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Home My WebLink About22066-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23045 Date JUNE 16, 1994 THIS CERTIFIES that the building ADDITION Location of Property 9280 NASSAU POINT ROAD CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 6 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 1994 pursuant to which Building Permit No. 22066-Z dated MAY 19, 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 TO CONSTRUCT A DECK ADDITION TO A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES BEFFRON & BARBARA MICHELSON (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c Buildin Inspec r Rev. 1/81 FORM NO.3 TOWN 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) Date........... JOt 19.A Nn 22066 Z Permisslon Is hereby granted to; o... PHA) ......02 ......u 13 c~ ~l.....)Ve, ............fie.... t .4 /19.7./ to (~r.6C'-5.5........ /~1'//.. tlAtr: /fin.... F V~l .f.{~.......(....~l. p...........:•••J! 'ti~5./1 :............l. J.........1 ~P..... ......................................................................./.............y................................................................................ a../ .xa".................... . at premises located at......... ~eq......... /YAP !?~~C....... .......f. 1 1 County Tax Map No. 1000 Section .....Ile........... Block .....0.1 Lot No. Q..~............... and approved by the pursuant to application dated P~,11C...... 9.il 19..f..,v Building Inspector. Fee 7S........ Building Inspector Rev. 6/30/80 Form No. 6 ry Lys TOWN OF SOUTHOLD tJ BUILDING DEPARTMENT 6 TOWN HALL 4 765-1802 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 C(;mpliance from archi=ect or engineer responsible for the building. 6. Submif 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, Accessorv 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 Date ~J~ fly I(c,,lJ`r ew Construction ...Y. Old Or Pre-existing Building.. ocation of Property. , j4 • Alo fa House No. C~ Street Hamlet ewer or Owners of Property..'J.Cr1:T11~71 unty Tax Map No 1000, Section... 1.1.r, , • , , , ,Block.. , , , , , (7 .....Lot... ibdivision......... Filed Map Lot: ......Date Of Permit. 5Iq) YV ......Applicant .J 1.111 Akirk & W f e •Z/w alth Dept. Approval ..........................Underwriters Approval......................... inning Board Approval......... quest for: Temporary Certificate........... Final Certicate. X•.•.... Submitted: $.a 5 CD ZQ3E)g5 APPLICANT ' 765_1802 BUILDING DEPT, INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PL : [ j FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL REMARKS: ld4k a" r 4) DATE INSPECTO r, ti, ~L+e lu.~i: Lt.. ~U;J I(D f1u ~I =ua;..-.e :••v_r..~ OHMENTS m FOUNDATION (1st) - - - "0n FOUJJDATION (2nd) c N 2.' a w z ROUGH FRAME & 0 -PLUMBING 3. I y INSULATIOIJ PER N. Y, I V7 , H STATE ENERGY CODE 4. //LJJIe~ m C..~ H FI;JAL • ~ I o C_ ADDITIONAL COMPIENTS: • x X X N q H \ H O `^1 1 H rJ m ^o - a BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS 1M 22 104 TOWN OF SOUTHOLD SURVEY . . . " BUILDING DEPARTMENT CHECK BLDG. DEPT. TOWN HALL SEPTIC FORIN OF SOUTEOLD65- 8021D71 s:ai'<F'f Q / CALL/7 Examined . 19~j /f/ MAIL To: Approved . 19! 777',,, Permit No...................... Disapproved a/c _ _ . (lbeti mg nspector) APPLICATION FOR BUILDING PERMIT Date 19 ~`!C INSTRUCTIONS 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 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 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 all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. er P/U Name of owner of premises q/.~Fl7~. ,~PBt,~A/~,i,(j~°p~~, • • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ~rQ~... . *(ae and title of corpp}ora o) Builder's License No.,... W-~ , , , , , Plumber's License No. Electrician's License No. . Other Trade's License No. ..../t~ Location of land on which proposed work will be done. , . q"Ao ~M 0 c Ilouse Number Street H'aml t County Tax Map No. 1000 Section J.1 ~ Block / 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 , , P.41J*? . b, Intended use and occupancy. . T Nature o work . r)~ ' check which applicable): New Building , , Additiop • , Alteration Removal ( Demolition , 0thct sVork 4. Estimated Cost . 6-/D • (Description) Fee . . 5. If dwelling, number dwelling (to be paid on tiling this application) If S units . , , , , • , , • , , . , Number of dwelling units on each floor . garage, of number of cars 6. If business, commercial or mixed occupancy, specify n ture~and extent ofsa h type of use , 7. Dimensions of jxisting structures, if any: Front ,Q~ Height . . , , Nu ber of Stories . y Rear, ...WO Depth . rP uFm ,/1,~ . Dimensions s ple structure with alterations or additions: Front /If Depth Height , . . ; WQ....... Rear ..00 8. Dimensions of entire new const Number of Stories , , , , , , , . ruction: Front . , Rear . . Depth Height Number of Stories . • . " " " 9. Size of lot: Front......,. Rear 10. Date of Purchase Depth . Name of Former Owner , . 11. Zone or use district in which premises are situated • ' ' ' • • • . • ' ' ' ' ' ' ' 12. Does propose construction violate any zoning law, ordinance or regulation: . 1 13, Will lot be regraded I ' ' ' • • • • • • • • Will ex ss fill removed from remises: Yes 14. Name of Owner of premises . ~ p,, No Name of Architect ....o. , Address h /QW P2tne No. r ~oCi/ -J • • • • • • • • • • • Address Phone No. . Name of Contractor , ,.l • • • , .Phone No. z~ 15. Is this property within POO feet atidal Address wetland *If yes, Southold *Yes No......... > Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly alll 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 names and indicate whether interior or corner lot, I~ I ! I ! ! ;TA TE OF, NEW YS){ZKz :OUNTY OFi~fG S.S • , . ' ' ' ' ' ' • • • • • , being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. r *MM. e is the L4~1.. . (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly al thorized to perform or have performed the said work and to make and file this )plication;.that all 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. vom to before me this J.:"1....day of.. 19 q7. )ta • •,,r.. County Notary Public, $rate of New York ' ' ' . ' ' -Y vwk. a : . No. 4879505 • llualifiad in 5uffo~k Bounty (Signature of applicant) COInD11~§I jp xpirgs December 8,,19. , oo~a t d 2°~ N 9 u1' 00\ pJ A ,g0 d y,i°a ti p°au a vi0) u Q tS •o°l SU a ~ Ake A, ° 3 z QW y'°6 f}S yya add. F -Z 6 p ~ m O oN q° .°6 T ~ n n c ,-Is 'b 110 n 3 Olz y kl 1~y nn -n nnm mvymm~ \ mn ncn~ ~ G) rtZj o coMi'~ onoZn=~o rzi zmz n,~y2 0 ry) nx2 R 2 m ` o~ b ~ 4 ENO Zt IN A N ? , W \ n n m O Q vhi a r h C,b oc~ a d ~ Cb O O r Q \ ~I Q o S /go CD 01> l S f, e ~ czb b (D m L7 Fay ~ ~ Z q ~ y ' ~ ~~T9• o Fa O o Q^ ` `m H ~ 0 ~py0 A ~ a v 5 ~ oa~~ °oOZZca Cq T ,Q ra te' n ~p ~ a : 'QQ -C)~n V~i om Q Vic- z~ on*-m c2°°jo ycsN O -q Z I~OOC» ~rj i G1 yC11 Cb' 12 O 2 CO ( eoys~p g 74 z n n Z `io9 - ~ccy A * Id m rn m T, . i.. - i ' ........................rau....rw...o~T...,rr...~+«r~..1V~..._....,...T«......-_-T..._T..~.i. _ _ ~ 1 ..1 oGSic,1. ~iSET~S .--,~c_..1=KtzNt. 'YiZ~A.?.~ T~~ Tf7 i d I ~ ~ _ I I2z~i~IASL-,.._. ZXraS L1lTH. ~I2~ ~'PAG~,~ I ? I A-L I BEET H E iGH'{ - i I- ~ ~jcrS i ,apc~ ' l7cc_IG -ouT6--w~ T ~ I ^ L i RP ROBED AS NOTED i NOTED DATE•r~~P.N 1l'vGG2 P.N 1l'vGtro~ FEE: ~S/ BY: EPARTMENT AT i1 ____~i r tl 1 NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE 4 PM FOR THE FOLLOWING INSPECTIONS: . FOUNDATION - TWO )NS: 'WO REQUIRED FOR POURED CONCRETE REQUIRED OCCUPANCY OR i :PETE G & PLUMBING USE IS UNLAWFUL S. RO INSULATION H -FRAMING & PLUMBING TT~~ ~l IYITHOUr CERTIFICATE 4. FINAL - CONSTRUCTION MUST I 15 ~ ' i OF BE COMPLETE FOR C.O. IUCTION MUST C.O. I SHALL MEET , OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. I OF THE N.Y. Z EQ- STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR ON & ENERGY j /L OLD DESIGN OR CONSTRUCTION ERRORS 'ONSIBLE FOR JCTION ERRORS l ~ ~ ~ ~ ~ r «~i~+.....w+.ia'.^m..4...a,~,.., .w-'«n.e ..+...w.:,...,..-r.a--.b.,..-v......~.+..,_..,~......~. ....„.,..w-........~.,-r-....•....,-.-v,-...,....m--,,.--°.T--.„.-...R..•..r-•..•.b.,.,.,..m.,~,...a....-.w, .w.,oi...mc,...,a.......~ ....,.,....»...e.-..,...,A-. I I I