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Home My WebLink About22306-zFOP~M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25088 Date JUNE 16, 1997 THIS CERTIFIES that the buildin~ Location of Property 2260 SKUNK LANE House No- County Tax Map No. 1000 Section 97 ADDITION CUTCHOGUE, N.Y. Street Block 3 Lot 18.5 Hamlet Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1994 pursuant to which Building Permit No. 22306-Z dated SEPTEMBER 7, 1994 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 DOP~4ER ADDITION & ALTERATION TO ROOFLINE OF EXISTING ONE The certificate is issued to FAMILY DWELLING AS APPLIED FOR. DOUGLAS J. LOVETT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N9 22306 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ....................................................... 19 .... Permission ts hereby granted, to: ...... .~.~. ...... :~..%.....~,~ ................ ........... ~.E.~.~.......~/'.r. ~/..~ ......... ~.. .......... ..... ~.~ ........ ~ ....... ~.. ..~.~ .......... ~ ......... ~.~ ........... ~ ........ ~ .......... ~ ..... .,.~~ .......... ~,.~ ............................................................................................................. Oou,*,TaxMop~o. ~000 Seot, on......C..Z ........... ~,oc~ ....... ...¢.d .......... ~ot~o ..... ./..4:.~ ....... pursuant to appll6atlon dated .............. ....~.....~..~.......~...~.... ............ 19.......?..~..., and approved bythe Building Inspector. ee ~ ....... '~...-. ............ Rev. 6/30/80 Form No. 6 TOWN OF SOUTttOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~. 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 Building - $100.00 3.Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4.Updated Certificate of Occupancy - $50.00 5.Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ....... ......................... :ew Construction ........ Old Or Pre-existing Building ................. ,ocation of Property..House'3~' ~"'~'No. .... ~'~/~'' '~"'Street .......... ~"~ '~i' t~'''' '/'/'~'/~ '~''' )nwer or Owners of Property ..................... 0 ......... 0 ............ :ounty Tax Map No I000, Section .... ..~..7.. .... Block ...... ~. ........ Lot .... /.~.*...~. .......... ;ubdivision, . ~....~,. ......................................................... - Filed Map Lot 'ermit No ............. Date Of Permit ....... Applicant ..................... iealth Dept. Approval .......................... Underwriters Approval .... . ..................... ~lanning Board Approval ......................... ~ equest for: Temporary Certificate ........... Final Certicate 'ee Submitted: $ ....... ~ ............ ............... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROU~I.BG. [ ..~t]LATION [ ~ FINAL [ ] FIREPLACE & CHIMNEY · DATE ~/~ ~ ,NSPE ;ULATIOH PER'~. Y. STATE ENERGy CODE 'FI:;AL · nDDITIO~IA [ ] [ ] 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ ] INS/ULATION [ ~NAL FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 19~../~ Approved iiii i~.'/Z ...... , 19 .~./~ermit No., .?.~.~, .o. ,~, .~ Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETg OF PLANS .......... SURVEY ................... ClIECK .................... gEPTIC FORH .............. CALL . . . . . . HAIL TO: ' . (~l'd~ Ingpector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date. d(~q~.../ffZ, 19 F~. · a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets o:' 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. Upon approval of this application, the Building Inspector will issued 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 or 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 Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti~s- ........ . ~/_orxff,~./~. ,5ta~'x'o'.. ............ -- (Signa~re of ~plica~ff, or nhrne, if a corporation) .~3Z(...c?...Z4.;:./4z./~..(d,v~'...c~.~c.~.~-...A~... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ....... d/a/~.~, ........................................ ,~ ~., ........... Name of owner of premises .../~3~./~4.~%..~77... I,.-M~/ il .................... .;../: ;: ....' ...... (as on the tax roll or latest deed~ NOTE~ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ............... 0cCu?ANCY 0a USE IS UNLAWFUL Plumber's License No ................... WITHOUT CERTIFICATE, ~' .... '" ...... OCCUPANCY ,~,~;~.,~.., ~ gicease NO ............ OF' Other Trade's License No ...................... UNDERWRITERS CERTIFICAIE NOTIFY IIUILOIN~ OEPAI~I'MENT AT 765-1802 9 AM TO 4 ~ FOR THE FOLLO1NING INSPECTIONSi 1.~ FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3, INSU~TIO~'~- ~ /~,~ 4, FINAL - CONSTRUCT'ION ~UST BE COMPLETE FOR C.O, ALL CONSTRUCTION SNALL MEET THE REQUIREMENTS OF TH~ N.Y. 1. Location of land on which proposed work will be done.., aR[I~IJtRF~ .......... $IAIE. CONS.Ta[JE.TtO~. '~,..ENa~t}Y.. ' ~ODE~. NOT .. ~ .................. ~(~'... ~4~. ............ ~~.,-~:t~,~ Itouse Nmnber Street Hamlet County Tax Map No. 1000 Section .~ ~7. ~:~'ock .,-~ ......... Lot .... /~.~ ....... su~d,v,,,o..~, p...... ........... ~......~ ..... Fd~ ~p No. Lot ' .' / ~/Z S ¢ ~ ~' ~C)~' · dM ............................. / (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...................................... : .;, .~. ;.("..:2 ...... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alterittlon ~,,.. " Repmr .............. Remgval ............. Demolition ...... Other worx ........ , ~., .. ,/~ .~..(~.i ~.r.'~'7~' O.O. . (Description) 4. Estimated Cosl~ .............................. Fee ............ : ..................... i (to be paid on filing this application) 5. If dwelling, number of dwelling i nits .... Otq/~. ...... Number of dwelling units on each floor ............... If garage number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of eaisting structures, if any: Front ........ ,, ...... Rear .............. Depth ............... Height ............... Nun]her of Stories .... ~../d~,~..~ ........................... . .......... Dimensions of sa~m.e, strucfure with alterations or additions Front ( ....... Rear .... Depth ...... ./. ~.. .......... ~.. Height ...... ~ .............. Number of Stories .... ~ ....... : .... 8. Dimensions of entire new construction: Front l~a,r ' Bonth //o~',q t Height ............... Nun~ber of Stories . ./~..'&'7. ............................................... 9. Size of lot: Front ..... ~..~',,..o.~.~..~?..... Rear ...................... D~e,.p_th ...................... 10. Date of Purchase .~-'JT..~../.~'~.~ ............... Name of Former Owner .~:iq~4~ ................ :'.. 11. Zone or se district m winch pr~mmes are situated .... ,~.~.q,~dd.~ . .~..t~.. ....... 12. Does proposed construction violate any zoning law, ordinance or regulation: .../.b~ .......................... 13. Will lot be regra~ed ......... i .............. 14. Name of Owner ef premises~/~*~ f'~./., i .... Will excess fill be removed from premises: Yes .No .. Address o9o0ffO....~O.~dq'. .... Phone No..7~ .~e,7-c~.'~..,.. Name of Architect .......... i ................. Address ................... Phone No ................ N ' amc of Contractor ........ ~ ................. Address ................... Phoney, No ................ 15. Is this property within 300 feet of a ~idal wetland? *Yes ........ No..~ ..... *If yes, Southold %own Trustees Permit may be required. i PLOT DIAGRAM , Locate clearly and distinctly all ibuildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give atreet and block humber or description according to deed, and show street names and indicate whether interior or corner lot. i STATE OFNEW YOI~12K, .............. · .................... ~ ........ ~,~,,~;,,~,~ ~ !ng ~y sworn deposes ~d says that he is the applicant ' (Name of individual signing contra~t) ' ~ ...... ~" above named, Heis the ' I (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is dul~ authorized to perform or have perfomed the said work and to m~e ~d file this application that 3[1 statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perforated in the m~ne~ set forth in the application filed therewith. Sworn to before me ibis ~ ' ...... , N ~ Count. y ,)