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Home My WebLink About24792-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25665 Date: 04/21/98 THIS CERTIFIES that the building ALTERATION Location of Property: 1200 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 7 Lot 19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1998 pursuant to which Building Permit No. 24792-Z dated MARCH 20, 1998 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 AN ALTERATION & ADDITION(ARBOR) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM MILFORD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Buil~g 'Inspector Rev. 1/81 FORM NO. 3 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) PERMIT NO. 24792 Z Date MARCH 20~ 1998 Permission is hereby granted to: WILLIAM F & WF MILFORD BAYVIEW RD SOUTHOLD,NY 11971 for : CONSTRUCT AN ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 1200 County Tax Map No. 473889 Section 070 pursuant to application dated MARCH Building Inspector. MAIN BAYVIEW RD SOUTHOLD Block 0007 Lot No. 019 16 1998 and approved by the Fee $ 75.00 ilding Inspec~r ORIGINAL Rev. 2/19/98 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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-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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of 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. Fees 1. 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-existin~ Buildinm - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date New Construction ........... Old Or Pre-existing Building. / Location of Property .................................. House No. Street Hamlet Onwer or Owners of Property..qq'/~%Vr. ....... County Tax Map No I000, Section..~? ........ Block...~.qP.~ ....... Lot ..... P!~ .............. Subdivision............... .................. ... Filed Map ............ Lot ...................... Permit No. .Date Of Pe t .... cant ................ Approval -- Underwriters Approval Health Dept .... ............ Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .......................... _~3, ~ J%3-~ 6~-- APPLICANT ROMEO BUILDERS, INC. BOX tH! SOUTHOLD, NEW YORK 11971 OCCUPANCY OR USE IS UNLAWFUl WITHOUT CERTIFICATE OF OCCUPANCY DATE: ~B.P. # ~® ~O.TIFY BULLDOG DEP,~ITMENT Al: 76~4802 9 AM TO ,e//'PM FOR THE FOLLOWING INSPECTIONS: t, FOUNDATION - T~VO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMS~NG 3, ;NSULATION 4. F~NAL CONSTRUCTION MUST BE COMPLETE FOR C.O, ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N,Y. STATE CONSTRUCTION & ENERGY. CODES. NC~ RESPONSIBLE FOR D;~S!GN OF{ CONSTRUCTION ERRORS ROMEO BUILDE. RS, INC. GOX 1111 -- SOUTHOLD, NEW YORK 11971 7G5.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN/$ULATION [ ] FRAMING [~,,~FINAL [ ] FIREPLACE & CHIMNEY INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ [ ] FO/UNDATION 2ND [ ~,']' FRAMING [ ] ROUGH PLBG. ] INSULATION ] FINAL [ ] FIREPLACE & CHIMNE~Y DATE_,?///~ INSPECTOR FORM NO, I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU'i'HOLD, N.Y. 11971 TEL.: 765-1802 Examined , I9... I~1,\1~1~ ~ll" III,:AI,'I'II , ,,./'i-- , r ~ !",E'l''q 01~/451'^NV' ....... SURVEY .......... CHECK ~t~ ........ SEPTIC FORM ............. NOTIFY CAL, ..... MAIL TO: Disapproved a/c ..................................... BLDG, DEPT, , 'JI'OWN P~ ~ INSTRUCTIONS Date .................. , 19... a. TI'tis 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 wilt issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shail 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. Nameofownerofpremises.~ri~i'...............I .... ......................................... (as on the tax roll or latest deed) If applicant is a~n, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CO~TRACTOR'S ~gST ~ SUFFOLK COUNTY Builder s License No... ~$. ~.~. ~ · .~ ........ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done.. · .I.~.. ?..O.. ~.~..a.)'~...~... \ .e.p~....~ .................... House Number Street Hamlet County Tax Map No. 1000 Section ...... 7.O. ......... Block ~. ......... Lot. J.~: .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occnpancy of proposed construction: a. Existing use and occupancy O ~x.e...' .P.~)l ~ . . b. Intended use and occupancy ~,~.w~. ~.~.~ .................... 3. Nature of work (check which applicable): New Building Addition ......... Alteration Repair .............. Removal .............. Demolition ......... ~ .....Other Work ............... -7_.~'O o ~ (Description) 4. Estimated Cost ................................ ...... Fee ...... ~ ......... ~to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling u~its on each floor ................ If garage, number of cars .......................................... i ............................. 6. If business, Commercial or mixed occupancy, specify nature and extent of each t~'pe of use [ 7. Dimensions of existing structures if any: Front.. .'~.-1 .... Rear ~ J..~ Depth ¢'- ~ Hmgl t ............... Nunlber of Stories .../.{ ............. : ............................. Dimensions'of same structure with alterations or additions Front g -1 i Rear . ~. 2_ Depth ..... ,-~ B ' i .................. ............. Height ........ Number Of Stories /i $. Dimensions of entire new construction: Front ..... --'... · ..... Rear . 1 ..... ~ ........ Depth ............... He g t ............... Number of Stones .......................... i ......................... 10. r Na Ow'ner'i ............ 11. Zone or Use district in which premises are situated ........................ Ii ............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: .. 'i ....................... 13. Will lot be regraded ... ~.o. ............ . .......... Wilt excess fill be removgd from premises: Yes ' ' '(~ 14. Name of Owner of premises kc?~.l,~i.o-.~e.....M.~..fliW~.. ..... Address t .ZP.°.LY[~.,'.~..~.a,.~/u. ~.~.~.. Phone No ................ Name of Architect ......... Address ' . Phone No ................ Name of Contractor .~--ot.~... g~,i~Lk~c~ Address bo~. till t,q.'~! . Phone No. ~26~. 15. la this property located within 300 feet of a tidal wetland? *Y~s ..... No · If yes, Southold Town Trustees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. i~dicate 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 (21~ NE~'XFORIP.~/,[~,~ S.S .............. being duly sworn, deposes and says that ting contract) he is the applicant .~- e is rne ....................................... '~'~ "~(tu~ir'a~(~r/, ~gent, corporate ............. officer, etc.) ~'i ........................... . )f said owner or owners, and is duly autho'i~ted-t~formX / or have perfomned the s~id work and to m~e ~d file this ~pplication; that all statements contained ~ this application are true to the best of his]knowledge and belief; and that the ~ork w~l be performed in the m~ner set forth ~ the application filed therewith. ~wom to before me this , ~ota,, Public~~~¢ County '~ .... . ...... ...................... (Signature of applicant)