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Home My WebLink About14639-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z!~609 July 9~ 86 No ............ ...... Date ................................. 19... THIS CERTIFIES that the building d e c k a d d i t i on. Location of Property ...8.5fi. 5... · Soundview .Ave .. Southold ' House tVo. ' ............... '~'t/e~i ..... Hem/er County Tax Map No. 1000 Section 5 9 .Block 6 .Lot Subdivision X X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated ....... iq o v e/ah e r .....,19 86. pursuant to which Building Permit No ...... J .4.5.3. 9 ~ ......... dated........................March._ 1 2 .... 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 ......... Deck addition to existing one-family dwelling ALICE CURRIE The certificate is issued to ..................... [oh;nb),~,~s~xti~]~,~fr~] ...................... of the aforesaid building. Suffolk County Department of Health Approval iq/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 ~OK~ 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) ~? ~639 Z Permission is hereb/granted to:/,~ ....~.~..... ~..... ~..~.....~ 0t p~e~,$e~ ,o~a~ed ot....~..*..~..~....~.~,~.".,~'.....L'~. ...... ..~..~... County Tax Mop No. 1000 Section ...... ..C~...~--....~. .... Block ...... .(~..~. ......... Lot No ..... .~..~...~. :..1 ..... pursuant to application dated .... ~...~~,......'~.....Z~.. ........ , 19.~..~.., and approved by the 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 tvpewriter OR ink, and submitted m~ tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lin 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 sifnilar 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 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: I. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 3. Copy of certificate of occupancy $1.00 5. Updated C.O. $15.00 Date ....................... .'/...~/..~. New Building .... . ./,d'~...., Old or Pre-existing Building ............ Vacant Land ............. Location of Property. ,~..O~'./.."~'. · .~, .~~.,.~?'.~.J~'~/ ........................ House No, Street Ham/et of Propert~ ~~ Owner or Owners ......................................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No ............... Permit No./.~.. .. Date of Permit .Applicant .............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ....... ,_~ ............. Bequest for Temporary Certificate ..................... Final Certificate .................... Fee Submitted $ ...................... ConstrHction oD above Rev. 10-10-78 described building and permit meets all applicable codes and regulations, Applicant ....................................... 7GS-~.802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND ROUGH PLBG. INSULATION FRAMING ~_],~INAL FIELD INSPECTION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 3 TOWH OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL Subd~wsion ..... .'~ ....... · is returned herewith and disapproved on the following grounds ...... PLEASE TAKE NOTICE that your application dated· {'~ .0..~. .....,...........'Z"~ ., 19 . .~..~.. ~ c~=~ at for p~rmit to-', , .~.'?'. '~' ........... ~, ..................................... Locatton of Property ...tP,.... ~-.~,~D.~.I.F~.%X...,....... DT.H~Ci~.. House HO. Hamlet ..:...Lot ..O.(.cl:. 1 .... Lot N~ ~ Building Inspector RV 1/80 , 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 ~ TEL.: 765-1803 Examined .~.~.[ .~., 19~ Approved.....~...O~....l.&.., 19~..~. Permit NO..I.~..~..~.c) ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT NOV 2 21985 BLDG. DEPT. TOWN OF SOUTHOLD Received ........... ,1 ... INsTRUCTION~ "~' 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 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, buildin, wv~de, housing code, and,~ulatio and to admit authorized inspectors on premises and in building for necessary inspec_~?s. ~,~jg/ n2 (S~g*fiture of applicant, or name, if a corporation) 8. ff. ....... [~//~,~ (,M~ijing y. ddre. ss of appljc.an~) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ................ .0. ..................................................................... Name of owner of premises...~..e~....P,.. ~.~.~.~..~. ~. ......................................... (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 .......................... Plmnber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ~t;~se Num~ir ................ Street Hamlet O[<Z[· I County Tax Map No. 1000 Section .... · .~'.~. ......... Block ..... ~ ........... Lot. ~ ..... Subdivision ....... ~.d[~.~,...C.~.~[i~-, ....... Filed Map No. ~.~.~.~..~. · · Lot ..... / ......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... !...~.~.~ ~.& ~....~]~.~. t ~. ~.~.~. ~,.,.~,~ ........... j ............. b. Intended use and occupancy . .~...~-~- .~..~.Y. · ...... ~'~ .~ ~. ~..~. ~ ..... ., .~,' ~ i~:~?. ~:-~'e~.. ........ 3. Nature of work (check which a~plicable): New Building 'Addition Alteration ' Repair .............. Removal ............ Demolition .............. Other Work .............. 4. Estimated Cost ...-... ° ....... Fee ........................ *~ (to be paid on filing this application) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor ............... 6. rmixSdoc pecifyn~tyr eent feac f e . .i~.,i~; ....... 7. Dimensions of existing structures, if any: Front.. ~.~. ......... Rear .. ~*~.* ........ Depth . .,~,I~. ......... Height . ~4~.~ . Number of Stories ~.~. ~. ...... ........... ' ..................... M' ........ ........ Dimensions of same~tructure With alterations or a~ldi~ons: Front ..... ~ .... Rear .............. Deptti ...... ~.~..~ ........ !... Height ..... ~....~ ~, .......... Number of. Stories .... ~Ig'.~...~ ........ Dimensions' of entire new construction: Front ..... ~.~. ....... Rear .... ~lll: ....... Depth .. ~.~. ........ 9. S~ze of lot: Front ..... ~.]~[~_.~_ ......... Rear .... ~t~.~.. ............. D~l>th . .~,~. .............. I0. DatdofPurchase ............ ~.~.~. ............ Name of Former Owner ..~..~.I~.~'~ .................. 11. Zone or use district in which piemises are situated ..................................................... 12. Does propos, e_d construction viOlate any loning law, ordinance or regulation: ................................ 13. Will lot be re~raded .. ) .... _.'i ...... -.~.~. ............ Will excess fill be removed from premises: Yes _No 14. Name of Owner of preifiises ,~.&.l.gll[ .&l~lll[[~l~..~[~I~ ................... Phone No..~*&~.'. ~.~. }~... '¸8. Name of Architect ......... .................. Address ................... Phone No ................ Name of Contractor ~ Address Phone No PLOT DIAGRAM He is the ......................................................................................... (Contractor, agent~ corporate officer, etc.) of said owner or owners, and is duiy authorized to perform or have performed the said work and to make and file this application; that all statements confained, in this application are true to the best of his knowledge and belief; and that the work will b~ performed in the manner set forth in the application filed therewith. Sworu to before me this ........... .......... day .... ........... , g.C Notary Public, .~Ar~g.,..~,.,~.t~i. , , · ,. :,~/.,,~,, .... County.~ ~, ~.~ :. ' (Signature of applicant) 0 " MAP OF :,.. ,, .-...-D 0 UGi=A .G. ,,~,. J.' ' PROPERTY j::: OJ~-,.' , LAWRENCE W. CURP..IE:. So'IJTHObD ~tJ~'F'OL, K C,~., N. 'Y'. !o BE 1',.5 ST,ATE ~..O,~STR. UC'I~O & ENERGY CODES. NOT ASPONStlA.E F-OR ~ ~"StGN OR CONS,?~UCTION E.~RORS, -- ........................................................ O'f ....... ~