HomeMy WebLinkAbout23028-zFORM NO.$
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAJ. L
SOUTHOLD, N.Y.
BUILDING PERI, IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE 'iA,~RK AUTHORIZED)
N£ 23028 Z
Date SEPTEMBER 28, 19.9..5. .......
Permission Is hereby granted to:
CAMINITI & GIBBONS, ATTYS (STEWART)
P.O. Box 846
Sour-hold , N.Y. 11971
CONSTRUCT DECK ADDITION PARTIALLY ENCLOSED "AS BUILT" TO EXISTING
ONE FAMILY DI,1ELLING
AR'rtioR H. STEWART (O~/NER)
900 Yennecott Dr. & 80 Tuthill Rd. Southold, N.Y.
at premises located at ...............................................................................................................................
CountyTax Map No. 1000 Section ......... .5..5. ............ Block ......... .6. ............... LotNo ....... .7. ....................
pursuant to application ,dated .....J~lS~.'l'~ll~g ..27. ........................... 19.....9..~ ....... and approved by the
Building Inspector.
75.00
F~ $ .........................
Rev, 6/30/80
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
~TIFICATE OF OC~uL~ANCY
No Z-23923
Date SEPTEMBER 28~ 1995
THIS CERTIFIES that the building ADDITION
Location of Property 900 YE~NECOTT DR. & 80 TUT~iLL RD. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 55 Block 6 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in thi~ office dated S~IFi'~BER 27, 1995 pursuant to which
Building permit No. 23028-Z dated SEPTEMBER 28~ 1995
was Lssued, and conforms to all of the requLrements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is DEC~ ADDITION PARTIALLY ENCLOSED "~ BUILT" TO EXISTING ONE
FAMILY DWELLING.
The certificate is issued to
of the aforesaid building.
AR'£~UK H. STEWART
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
pLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
N-355678- SEPT. 13~ 1977
,GEF 28J5
BLDG. DEPT.
TOWN OF SOUTHOLD
OF SOUTHO LO
TOWN HAbb
76~-~80~
APPLICATION FOR CERTIFICA['E OF OCCUPAdCY
This aoplication must be Filled in by typewriter OR ink and submitted to ~he building
inspector with the Fcllowing: for new building or new use:
[. Final survey of ~roperty ~ith accurate location of all buildings, property lines,
streets, and unusual naturat or topographic features.
2. Final Approval from ~ea!th Dept. of ~ater supply and sewerage-disposal(S-9 form).
3. Approval of e!eotrical installation [rom Board of Fits Underwriters.
4. Sworn statement from plumber certifyin~ that the solder used in system contains
less than 2/i0 of 1% lead.
Commercial building, industrial building, multiple residences and similar buildings
and installa'tions, a certiFicate.oF Code Comptianc~ [rom mr~hitec% or engineer~
responsible for tbs building.
6. Submit Flanning Board Approvml oF completed site plan requirements.
'5.
For existing buildings (prior to Avril 9, 1957) non-conForming uses, or buildings and
"pre-existing" land uses:
[. Accurate survey of property showing all propert7 lines, streets, building amd
If s Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor La writing to the aopLican~.
C. Fees ~
Certificate of Occumancy - New d~e!ling $25.00, Additions to dwelling
Alterations ~o d~elling ~25.00, S~imming pool $25.O0, Accessory build~
Additions to accessory building $25.0Q- Businesses $50.00.
2. Certificate of Occupancy on Pre-existing guildine - $[00.00
3. ~opy of Certificate of Occupancy - $20.00
~. 'Updated Certificate of Occupancy - t50.00
5. Iemporary Certificate of Occupancy - Residential $!5,00, Commercial $15.00
gate ..... .......................
~lew Construction ........... Old Or ~re-existing Building..~,,~ .............
~ouse No.' Street
...
{.bdivisJ. on .................................... Fi lcd H~H~ .......... LO~ ................
(R,.a,<_. S ~ o ~ 3 ...........................
I
~Je8 Jo~. 19,1979,
VAN TUYL P. C.
~E WATE~ ~UPPLY AND SEWAGE
,H. ~, REF. NO~ I ' ,. ~AN~A~D~ OF ~UFFOL~ CO. DEPT.
FOf{M NO. 1
TOWN OF $OUTttOLD
BUILDING DEPARTMEN'E
TOWN tlALL
$OUTItOLD, N.Y. 1197]
TEL: 76B-1802
APPLICATION FOB BUILDING PEBMIT
ll0,'tilll 0F IlEAl. Tit .....
3. SETS OF PL,\HS .....
SURVEY ..............
CIIECK ...............
S£PTIC FOllH .........
hot tI-¥ ,
CALL ~ .............
HAlL TO:
Date .................. ,
INSTI{LICTIONS
u. This application must be completely filled in by iypewliter or {n ink ami submitted to the Building Inspector,
sets of plans, accmateplot plan toscale. Fee acco~ding to schedule.
b. Hot plan showiug Iocalion of lot and of buildings on premises, relationship to adjoining premises or public
or areas, ami giving a detailed description of layout o{` property must be ti[awn on lhe diaglanl which is part ol' this
cation.
c. The wink covered by this application may not be commenced before iasuance of Building Permit.
d. Upon approval of this application, Ihe Building Inspector will issued a lhdlding Permit to the applicant. Such
sttall be kept m~ the premises available for inspeciiou throughout the work.
e. No huilding shall be occupied or used in whole or in part roi any purpose whatever until a Certificate of Occ~
shall have been granled by the Buihling Inspector.
APPLICATION IS ]tERIDYY MADE to lhe Buihling Department for the issuance of a Btdlding Permit pttfsuant
Buildi~g Zone O[diuance of the Town of Soulhold, Suffolk County, New Yo~k, and other applicable Laws, Ordmm
Reguh~tions, for the constt~tct[on o1' buildings, a<tdittons or alterations, or f~removal ~ demolition, as herein des~
The applicant agrees to comply with all applicable laws, ordinances, bu~~,sing code, ami regulations, ~
/ (Sign~[%~ ~pplicant, or ~me, i~l ~)or;ttion
(Mailing address of applican[)
Slate whelher applicant is owner, lessee, agent, architect, engi.eer, general conh'tlctor, elecliician, phunbet or bt
............ .... ................ ................................
.... ......................................
(as on Ihe tax roll or latest lleed)
1[ aplAiC;mt is a colpolation, signature of duly authorized ol'l'Jcer,
(Name and title of coqmrate officer)
lluilde~'s License No .........................
Phnnbei's i,icense Ho .........................
hlect ICh q $ l.lcense No .......................
Other Tlade's t.icense No ......................
[ oc;ttJoIl of hind tin which I:,roposed work will be done ............................................
Ih>use Humber Street tlanllet
Cm,nly Tax Map No. ,O00Seclio,, ' ..~. ..... Block ...~ ' Lot 7
Filed Map No, Lot
Subdivision ........ . ......................................................
$hxte e×isting rise all¢l occttpltllcy ti{' prelllJses RiRt illlelltJed ttse and occtlpallc¥ or [Hojiose(J cotlsh-tlcliolt:
J. N,m~c of xvmk (check which applicable): New Building .......... Addition ........ Alteration .........
RcpMr .............. Removal .............. Dmnoli~ion .............. O[[mr Work ..............
' (Dc~cfipllon)
I
(Iobc paid on filing Ibis applicalimO
5. If dwelling, nmnber of dwelling Lmi[s ............... Number of dwelling m~ils oa each floor ...............
6. [f business, commercial or mixed occupancy, spcci['y ll~t[[l[g ~lild extoll[ of each [ypc o[' usc ....................
7. Dhncasions of existing s[ruclurcs, if any: Fronl ............... Rear .............. Dcplh ..............
l[ci~ht ............... Nmnbcr of Stm'[cs .......................................................
Dimensions of shmc sJructur~ wllh allcralions or additions: Fronl ................. Rear .................
[)cp¢l~ ...... . ................ [lcigh[ ................... ; . . Number o[ Stories .....................
8. Dimensions o[cn[irc n~w cgns~ruc[ion: Fron~ ............... [(car ............... I)cpO~ ..............
l lcight ............... Number of S~orics ....................... ~ ..................... : .........
9. Size of Io~: Front ......... ~ ............ Rear ...................... Depth .....................
10. l)a[¢ of Pm'chas~ ............................. Name of Former Owner ............................
I 1. Zmm or usc district in which l)rcmis=s am situated ....................................... ' .............
~2. l)ocs proposed construction vic~iutc any zoning law, o[dhmncc o~ [~gtflMion: ...............................
13. Will 10[ 1)c rcgradsd ....... '. .................... Will excess fill be removed from p[mniscs: Yes
1,t. Nam~ofOwnc/ot'pr~mis~s ............... ~ .... Add,sss ................... Phone No ...............
Name of ArcJd(cc( ........................... Address ................... Phun~ N~ ...............
Name of Con~raclor . ......................... Address ................... Phone No ...............
~[~ yum, SouLhold 'l'owl~ 'l'rus[ees Permit may J)~ required. PLOT DIAGRAM
[.ocatc c]eaily alltl distinctly all buildings, whether CXiS[illg or proposed, and, indicate all s~t-back dimensions fron
pmpurty lines. (.live street and block number or descliption according lo deed, ami show street names and imlicatu whcthc
]lltt:lliOr or corllgr lot.
'()tlIqTY OF.,..-""C"'C'~. !ks, .c~.."~... ,~
(Name td'iJLdiVi(Imd signing cont~acl)
.............. - ·
.................................................................
((_o tractor, agent, co~porat¢ officer, etc.)
uaid owner m' owners, and is duly aulbolizcd to ped'onn or have perfommd tim said wolk ami to make ami file th
pplication; that alt statements contained in this application ate ti'ne to tim best of his knowledge and belief; and that th
will I)c pul formed in the manma' set fo ~ m thc applicldJon filed [hc[cwilh.
........... ..... //
.................. .... .........
~mm,,,'o. ~ .rll '.