The URL can be used to link to this page

Home My WebLink About14141-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ....... ~.e.qk. .................................... Location of Property ... ] .9.5.0....B.O.~.S.S..E.A.U...~.V.~.N.U.~. ............. .~.qu. ?.~9.?. ............ House No. Street Ham/et County Tax Map No. ] 000 Section ... 0..5 .5 ...... Block ...0. 6. .......... Lot ..... .1.7 .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·.. ,J.u.l.y...8 ............ 19 .8.5, pursuant to which Building Permit No..1.4..1.4,1,Z. ............. dated ....... J.u, .1 y. ,1.9. .............19 .8.5., 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 ......... ·.. p.e.c.k...a.d.d. ~..~ ./.o.~..~ .o..e.~ .~.s.tA n. ~. h.u. ~..~ .d.Z.n.g, ................................... The certificate is issued to ...... .C.L.A.~..E ~.C.E...~ .A.L.T.E..~ ................................... (owner, ~g~gl~J( of the aforesaid building. Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ..... I~ /A Building Inspector Rev. 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y, Certificate Of Occupancy No..Z. 1.3..6p.0 .......... Date .... .J.u. 1. y..1.9. .................... 198.5.. THIS CERTIFIES that the building . .A.c.c.e..~ p.o.~, y. .................................... ^~+;~-^ro ..... +, 1950 BOISSEAU AVENUE SOUTHOLD L,~,, ..... ,, v .... 1~"~ 12limits . Street Hamlet County Tax Map No. 1000 Section 0.5.5. ......... Block 06 .... Lot 1 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·., .J.u.Z.y..8 ........... ,19 .~.5. pursuant to wllich Building Permit No..1/? .~ ).I.Z. ............. dated .... .J.q 1. y..1.9. ............... 19 .8.5., 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 ......... .... ~q ~ .~.8.s.q~..'/..~.u.. r..~ p.:r.u.q, ...................................................... The certificate is issued to ...... .C.L.~..R ~.N. QE...~.A.L.T..E.R ................................... (owner, i~s~ ~X t~txa~[~ X X of the aforesaid building. Suffolk County Department of Health Approval lq / A UNDERWRITERS CERTIFICATE NO. , lq/p- Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 14141 Z Permission is hereby granted to: .... / .... at prem,ses located at ...t.~:,~.'~........~ ................................... ~.....~ County Tax Map No, 1000 Section .....~...~ ...... Block ...... ..~.....(~. ...... Lot No ........ J...'/ ........... pursuant to application dated ........ ....~...~..~ ..................... , 19.~..~.., and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department · Town Hall Southold, N.Y, 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use; 1. Final survey of property with ecru:ate location of all buildings, property lines, streets, andunusua natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage di'sposal-(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 1957J, Non-conforming u'ses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty 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 requ ired. to prepare a certificate. ,~ Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 ; Date .~-'~O(-.~/..~ ) fY ~,-~-' .. New Building ............. Old or Pre-existing Building(~)~ ~/Vacant Land ............. Hou~ No. S~reet Hamlet Owner or Owners of Property . ~~.. ..................... Subdivision ......... ~ .~ ..... Filed Map No ~ ~Lot No. ~ Permit No Date of Permit Applicant ' Health Dept Approval" Labor Dept Approval "~ Unde~riters Approval ........................ Planning Board Approval .. ;. ~ ......... ~ .., Request for Temporaw Certificate ~ Certificate ..................... Final, . ................ , Fee Submitted $ .............................. Construction on aboye described building and permi~ re.eats all ap~cabl~des and regulations. Applicant , Rev. 10-10-78 July 10, 1985 Southold Town Building Department Southold Town Hall Main Road Southold, NY 11971 Re: Clarence Scl%er Premises: Boisseau Avenue, Southold, NY Dear Building Department: I am enclosing all at once a building permit application, Certificate of Occupancy and application for Certificate of Occupancy for the above premises. The reason for this application is that there is now a deck on the premises (approx. 18" high) which was built immediately on top of an existing concrete patio. There is also a shed (not on a foundation) which has been added since the original C.O. and a garage which may or may not have been part of the original dwelling. Could you please issue a C.O. or an amended C.O. covering the premises as they presently exist, including the deck, shed and garage. I am also enclosing a survey of the premises dated June 28, Thank you~ as always~ for all of your help. Sincerely, Michael J. Hall cc Richard Cron, Esq. Mr. & Mrs. Clarence Salter 1985. LELD I~SPECTION DATE COMMENTS )UNDATION (1st) ]UNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY __ C,ODE FINAL 2 3 ADDITIONAL COMMENTS: ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 ?m,n d. ~pproved .~..,I9~4. P¢~it No. · ! ~./. ¢.! ..~. Disapproved a/c --'"'D' (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS T~Wf~J OF SOUTHOLD Received ........... ,19... 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 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, houcng code, and regulations, and to admit authorized inspectors on premises and in building for (Signatu~re 6f applicant, 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 ~~. · .~.~. · . .--r~ ~..~.. Z~;7._~.~_ ............. (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 ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet it----/ County Tax Map No. 1000 Section ..... 5.5.. ..... Block ..... .(~2. .......... Lot./../ ............ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Existin use and occu anc ~'*( A]~f_~¢~ ~ ...... ~)g~-~/i~E · g P Y ...................................... ggtAfCi~I;~ '.A '~ {~'~Jh~f.L~ ............. b. Intended use and occupancy .......................................... ~t~:¢r~..~.~ ................. 10. 11. 12. 13. 14. Name of Architect ......... ~ .................. Address ...... Name of Contractor ........ i .................. Address ....... Nature of work (check which applicable): New Building ..... ' ..... A dition.., teration Repair .............. Remloval .............. Demolition ............... Other Work ............... Estimated C~t ......... ~ .......................... Fee .. If dwelling, number of dwelling units ............... Number of fly If garage, number of ears .. OA?~. · .......................... If business, commercial or mixed occupancy, specify nature and extent ~ Dimensions of existing structures, if any: Front ....... ' ........ Rea~ Height ............... Nmhber of Stories ................... Dimensions of same structure ~th alterations or additions: Front .................. Rear .................. Depth Height ' amber of Stories Dimensions of entire new construction: Front ............... Rear .............. Depth ............... Height ............... Nu~nber of Stories ...... ; ............................................... Size of lot: Front .......... [ ............ Rear .................... Depth ...................... Date of Purchase ....... : ' ' i .................. ^ Nar!lc of Forn~e~ Owner ............................. Zone or use district in which premises are situated..~../~5. ~...~./?..~.:.. ~ 2" '- ......................... Does proposed construction violate any zoning law, ordinance or regulai [on: . ~..~...~. ........................ Will lot be regraded ..... ,~,Tf. ~. ............. Will excess fill '>e removed from premises: Yes ~ Name of Owner of premises . ~..~..~../--..7~'....~.... Address .................... Phone No ................ ........... Phone No ................ ........... Phone No ................ PLoT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos* : number or description according to dee( property lines. Give street and blocl interior or corner lot. STA'rE OF NEW_YORK COUNTY , S.S ..... ~. ~ .e~..c,~...O. fi... ~ ............ being duly s (Name of individual si~ning contract) abov'e nam'ed. ' He is the ............................ (Con ....... , _,. ---, . orate o of said o~'ncr or cwncra, ~d is d¢ly authorized to perform or have perfo application; that all statements co,rained ~ this application are true to th~ work will be perfo~ed in the m~er set forth in the application filed there Sworn to b~ me this ~ ...... ~ ................ day bf.~ ............ 19~ ~ .. Nota~ Public ...~ m~ ................. County ......... : , ~*mi.lon ~ M.~ ~.19 ,.~ ~ (Description) (to be paid on filing this application) ,qling units on each floor.....-7777... ........ ~f each type of use ..................... .............. Depth .. .............. ~, and. indicate all set-back dimensions from and show street names and indidate whether om, deposes and says that he is the applicant ~etc.) uned the said work and to make and file this best of his knowledge and belief; and that the ~ith. (Signature of apphcant) Se~lon '720G of the New YorX SlaKe Education Law. g~l eoe~ a~