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Home My WebLink About24483-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25422 Date: 12/12/97 THIS CERTIFIES that the building ADDITION Location of Property: 680 FAIRWAY DR CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 109 Block 5 Lot 14.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3, 1997 pursuant to which Building Permit No. 24483-Z dated NOVEMBER 13, 1997 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 INSTALL SKYLIGHTS IN AN EXISTING ONE FAMILY DWELLING DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to ARTHUR W HERBERT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "4t- 4,6:/ ////Plilding Inspector 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) NOVEMBER 13 97 24483 Z Date.............................................................. 19........... Permission Is hereby granted to: ARTHUR W & WF HERBERT .......................................................................................... 660 FAIRWAY DRIVE .......................................................................................... CUTCHOGUE,NY 11935 .......................................................................................... INSTALL SKYLIGHTS IN AN EXISTING SINGLE FAMILY DWELLING to......................................................................... . .... ....... ................................................................ "AS BUILT AS APPLIED FOR .................................................................................................................................................................. ..............................I................................................................................................................................... ....................................................................................................................................................... ..................................... .... ............... .. ..........................................I............. 680 FAIRWAY DR CUTCHOGUE atpremises located at................................................................ ............................ ... ................................................................................................. ........................................... ........ 473889 109 0005 014.004 County Tax Map No. .. ...................... Section ................... Block ........................ Lot No. ..................... . OCTOBER 3 97 pursuant to application dated .......................................................... 19................ and approved by the Building Inspector. 75.00 Fee$......................... ............... ... .... ......... `.. ........I................... uilding Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 :;. PLICATION FOR CERTIFICATE OF OCCUPANCY A. t[ns't 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 Building - $100.00 3. Copy of Certificate of Occupancy - .251C. 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. q Street Hamlet Onwer or Owners of Property.. . . ./ 7` N 2: •�'. .1"�� . . . . . . . . . . . . . . . . . . . . . . . . • • County Tax Map No 1000, Section. .. 10. 1. .. . . . .Block. . . .S. . . . . . . . . .Lot.M Y. . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . PermitNo. . . . . . . . . . . . . . . .Date Of Permit. . .. . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . .. . .. . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . PlanningBoard Approval. . . .. . . . . .. . . . . . . . . . . . .. Request for: Temporary Certificate.. . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: .. . . . . . . . . . . . . . . . . . `�� 1 e� . . . APPLICANT Ck0 a1 _ ... ...., . tv"� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSlJLATION I 1 FRAMING [�'] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: r r OL4-9621- DATE �1' � IN8PECXOW,2-4� ''"5 1 111,11 111'il'1;k;( lull Ill'1'llll�l' 14%I V. •� W I Illlllln'1'11111 !`UIII11)ATIUII (III[) 1111111:11 I�tlnlll; R 1'1.111111 11111 —_ Q 111!iI11.A'1'11111 I,KIl 11. Y I !1'I n'1'1'. 1[11RIIIIY 1;11111! ---------- ----------- BOARD OF HEALTH FORM NO. 1 3 SETS OF PLANS SM TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT �CHECR . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 ':...__. ._:._„....) TEL: 765-1802 NOTIFY: c / Q CALL Examined.....f .�3....., 19... MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved..Zl12. ..,7......., 19;� Permit No. ��M�... .................................... Disapproveda/c .................................. .................................... ............................................... ...... (Bu' pector) APPLICATION FOR BUILDING PERMIT Date. . . . . . . . . . . . . . . . 19. . . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector witi 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 apptication.rray 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. Sucli 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. APPLICA'.PION IS IEFEBY MALE 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 inspecti s. .... ...................... Q� (Signature of applicant, or name, if a corporation) -- (Mailing address of applicant) lAAMb. State whether applicant i owner a YB, �eneral contractor, electrician, plumber or builder. ............C .4v:,vt.:? ......f....GINA=.OW ................................................. Name of owner of premises ....yl .* r. ..0.............................................. (as on the tax roll or 100""1 723fM N(?tY3Ufi'�" Y�O1 "� .'• If applicant is a corporation, signature of dull y qer. T3aM I!AH ' ....................................,�� . (Name and title of corporate office`t),-V 111 3 Builders License No. ......................... Plumbers License No. ......................... ElectriciansLicense No. ..................... Other Trade's License No. .................... 1. Iocation of land on which proposed work will be done.............................................................. .....�.. �� r !. .......... : 5C...................... Manse Number Street Hamlet County Tax Map No. 1000 Section ...l.!?........ Block .......:j...... Ivt ....1 .... Subdivision ...................................... Filed Map No. ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: f.. a. Existing use and occupancy ...... Zed..........................1j..............`.................. 1 b. Intended use and occupancy ....../ *... IlJ ....... . (...:. ........ . r.. ,'M,�.. .. «, Ysnua�Alot`J 2 m be+Ditsuo Ir "M wmw .� 680CSCA08 tp.aN 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration,.' 4:k-.tf�' C -- Repair ............ Removal ............. Demolition ............ Other Work ............... ---Y---------_-_._- • 4. Estimated Cost .... (Description) ............... fee .............................................. (to be paid .on filing this application) 5. If &-jelling, number of dwelling units.QO°!`lElumiher of dwelling units on each floor .- 'L<�j•; !Z.->v--*,� 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 ......................... Nu ber of Stories ...................... Dimensions of sere structure with alterations or additions: Front ............... Rear ............... Depth .................... lleig)ht .................... Number of Stories ............... 8. Dimensions of entire new construction: Front ...........:.... Rear ............... Depth .............. lleigiht ......................... Number of Stories ..................... 9. Size of lot: Front .................... Rear .................... Depth .................... 10. Date of Purchase �� g. �?.... Now of Former Owner ....��.w!4 2. q.(3. 11. Zone or use district in which premises are situated .r &.y. a!!1.5..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ......!Il.0............ 13. Will lot be regraded .... .......... Will excess fill be removed from premises: YES NO IG. Names of Owner of premises ,�1�rl � .!::A. 'Q e..mddress 4C.R�?.�' `: .�/.L...... Phone No�,71t.4-1K.Name of Architect .................................... Address .............................. Phone No. ....... .... Name of Contractor ................................... Address ............................... No. ....... ' ...... ....... 15. Is this property within 300 feet of a tidal wetland? * YES .......... NO .. ... *1F YES, SOLITI OID 1I1M TRDSIFES MKIT MAY BE WgMRM. PLOT DIAGRAM Incase clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block nuaber or description according to deed, and show street names and indicate whether interior or corner lot. A611 0 oraE: l LR# � FM MO& NOTIFY SUNW1O ff ms-iew • AM TO aMR TO FOL LOWW NMa 1 FOUNOAION - Im 1 FOR MOM 2. MUa a 1R# NIO 3. INSULAnON 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION Em ENERGY CODES. NOT RESPONSIBLE FOR srnll: or Nll YORK, SS DESIGN OR CONSTRUCTION ERRORS ........ SJ � .... ./Z ?" ��J!�... .. !21.3�� &T........ being duly sworn, delxuses and says tthat he is the applicant (Nan a of individual signing contract) above niNned, Ileis the ................Q SJ.?.:>.?'Y......................................................................... (Contractor, agent, corporate officer, etc.) of: said owner or owners, and is duly authorized to perform or have performed tlhe said work and to make and file this applicatioh; 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 ......2-(9........day .... . /` Notary Public .. .............. .... .. ROBERT 1.SCOTT R, f -- j (S.ienatzure of Applicant) ary Public.Stag of New Y "lifted in Suffolk Cot No.01 SC472 T"was Mar 21,