The URL can be used to link to this page

Home My WebLink About13949-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13453 Date May 17 -, 19.8.5 THIS CERTIFIES that the building Screened porch Location of Property 320 Eastwood Drive Cutchogue House No. Street Hamlet County Tax Map No. 1000 Section . . .1.1.0. ...... Block . .. 9.3 .......... Lot 01 4 Subdivision .E.a..s.t.w.o.o..d..E.s.t..a.t.e.s. ........... Filed Map No.1 1 / 1 6/6.2Lot No. 5 conforms substantially to the Application for Building Permit heretofore f'ded in this office dated ..... I~a¥..15 .......... 198.5.. pursuant to which Building Permit No.1 .3.9.4.9. Z. ............... dated ........ FI.ag..15 ............. 198.5., 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 ......... ~creened p. orch over an existing patio. The certificate isissued to . GR..Eg.0?.~...~. BOYD-DOROTHY J. BOYD ..... ?oWn;;, ..................... of the aforesaid building. Suffolk County Department of Health Approval iq / A UNDERWRITERS CERTIFICATE NO. N / A Building Inspector Rev. 1/81 FORM' NO. ~ TOWN OF $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 13949 Permission is hereby gronted~o: ~ ...... ~......~______ .... .. ~. .. .:~.;:. .... ~ ..... ~...~ ..... > ........ ~-~ ........... :. .............. ot premises I°cate~~ts s located at ......... ~ ................... ~ ~' .~ ........... ~ ~..~...~ ............. Co.nty Tax Mop No. 1000 Section .../../..~_ ........ Block ....~.....~.. ........ Lot No ......~.. .......... ~.. pursuon, to application dated ...... ~.~. ............. /...~....-'....., 19~....,~and approved by the Suildlng Inspector. Fee ~ .......... .~ ....... ....~... Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $;euthold, N.Y. 11971 I 5 i985 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions in dup&±cate A. This application must be filled in typewriter OR ink, and submitted, ',V, ;:t:o~she Building Inspec- tor with the following; for new buildings er 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 equall, 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~coperW 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. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancv on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant; Land C.O. $5.00 $15.00 Date ..... . ,~//, ?./.~. ),'~. ........ New Building Old or Pre-existing Building Vacant Land Location of Property ....... '.~ ................. o. ......... House No. Street Owner or Owners of Property...~,~.C~.O. ,~.~t...,~.. ~9.~ ~...x ~.r. ?.' ,~,'', ,~... ~.o, .~, ~. County Tax Map No. 1000 Section .... /./.(~ ........ Block ..... .0, .~. ...... Lot ..... 0.~ .~ ....... ..... F,ed Map No. *. Lot No....ST ........ Health Dept. Approval .... t.~J~, ~..~.. ............ Labor Dept. Approv~. ............ ~ .......... Underwriters Approval,..~.. ~.' '- .............. Planning Board Approval ........ ..~.....'~.. ..... Request for Temporary Certificate ..................... Final Certificate .... ¢',~. ............... Fee Submitted $. ~ .......................... Constructi,,onon above described building and permit.meets all applicable codes and regulations. OYC~%~r~ ~¢(~-~tEO Applicant ...... ~.~...,~ ................ ..,. ~o-~o-7~ ~ ~ ~ 7 ~/~7/f~~ ~,~ ~ /3¢y¢~ ~C~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1602 %pproved[Xamined' ' ' '~'//~..7.., 19~ Permit No./.~...~. ~.,~- )isapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BLDG. DEPT. TOWN OF SOUTHOLD a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ~ts 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 ¢ areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. 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 hall 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 g 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 pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Iegulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to dmit authorized inspectors on premises and in building for necessary inspections. ,, (Mailing address of applicant) gtate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ...................... Location of land on which proposed work will be done. House Number Street Hamlet County Tax Map No. 1000 Section .... /. l D .......... Block .... O ~ ........... Lot .... .O.l..c/.. ... .. ..... Subdivision... 0 .............. Filed Map No. ~ I [ to ~ Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.. ?.....~.~'PO~, Ih[ .... ~.c40 .~. 1! k-r~ ...... 'i ............................. b. Intended use and occupancy ....... ~. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition ...... .~ '; Alteration .~-.; ....... Repair . .... .. Removal ..... Demolition .............. Other Work ............... , ripti ) 4. Estimated Cost ..... :~'-tO0.I .......................... Fee .......................... ~ '~ (to be paid on filing this application) 5. If dwelling, number of dwelling umts ............... Number of dwelling units on each floor.. ,. ............. If garage, number of cars .... I ...................................................... ; ............. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ....... s'. ............ 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .;.'.' ............ Height ............... Nu~nber of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ................... !... Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Nuinber of Stories ........................................................ 9. Size of lot:- Front ~.,....r .................. Rear ...................... Depth ...................... 10. Date of Pul:chase ~ .'.. :'~ '. .... i .................... Name of Former Owner ............................. 11. Zone or use district in which p~emises are situated ..................................................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ ! .................... Will excess fill be removed from premises: Yes/ No 14. Name of Owner of premises~.q~.q~.u~ .~c~ ...... Address ................... Phone $o.q.,.~. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor ........ i .................. Address ................... Phone No ................ i PLOT DIAGRAM Locat6 clearly and distinctly ~11 buildings, whether existing or proposed, and~indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, -- - - ........... '.'.' .'.~,.,'. '. '.--"" '~"' ............ being duly sworn, deposes and says that he is the applicant ~iv ~l'si~ning contract) above named. SHe is the .... ~..-: ................................................................. ~/ ' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements co,rained in this application am true to the best of his knowledge and belief; and that the work will be performed in the mantlet set forth in the application filed therewith. Sworn to before me this HELEN K 'NOTARy PUi][IC, State al New Yeti( ;/' ....... / (Signature of applicant) N014'/01878, Sulfol~ C0unt~ Tern? Expires March 30, 19~["~