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Home My WebLink About23622-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24677 Date OCTOBER 1, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 345 WILLOW POND LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 65.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 24, 1996 pursuant to which Building Permit No. 23622—Z dated AUGUST 7, 1996 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 ROOF ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to GEORGE & SANDRA BERRY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Z',� Building ins p for Rev. 1/81 FORM NO. 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) NQ23622 Z Date .......... ... ............................ 19.. (&�p Permission is hereby granted to: _ ..... .� . .... ... . .......... ...... �...1....... ............ ........ .... f. .......l........... ...h......................... R ( i'7z�eci'�..... ..... . ... . ®7?� . . . .� ?........// r . , ........ 1�....... =1 ^'.... . .492............*�-�... ..................................... at premises located at ......... ...............O11 .........✓..?✓..�/1�.........L.^�..�.;s:��.................... ...............................................................-�� rh . 5............................................................---..... ................................................................................................................................................................. County Tax Map No. 1000 Section ............ Block (A,f ... Lot No. ..... .. .. pursuant to application dated ........... 17........12V............. 191.. aP..,41a, and approved by the Building Inspector. / �7 �w Fee $- >............... ..............:............ li4 ............................. Inspector Rev. 6/30/80 Form No. 5.. . . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ALL 765-_802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be Filled in by typewriter OR ink .and submitted to the building inspector with the following: 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-"-, 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 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-conforming uses, or buildings and "pre-existing" land uses: 1 . Accurate survey or property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. if a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool 525.00, Accessory building $25.00, Additions to accessory building 525.00. Businesses 550.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - o .25C. 4 Updated Certificate of Occupancy - $50.0000 5. Temporary Certificate of Occupancy - Residential 515/.00, Commercial $15.00 9!2L�, Date . . . . . . . 15 1. . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . .. . Old Or Pre-existing Building. ./he, r. "kA.z7V'G Location of Property. . _ .To . . . . . . 1!00 0. Ae. els_ . . . . .. . . . . . it!no nQ& . . .N House No. Street Hamlet Onwer or Owners of Property. . S...i-Q D.pQ,. X .rS ,Q�g. . . . .6.:J. . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .Filed Map. . . . . . . . . . . . 'Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . :1 .4. 3k.aI :7Date Of Permit. 1/21/1 ; . . . . . .Applicant. . �.,.2 '.e-4�.:J S•`•-"pb-J. --.0 Health Dept. Approval. . . . - . . . . . . . . . . . . . . . . . .UnderwritersApproval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. . . . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . too 50�� pPT c0 -z �� 70-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBC. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY DATE INSPECTOR 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO PI [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC A CHIMNEY REMARKS: l DATE INSPECTOR 765-18®2 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLGG® [ ] FOUNDATION 2 [ ZINNALATION FRA IN [ L [ ] FIREPLACE & CHIMNEY REMARKS: � GL r DATE INSPECT® r• II:I.D INSPLC IIOf? INiPOHI' DAlL corrr»Nrs ---------- --- -- _- u -- - --- -- ------ - -- - FOUNDA'T'ION ( I`i'1 I r f PUUNDA[lON (2ND) n n/ --- __— aoucN PLUMBING I I -- ------------- ---- -_-- -- msm.nf10N PI?R N. Y. T'Al'G E'NIiUGY IT i ----------- if FINAL 11 --- --- --ll ----I4 - - - A4 n1lbillONAI. (OMNI NI' , MN o� 4 R0AW)-�ArTll FORM NO. 1 3 SETS OF PLANS _ �. . _ . . 'TOWN OF SOUTUOLD Y . . . . . . . . . . . . . . , _ BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O TOWN HALL )SlnTI^c F4RM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: CALL Examined.... 7......., 19.OtJ MAIL. TO: . . . . . . . . . . . . . . . . . . . pJJ ' �3&;Az Approved..•_..�!f'�....., 191SPermit No. ......... ...... ...._........... ................... Disapprovedarc................................... .................................... ....................................................... I C s C V ... ( gXnltA 24M6 —@lilyy story. APPLICATION pE� 4 y. FOR BUILDING PERMIT BLDG-DEPT TOWN F iTun'n ..Date. .. - , . . . , 19.?i , INSTRUCTIONS a. This application mut be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 rets of pians, 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 most be drawn on the diagram which is part of this application. c. The work covered by this application my not be cameoced before issuance of Building Permit. d_ Upon approval of this application, the Building Inspector will issue a Building Permit to the ap6licant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall he occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted Try 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 Iaws, Ordinances-.or Regulations, for the construction of. buildings, additions or alterations, or for removal or demolition, as herein described. Tire applicant agrees to comply with all applicable laws, ordinances, txiilding code, housing code, and regulations, and to admit authorized inspectors on premises and in buil ing for neeesW inspections. � ...:' .'.................... (Signature 0Yappl' ant, r name, if a corporation) (Mailing address of applicant) State wif�ieppt er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plurber or builder. .--...C�........................................p......,....._.._......J....-_.........,..,..,............................. Nane of owner of premises 6 .L:., -Vl/ ��`, .. ,L�,n�.b ................................................ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer, ...................................................... (Name and title of corporates officer) Builders License No. .4./ .. ................. Pluirers License No. ......................... Fiectricians License No. ..................... Other Trade's License No. .................... 1. Iocation oflandon which proposed work will be done.............................................................. .............. ` ,,,.........u./lL-ow /...... d13rJ c 7 -IrsL House Nurber Street hamlet County Tax Map No, 1000 Section , ®:;d7 $._ Block .............. lot Subdivision ...................................... Filed Map No- ............... Int ............... (Name) I2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a- Existing use and ocnupancy ...1�l�l.��?LS°r, a??7?(a................................................ b. intended use and occupancy _./� ! Vl3Tt !�o m�,,,_ 3. M-tture of work (dreck wlticli applicable): New Building ,......... Acklition ..,. Al teat ionZO .... Itepair ...... Ranoval ......... Ik3nnl it!on Other lJork e s-z� (ikscription) �j�j�G �o h. Estioklled C)SL ............... fee ,.......................-..................... (to Ile paid on filing this application) 5. It dta lIing, molter of. &ell ing units ...... tknber oftka lling rains ou each floor ................ If garage, under of cars ........ If lansiness, cnnrercialor mixed occupancy, specify Nature alit extent of each type of use.......... ....•,...... 7. Dimensions of existing structures, if any: Front.. .... ....... (tear ...1.d'........ Depth ...aa..��.,. ..-...- yi // ice Ik:iglLL ............. fkuber of Stories ..... ............ ... > mo Dimensions m ensios of sae structure with alterat)ons or additions: Front ....J _,..... Rear ... �....... i_ . / Uept.h .................... Ileigl nt .fE-............... li.niter of Stories ...../,......... If. Dimensions of euL iFe_ new construct ion: Front ................ Rear ............... Depth Ileight M.nixer of Stories ..................... 9. Size of lot: FYrmt .............:...... Rear .................... Depth 10. Date of Purchase ......t.. :�........ Haw of Former (Mier .IVB 4,C_.............................. II. Zooe or use district in which pranises are situated ...............:......................................... ..... )1, hoes proposed crx tstnr.[icxr violate any wiring law, onlinannce or regulation: -6! ............x.,.,-. ✓ IJ. Will lot he re sradecl •Ryc.�t_�'�/ia`R/9 eic.ess fill '�/''Ij,�Ackire'esre�rrve<i f-ranfl ;7,c1'L9.'?C'.:5v .cfflxxteNo.l/.G�r:... P I i. . males nF (kneer of irrinises �JGGP� i Name of Arclti sect ................... Address .......,... .................. Fl tone ISra. G /R . -. � , ,. 'SG.w>Y'aAoLJ .. .... ..........Millie of Ccmractor 273� .. fixine N . 15. Is this property within 300 feet of a tidal wetland? * YM ........., NO .......... *IF YES, 5(11J11KHD IMN '111U5RLS PFIVI1' HAY IC- IT-JVIRFJ). PLOT DIAGRAM IocaLe clearly and distinctly all Ixtildings, whether existing or proposed, anxl indicate all set-back dimensions frim property lines. Give street soil block railer or description acconling to deedl and allow street nares and indicate whether interior or corner lot. 1 �3 :i 1'A'Ili (v PAW Yom, rjL� tS!i (RAIN IY (A' ...... .e:5.....�.......... fj Q v �' /d ...... ... . ....... ....Ixeinl; duly sworn, deposes and says (fiat he is the applicant (Ilene of individualsigning contract) aixrve tuned, Ile i.. Lite �cL,ye�... ............................... (Contractor, agent, corporate officer, etc.) of said (mwr or ownxtrs, and is duly arthorized to {xwforrn or have perfonred the said work anal to nkdce and file thin. application; that all staLereuts contained in this appl.icaticn are tnx: to the hest of his knxrl.edf; ail belief; ail that the wrk will Ile perfumed in the skinner set forth in the ippi ication filed tlterewitln. Doom to before tin this Notary Anlrtic :-i��.:( (Sure ..... .. .. ........ - � if Appl.ican-) No=, '�( §'T4044752 fAla fW 15§mfWk CoUM ,,7 Comtaissirli I Fes S1.30,1i ...-«ovli.,w"'.yl"^^."*^^"`>a1'r-"` y�"y"k""^`^`." ("".+;ts-.`��-::�..-. ...,....;w:r: . Ir..L' -:ir:,•+• r ..•+ -_o.l -�....v..5.,, - ___ _ .,.,_,..._ .-_ - ' r I Q a .kms 4 I s71� G - i , ' In �� 1996 e� L I I . .,.a....✓,.+, ':rP-n. -y-.+`*mir•f..y •e••.„.�.....�..........,N.+r ., f- �, 'I i`.` ! .�i - - 1 N { RnFpr fry YF`1KS it - tv . � �i�,.�-.+n»'�-:r-��--r �p ,�...- .-....._..,...._.._ ru.,.n•-wr,: _,-sr ... a>, r ,4., ....,,, . .,�, _�,• _ � - - —' --__ _- �._.., F_ -.� t�".r� _ , ,._ __. .�.. -__ _ ,.- ,. � - 1 41 `') 7 �✓;� VAi'lg.N.s- !� �G%�,T` J��mYI��,R'l Rh.".r '1�t9„M : _ � � ,- , _ - _ 4aa12 _ _�N �— - . . yi � „^.�^—f^T+�' Y,,,+ '.:.+..w+r_.�-r++,.• - .rte,+"��`w+-�—+^'.w+.r.. ...f. .. n Y 1�n._......._�. .., ._ ............._w. _ ,_..._.-....� ..... ♦ ....—< - rw_.-n+ rv•Tw„tt",:.,..r•+a+'e*`..M.^r.Wn.. ,+?",•i!'tq",+r" � 1 .• .F .' rn� �'� �4}lWo �SycP 'SIE% ' c nol In otr •171 -..� ( "'.:.... - / r/�.. _ `_' 6 "T. - I „ • r . � A /-sly _ UNDERWRITERSCERfIFlGITE � ��'1 _ — - l�; �� t REQUIRED t, r K FOCCUPAN r C .. 'USES UNLAWFUL - 'WITHOUT CERTIFICATE J' '_ OF OCCU I J--_� : : � - , ASN - - - - AP RQVED OiED _ _ DATE'-.� P.it "FEE:, .i BY: - _ y� �( �� (� :y� } NOTIFY BUILDING DEPART ENT AT - .gSX.b' "aN,'>ADO 'a,J.�-....-L:�N..,-J.-- - - i FOLL, I 9 AM TO 4 PM FOR THE I ', FQLLDWING INSPECTIONS: I 1. FOUNOATIOW - TWO REQUIRED _ "FOR POUREDCONCRETE i _ - 8 P 2 h t j. . ROUGH, FRAMING &'� LUM1NG ' El I - - FINALATIOCONSTRUCTION MUST f 3: _ ""BE CO{HPLE7f FOR C.O: ;ALL<C'ONSTP,UCTION''SHALL MEET �y7I/',�9y?.Jx,. �. _ _ 7HE'°AEOiIIRENIENTS OF THE N.Y. £ ee"I ,W - - - - - . - ` r. N. T UCTION ERGY '-rY + / °1 l' r. 1 ',�, .CODES�C NOT' RF,SPONa18LE FOR ., 'DESIGNI CONSTRUCTION ERRORS - 4slf!na'.t„�/. to 'U'r.' .. � '- . '1�. N, „ ! S ka y. 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