Loading...
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: ...~.~.......~:....~~ ................... ....... ~:..~..,~.:_..L.Z~ .~..... .................................. ..... ~.~.~ ........ ~Z,...../..~z/.. ............... . . ,,~....,~ ....... z~ .......... ~ ....... ~..~.z~..., .......... ~ ......... ~...~~- .... ~.?..., .¢.~ .......... ....,~.,,,~_~.>./, ......... ~.~./..../'..~ ............. ~:.....~.~.~ ....... ..... .~. .~.~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