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Home My WebLink About23036-zFORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HAU. $OUTHOLD, N.Y. N~ BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZEDI ~,e ....................... ./.~/.....~ ...................... ~9..~.~ 23036 Z Permlss,on ,s hereby granted to: , ~) ~. .... ~,..~.;~ .............................................. ....... ~.~..~.....~...L~...,.. ~ ...~~'. .......... ~. ................ ~,,,.,.~ .............. ~.~ ....... ~,~ ........... ~, . , , ~ ~ ........... ~ . . ~ ........... ~ ~, ~ .......... ~ ~<~ .............. ..~ ....... ~ ........ ~ ........................................ ~.... ............................. ~ ................ Counh/Tax Map No. 1,300 Section .......?...~.. ............ Block ....... .~..,.~,. .......... Lot No. ,,,...~....~..:....~... ....... pursuant to application dated ............. ...~..~,/~,,'....../. ,~.. .................. 19....~...~...Z,, and approved bythe Building Inspector. Fee $... Z.~....~'~.~ .... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C~RTIFICATE OF OCCUPANCY No Z-24779 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ADDITION Location of Property 680 PRIVATE ROAD ~17 SOuT~OLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 81 Block 3 Lot 27.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 1995 pursuant to which Building Permit No. 23036-Z dated OCTOBER 2~ 1995 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 SUN ROOM ADDITION TO EXISTING ONE FAMILY DW~LT.ING AS APPLIED FOR The certificate is issued to DORIS DAVIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N-371981 - DECEMBER 4~ 1995 N/A Building fnspect~ Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-i802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 plomber certifying that the solder nsed in system contains less than 2/10 of 1% lead. 5. Commercial buildin, g, industrial boilding, multiple residences and similar boildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planuing Board Approval of completed site plan requirements. For existil~g buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the app]ic,~nt. If a Certificate of Occupancy is denied, the Boilding 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 Buildina - $100.00 3. Copy of Certificate of Occupancy - .25~ 4. Updated Certificate of Occupancy - ~50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ate ...... l". ..................... New Construction ...........Cld Or Pre-existing Building...~.. ........... ocation of Prop r y .......(,,.?.0. .... ......... House No. Street Hamlet Onwer or Owners of Property .... b.~5 ~..~.~. I ~. County Tax blap No 1000, Section .... .O.~J.:O.O..Block....~..~..~. ...... Lot .... .~..~., ~7~_ ...... Subdivision ....... ~ ~..~.~..~. ................ Filed Map ............ Lot ...................... Permit No .... ~.~.O..~...~..Date Of Permit .... ~O. L~.I .~...Applicant..~..~.. Health Dept. Approval ..... ~.~. .............. Underwriters Approw~] ...... ~...~...' ............ Planning Board Approval ..... ~..I.~. ............ Request for: Temporary Certificate ........... Final Certicate....~.. .... Fee Submitted: $ ...... ~.....O?. .............. ~ ................................ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1185077 BUREAU OF ELECTRICITY --- 85 JOHN STREET. NEW YORK, NEW YORK 10038 8.re DECEHBER 04,1995 Appllc. Eion No..nf~ 1~34~195/95 N 371981 THIS CE~IFIES THAT DAVIS/WEIST, 2500 PARADISE POINT ROAD, POLE NO. LILCO 22 AE, SOUTHOLD, N.Y. in the following locatio.; [] Basement [] Ist FI. [] 2nd FL OUT ,Section Block was examlned on NOVEMBER 3~', 1995 and found to be in compliance with the Nalio.al Electt~cal Code. Lot RANGES R V I C 2/0 EXHAUSt FANS DIMMERS I 2 G.F.C.I:-i ROSLAK ELECTRIC! P.O.BOX 164 CUTCHOGUE, NY, 11935 LIC.#3677-E GEI~.RAL MANAGER This certificate must not be altered in orO' manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. Town Hall, 53095 Main Road P. O. Box 1179 Southold, New Yonk 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 30, 1996 Bay Creek Builders P.0. Box 602 Cutchoguer N.Y. 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. XX The check is (not on file.)$25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 23036-Z (DORIS DAVIS) Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. i'IS;UI,^TIOH PER N. STATE Ei't F.'. R G ¥ t~ t .^,. [I ADI) l.I I. OI~IA I. (;DHHEIStrS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOU~iD~ATION 2ND [ ] INSULATION [/~]~FRAMING [ ] FINAL [ ] FIREPLACE &~.HIMNEY REMARK~ 765-1802 BUILDING DEPT. //iNSPECTION [ C/I F/OUNDATION 1ST [ ] ROUGH PLBG. [ ~ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ,,,-,,J,,,,s: DATE INSPECTOR ~ ~-~ , , ~ :~' ./' 76S-1802 ~ / /, ' . .) t .." £i:>''~ ( BUILDING DE_~.~~--'~ NSPECYION [ ] FOUNDATION 181 [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING I ]FINAL [ ] FI REPLACE~_~.H I MN EY ~- REMARKS: ~ DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ /] IN/.SULATION./ [ ] FRAMING [~"] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: //~/,,~/~'~ !~.~ ~ ~ 1550. BLDG DEPT. TEL.: 765-1802 TOWN OF ~OUTHOLD Examined ...... Approved .............. Disapproved ale ................................ FORM NO. I ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 APPLICATION FOR BUILDING· PERMIT 3 SETS OF PLANS ...... ,. SURVEY ................ CllECK ........ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink an'd submitted to the Building Inspector, with sets of plans, accurate plot plan to scale. Fee acco~'ding to schedule. b. Plot plan showing 19cation 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 must be drawn on the diagram which is part of this app c~tion. c. The work covered by rids 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 Occupam shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of South01d, Suffolk County, New York, and other applicable Laws, Ordinartces, Regulations, 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 i admit authorized inspectors on premises and in building for necessary inspections. -- (Signatur~ of applicant, or name, if a corporation) :9... .y..i.t :. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, generai'contractor, electrician, plumber or ~ N~me of.owner of premises....~.'~..~..~".~.-%.... ~ .'~...oL.~.'~.~. ............................................... (as onthe tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer.' (Name and title of corporate officer) Builder's License No...~-~.~. C:'~. ~ Plumber's License No ............... . .......... Electrician's License No ................ . ....... Other Trade's License No ...................... 1. Location of land on which proposed work will be done ..... . ..................... ....... ~ ............... . ....................... ' ..... ......... ltouse Number Street Hamlet Cou'nty Tax Map No. 1000 Section ...~.~'.~., p..O ..... '. Block ~..._~-..O..o. ' .. Lot.. :.~-..'~...~.o..2.. ..... ~ t ~ ~ Filed Map No ........ Lot ............... Subdivision . .; . .. "' '{' .... (iq'a'~)' '"' ......... . 2; Stat~ ex sti ~g use and occupancy of premises and intended use and occupancy of proposed construction': a. Existing use and occupancy .,..' .'~.t.~:x.~,.[.~...c,.x ....................... b. Intended use and occupancy .............. ..~.,:a.;~,,~. ....................... : ..................... '3. Nature of work (check which applicable): New Building .: ....... : ,~ddition . ../~;~... :,~ m~dt'e'rati°ff; .~..;..,.~ Repair .............. Removal .............. . Demolition .... ; ......... O~rk .... :'/'... .... 4. Estimated Cost ........ : .o.o... ........ Fee... ~Y~ ' (to be paid on fi!i.ng this application) 5. If dwelling, number of dwelli, ng units ..... i .~ ........ Number of dwelling units on each floor .... ), ......... , If garage, number of cars ........ -.,~.: ......................................................... 6. If business, commercial or roi.xed occupancy, specify nature and extent of,each type of use ................... 7. Dimensions of existing structures, if any: Fronl/ ............... Rear ..., .......... Depth ............. Height .... ./.'7 ........ Number of Stories ..... ~. .............. ' ............ i ..................... Dimensions of shine structure with alterations or additions: Front .... ~.t'tt. ~. ....... Rear ................ Depth .... ~ .................. Height ........... ' ........ ;., Number of Stories .......... '. :! ....... 8. Dimensions of qntire new construction: Front ... ! ~ ....... ; Rear ... 1. Z.- ......... Depth .. [. $ ......... Height ... tO .......... Number of Stories ....... t. ................ r ..................... : ........ 9. Size of lot: Front .... {,~."~. / .......... ~., Rear ...................... Depth , l,~",~.. ,.~- 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 10t be regraded ....... : .................... Will excess fill be removed from premises: Yes 18. Name of Owner of premises ...~:hLg..~?.t,5 ..... Address ................... Phone No.'g4..,-%-..7,~. Name of Architect ........................... Address ................... Phone No .............. Name of Contractor . .~ ~V~.:..f,~..c..(-W.{O..%~. ..... Address ................... P__h.o~No..~/'.'2..~.~ .~'.~.. ~ 15.' Is this property within 300 feet of a tidal wetland? *Yes ........ ~ ..... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, Whether existing or proposed, and, indicate all set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or corner lot. STATE OF NEW¥ORK,~,~ /~ .,d ~ c coney °'° . · ...~. ?..~. ~.?.. ,~. '...~. ~.~ ........ . ......... being duly sworn, deposes ~d says that he is the applies: (Name of individual signing contract) above named. He is the . ...... ....................... · ./'~;)~'~. ..... 2 ............................... '... .......... agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tt: application; that all statements contained in this application are true to the best of his knowledge and belief; and that tl work will be performed in the manner set forth in the application filed therewith. Sworn to before No, 49B1364 .. Oualified in Suffolk CounW Commission Expires May 22, 19