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Home My WebLink About13776-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-15222 Date January 27, 1987 THIS CERTIFIES that the building Deck Addition 1515 Calves Neck Road, Southold, New York Location of Property .......................................................... :..;. House No. Street Hamtet County Tax Map No. ] 000 Section 0 6 3 ...Block 0 7 .Lot 3 7 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore fried in this office dated March 14, 1985 13776 Z ........................ pursuant to which Building Permit No ...................... dated........March ...... 22, ...1985 ......... .. . , was issued, and conformsto all oftherequirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Deck addition to existing one family dwelling. The certificate is issued to RICHARD & KAREN SEELIG ..................... ioy.. ;,xaf i Or xx ................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 ]~o~.m. NO. ~ TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 13776 Z Permission is hereby granted to~ ..l~..o...~..C~..~....u..~......~....: .......... ~.~~.....~..:..%...././...~.1./. ...... . .. I ,n ~ _l , at premises located at ............................................................................................................................ ~uon, ~o o~,,,~at,on ~ed ........ ..~.~,~.....!..~ .............. . '~..~ o~ op~ed ~y ,he Building Inspector. Fee $...~m~. ................. 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 i ~ to the Building 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 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 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 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $ ] 5.00 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 Date...~.-~.~..~. .....~. ~..~.. / ?..~'..~.~ New Building ............. Old or Pre-existing Building ...~.~.~..~. .... Vacant Land ............. Location of Property ./..5.?.~.~, ...... C,~..~.~.E'.{.....~. ?..~/?.....~?.~.~.. .......... .?.~.%~..~.O..~.~..~.. House No. Street Ham/et Owner or Owners of Property ....~. '?. ~?..~....~-.:..../~'/~....~'?.. .... ~..~.~..~./..~. ............... County Tax Map No. 1000 Section ....~..~. ~ ..... : Block .... 0..~ ....... Lot....~..~. ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.~'~'Z~ Uate of Permit .......... Applicant . .-'-~?.....~..~.....~. (.~.~. :.'~..~...'~.....~..~ Health Dept. Approval ........................ Labor Dept. Approva ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ~ Fee Submitted $ ............................. Construction on above described building and ~$ all a~~regulations. Rev. 10-10-78 Apphcant / .".~7,~¥[.-~ ~ ~ ~ _ FIELD I~SFECTION FOUNDATION FOUNDATION 2. ROUGH FRAME & (1st) (2nd) PLUMBING INSULATION PER N. STATE ENERGY ~ODE ADDITIONAL COMMENTS: FINAL Ye COMMENTS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. ( )An application for Certificate of Occupancy is not on file. ( )No Underwriters Certificate on file. ( ~/~The check is (*~q~h~m//not on file.)~5,/r~ ( )No Health Department Approval on file. ( )No final inspection has been made. .Please contact our office on this matter. Thank you for your cooperation. Building Permit # I '~ 7 7 f~_ Z ( )No Plumber Solder Certificate on file. .(all permits involving plumbing being issued after April i, 1984) NOTE: As of January 1, 1987 there has been an increase for Certificate of Occupancy. You are being billed under the old rate. If payment is not received by February 15, 1987, the fee will be $25.00 for your Certificate of Occupancy for the deck addition as applied for under Building Permit #13776Z. 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TELl: 765-1802 Examined .,.~ .~..~.., 19~.~'. Approved . .~..~,?. .... 19~. .~. Permit No. 1 .~.~ .~ ~..~ Disapproved a/c ..................................... Recei, (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections· (Signature of 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. · . .~..c.~t .w.~7.~. ................................................................................... Name of owner of premises ~..i.c.~.4 ,%-0.. t~lJ. ¢.~.../~,'Z c~/C4.. ~e~./~...~.~'~..c_j.~. ..................... (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 ......................... lectncmn s L~cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. .... a ...... ...... ..... /.:.5'..7/ ..... House Number Street Hamlet County Tax Map No. 1000 Section ...O..~.,.~ .......... Block ...~4..'7 ........... Lot .... ~..'.7. .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....t?~Al~. ..................................... b. Intended use and occupancy...?,A'~......~....~WT~. ' .~. ~ .... . .'.g3-:~..~.& ................ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ../(.d.~...~..~. ~.% (Description) 4. Estimated Cost ~ 2 c~c~ ~ Fee '" (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent of each typ? of use 7. Dimensions of existing structures, if any: Front....~'/-qg..~ ........ Rear ...~-/.~/ ........ 'Depth ............./.~."; ......... ....... Height .. ~.'. ......... Number 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 ............... Number of Stories ........................................................ 9. $izeoflot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchasa ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated .................................................... 12. Does proposed construction violate 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 .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ 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 comer lot. STATE OF NEW YOR~K, COUNTY OF .~cc.~.-..,.wO./-.,..~. S.S ...~<~.~..~..~.a,).....'~;.7/~ .~../.~. ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He 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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....... /..~.T.~ .......... day of .~4q .~...o. ~t~. .... . .....19 ~.~l- Notary Public, . .................. . .~..-?..~'..~'.~ounty . ' u,o^ o^w o, ........................................ pu~tO,.~J~?~?~N~V ¥~ 0 (Signature of applicant) Noter~ Qualified in Suffolk Countyc;¢~' Term Expires March 30, 19 ~,~ SURVEY FOR RICHARD WlI. I_IE 8 KAt~N MARY SE~G AT 50/,/77~O/.D TOWN OF 5OU*7'HOZ.D SUFFOLK COUNTY, NEW YORK ,# UNAUTHONIZED ALTERATION OR ADDITION TO THIS . DATE : SCALE: I" ~ 40' NO. : ~;~ ' 929