... J ~ \O cz. , House No, Street Hamlet Owner or Owners of Property ....~'..o..~.~..~.~.\.`. ,'~LT,.` .~.. ,~, .~.. ~v.~. ~ .... h~..c~..~..q~..~."~....~' ........ County Tax Map No, 1000 Section ~.'7 Block I Lot... /~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. !~..~..~.~..."~Date of Permit .......... Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~.~.'...... ~.~'.. 1 ......... Construction on above described building and permit meets all applicable codes and regulations. ........... -.~, ,.,,~. Applicant ......... Rev, 10-10-78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOP~ P.O. BOX 728 TOWN HALL SOUTHOLD. N.Y. i 1971 TEL. 765-1802 To whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. The check is(outdated/not on No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit ~ ~_ ~ ,~., _.~L ~,,, Z Building Dept. ***/Z/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL "~[ELD TION COMMENTS ........... fOUNDATION (1st) 'OUNDATION (2nd) ~OUGH FRAME & PLUMBING £NSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: TOWN OF SOUTIIOLD OFFICE OF BUIL1)IN(3 INSPECTOR P.O. BOX 728 TOWN ltALL SOUTIIOLD, N.Y. 11971 TEL. 765-1802 To whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~ An application for Certificate of Occupancy is not on file. /5/ No Underwriters Certificate on file. .~ The check is(outdated/not on /~/ No llealth Dept. Approval on file. /5/ No final inspection has beeu made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ ~_ ,q. ~ ~L ~_ z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 \ TEL.: 765-1803 Examined .~.°4'..~....~ ...... , 19 .~.~. Approved..~f ~...~ ..... , 19-~. 9. Permit No. 1 ~.~,~..~ .~." ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,1 9... INSTRUCTIONS a. Tins 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 tins 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 .,~hall have been granted by the Building Inspector. :' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pumuant 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 insl~ctions. / licant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~Name of owner of premises .... 4.~.J...~f~. t/-/., gfp./?..17...~.~...V~./..A( ./q....ff. 4..~.~./..&~..~. .......................... (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 ..... .~. ~..t~..~'.~. ........... Plumber's License No ......................... Electrician's License No ....................... · Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. ,/&/,P ......... ............ 7"- , House Number . Street Hamlet County Tax Map No. 1000 Section .... .~.. ~. ......... Block ...... ./ ........... Iht /~-~ . Subdivision ..................................... Filed Map No ................ Lot ............. ~.. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... b. Ihtended use gpa occupancy': ........... ~..~../~. · .~-./~...~......~...~.....4.~.. ~2~7,.~. .......... Re r '. ...... - ......Removal ....... Demolition ..,. !... Other Work-. ............... ..~..f-/~:90! ~ , . , , (Description) ., 4. Estimated Cost ................................. Fee .......... , ........................... ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .............../ Numb f 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 Fr~)nt .... ~. ~./. ...... Rear . .Q"'.~f. i ....... Depth..~ ~i{ ..... Height .. o%/ Number of Stories Dimensions of same structure with alterations or additions: Frontl .O~..~t. I , Rear .57~ z . ..... ~. · O, ~ , , · ' ' ..... Depth ~ .............. Hmght .................. ] ....Number of Stones ............... ........ 8. Dimensions of entire new construction: Front ............... i Rear .... ./~.. i ....... Depth Height ... ~.~. ......... Number of Stories .............. 2 ............. ] ................... 9. Size of lot Front /'.,~.~. ~. Rear ./~ / . . Denth 6 8G" z'. ' .... "', '10. DateofPurchase ../¥.~.v'.¢./.~.../.~..>..~ ......... Name of Former Owner .!..~f .~.~.¢7.--~.fl../~..5 .......... 1 1. Zone or use district in which premises are situated ....... d~..%/¢ ! ' ' · il2. Does proposed onstrucbon wolate any zomng law, ordinance or ,regulabon: .. i ,4/o 13. Will lot be regraded ........ t~..¢. ................ Will excess fill be removed from premises: Yes 14. NameofOwnerofpremisesV??.t../~d~./Cf.~T¢... Address /'.~./'.~.~,r¢737',~ PhoneN ~23,-,~''t<'¢ N f A~ O ~ ~/~ Add ~ N · ame o rchitect ress .l ............ ,. Phone o ........ Name of Contractor O~'Arer/)- . Address 'i' i ... Phone No ..... '... .... PLOT DIAGRAMI 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 !o deed, and,show street names and indicate whether interior or corner lot. : Land of Hataier N, ,Land of Meyer ~ 1,59,50' ..... PLATT RD, Land Of Hatai'er 1*1545'T°Moin Rd,---"- couNtY OF ..... 4'~¢.~Z. · ........ ~ 9.~ ~2~../~.~ ~.~ ¢7~ ................ being ~duly sworn, dep6ses and says that he is the applicant (Name of indNiduat signing contract) above named. ~ , -.. H~ is th~ ............................................................. . ............................ (Contractor, agent, corp6rat~ offi0~r, ~te.) of said owner or owners, ~d is duly autho~zed to ?fform or have~ perfo~d th~ gaid work and to m~e ~d fil~ this application; that ~ statam~nts contained ~ this apphoation ar~ t~e, to th~ b~st ofhi~ knowl~dg~ and b~li~f; and that work will b~ p~rform~d in th~ m~n~r s~t forth in th~ application fil~d therewith. Sworn to b~for~ m= this Not~wPublic, .................. County ~ ~ ,~f ~ ~j:t~'t..J"~~, ~ '~" ~ ,: .:~ ~ ~ s~age disposal and water suppl~ facilities for ~his location have been ~/, ~'" -~.~.~ ~ inspected b~ this depai, tme~t ~d found . ~'~ . - . . ~ ~' ~ :~ . :.. ;.: . ~ , .~A~', ,~,~ , ,{ ...... ,,, , ~' CO. HI~AI.'rl4 DIEI~T. APPRO~VA_._~.. ~ H. S. ~. ~'~ ~' :~ JAN 241~3 ~. ~. ~. ~~ s~age d~spo3al and water suppl~ facilitie~ for th~ S location have beep Chief of 6ener~l ~n~neerin~ ~:,, / i~ I l-50-~,~ STANOA4~DI OF SUFFOLK CO. DEPT. I -~uh he,ted) n~deOcn~ I~u~ rafter deck L;OuEt PCi~S~D BECK I NCLOSEf~ 30"x60~remov¢~;ble or plastic cdx I$'r'-IED(~I~I~R SH ,! J.E HATAIER 1610 PLATT RD 1-18-86 ORIENT