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Home My WebLink About22035-zFORM NO.. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22984 Date MAY 4, 1994 THIS CERTIFIES that the buildin~ ADDITION Location of Property 950 CALVES NECK ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 7 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1994 pursuant to which Building Permit No. 22035-Z dated MAY 4, 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 14'x 32' HEATED GLASS SUN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to of the aforesaid building. ANNA M. GOLDER (owner} SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A - (BUILT IN 1963) N/A - Buiiding 'Inspect-- ' FORM NO.$ TOY,'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 22035 Z Date ........... .~..a. 7... ~.: ....................................... 94 Permission is hereby granted to: Paul A. Caminitl, a/c of Anna Colder P.O. Box 992 Southold, lq.Y. 11971 to ADD 14 ~ x 32~ CLASS SUH PORCH ENCLOSUP~ "AS BUILT"', (1963) -(BEA.,T~,.D) TO EXISTING Ol~ FAt4ILY D~LLING at premises located at......,9. ,5.,0... ,C. ,a. ,1. y,e..~.. ,~,e.,c.,k... ,~. ,o. ,a.. ,~......S, .o.~ .t..~.o. ,1.. ~.:`` ~ ..~: ............................................... AI~IA l~. COLDER & AI~IO 63 7 2 I Courtly Tax Map No, 1000 Section ......................... Block .......................... Lot No ............................. pursuant to application dated ........ ..1~.,.~..,?..: ...................................... 19.....9..4 ......... and approved bythe Building Inspector. Fee $ .......... .7..5, .~ ,0..0. ..... Rev. 6/30/80 BLDG. DEPT. · row. OF Ou HO D APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 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 ali buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-dispdsal(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 Vpre-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. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling~25.00~, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buiiding--~.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $I00.00 3. Copy of Certificate of Occupancy -~. 4. Updated Certificate of Occupancy~ 5. Temporary Certificate of Occupancy--~-l~B-fdential $15.00, Commercial ~15.00 Da~e ..... .~.~.~. f'. New Construction ........... Old Or Pie-existing puilding.'.~.....~.~.~'5~fJ'P~C~>'' Location of Property ....... ~..~.~....~.J~.~.~...~K ........................................ House No. Street Hamlet or Owners of Property...~. K~.~ .............. Onwer County Tax Map No 1000, Section..'..~..~...'Bl°Ck'''.7.''' ~ '''''-'''''''! ....... ''''''''"''' ' ' '''' '''''LOt'.~.~'''..'.''''''.''' Subdivision ............................... · .. . . Filed Map ............ Lot ..................... . Permit No ................ Date Of Permit ................ Applicant .......... - ................... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certifica~te .......... Final Certicate......~.... F · , .......... 765-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [ ] FINAL FORM NO. 1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Examined . . ~. ......... , 19 .~. Approved..S./.~. ......... , 19 ~.'. Permit No~0~.03.~. ~.. Disapproved a/c ........... : ......................... BOARD OF HEALTH ......... 3 SF. TS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. NOTIFY= CALL ................... MAlL TO: APPLICATION FOR BUILDING PERMIT Date ................. ,19... INSTRUCTIONS a. Tiffs 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 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. 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 p~t 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 all applicable laws, ordinances, building cj~fe, ~de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti/o~s///'" /') .~ -- (S'gg'hatfire o6~a1~ dicant, or name, if a,corpof,~tion) fi(Mailing address of applicant) (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ........................................................... A?PS()P[[D. g$ ...................... Name of owner of premises., ..~..~..~..../(/C.. .................//1~ (as on the :~:-'-'J'~' 'tax roll'-~; [! !'[~iU or la~gst--d~it~-~~ ~'':g' '~-'~'~' .............. If applicant is a corporation, signature of duly authorized officer. :..> q A'~4 TO ~ PM ~OR THE , ; ,'Y;NG i~,JSPECTIONS: 'l ¢C, UNDAIION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH -. FRAMING & PLUMBING 3 iNSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C,O. ALL1 CONSTR~.~CTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No. cODES. NOT RESPONSIBLE FOR , ..................... DESIGN OR CONSTRUC'flON ERRORS 1. Location of land on which proposed work will be done ......................................... House Number Street Hamlet County Tax Map No. 1000 Section .............. Block ................ t ............... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .~'U./~..?.~C~ , b. Intended use and occupancy .... .~/Ve~..~ff..J ?. ()... ~ U..M...,./5O.d.~..~.. C .~.C~O../.~ .A/i' !~. (~> ........... 3. Nature of work (check which apl~hcable): New Building .......... Addition .~j. ~,h {}. 4?,a:~je~tlon ...... ,~... Rep~r RemoVal Demolition .............. ........................................ O~hefWSrk ............... ~ ~ ~ ~ ~ ~%~ (Descnphon) 4. Estimated Cost .... ~. ~ ........................ vee ...................................... (t o b~~is-~pplication ) 5. Ifdweiling, number of dwelling u~nits ............... Num bet o f dwel[ingmn~~~[ ........ . If garage, number of c~s ..... J .................................................................. 6. If business, commercial or mixed]occupancy, specify nature and extent of each type of u~e ..................... 7 Dimen i of ' ' gstmctu ' 'fa F t Rear Depth . sons exlstln res, l ny: ran ............................................ Height Number of Stories D~ensions of same st~cfure with alterations or additions: Front ................. Rear .................. Depth ~ HeiSt ' Number of Sto~ea 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height Number of Stories 9 Size of lot: Front ' Rear Depth 10 Date of Purchase ~ Name of Fo~er Owner 11. Zone or use district in which premises are situated .................................................... 12. Does proposed onstructmn wolate any zoning law, ordinance or regulation: ............................... 13. W~I lot be regraded .......... ] .................. Will excess fill be removed from premises: Yes No 14. N~e of Owner of premises .. .,.....~ . Address Phone No Nme of Architect ........... ~ ................ Address ................... Phone No ................ N~e of Contractor .......... : ................ Address ................... Phone No ................ 15. Is ~h~s property ~ithtn 300 feet o~ a ~da~ ~etland? *Ya~ ........ No ......... *If yes, Southold TOwn Trustees Permit may be required. PLOT DIAG~ Locate clearly and distinctly ~1 build~gs, whether existing or ~oposed, ~d, indicate ~1 set-back d~ensions from prope~y lines. Give street ~d block n~mber or desc~ption accord~g'to deed, and show street n~es and indicate whether ~tefior or corner lot. SU£LQlk ..) s.S. ,k,, ! ' , °°f :ndi~:dua[ Signin~ applicot on) ............... being duly sworn, deposes a~d says that ~e auu,~ ...... ~. ( .... ' * : ' , .... (Con?actor, agent, corporate officer, etc.) ..... , (c · , ) i ontractor, agent, corporate officer, etc. of said owner or owners, ~d is duly authorized to perform or have perfo~ed the said work and to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; arid that the work will be perfo~ed in the m~ner ~et forth ~'the application filed therewith. Swom to before me this ................. : ..... ........ Nora. Public~ ...... ~ ~ ~~~ County ~~~ . ........ ............ Nm~ u , ate o* New v0rk . ' ' / -- (Signature of applicant) No. 4879505 [ J b~ml~lon Expires Deaember 8, 19 ~_ ~