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Home My WebLink About13960-zFORM NO. 4 TOWN OF SOUTBOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. ~F~TIFICATE OF OCUUmARCY No E-23590 Date APRIL 4, 1995 THIS CERTIFIES that the buildin~ Location of Property. $?OMEADOWLANE House No. County Tax Map No. 1000 Section 115 Subdivision ADDITION ~TTIT~CK, ~W YO~ Street Block 4 Lot Filed Map No. Lot No. Hamlet 28 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14, 1985 pursuant to which Building Permit No. 13960--Z dated MB-Y 21, 1985 was issued, and conforms to all of the requirements of the applicable provisiona of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DW~.ING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTB APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED DAVID & DO~A BOS~OLA N/A N/A N/A Rev. 1/81 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 13960 Z Date Permission is hereby granted to: .... ....... ~.]..o.........~.~...~....~ .............. .~.~.......~.:.~.,...u...t~.-.,~, ~. , ,o..~.....~.....~.~ ...... ~....~...~.....~.. ~~'"~ ........ I" ........... ~'"~":--;~ ........ ~ ........ ~""~ .............. at premis~e, located at ..,..~.. .....~...o....... ,...~...~....~.......~.. ,. ..... ... ........ .....~ ~.~ ......... . CountyTax Map No. 1000 Section ....... )/~ Block ..(~....~ Lot No. .(~..~=-..~.. ................................ , 19..~.~., and approv~ by the pursuant Building Inspector. .J Fee $..~.... .............. , Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY JEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ .ocat,o~ of Proper. .... ~.~.~..../?!~..~.~..~...!~.~.~. ..... .~<~'.~.~ .......... HOUSE NO. STREET HAMLET o,,t~ Ta, ~,p No. ,000 Sectio, .~1~.. Bloc~ ..O.~... Lot ..<.'.A~... ermit No./~?~O ,Date of Permit .Applicant .~<L?<~.~'. .... ealth Dept. Approval .................. Underwrigers Ap~rova, .... ~~.. .annlng Board Approval ................ ~quest for Temporary Certificate ....... Final Certificate !e Sabmitted: $... J~L~. ........... '__10~14/88 _ FIELD I~S FECT ION COMMENTS FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & ?LUMBING INSULATION PER N. Y. ~TATE ENERGY %ODE FINAL ADDITIONAL COMMENTS: 76S..1802 BUILDING DEPT. INSPECTION FOUNDATION XST [ ] ROUGH PLBG. FOUNDATION 2ND [//]/INSULATION FRAMING [ ] FINAL INSPECTOR ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL,: 765-1802 Examined .... 19 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS I~Y I 4 1985 BLDG, DEFT. TOWN OF SOUTHOLD Received ........... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ;ets 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 ~r aieas, 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 commegced 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 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 pursuant to the luilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, 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 mit authorized inspectors on premises and in building for necessary inspectio,n,s. ~ .~ (Signatu!e o[applicant, or name, if a corporation) ~o,. LSOx e4 6~1 ...... /9- ../~£a..c/.¢~..A~c...-...m. ~ .~...;~A. o, % ./....~. (Mailing address of applicant) :ate whether applicant is ~lessee, agent, architect, encneer, 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) r) 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 ....... /~./~.7~...'..7~...(- 5 ............ ~4~.~..../-.SW(-... :...?.~,~....~..c.,/(, ................ 2~ .................... House Number Street Hamlet County Tax Map No. 1000 Section ..... f./.5 ........ Block ..... .O..qT. ......... Lot...d.~. .~. .......... Subdivision... ~ .~..'..~.'.(-!(-.. ?..~..7~../.-~.~ .~ ......... Filed Map No...~..ITL.~..~.. ...... Lot....~. ~ ........ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existinguseandoccupancy...~.fd~..~. ~/~ /~,J~gi ~'.~-G~..'~/~fO/ b. Intended use and occupancy . ~.~../~3,e../~Ud~C~...~.~.....f~.'. .O/-~&¢ ............................. 3. Nature of work (check which :ipplicable): New Building ..... ' ..... Addition ......... Alteration .... Repair ....... ~:;..~...: Removal ...... Demolition Other Work ...... ' ..... t~. ~...C~..· CTE9 ~,~,5' ~ (Description) 4. Estimated Cos .......... ~ .......................... Fee .................................... ~ 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars ' ~ 6. If business, commercial or mixgd occupancy, specify nature and extent of each type of use ..................... 7. nuens~ons of ex~st~ng stmctu[es, ff any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of same structure ~vith alterations or additions: Front ................. Rear .................. Depth ................... i... Height ...................... Number of Stories, ...... ]. ~-,t6g.V. ........ · 8. Dimensions of entire new construction Front . Rear /~/~! X ~.t~ Den*h t Height ............... Number of Stories . . ./. 9 Size of lot: Front ' Rear Depth 10 Date of Purchase ~ Name of Former Owner 11. Zone or use district in which premises are situated ............................ :iF. ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ....... /y.t4. ..................... 13. Will lot be regraded ........ c ~/? ............... Will excess fill be removed from premises: Yes 14. NameofOwnerofpremises .O.~l~.l g .l~q S.COL./9 .... Address Name of Architect .'~5/'.~.q/~. · .S. ~e40./c.o. ........ Address i .-.~. ~)i/~'~ ik~Phone No' ~ 5¢ ;i y [t'q~' ' ' Name of Contractor ~f~F~. ~...~. '.~O~.® ....... Address .~.~L~i ~., .~t~Phone PLOT DIAGRAM Locate clearly and distinctly all 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'coruer lot. ~et. STA'rE OF NEW Y..Q, ,P~ ~ ~ S S ........ ' ........... ~.. ~..~. · · ./.~. :. ........ being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is d¢ly authorized to perform or have performed the said work and to m~e and file this application;that all statements coatained work will be perfo~ed in the m~ner set forth ~ the application filed therewith. Sworu to before me this ~0{6~ ~[}~L~, ~ta~o of New York (Signature of applicant) Free Deck 16x20 ~laterial List Cut to fit terramof your 12 pieces 4x4x4' AUXILIARY 2 x 8 PERIMETER JOISTS TO PROVIDE ROUGH FREEFORM 2x4 DECKING FREE FORM PROFILE 2x4 DECKING 2x8 JOISTS I-' Z 2×4 RIBBON 2x6 RISERS 2x8 JOIST~ 2xE 2x4 CLEATS 2x4s 4x4 TRIM SURPLUS 2x6LEDGER 2x8 JOIST 2 x 4 RIBBON SECTI 2x4 RIBBON SECTION "Y" 2x4RIRBON 2xSLEDGER AGE BOLTS 6"LONG ~.~ TRIM SURPLUS 2x 8JOIST 2x 4 RIBBON LAG SCREW 2x8 JOIST SCABS NAILED TO4x 4 PIERS