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Home My WebLink About14163-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No.Z15390 Date Ma. rch 20, 1987 THIS CERTIFIES that the building .... A. 99.eft. s. 9 .r y .................................. · 105 Mac Donald's Cr~)ssing, Laurel Location of Property ........................................................ House No. Street ' 'l:l~r~iel County Tax Map No. 1000 Section . 145 .Block 04 ..... Lot 14 Subdivision..E.d.$.e.m.e.r.e...P.a.r..k .............. Filed Map No..7.4. .2 .... Lot No.. 15 conforms substantially to the Application for Building Permit heretofore Cried in this office dated Oct. 2 I, 1984 pursuant to which Building Permit No. 14 163. Z dated July 29, 1985 , 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 ......... Accessor,y nursery building The certificate is issued to BERT, RAM & MARJORIE WALKER .................... ~e'r,'~g~'~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval ........... N / A UNDERWRITERS CERTIFICATE NO ...................... N../.A ......................... PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev, 1/'81 1~0~ NO, ~ TOWN O~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 14163 Z Permission is hereby granted to: .... ~...~...~....~.~ ...................... .... ..!...~ ....... ~...~ ......... ~~....~..:~.:....~..~.~.~ .......... to ..................................................... ~, .......................... T" "rT/ ........... Z/ ...... at premi~e~ located at ../..~..'~ .............................. County Tax Map No. 1000 Section .../....~.,,,.~,,. ........ Block ...... ?..~. ........ Lot No ...... !..~,. ............. pursuant to application dated ..... ,~...~ ........................ .3_( , 19...~,..~,, and approved by the Building Inspector. Fee $ ......... ! .............. Building In.~ector 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 Wpewriter OR ink, and submitted m ~ to the Buildlng 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 featu res. 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 Enqineer 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: I. 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 New Dwelling $25.00, Acc~ssory.~$~0.00 Business $50.00 2. Certificate of~occupancy on pre-existing dwelling $ 5 0-. 0 0 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5 .Updated C.O. $'50,00 Date .... NewC°ns tz'uC 1;i°n. . .~... OJd or Pre-existing Building ............ Vacant Lan/!: ............. House No. Street ..... Subdivision ................................. Filed Map No ........... Lot No ........ ....., Permit No ..... Date of Permit ,..Applicant , . .~.. ............. Health Dept. ApprovaJ ........................ Labor Dept. Approval .................. Underwriters Approval .................. Planning Board Approval ...................... Reque t for Temp y Certificate ~ Final Ce tificate Fee Submitted $ · Construction on above described building and permit meets all applicable codes and regulations. Applicant~- .~,. ·., ,(~.~, ~ .................... Rev, lO-10-78 ,C.O. Z l ?d LD INSPECTION DATE COMMENTS D A~T Ip~N .... (~ ~N DATION ( 2nd ) JGH FRAME ~ PLUMB%NG SULATION PER N. Y. STATE ENERGY C,ODE FINAL F[E FOUNE F 0 2. 3. IN ADDITIONAL COMMENTS: LINE ALONG WOOD Parce I A = 16,857 sq. ft. Lot 17 HOtJSE Lot 16 I Parcel ii Area = I~.,I / $.4S 385o E. 6.78' // Lot 15 @ 18 sq ft. 0 F 8' 51oo7'oo"w Lot 13 194.18'~ "ROADWAY" , hot~ SURVEY FOR BERTRAM W WALKER ~ MARGERY M. WALKER LOTS {5 THRU 18, "MAP OF EDGEMERE PARK" MAR. 21, 1984 AT LAUREL TOWN OF SOUTHOLD · SUFFOLK COUNTY, NEW ;YORK APR. 20, 1985 SEPT. ~D, 1981 DATE : FEB. 9, 1978 SCALE: I"= 30' '[ NO. : 7B' 22 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL' · 8OUTHOLD, N.Y. 11971 TEL.: 765-1802 ~amined ..... pproved . .~..~ .... 19~. .~. Permit No..[~J.~..'~..~.. ~isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19.. · INSTRUCT,O,S a. T~s application must be completely filled in by~pewfiteror~~Uo~B~mg~nspector, with3 sets of plans, accurate plot plan to scale. Fee according to sched~ ~. e,ot ~,an ~ow~,o~a.o~ o~ ~o~ ~na o~ U..a~ on o~ areas, and giv~g a det~led .description of layout of property m~s~ ~ ~e ~~pa~ of this appli- cation. . . . c. The work covered by this apphcatmn may not be commenced before --~~~ d. Upon approval of this application, the Building Inspector w~l issued a Bufld~g Pe~it to the app~cant. Such pemit s~all be kept on the p~emises available for ~spection throughout the work. e. No bufld~g shall be occupied or used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy s~all have been granted by the Bulldog Inspector. APPLICATION IS HEREBY MADE to the Building Depgtment for the issuance of a B~lding Pemit pumu~t to the Bhilding Zone O~dinance of the Town of Southold, Suffolk County, New York, ~er applicable Laws, Ord~ces or R~gulations, for the construction of bulldogs, additions or alterations, or for~va~or~molition, as herein desc~bed. T~e applicant agrees to comply with all app~cable laws, ordinances, bufld~co~o~d~and reg~ations, and to admit authorized ~spectors on premises and ~ bulldog for necessa~ ins~~_ (Sig~~~ev~ c~oration) .... /,.. ....... (Mailing address of applicant) S~ate whether applicant is owner, lessee, agent, gchitect, engzneer, general contractor, electrician~.Kl~er or builder. k~ _~ __ .~ .... ~ Ap~OVEO AS Nu~=u ~ ~: o~n~: or ~,s~ ...~. .......... ~ .............. ~',),~' ~ .,.,,,,.- ~, ~, ~ ....... (as on the tax roll~~ ~.~-~' ~-~c~T~f~NT AT If applicant is a corporation, signature of duly authorized officer. :70~180g 9 A~g TO 4 , M I~)R TH ~, FOLL~tNG INSP~CTI~.,~5, (Name and title of co¢orate officer) FOR pO~JR~D cON~{~7~ 2. ROUGH FRAN?JgG ~ pLUMBING Builder's License No. ~ 3. INSULATION 4. FINAL CONSTRUCTION MUST Plumber's License No ......................... BE cOMmiE FOR C.O. ALL CON~RU~ON ~LL MEET Electrician's License No. 'rile ...................... ~ATE CONSTRUCTION & ~ERGY Other Trade's License No ...................... ~ ~N O~ CO~IRuCTIO~ ERRORS 1.' Location of land on which proposed work will be done... ~ P~..~¢~.~.~.. ~ .......... ...~ o.~. . /. ~. . '~F' '~ ' ' ~er.e.~. g. / . House Number Street Hamlet "County Tax Map No. 1000 Section / L~.~~ .............. Block ............ . .... . Lot...... ........... s.~i~i~o... ~ ~.~.. . ~ .......... Fi~ ~ No.. ~.~ ~ ...... lot..d ~ .......... : (Name) 2.: State existing use and occupancy of premises and intended use and occupancy of proposed const~ction: a. Existing use and occupancy .... ~[.~ ~. b. Intended use and occupancy ...................................................... Nature of work (check which applicable) Repair .............. Removal ... 4. Estimated Cost ................ 5. If dwelling, number of dwelling units.. If garage, number of cars ........... 6. If business, commercial or mixed occupt 7. Dimensions of existing structures Height .... .,('.~. ~... Dimangions of same strUcture with 8. Dimensions of entire new Height ............... Number of 9. Size of lot: Front ........ ~gT.d. ..~, . 10. Date of Purchase .... ./. ~'..2~. ..... 11. Zone or use district in which premises 12. Does proposed construction 13.W/II lot be regraded /Vb 14.Name of Owner of Name of Architect Name of ..... Locate clearly and distinctly all property lines. Give street and Noel interior or corner lot. : ew Building .......... Addition. ~ ........ Alteration ........... .......... Demolition .......... Other Work ~.. ?..~./.o .eq...h~ (DesCripti()n). ~' (to b~.. paid on filing this application) ...... Number o f dwelling units on each floor ................ ney, spec/fy nature and extent of each tjpe of use ........ .~ ...... Front .... /.~'....qr-..... Rear . ./.~, l .Z~.. Depth .. ~'.: .~....; .... ~'4~* c_ '~'" .... Front ........... : ...... Rear. .... ~ Number of Stories Rear ' Depth Rear ....... .{~..d ............. : Depth ...]..~..~..' ............. Name of Former Owner ' situated ordinance or regulation' /.¥. 0 .. ·: ,. ,],/, .....Will ex~ess fill ~be removed from p. remises ' Yes ..~.4 .it. .~. AddressTee~.% J~q.~t .~/e~.../,~2tr~(... l~ne No.'~. ~..~.. ~./..Z..~.. · Address ' : Phone No ............ Address ' Phone:No whether existing or proposed, and, ifldicate all set-back dimensions from or description according to deed~ and shbw street names and indicate~whether STATE OF NEW YORK. .~ S S COUNTY OF..S.V..~...~.~..t.:..r~.... · · ~. ....... (Name of individual signing con above named. eis the .. of said owner or owners, and is duly auth. application; that all statements contained in work will be performed in the manner set fo~ Sworn to before me this Notary Public . NOTAry PU~/)C, SI,)D o! New q V1Nrl SI 3Sfl Nvanooo L..~. ~. .... being duly sworn, deposes and says that he is the applicant (Contractor, agent, corporate officer, et~.) r/zed to perform or have performed thel said work and to make and file this this application are true to the best of h, is knowledge and belief; and that the th in the application filed therewith· i t)