HomeMy WebLinkAbout22890-zFO~ NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23785
Date JULY 20, 1995
THIS CERTIFIES that the buildin~
Location of Propert~ 150 WESLAND ROAD
House No.
County Tax Map No. 1000 Section 59
Subdivision
ADDITION
SOUTHOLD, N.Y.
Street Hamlet
Block 2 Lot 19
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated J~FLY 5, 1995 .pursuant to which
Building Permit No. 22890-Z dated JULY 14, 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 FAMILY DWELLING "AS BUILT"
AS APPLIED FOR.
The certificate is issued to
C~%~3~ES A. & ~%PHAELA LINKER
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Rev. 1/81
N/A
Building Inspec~
FORM NO.$
TOgCN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y.
N~ 22890 Z
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission Is hereby granted to:
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....... ~:..~..,~.:_..L.Z~ .~..... ..................................
..... ~.~.~ ........ ~Z,...../..~z/.. ............... . .
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.... ~.?..., .¢.~ .......... ....,~.,,,~_~.>./, ......... ~.~./..../'..~ ............. ~:.....~.~.~ .......
..... .~. .~.~R . . ~ ............................................................................................................................................
~o,~,~,~,o. ,000 s,,~,o~.....~ .......... ,.~ ...... ~ ......... ,o,,, ........ Z~ ............
pursuant to application doted ................ ~ ................................................... and approved by the
Building Inspector,
~ ~..,.~ ......
Rev. 6/30/80
TOWN OF SOUTIIOLD
IHJ [LDING I)EPJU~THENT
'~TOWN IJALL
765-1802
AI)PI'ICA'I'ION fOR CEI~TII'~ICATE OF OCCUPANCY
A. This aPPlicatioa must be filled in by typewriter OR ink aed submitted to the b.iJding
inspector with th~ following: for new buildieg or new use:
~. Fieal survey of properly with accurate Jocatio. of ail buildings, proper~y l~nes,
streets, and unusual natural or topographic feat,res.
2. Final Approval from Hehith Dept. of water supply and sewerag,e-disposol(s_9 form).
,~ 3. Apprnval of electric~l ~estallation from Board of Fire Underwriters.
6. Sworn statement fromfplumber certifying, that the solder used iu system coutail~s
less than 2/10 of I% lead.
5. Commercial building, industrial building, multiple residence8 and similar buildings
aed installatious,~a certificate of Code Compliaece from architect or engineer
responsible for the building.
6. Submit Planning Board Approval of complete~ site plan requirements.
B. F~r existing buildings (prior to April 9, 19~7) non-conforming uses, or buildings aad
"pre-existi,g' land uses:
1. 'Accurate survey of property showing all property lines, streets, building and
unusual natural or topographic features.
2. A properly completed application a,d a cossent to inspect, signed by the applicaat.
If a C~'~l~-tificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in writieg to the applicant.
C. Fees
1. Certificate of Occupancy - New dwelling $25.00, Additions to dwellieg $25.O0,
Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00,
Additio.s to accessory buildi,g $25.00. 8usiaesses $50.00.
2. Certificate of Occupaacy on Pre-existing Buildinu - $100.00
3. Copy of Certificate of Occupancy - $20.00
4 Updated ert~ficata of Occupancy - $50.00
5, Temporary Certificate of Occupancy - Residential $~.00., Cmmercial $15,00
· ' House No, ' Street
Subdivision .................................... Filed Map... ~ ..............
Fermit No.. ..Date Of l'ermit ............. Applicant ...
~o~d Approval ...............
~equest fo~: Temporary Certific~te ........... Final Certicat~ .... ~..
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGHPLBG.
[ ] FOUNDATION2ND [ ] INS~ATION
[ ] FRAMING [ ~]~FINAL
[ ] FIREPLACE~,CHIMNEY
DATE
dUk - 5 1995
Approved . i: !.?'.~.~.'.' ,tg¢.O~PermitNo.
FORM NO. 1
TOWN OF SOUTHOLD
BUiEDiNG~bEPARTM ENT
TOWN JqALL
SOUTHOLD,,N.Y. ,11971
TEL.: 765-1803
Disapproved a/c ' ~
( B u.j,gd i¢ Inspector)
BOARD OF HEALTIt .........
3 SETS OF PLANS
SURVEY
CHECK ..........
CALL .....
HAIL TO:
APPLICATION FOR BUILDING PERMIT
Date ............ 19.
' ' INSTRUCTIONS.. .~, ......
a This application must, he completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
~ets of plans, accurate plot plall to scale. Fee according to schedule.
: b. Plot plan showing' location of lot and of buildings on premises, relationship to adjoining premises or public streets
,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. Upou 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 oi 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 pursuant to the
Building Zone Ordiuance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additimls or alterations, orfor 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 necessarzi.ns~?>n,,~. ,~
(Signature of applicant, or nmne, if a corporation)
. o., &,,. t .o. , . .q ¢.t/ /
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
If applicant is a corporation, signature of duly authorized officer.
Bu lder s L~cense No .......................... .'~*q ]t2--/~
Plmnber's License No .........................
Electranan' ' s Lmense No .......................
/
OtherTrade'snicenseNo. ..................... /'/~/(ll~,~v "' ~J ~ /
1. Locationoflandonwhichproposedworkwillbedone..~.[.~....t/.~.~t"~tVlO. l'-~']~-,~0 ,
CountyTaxMapNo. 1000Section ..."~.~. .......... Block ...... ~ ...... :... Lot .... 1..~. ...........
Subdivision ........ (Name) Filed Map No ............... Lot . .. ....: ........
9. State existing use and occupancy of premises and i~tended u ' '"'
-. se and occupancy of proposed construction:
'3. Nature. f a, ork ~v-(c'he k W i h applicable):. New Building' ' .......... Addition .~(2 ...... Alteration ..........
C.~aa'~taA~ ~ . a,,l,t. 3" ~ , tt ' . (Descnptmn)
[ (to be paid on filing this application)
5. If dwelling, number of dwelling finits . ]..~./~.eg..;. l~- .. Number of dwelling units on each floor....g//.t~ ....
If garage, number of cars ./&///4~ .......................................... ... .................... ii
If business, coimnercial or mixed occupancy, specify n~ture and extent of.each t~ype of use ...~t./,~'J... :~ .........
Dimensioqs of existing stmcthre~, if any Front 3.6 .... Rear ~ 6 . Depth. ~..... i .....
Dimensions ?f shine structure wi!h alterations or additions: Front /~t./~. ......... Rear ............
Depth ..................... I. · Height ........... ' ......... ... Number of Stories ' '
Height ............. ~, Number of Stories ....... O), .~.~ jr/0 ~$5/s
Size of lot: Front . 10~ .... , ........... Rear . ./.~. .......... Depth ].O..2.. . ~. ..
Date of Purchase .......... I............... Name of Fenner Owner .............................
1 1. Zone or use (ll~trict in which pre[nises are situated $~%,.q ~ '
12. Does proposed'construction violate any zoning law, ordinance or regulation. :. ~L/.O ............. .,,~. ...........
13. Will lot be regraded .. ~]~2.. !.?.:..~.. .......... Will ex. cess fill be remoy~d from premises: ~. Yes No
14. NameofOwnerofpremises%g?,GIg./~tBlg..et~. Address IAdevSL~10 tq~ PhoneNo ~./w~.-~.7.7~>
Name of Arctutect .......... i ................ Address ...... ,5. q .~ .'f~. ~4~... Phone No .................
Name of Contractor ' Address Phone No '
15. 1.s t:h±s propert:y w±th±n 3100 feet of a t±dal wetland? *Yes ........ No.~. ....
~If yes, Soul:hold T:own Trust:ecs ?erm±t may be requ±red.
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 umber or description according to deed, and show street names and indicate whether
interior or corner lot.
9.
3'10.
STATE OF NEW YORK, S'.S
COUNTY OF ................. ,. I
e5 .A · ....... . ....
(Name of individual signing contract)
above named,
being duly sworn, deposes and says tbat he is the applicant
He i th 0.~t/'~ ~. r
(Contractor, agent, cor'porate officer, etc.)
of said 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 contai ~ed in this'application are irue to the best of his knowledge and belief; and that the
work will be perfumed in the manner ~,et forth in the application filed therewith.
Swum to before me this
~o. 4952246, Surfak ~_ (Signature ,of applicant)
, mrm ~pir~ June 1~
,
JUL - 5 Igg5