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Home My WebLink About24353-zFORM NO. 4 TOWq~ OF soUTMOLD BUILDING DEP~RTMENT Office of the Building Inspector Town Wall Southold, N.Y. CERTIFICATE OF OCCUP~NCY No: Z-25304 Date: 10/06/9~ THIS CERTIFIES that the building ~J~TERATION Location of Property: A%qE B (HOUSE NO.) (STREET) (HAMLET) County Tax Map Nc. 473889 Section 6 Block 2 Lot 7 FISHERS ISLP~ND Subdivision Filed Map NO. __ Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 5~ 1997 pursuant to which Building Permit No. 24353-Z dated SEPTEMBER 15, 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 NEW ROOF SYSTEM OVER AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to bL%RGARET C L~A~ERE (O~NER) of the aforesaid building. SUFFOLK COUNTY DEP~T~NT OF ~E~LTM APPROV~ UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A ng Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALt, SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLET,ON OF THE WORK AUTHORIZED) Dat. .~.../.~.. ~.o ,,,~, z ............. ~ ............................. , ,,...?/ Permission is hereby granted to: ~..~~.~,.~.,.....~/.~.....~/ ...../......d...:...~.......~...~ .............................. ..~~....~J ........ ~..~ ,a ..... ~?~...~....~.~ ....... -d- ......... ~--- ....... ~ ...... ~/~--.....~/~-- · ....... ....... .................. ..~_....s.. ....... ~~ ....... /~4:.: ............................ ./... ........................ :~ ................... at premises located at ................. )~ ............................... County Tax Map No. 1000, Section ....~...~:;?, ........... Block ...... ~....~.. ......Lot No...,...~...~... .......... ,,,~uo,, ,o o~,p,~o,io, ,~o,~ ...... ..,-.'.'.'.'.'.'.'.~..~.., ....... ~ ................. . I~.~..~on,~ oppro,.~ ~, ,~e Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTI~LD BUILDING DEPARTMENT TOWN IIALL ~ ~ ~65-1802 : A~PPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the followin~: 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. ~ Final Approval from Health Dept. of water supply an~ sewerage-disposal(S-9 for~). Approval of electrical installation from Board of Fire Underwriters. Swornstatement from plumber certifying that the solder used in system contains less tha~ 2/10 of lZ lead. 5. Commercial building, industrial building, multiple residences and similar 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: i. 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 applican~.' If a. Certiftcate of Occupancy is denied, the Building Inspector shall ata~e 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-existing Building - $i00.00 3. Copy of Certificate of Occupancy- $5.00 over § years - $10.00' 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ..?;.'?3./?Y .................... , .............. Construction ...........Old Or Pre-existing..Building ................. tton of Property~ ................................................... House No. Street ~amlet Owners of ~ ..... ~" Robert Campbell ty Tax Map No 1000, Section, 06 02 ........... Block ............... Lot.. 07 File~'Map Lot ivision.. ..................................................................... · 24353 Z ~.~ 9/15/97 ' it ~o ................ Date Of .................. Applicant.~ Contracting'Inc. th Dept. Approval ........................... Underwriters Approval ......................... :ling Board Approval ~st for: Temporary Certificate ........... Final Certicate.. x Z & S CONTRACTING, INC. FAX:~(516) 788-5600 ; FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN' ,: ~ ., SOUTHOLD, N.'~. 11971 TEL.: 765-1802 B'OARD OF HEALTII 3 SETS OF FLANS SURVEY CIIECK 3~FTIC FORt! CALL HAIL TO: Date INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 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 sti'ee or areas, and giving a detailed description of layout of property muir be drawn on the diagram Which is part of this app 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 will issued a Building Permit to the applicant. Such perm 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 Occupanc shall have been granted bY the Building Inspector. APPLICATION IS HEREBY MADE to the Bmlding Department for the issuance of a Building Permit pursuant to tb Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applibable Laws. Ordinances ¢ Regutations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe£ The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admi/authorized inspectors on premises and in building for necessary inspe, cgions. Z & S CONTRACTING INC. (Si=natureoz appficant, or name, if a corporation} P. O. BOX 202 FISHER8 ISLAND, N.Y, 06390 (Mailing address of applicant) State wl~ether applicant is owner, lessee, agent, architect, engineer, ge~rai contrac~to~ electrician~ plumber or builder (as on the tax roil or latestl~i!d If applicant is-'a'JX~oration, ~nat~,¢, q~,~l, uly authorized officer. (Name and title of corporate ofnc+gr, r,, ,n~sov 0m Plumber's License No. W'I'THOUT CERTIFICATE , .,.^L - ............. ~E COMPLETE FOR C.C. OCCUPANCY Electrician's License No ............ · .71'. T~ REQUIREMENTS OF THE N.Y. S',~[E CONSTRUCTION & ENERGY Other Trade's License No ...................... COORS NOT RESPONSIBLE FOR IJNDERWRIIERS CERIIRCATE DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which proposed work will be'done. R£1~BIRF.~ Itouse Number Street Hamlet County Tax Map No. 10013 Section ...: ............ Block ~ ' Lot ..... ~.. Subdivision ................. , ..................... '. Filed '~-map No ............... Lot ............... (Name) Stat~ existing use and occupancy of premises and intended use and occupancy of proposed constructioni a. Existing use and occupancy , i. ..... b Intended use and occupancy . . .~ ta r~t Er . . ·.. · 3.Nature of work (check which applicable): New Building .......... Addition .......... A/teration ... Repair .............. Removal .............. Demolition .... : ......... Other Work .............. · .... (Description) 4. Estima'{~ Co~c .............................. Fee ..................................... (to he paid on filing this application) 5. If dwelling, number of dwelling units I Number of dwelling units on each floor ............... . If garage, number of cars ....................................................................... 6. If business commercial or mixed occupancy, specify nature and extent of each tyoe of use 7. Dimensions of existing structures, if any: Front ..... 5~9.' ....... Rear .... .q? .~ ....... Depth .. ?..3-/ ........ Height ............... Number of Stories ....................................................... Dimensions of shme structure with alterations or additions: Front ..... ~ .......... Rear ...fla. ............ Depth : q~.~. ..... Height ........... ' ......... ... Number of Stories ! 8. Dimensions of entire new construction: Front ...... .~.~. .....: Rear ..... .q.o ........ Depth ...4~: ......... Height ............... Number of Stories ..... ~ .................. , ............................... 9. Size of lot: Front ' Rear ...................... Depth ..................... 10. Date of Purchase .................... . ......... Name of Former Owner ............................ I 1. Zone or use district in which premises are situated ....... . ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................... 13. Will 16t be regraded .. i4.q..: .................... Will excess Ell be removed from premises: Yes 14. Name of Owner of premises .[Z..~.~,F.~.T..c..~I~?~..ea~%.... Address W. 9.~.~.~.~ .z.E q~.~?. ....Phone No.~q.za).7.~.r. y.7..~q/,. Name of Architect ........................... Address ................... Phone No ................ Name of Contractor . ~ ~.g...cfV.-[.?:~. T.~.~.~. ...... Address ~ ~,e.,.s..~*.4.,4) ..... Phone No.~.(~ .7.c!. i5.' I~ this property within 300 feet of a tidal wetland? *Yes ........ No.~ ...... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ail buildings, Whether existing or proposed, end. indicate all set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate whethe interior or comer lot. b~in~ duly sworn, deposes and says that he is the applican~ Itc is the .... ~ .O.~. 7~ .~.c: ,"?'.,eT ......................... ............................... . ............. (Contractor, agent, corporate officer, etc,) of said owner or owners, and i~ duly authorized to perform or have performed the said work and to make and file thi: application; that all statements contained in this application are true to the best of his knowledge end relief; and that work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ EILEEN ~. WAL~ , NOTARY PUBLIC, NEW YORK STATE p ~,~ ~3:L-~ , day of-'~x~ ~'~ .~ .... ' 19 NO. 01WA9509185 ........ ,. QUALIFIED IN SUFFOLK COUNTY .. .... ........ (Signature of applicant