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Home My WebLink About21474-z 10 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22454 Date JULY 13, 1993 THIS CERTIFIES that the building ALTERATION Location of Property 3210 LITTLE NECK ROAD CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 9 Lot it Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 1993 pursuant to which Building Permit No. 21474-Z dated JUNE 9, 1993 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 ALTERATION TO FINISH 2ND FLOOR BEDROOM & BATHROOM "AS BUILT" The certificate is issued to WILLIAM & PEGGY SCHWARTZ (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-279854 - APRIL 5 1976 PLUMBERS CERTIFICATION DATED N/A it ing Inspector Rev. 1/81 mat 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) p Date ...C%%...........~ 19../.. N® 21474 Z Permission Is hereby granted to: o... to .~~'."t cr.4....!7a~... 7 . .......................................l....... at premises located at....... 3... ....o`'.. /?oo..`.4 d.................. ./.....yf, . f.°f County Tax Map No. 1000 Section . O Block .J..-/..,........ Lot No...a.../...I........... pursuant to application dated . 19.. and approved by the Building Inspector. ~J Fee ,4. W.- Building Inspector Rev. 6/30/80 i Form No. 6 'ate' ~c~y"7o2l0 TOWN OF SOUTHOLD BUILDING DEPARTMENT ~Zs~~l I • TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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. B. 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. C. 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 / Date .cAh 2 . al( New Construction....!!...... Old Or PPr/e-existing Building. Location of Property. !3LC0 . ~1."l .P~~1....~6!~coj:~ House No. reet Hamlet Onwer or Owners of Property......... .~Q . W~:I..Z County Tax Map No 1000, Section.l~ ...Block..Q/.l.f..0....Lot.~l.~`..~~......... Subdivision..........~. ..........................Filed/yM~ap......... Lot........ Permit No. ~.l. Date Of Permit%~ . f pplicant. ~Q~9 ~ -C ,(e0 G~rV Health Dept. Approval....... ................Underwriters Approval.N. A7- 9 Planning Board Approval Request for: Temporary Certificate........... Final Certicate. k Fee Submitted: $ . tae . 4~ YN I . •APPLICAN~.. FIELD INSPECTION i ~JDATE cOMMENTS + -o ~ m H `T FOUNDATION (1st) c FOUNDATION (2nd) m 2. o W ROUGH FRAME & PLUMBING co y 3. x~ m m H INSULATION PER N. Y. STATE ENERGY CODE x a 1 0~ r 4. __1 y 71 FINAL Ck2 DITIONAL COMMENTS: x m 1 ' x m a~ o\~ 2 v 1 x m a r y cy m ro H M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION FRAMING [ FINAL REMARKS: i i 4 E E r { DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ( INAL Y REMARKS: T DATE ~l INSPECTOR BOARD OF HEALTH FORM 3 SETS OF PLANS TOWN OF SOUTHOLD SURVEY BUILDING DEPARTMENT CHECK . _ • • . . . • . JON 1 TOWN HALL SEPTIC FORK _ . _ . SOUTHOLD, N.Y. 11971 TEL.: 765-1802 rtDTI FY CALL Examined . . . . . . . . . . . . . . . 19 MA I L TO: Approved/. 19,f~Permit No..~ Disappro ed.a/Y c'!? rC - J.~,~ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 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 stieets 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 in e tions. , (Signatu *pplicant, or name, if a co oration) C ~J<~~ . ~ (Mailing address of applicant) /l t State whether applicant is owner, lessee,'agent, architect, engineer, general contractor, electrician, plumber or builder. OUJ n er- Name of owner of premises . V ~J t.(~ ,~,(}'1, • Q (as on the tax roll or laWdt~ed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No . (J(QJy/P~` Electrician's License No . Other Trade's License No . I. Location of land on which proposed work will be done . . ...N.edt/_- 2~.cW~~ House Number Street amlet County Tax Map No. 1000 Section 10.d,~e-ELI) Block" . Q Lot. . 0A.0.0.0 Subdivision Filed Map No. Lot.............., (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ......y. 5 d'nt b. Intended use and occupancy .QS ~.P ! ,3. Nature of work (check which applicable): New Building r...... Addition Alteration Repair . _ . Rerrjoval Demolition . Other Work . 7 - (Description) 4. Estimated Cost e~Od ~!f0.~ Fee.... number of dwellin + (to be paid on filing this application) S. If dwelling, garage, g units t Number of dwelling units on each floor If number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of.each type of use . . 7. Dimensions of existing structure' s, if any: Front , ' ' • • • • • Rear Depth . Height Nupber of Stories Dimensions o same structure w Depth . , , , • nth alterations or additions: Front Rear . Height . Number of Stories 8. Hei Dimensions of entire new construction: Front Rear Depth . dht , Nuirlber of'Stories , 9; Size of iut: Front . . Rear . e.6 p 10. Date of Purchase Name of Former Own .i(,_. r ~ . 11. Zone or use district in which remises are situated . . 12. Does proposed construction violgte any zoning law, ordinance or regulation: ..!Jl? , , , , , , , , , 13, Will lot be regraded Will excess fill be r ov d fr9m premises: Yes 14. Name of Owner of premises `7•4 Address 3~Tly, t°7 Phone No..Z K. Name of Architect ~ ? O. Address . Phone No. Name of Contractor . . Address . Phone No. 15. Is this property within 300 feet of a tidal wetland? *Ye... No..: i *If yes, Southold Town Trustees Permit may be required. 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 number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK S.S COUNTY OF ......l` V _I I • -individual being duly sworn, deposes and says that he is the applicant (Na e) f individual sighing icontract) move named. 1e is the . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the vork will be performed in the manner set forth in the application filed therewith. wom to before me this 3............ day of.. ^ 19 ~3. "otary Public, County ANNE L. LOUIE 'i NOTARY OF PUBLIC, STATE OF NEW YORK NO. 41-4897657 f ~i j) ~Il 1 X71 J Qualified in New York County L Commission expires June . i (Signature of plicant) 1 1 I ~ „ h`s ~ dt r d 1-!4E5 Gf Roof a,y h Ny is IIr I - 1 I z~ zd o I J.LkSAF-Fk7EFlua/ 4 ~ s 19'0" t e t BE M1-5 RY - ~RF.~~?!~S4f-14W ~7l/.LM7H_ n- F- 4' " n FLUE 0 L~ N{ " _ I - CtmmEq"b~iu't Aya~tt4 Wm0 ~ - g'k,e S re 4aR G~NIN{ A L _Fi Vr LJ44 _ h. ~ ~ ~'F~stu~vg oa ~ I 1 --G2AT_: ~ROa~ ' VV , ~ ~ FurrmOF door I - F /I/ re 11 f" 000 7. i ~ m~ "LL=os ET I>~1 2 RI z p! C a~ a 4 ,4 ALC Thri ALC JIA, J7A.. „ = dv, - tia da -linES of a+rra,ee w+u; Is' Fwo2 NI ~T - -f ~ Ems; 7~t •Eti% 7ef'8 A - v ~-ih~y -O~ OVl`¢NHry53 /i/ Pr oPOS~ Pr oPOS~~ ~ . n•r 11?zs W