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Home My WebLink About23261-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. No Z-24616 Date SEPTEMBER 11, 1996 THIS CERTIFIES that the building BI)DITION Location of Property CRESCENT AI~E. (~BT END) House NO. Street County Tax Map No. 1000 Section 6 Block 1 Subdivision Filed Map. No. FISHERS ISLANDw NY Hamlet Lot 4.1 Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEERUB/IY 22, 1996 ~ursuant to which Building Permit No. 23261-Z dated FEBRUARY 26, 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 2 DORMER ADDITIONS FOR NON-HABITABLE ATTIC SPACE AS APPLIED FOR The certificate is issued to J~NIES v. RIGHTI~R (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU*;HOLD, N.Y. 232G1 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Couniy Tax Mop No. 1000 Section ............. .~2. ........ Block .......... ./,. ............ Lot No.... ,.~,..~. Z .............. pursuant to application dated .............. ~~ ...................... Building Inspector. 19.~..,~, ....... and approved bythe ~" ,~ ~_..,ECuildlng Inspector Rev, 6/30/80 Form No. 6 TOWN OF SOUTliOLD BUILDING DEPARTMENT TOWN I~LL 765-1802 BLDG. DEPT. TOWN OF SOUTH ........... OLD ~PLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the in. spector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property 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-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 '~ne 21 1996 J Date ' . " ' Old 0 P i ti g B tldi tion of Property~ .................................................................... .... House No. Street Hamlet ~ or Owners of Property.. James V. Righter :y Tax Map No 1000, Section.. 6 1 ............ Block ................ Lot.. % ................ Lvision Filed· Map Lot Lt No. 23261 Z .Date Of Permit. 2/26/96 ..Z&S Contracting Inc. ............... Applicant ........................... :h Dept Approval Underwriters Approval ~ing Board Approval ~st for: Temporary Certificate ........... Final Certicate.. X ubmitted: $ ?...o.o. ...................... IELD INSPECTION REPORT DATE COMMENTS ~.SULATION PER N. Y. J CODE ~ FINAL ADDITIONAL COMMENTS: FEB 2. 6 1998 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT "'."OWN HALL SOUTHOLD, N.Y. 11971 BOARD 0F HEA~TH ......... 3 SETS OF PLANS ........ SURVEY .................. CHECK ........ CALL .................. HAIL TO: .. . . ~ml ~n~nspector3 APPLICATION FOFI BUILDING'PERMIT Date .~.~.~. ~ .ff'~. .................. , 19. . INSTRUCTIONS a. This 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 adjoiningpremises or public st?eets 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 will i~sued 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 MADE to the Building Department for the issuance of a Building Permit phrsuant 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 wl~ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises (as on the tax roll or latest deed) If applicantjs a corporation,.signature of duly authorized officer. an title o~ corpor~e officer) Builder s License No.../.4.~..~.~. 7...~..-~. ........ Plumber's License No ...... .6~.~.~/7. ~. ........... Electrician's License No .... .~.~ff. 7. ~ ........... Ot erTrade s Ltcense No.....~..~:- 1. Location of land on which proposed work will be'done ................. / ................... ....... ' House Number ' Street Hamlet County Tax Map No. 1000 Section ... i...' ........ Block ............ :. · Subdivision Filed Map No ...... (Name) 2: Stat~ existing use and occupancy of premises and intended use and occupancy of proposed~nstruction a. Existing use and occupancy... b Intended use ~nd occupancy %~ ~2~· .3. Nature of work (check which a~plicable): New Building .......... Addition .......... Alteration Repair .............. Removal .............. Demolition .: Other Work .......... 4. Estimated Cost "d'?o'D >~ . 6rd> (Description) · ..'.~ O. ~ ,. · ' , ....... Fee ..... *~..~t ............................. ; (to be paid on filing this application) 5. If dwelling, number of dwelling:units .......... Number f d ..... o welling units on each floor .............. If garage number of cars ~ ' 6 If business commercial or mixeld occupancy specify nature and extent of ..................... ' .... 7' Dimension's of existing struc(ur~s ' .each type of use ..................... · if any: Front Rear Depth Height Nuthl~er of Stories ............................................ Dimensions of shine structure with alterations or additions: Front ................. Rear ...... Depth Height ' .................... ~ ............. ' ........ ,.. Number of Stories ' 8 Dimensions of entire new construction: Front ...................... · Rear Depth Number of Stories -. Height ............... . ...................... , ............................... Size of lot: Front ! ' Rear ......... ' ................................. Depth Date of Purchase ....................... ~ ' Name of Former Owner one or use &strict in which pr6mlses are situated .............. .............................. i ~..' .... Does proposed construction viotate any zoning law, ordinance or re ulation' .. ' ........... Willl6t beregraded · I ...... , ..... g .... ' ' '; ................ .... , ........... Will excess I111 oe removeu from premises: Yes No Name of Owner of premises ...] ................. Address ................... Phone No ............ ;... Name of Architect ........................... Address ................... Phone No ................. Name of Contractor ......... ~ ................. Address ............. . ...... Phone/bio ............ ' .... 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, and, indicate all set-back dimensions from property lines. Give street and block humber or description according to deed, and show street names and indicate whether interior or corner lot. ! · 10. 11. .12. 13. .14. STATE OF NEW YORK, COUNTY OF ................. .......... ...... ... (Name of individual signin~ contract) above named. ...... being duly sworn, deposes and says that he is the applicant He is the ' (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contain!ed in this'application are true to the best of his knowledge and belief; and that the work will' be performed in the manner sbt forth in the application filed therewith. Sworn to before me thig, ~I ............ ,t .......... day of...!.t ......... , . .'...,..,.., 19.~. ? ' otaryeubl OTARY PUBL O, NEw YORK. STATE ' ~ ~ NO. 01WA9509185 ' .... , · QUALIFIED IN SUFFOLK COUNTYc~ · TERM EXPIRES OCTOBER 31, 191 ~ ' ', ' ' ' ( 'g . pp' ant). If. '4:':, I'i :