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Home My WebLink About23044-zFORM NO.3 TOWN OF SOUl*HOLD BUtLD~NG DEPAI~TMENT TOWN H,&I1 SOUTHOLD, N.Y. NC_.` BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UN'IlL FULL COMPLETION OF THE WORK AUTHORIZED) ~,, ..................... /~../..~ ....................... 23044 Z /-- Permission is hereby granted to: .././.~.......~....w..~......~.......~ .......... ....... ~v..,......u.~?~ ............. ,o..~.~ ........ ~. ......... .~.~....~.~./~,~ ...... ~ ....... ~.....~. ...~/~ ...... ~//~ ......... ~ ....... ~ ....... ~ ....... ~~= ........ .~...~.~.~ .......... ~..~ ........ ~ ........ ~ ........ ~.~ ~......% ~......~.~........~.~.......~..~......~.~..~.....~...........~;......~;.....~..~;~ ~~..~~........~;~;~.......~........~... at premises ,ocat~ at ...... (/.~.~ ....... ~~...,~...~ ........................................ ............................................................ .~~.~ ............................................................... ~o,,~,o. ~000 s,o~o~..../~ ........ ~o~k ...... .~2. .......... Lo~o ....... ~. .............. Building inspector. ,~ ~.Z/~.,..~.. Rev. 6/80/80 FOP~ NO. 4 TOWN OF BOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CEi~TIFICATE OF OCCUPANCY No z-23998 Date NOVEMBER 1r 1995 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1140 CROWN LAND LANE ~0TCHOGUE? N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 102 Block ? Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore f£1ed in this office dated SEFTEMBE~ 1B~ 1995 pursuant to which Building Permit No. 23044-Z dated OCTOBER 4~ 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 DECK ADDITION TO EXISTING ONE FANILM DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK ~OUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED OHAZIO & JULIA RAPAUNO N/A N/A Rev. 1/81 OFT 2 § 1995 TOWN OF $OUTIIOLD BUILDING DEPARTHEbIT TOWN HALL 765-!802 AFPLICATION FOR CEETIFICAiE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location o~ all buildings, proberty lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of ~4nter supply and sewerage-disposal($-9 form). 3. Approval of e!ec~rical installation from Board of Vire Underwriters, &. B~orn statement fc~m plumber certifying ~hat the solder ~sed in system contains less than 2/[0 of L% lead. 5. Commercial building, industrial building, multiple residences and similar building~ and instalia~tions, a certificate-of Code Com,!lance from architecc or engineec responsible for the building. 6. Submi~ Planning Board Approval of completed sics plan requirements. For ex!sting buildings (p~ior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land use~: l. Accurate survey of property showimg all property lines, streets, building and ~ unusual natural or ~opographic features. 2. A properly comple~ed application and a consent to inspec~ signed by ~he applicant. If a Certificate of Occupancy is denied, the Building Inspector shall scats the reasons therefor in ~ri~ing to the applicant. C. Fees 1- Certificate of Oncup~ncy - Neu d~elling $25.00, Additions to dweilio~ $25.00, Alterations to d~elling $25.00, Swimming pool $25.O0, Accessory building Additions to accessory building $25.00- Businesses 2- Certificate of Occupancy on Pre-existin~ Buildin~ ~ 3- Copy of Certificate of Occupancy - $20.00 &~ U~dated Certificate of Occupancy - 5. Iemporary Cer~ificmte of Occupancy - Rasiden[ial $[5.00.: Commercial ..... ................... ~ouse No. Street Hamlet Oe,,~r or O~oers of ~toper~y .... C.P..~.~..~.~.q .... ~.~.0 ........................ :ouoty ~ax ~np ,o ~000, Sect~o,, .... ~f?.~- .... ,~t,,~,~...0.7 ......... Uo=...Z/ ................. Subdi~'ision .................................... Fi ] cd ~i.'l[) ............ Loc ...................... '~anning Board Approval ........................ 2equos: for: Temporary Certificate ........... Final Ccrcicace ........... , .... .......... 0,,~.. S039q ................................................ co ~o~3 ~¢g' ...... FORM NO. 4 TOWN OF SOUTHOLD BUILDINO DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICAT~ OF OCuu~ANCY No Z-23999 Date NOVEMBER 1~ 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 1140 CROWN LAND LANE Cu'~HO~UE~ NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 102 Block 7 Lot 11 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTE~4BER 18~ 1998 pursuant to which Building Permit No. 23044-Z dated OCTOB~R4~ 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 ACCESSO~ BUILDING IN '£~ REAR YARD AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~ALTB APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ORAZIO & JULIA RAPAUNO Rev. 1/81 ding Inspector TrSt.~N OF BOUTUOL3 TOWN HALL This aoplicacion mus~ be filled in by typewriter OR ink and submit:ed co :he building inspector ~ich the following: Eot new building or new use: L. ELna! survey of property ~i~h accurane iocaclon of ail buildings, gropercy lines, screens, and unusual natu~at or uopogr~phic featurss. 2. ~ina! Approval from Nee±th Depc. of :~cer supply and ~e~era~e-disposa!(S-9 3. Approval of e!ec:rical installation from Board of Fi~e Under~riter$. B~orn statement from plumber certifying :hac %he solder used in syst°-m con:ains leSS %hen 2/iO of i% lead. Cot&mere!al building, industrial buildin~ zuitiple r~sidences and similar buildings and installs%ions, a certificate.of Code Compliance from archi~ec~ or engineer. responsible ~or the building. Yor existing buildings (prior ~o A~il 9, !957) non-conforming uses, or buildings and "pre-exis~ing" land uses: [. Accurate sur'~ey of proper~y shot~%n~ al! proper~7 lines, scre~, bu%!din~ and ~ 2- A properly completed app!ica~icn and a consent %o iosoec% sig~ed by ~he applicant. If a Certificate of Occupancy is denied, the 5uildinE [sspecto~ shall ~aae ~he reasons %belabor in ~ri~ing to %he applicant. C. Fees L. Cercificec~ of Occupancy - Ne~ duellin~ $25.00, Additions ~o dwelling Alterations to d~e!i£ng ~25.00, S~imming poo~ $25.00, Accessory building $25.00. Additions ~o accessory building S25.00. Businesses $50.00. Z- Cer~ificzce of Occupancy on Pre-exisCin~ ~uildin~ - BtOO.O0 ]- Copy of Certificate of Occupancy - d. Updated Certificate of Occupancy - $50.00 5. Temporary Cercifiza~s of Occupancy - Residential $[5.00., Cor~mercia! $[5.00 New Coas~ruc~io'n ..... ~.... Old Or Pre-exis~ing Building ................. ~ouse No. S~reec llamlec .................................. co -2 q I'I,UHB STATE 9/1S95 718 ~80 4442 2i:47 718-388-4442 BERHARD PAIGE PAGE 81 / SINGLE FAMILY DWELLING ONly I / ~,,,~ ,~ o,,,,~..,,,,~ .w,:,~. I 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREP~.ACE & CHIMNEY REMARKS: /~/-~,/~/*,_/'~ [ ] ROUGH PLBG. [ ]INSULATION [,--~INAL DATE BOARD OF }tEALTIt ..... FORMNO. 1 3 sETs OF PLANS ..... TOWN OF SOUTHOLD SUP, V F.¥ .............. BUILDING DEPARTMENT,. CtH~CK ............... -, , , SEPTIC FOP, H ......... TOWN HALL ~ SOUTHOLD, N.Y. 11971 TEL,: 765.1802 Examiued ..... Z~ ..... , I9 ~ HA ~ L ~o~ '. .... '~' /~ .... ~ ........... 19 ennit No. ~ ~ Disapproved. a/c ................................ ~.. :. ~ i 8 ~ //~ding/Inspect°r) , i APPLICATION FOR BUILDING PERMIT BLDG, DEPT. TOWN 0F SOUTHOm,-' INSTRUCTIONS TO: a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, x 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 s or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of tiffs application, the Building Inspector will issued a Building Permit to the applicant. Such p shall be kept on the premises available for inspection tliroughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occui: shall liave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant t Building Zone Ordinance of the Town of Southold, .Suffolk County, New York, and other applicable Laws, Ordinanc Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descr The applicant agrees to comply witlt all applicable laws, ordinances, building cot ~, housing cvde, and regulations, at admit authorized hlspectors on premises and in building for neeessary~i;~s.. ~ ~¢ ~gnature of applicant, or name, if a corporatiou! · ././.4(. ~...~.~,o.~..~q,:q~.. ~,~,,~- ..... (Mailing address of applicant) State wtmther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bui] Name of owner of premises ....~Z~. ~./_~)/~1 .~..O. ............................. ' ................... (as on the 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 .......................... Plum beds License No ............... . .......... Etectr'c'an s License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .............................................. ..../z../-d.a. ...... d,~?...4 .,q.,cz4....z,~. ~: ....... ' ...... ..~.~ .¢4z, c~. ~.';,,..~, ~. ,'z.e ?.~ [louse Number Street Hamlet Comity Tax Map No. 1000 Section .... '.../..~..~-:/ ...... Block ~'O ' Lot. / / Filed Map No. Lot Subdivision ........ . ................... ......... ' ........................... (Name) State exisfing use and occupancy of premises and intended use and occupancy of proposed cons£ruction: a. Existing use and occupancy .............. .................................................... b. lutended use and occupancy ..................... ' ......................... · .................. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .... : ......... Other Work ...~../~..~--~ ...... · .~ (Description) 4. Estimated Cost ...... .~...~49.O. ' Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ · If garage, number of cars ........................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent oLeach type of use ..................... 7. Dinrensions of existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of shme structure with alterations or additions: Front ................. Rear .................. Depth . ' .................. Height ......... ~: ........... Number of Stories ........... ~ .......... 8. Dimensions of entire new cpnstruction: Front ............... Rear ................. Depth ...... :2 ....... Height ............... Number of Stories ....................... ~ .................. ~,& ........... 9. Size of lot: Front . i i i i i i i i i' ii Rear ...................... Depth 10. Date of Purchase · ...... Name of Former Owner .................. 7,,&2~,~ ....... 1 1. Zone or use district in which premises are situated .......................... ..... : ........ ::i: ........... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ............. .....:.~..~,,.~.~.. ............ 13. Will 10t be regraded ....... ' ..................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................. Name of Contractor .......................... Address ................... Phone No ................ I.s 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 all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street nantes and indicate whether interior or corner lot. 15. TATE OF NEW~XaORK. / ,. ,, :O UI'.FFY--~- ' -.>eOF ....... a'~ Dove named. ~s the ........................... ~ .................................... .............. ,~Corrt'ra~tm, agent 7~6Fpo~Fate officer, etc.) - said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~plication; that ali statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. voru to before me this ......... /....~... '..dayof.~.' .... '.,19'~. ~tary P~l.ic, . ,. ......... >4 ,- · ~' ' >/County ..~ . ........ Public, State of Kz,~t'' EL~ABETH ANN NEVi/L.E.0rk~ '~.~ (Signature of applicant) No 5P*:8125850 SuffolkCou~f~y.z.' T, grt,~ Expires October 31,