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Home My WebLink About24448-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25407 Date: 12/01/97 THIS CERTIFIES that the building ADDITION Location of Property: 280 EMORY RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 103 Block 4 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1997 pursuant to which Building Permit No. 24448-Z dated OCTOBER 29, 1997 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy f r which this certificate is issued is DECK ADDITION ON THE REAR OF EXISTI G ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RONALD A. ATKINSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A .4 ////*ildin'g Inspector Rev. 1/81 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) Date.......OCTOBER 29 ......... 19.... 7, 24448 ..................................... Permission Is hereby granted to; RONALD A * ATKINSON .........................................................................I.............. .........PO BOX...368..................................................I............. CUTCH000E.t.NY..1,1935.................................... to CONSRUCT A DECK ADDITION ON THE REAR OF A SINGLE FAMILY DWELLING AS APPLIED FOR ........ ....................................................................................................................................................... ..................................................................................................................................................... ..........................t...........................................................I.....I..................................................................... . .................................................................................................................................................................. at remises located at........ 280 EMORY RD CUTCHOGUE p ............. ................... . ....... . ..................................................... ................................................................................................................................................................ County Tax Map No. .....4.738.8.9.... Section ....103........... Block ......0004 Lot No. ..033.............. pursuant to application dated .....SEPTEMBER 22 19.......97,.., and approved by the Building Inspector. Fee$.........75.00... .......... .................... Building I for Rev. 6/30/80 l U L ILL 14U. U 118 t TOWN OF SOUTHOLD RONALD A ATKINSON r' BUILDING DEPARTMENT PO BOX 368 ��,;_; � CUTCHOGUE, NY 11935 J! ° TOWN HALL 765-1802 BLDG.DEPT, -TOWN OF *POLICATION 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-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-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. C. 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-existing Buildine - $100.00 3. Copy of Certificate of Occupancy - .251:. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . 'f . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . i Location of Property. . . . . . :2CPO . . . . . . . . . . . .'4*9xY. . .le.�. . . . . . . . . . . .Ce?tc1' 0� Kz*. . . . . . . . . . . . . House No. � > n Street Hamlet Onwer or Owners of Property.. . ./.4 bs✓s�lo: . . . f✓-,. . . 1�Gt!'v.j0�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . .?3. . . . . .Block. . . . :�. . . . . . . . . .Lot. . . 3 3. . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit . . . .Date Of Permit/k ._: . !. . . . . .Applicant. . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Corticate. Z. . . . . Fee Submitted: $.a :�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APPLICANT BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ J FRAMING [ INAL REMARKS: zoo,* c,-, / �T DATE �` Z -INSPECTOR h II,I.11 111'il'lil'f(till II1rl'IIII't' 11Afli ...r. _"_ _.r.. ti,.w"•nw ,n. .. •-.�._ -•-.. .._.. . _. __ l.ullill:lll11 ' a � V11111I11n'I'I1111 � 1 1 v 1`vurnln•fll)al ('tial) � ,•1l� I•r._ 1 1t h rr b M w w w.w/• I.T h w w•n w w w •T.•w'.q••"nl'•w�TT_I•.P•r.w w7•^•.••••rP.•.N.w•w•w--A w--r••'/.'rTr---w w 11111►1:11 IIIA►Ilc R C7 'Yv` 11.111111iN(r ------------------------- -- r„w•n nw wh --------------------------- - —wrw,www..wwwww•w..www..—.•I I1!i111.A'I'11111 1'Itll 11, Y 1.. NTA'I'Ic ic111c1111Y C IIIc -....,...+...•1...•,-.•r..•ww----w.•ww ...,........•.. .,.. r...•I.•,.r....1...T.,....,.,....-- -.............•.....,-..w...-------------------- I' -.•..•...•....•......,----.I.w.---1'I Ilnl. ----------- --------- --w-..+ . ..........----. -- ww.------------- -w..----..---- ---I'I'I(IIIA-. (;()Illll;tl- t r .-..-.....-•.•...•..r.n.,..•.w....www.....w.�..r..w........�...........ww.I+.�.................wl....n...n..-.w...nw....w•.wn...w«...ww........w..-------------- i•� 1.• l:l 1 BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. I ;HEC . . . . . . . . . . . . TOWN OF SOUTHOLD VLA.. . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . 2 2 � � SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: (f CALL . . . . .!. . � ExamiTV& ... MAIL TO: . . . . . . . . . . . . . . . . . . Approv ., .� Permit No. .....G.,./...... .................................... Disapproveda/c ......................r........ .. .................................... .•. . (Building Inspector) . A LICATION FOR BUILDING PERMIT Date. . . . �Z. . . . , INSTRUCTIONS a. 'lois application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 application: 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 issue 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 MALE to the Building Department for the issuance of a Building Permit pursuant to the Building pone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatiops, 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 buil ing for essary inspections. !� 19= Af (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. wweoe ........................................./............................................................................... Name of owner of premises ...............C1....... - .............. ............................................................ (as on thetax rollor latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) BuildersLicense No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. a � �� .. ...... , .......... .......... House Number Street hamlet County Tax Map No. 1000 Section ...10 3........ Block ....Al.......... Lot '3'3 Subdivision ................. Filed Map No. ....... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,/.' �✓�.C.. ! b. Intended use and occupancy ........ �fid...�� .............. ................................. 3. Nature of work (check which applicable): New Building .......... Addition ... .. Alteration .......... ' Repair ............ Removal ....... .... Iemolition ............ Other Work .................................. , (Description) 4. Estimated Cost .....?d0 __11:............ fee ......7S-,.................. ............. (to be paid on filing this. application) 5. If ckaelling, number of dwelling units ............ Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. Height ......................... Number of Stories ................... Dimensions of same structure with alterations or additions: Front ............... Rear ............... Depth .................... Height .•............A...... Number of Stories ............... 8. Dimensions of entire new construction: Front ..... X.7 ..... Rear .... Depth ... Height ...a.�r., •fiv�Ir ef........ Number of Stories .... ............... 9. Size of lot: Front... ................... Rear .................... Depth ...��.:�.`........ 10. Date of Purchase .....�9 �......... Name of Former Owner ..........T��!J......... ........... 11. Zone or use district in which premises are situated .....RSi! 'W*!'SQL......................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...!vD................. 13. Will lot be regraded .....ee ........... Will excess fill be removed from premises: YES 14. Names of Owner of premises /CGwl�/� .. � :. Address 0.W.. ................ Phone No.73y..7146- .... Nine of Architect ..... S�!�//►► ...................... Address .............................. Plane No. .............. Nene of Contractor ...... .��T........................ Address ................... ..........Plane No. .............. 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO ...✓..... *IF YES, SOIfIlIIHD 1UWN TMMMIS PERMIT MAY BE WAIERF.D. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back diylensions from property lines. Give street and block nim1mr or description according to deed, and show street names and vindicate whether interior or corner lot. Zi E*Qr�, lb4l IA-_ cCCIAC Afor ir/Y/tY Lot e** �4Ilk r NCK �JAA, r V r Pao i N �mrc6 fi(mv�c- />{ovrc �r y1x.t6 wity./> «! dw 4s�`-� Lr�z� ! �-.tS$-� y,,,�,_ pveart►A' it Lf xst Sl'AlE Or, Nhl YORK, .... .. .... Q.eV ......be.ing duly sworn, delxnses and says that lie is dw applicant (Name of individual signing contract) above tuned, __ --// Ileis the ......... I).. tN.�J................................................. .p........................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed Che said work and to make and file this applicatiot; that all statements contained in this application are true to the best of his knowledge and.b6lief; aril that time work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ....v� '? ......day of;`�'`o�.19 ,7... Notary Public ... .. .. ! . . .. .... .... ................ .. .... � ELIZABETH ANN NEVILLE (Signat.we of Appli.cant). ' Notarr2yy Public,State of R.w York Term Expires October 31,1�� .f. I rtieehe ._.._ Sino �S q � �,..:�� _. .• 1p IoM pno��+`ty C > << $µfat „r _x k4l ', , 1�p" b! z T►�I jT} o s+� C-) J QQ _) f r ) C I_(.)T r, 0 C -� f;U�1R� F iFF I i7 of Southold THE. Al Lo N.Y, �C'UI�}{ULD SP,L°i PJ h`5 i�l°l hi 1C P k MAP OF SONNY SNORES IS FILED IN THL �-7f-i-M Scum THE CLERK OF SUFFOLK' COUNI Y AS MAI" N x.3231 Mim. � ISL f CONCRETE MONUMENT'.�' June 2 19fa6 MENSED LAND SURVEYOR r c r lf, l«c5� R'IVEMIEAD, r4.Y ,, Co Kc /1 a-1 Q- Re k '1"Y1° 3C." 6 eicow G,eadv- CC A �.o Nr � /1�r1 � �+ � �--- �• ph i i O I tl "fir i N i 7- 2 xg tYgtl4�� a9 3o[,red -ro bb..s� ?�c�� ELsv c�✓ if ,?� ii Papp ,tlpo1,` Qe��e deck a [ G S C ovs� f. , oR � Rd C ,Tc4olG � , IVy o �T ICSH' o j4 wnt�e.. Ro ►.oLo� s