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Home My WebLink About29629-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29639 Date: 08/14/03 THIS CERTIFIES that the building ADDITION Location of Property: 155 COREY CREEK LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 4 Lot 29 subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5, 2003 pursuant to which Building Permit No_ 29629-Z dated AUGUST 6, 2003 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to KEITH & PATRICIA CUMMINGS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A //O;i d Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29629 Z Date AUGUST 6, 2003 Permission is hereby granted to : KEITH & PATRICIA CUMMINGS 155 COREY CREEK LANE SOUTHOLD,NY 11971 for CONSTRUCT A DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. (REPLACES BP #24469-Z) at premises located at 155 COREY CREEK LA SOUTHOLD County Tax Map No. 473889 Section 078 Block 0004 Lot No. 029 pursuant to application dated AUGUST 5, 2003 and approved by the Building Inspector to expire on FEBRUARY 6, 2005 . Fee $ 150 . 00 r Signature COPY Rev. 5/8/02 FORM NO.3 i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NOVEMBER 6 97 24469 Z Date.............................................................. 19........... Permission Is hereby granted to: KEITH & PATRICIA CUMMINGS .......................................................................................... 155 COREY CREEK LANE .....................................................I......I............................. SOUTHOLD,NY 11971 .......................................................................................... CONSTRUCT A DECK ADDITION TO AN EXISTING SINGLE FAMILY to ............................................................................................................................................I................. DWELLING AS APPLIED FOR .................................................................................................................................................................. .........................................................................................................................................................I....... ............................................................................................................................................I..................... .................................................................................................................................................................. 155 COREY CREEK LA SOUTHOLD at premises located at..................................I............. ........................ ................................................................................................................................................................ 473889 078 0004 029 County Tax Map No. .......................... Section ........................ Block ........................ Lot No. ........................ SEPTEMBER 26 97 pursuant to application acted .......................................................... 19................ and approved by the Building Inspector. 75. 00 Fee$......................... Builds g Inspector Rev. 6/30/80 Form No.6 1 _� TOWN OF SOUTHOLD f�O BUILDING DEPARTMENT �✓1 ` j TOWN HALL ff 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. For new building 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 from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforrning uses,or buildings and "pre-existing" land uses: I. Accurate purvey of property showing all property lines, streets, building and nusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificale of Occupancy is denied, the Building inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy -New dwelling$25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building$25.00, Additions to accessory building$25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100-.00 3. Copy of Certificate of Occupancy -$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. teSl��aoo3— New Construction: (/ Old or Pre-existing Building: (check one) n Location of Property: ) l4'e`l (,tet Ly_ &u�f�io�r� House No. �� p Street Hamlet Owner or Owners of Property: e 1 �✓1 A tic �rictA �U VK wt !r S Suffolk County Tax Map No 1000, Section_�� Block Subdivision q _Filed Map. Lot:_ Permit No. _a ! Date of Permit._� Applicant:_ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ _ �i(o q Applicant Signature •,4;�► SUFF. CO. HEALTH DEPT. APPROVAL H. S. NO. FSE I l'F 1` F)NJ Q'ICIA, CliMM I N�', In NESCOIyS•ET', I�Y 11-76-7 78 7605 i AREA: ^ ' 74' CC).FT. DEEDI N: A , 1 Vol. 40' rv- a Coo 1 ' Tj *CALX: c . [!°MONUMENT C ` 49Y ' ` ('�• ` l W Y.N wn+/N c wislasion r M w.v,77.Y144 to,Noowew Y001*W46 ot i 1• ov ko l tN'twv:r s►1rl Mwln. ..• 0n4ceeecl t..i N,ty M M.wviden Ql,u.n.en W.&WAP l herwa tlt'r m WW b Int►stew N whom Iht Nln It 0~a4 ad to Iit WmW N ow Yae amr.lr.�Ie.wvinanbi arint/1 TTL[ CRRTIF. UrW 'J hw+l.rw wr.a wAgv trrl U r».w:y.o.r w e wAt ws rule- . _ .. .. .. _.. adw.Ourtnttw re•tl rreY.rt► wewAM . .MAP Of. LOT. NO 17 . . 0,AQAt4TE-:eQ TO LAN: 15w10 ' MAP OF COREY rpFEK ESTS.". MO¢TGAoGE 0322.;AME2)WJ TITte ,. V411, O F SUFF.CO.MA.P N0. ,{{pp23 jK5U1wJCE COA THE OWNED YL_ 0 - k it r'FLl Alr o,11 ^^��Cc r r w AT a RODERICK VAN TUYL. P. BkYVI E W 0 . V/ � TOWN OF SO! ��J ITA01.U,N.Y.N Y. °:AND S LIC. LAND SURVEYORS-GREEN RT. N. Y. S_' IC..^I'\I 1/ r/V 1A 1-h/ YrV •11 f1 �i.+l-.� . .�.._ _..��. .. .- M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING [ FINAL [ ] FIREPLACES CHIMNEY REMARKS: DATE INSPECTOR �PA-Z 11 vaM�NIS FOUNDATION ( 1st ) FOUNDATION ( 2nd ) m 2 . z � _ o ROUGH FRAME & PLUMBING ti y ^ 3 . m m � INSULATION PER N . Y. y STATE ENERGY CODE I B14 . 3 -Jy FINAL oZ . ADDITIONAL COMMENTS ; cT m x ^v 7 y O z\� V7 m } r y .\ tv - H BOARD OF HHALTU . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPART'MEN'T CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN UALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOIT HOLD, N.Y. 11971 M.: 765- 1802 NOTIFY: /` q p �f q CALI. . . . . . . . . . . . . . . . . . . Examined....1 /rU ... 19f-.�7 R/ 1 t - MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.. �.�..., 19f.! Permit No. ........... .................................... Disapproved a/c .................................. ...................... - ,4.. ..... APPLICATI F R BUILDING PERMITIN 191hN(1F SG . . . r-�-19:. Date. . . . . . . - . . INSTRUCTIONS a. 'Ibis application mist be conpletely filled in by typewriter or in ink and submitted to the Building Inspector witl 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan slowing location of lot and of buildings on premises, relationship to adjoining premises or phdilic streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. c. 11e work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throt4jout 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. APPI.IG1'TION IS UERERY IMME 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 demlition, as herein described. The applicant agrees to ceiply with allapplicable laws, ordinances, building code, mousing code, and regulations, and to admit authorized inspectors on premises and in buildw.�g/fofoor.n�ecess/a/r�}/ inspections. . .'............... .. ........... IM U MOM (Signature of applicant, or name, if. rporation) ■.�i!!.8 :BTTA4 ................................................... 18 334 (Mailing address of applicant) lA 7 AM730 DwHIJUG Yill4 4 State WIMvew wrtli".n r agent. architect, engineer, general contractor, electrician, leder or builder. _ as r g P ..... ..... X110 tw— ua� p / . None � � � 1 t Is to[l mor latest..4:u.w'S !!r?: 5 ` ...................................... At. .N ... deed) i4OIT/J ' If a1418UK MOVIbfporatl4h, signaf*r*of duly autorizecl officer. O "Pt g ...7Mdbf.JJAHe.........l.7.......... ............... (Kjt% fiJ*1tle' bf corporatd'officenVff Y00303 TATS na? � 1 I -, 3 10tdeis License No. ........... Plumbers license No. .......................... Electricians License No. ..................... Other Trade's license No. .................... 1. lneatioh of land on which proposed work will be done........ ................................................... ............C 06a(� Creel< C�x� tScw�Fhol� ..................................... .................................. Wxuse Wilber Streeye^t16 Hanlet Ccxuty Tax Map No. 1000 Section ..V. .0........ Block .....J.c�........... int ......... Subdivision .MfSf'..°F. m�C`P CReac< 11�5:.. Filed Map No. .1................ Int ... ......... (Nave) 2. State existing use and occupancy of(y/�emises and intended use and occupancy of proposed construction: a- Existing nese and occupanhcy ..... P.S I.(6 /j h).Z.(.......... . L ......................................... b. Intended use and occupancy ........-.-1��...:......................................................... I. Nd ure of wrk (check which applicable): Naw Ikdlding .......... Acklition Al IE-ration ..... ..... VvItair ........ .... Ranlrnral .......... ... Delmlition ............ Other I-hrk ... ........... - � (Description) 4. Est iuotel Cost ..41..?. .. J� ............. .... fee ............................. ............... (to lie paid on filing this application) `i. If Ate-lling, utrdter of Atielling units ..!......... troller of rktelI ing units on each floor ................ Ifgarage, o rtier of cars ...................................... 6. If Itosiless, Cnnner'cial or mixed occlJparxy, specify nature aril extent of each type of use................. ..... 7. Dinensiots of existing stroctures, if any: Front...?V. . .. ...... Rear `.......... Depth ...2:.::........ Ik-illit .......N.il�.............. Nniter of Stories ,,. 1 .r Dinensiots of sam structure with alterations or alklitions: Front ... Rear .....L� ....... Depth ... Ileipjtt ...�R, q--j...... Nnber of Stories ..�.��........ R. Dimensions of entire new iTstnrticn: Front ... ./... Reny ..3L.-Y�..... Dpth e �'+a>. IleitJIL ........('��. ~:..... N,tdter of Stories ......(.!Z.... ..C_t{,Aw'i- 9- Size of lot: Front ..I.?: .. Rear .....('0 . -L p � 3�j13e / 2.C.I. C� - '7 1-f ( Z- 10. Dole of Purchase .Ll ...«.01....... mae of Former (Mwr ........................................ 11. 7�xte or use district in which preini ses are situated ...R?YSF.Ory' :............................................ 12. Does proposed construction violate any zrnning law, orlirance or Regulation: ........................ 11. Will lot he regraded ....P.? .......... Will excess ,fill. he renov&l frown pr'elnisea: YRS (rx'J 14. Brims of. Owner of premisesf Mine ............. N-ne of Architect .................................... Address ......... ..................... I'Inone No. ............. Nine of Cintr.-nctor .....St (-,r...................... /xklress ...............................Ilion No. ............. 15. is (bis property within 300 feet of a tidal wetland? * YRS ......... tJO .......... *IF YES, SOlfll[AD 7DI+N IIIIISIIx.S PEIMIT MAY RE M-( J1RED. P-. PLOY DIAGRAM locate clearly and distinctly all Ixrildings, whether existing or proposed, and inlicaLe all seL-back dimensions f'mn property lines. Give street aml block nnber or description accorling to deed, and show street nares alxi imlicate iAwtlx:r interior or corner lot. ``� - �0/"v A MMFY VJLMG DEFlu11gM R a6-im NAM TO 4 TIM M M 1ILL ARMIG NISFECTKM& OCCUPANCY OR FO ,."'0""" USE IS UNLAWFUL i, INSUL; '�""/1N° "�""""" WITHOUT CERTIFICATE 4. FINAL - CONSTRUCTION MM L COMPLETE FOR C.O. OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE RFc1UIREMENTS OF THE N.Y STATE C,ONSTRUCT`I?N M ENERGY CODES OT REQ",NSIBLE FOR MMI-1 lH' N• 1N I DESIGN U, CNST':-. '!ON ERRORS SS (I71MIY (AT s TT.. - �lif✓i x,11-�' .. wl vv. I .. C. . . .. . .. . ..ring duly swum, deloses alxl says that he in Ute applicant (MvIr of iolividual signing contract) alxme wRIV 1, r, y le i, llle ..... `: "I�e�` (Ccnnt.-ractor, agent, cortnrate officer, etc.) of said caner or caalers, mxl is duly audhori7o1 to txarfonn or have Iteiforned [lie said wrk alxl Lo wke arxd file Lllis application; that, all staLorents conLainetl in This algrlication are Erne to the IwaC of his krxlwledge awl belief; nal that the wrk will he tterfometl in 1:1e ncnntrr net forth in the application filed therewith. .)�xno to liefore Ise this --. .. ..1�/�(�21J...dayof � 47i1� 1G 19...7 .. Notary l'oblic ........... FITun 5. Sw..1 N NOTARY 4NP. 3 4916 61 New Yert (:ilgn Vll.11re of Applicant) No. JO-1916018 yyy Qvali116d In Neswu County q Commixlon F.olra. ,T�/ '7 '_•.., .+".Stiff'. �. -'tsti .j TV .-- 3s�sa:-_ ,i .._"', N ♦' 1i3RCIGf� _ _ if 1 J I FF 4 _ - II ap 2`w!S « '„ N OF 91 IL ,rff Ile IN 41 i p. I ' OCCUPANCY OR USE JS UNLAWFUL ° WITHOUT �ERTIFICATC� I t•*+ .,:k.$ br 1 -�`-vt 1._'=. � ti ,_,� ' '•`u= .� o' a, (e,1 - T, 4 I r � lf, - .W, '' iw t I i.