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Home My WebLink About21508-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22438 Date JULY 8~ 19~ THIS CERTIFIES that the building ADDITION Location of Property 745 RT.E~PY HOLLOW LANE SOUTHOLD~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 1 Lot 10.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 28~ 1993 pursuant to which Building Permit No. 2t508-Z dated JUNE 30~ 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 DECK ADDITION & SCREENED IN PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GARY A. ENRIGHT (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 FOI~M TOWN OF SOUTHOLD BUI~DSNG DEPARTMENT TOWN HALL SOUTHOLD, N.Y. No BU)LDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date .......... .............. ~'./,~, ......................... 21508 Z / Permission Is hereby granted to: ....... ~ ..,. ~..,,.~,'.:~ ~ ........................ ...... ,2, .7,~..~--~y......~ ~. ~.. ~ .... .......... ................................. ,~.,~...~/,,~ ........ .~./,~.. ......... ~/~ ....... ,~......~,,,~.~...,..,/,.~.. ....... ~.~' . .o~..~ ~... ~ ~ ~. ......... ~:~ ....... ~.~.... ~/.. ~..... ~..,~..... ~.~'~ CounlyTax Map No. 1000 Section ...... ~ ............Block ......... i..~. ............ Loi No ..... L..~..r,,/.....~.. ...... pursuant ~o application dated ...............//~.~,. ,~.. ................. ~ ............ 19...O'~L,-,~,,, ...... Building Inspector, Fe~ ~....~ ........ and approved by the Rev, 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN BALL 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,mew 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 Inspect'or s~all 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 New Construction. v~ '. Old Or Pre-existing Building ................. Location' of Property House No ..... · Street Hamlet 0nwer or Owners of Property .................... : County TaxNapNo lO00, Sectioa... .? . ....... Block .... ........ Lot .... Z/. ........ Subdivision ' ................................... Filed Map ............. Lot ...................... Per, it No ................ Date Of Permit ............... Applicant .......................... Healt~ Dept Approval .......... · Underwriters Approval Plasning Board Approval Request fo~: Temporary Certificate ........... Final Certicate ........... ' FORM NO. 1 TOWN OF SOUTHOLD ,,~ 2 8 ~{~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examined .... ' ' Approved ......... 1 . Permit No .......... Disapproved a/c ...................................... · (Bruirdifio Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 BETS OF PLANS ......... SURVEY CI1ECK ..--- .... ~ ........... SEPTIC roa~ INSTRUCTIONS This application must be completely filled in by typewriter or in ink and submitted to thc 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 sti'eets 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 South01d, Suffolk County, New York, a~d 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, buildin./~code, ho_d~g code/and regulations, and to admit authorized inspectors on premises and in building for necessary in~ ((,(/~-~~~._/ ..... (Mailing address of applicant) / State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............... ~....(~.~t .~?..~.. ~&...~.~. r~ ). ..... ,...,--,~,,--.A. oTm ....... N~me of owner of premises ..... .~..4.~...d. '...~..A(.~. t:~..~..~-... (as on the. tax' ;o'li If applicant is a corporation, signature of duly authorized officer.' NOTIFY BUILDINI3 DEPARTMENT AT 765-1802 9 AM 10 4 PM FOR. THE - OCCU?ANC¥ OR · I. FOUNDATION - TWO REQUIRED ; (Name and titleof comorate~j~ ~$"UN[AWFUL FO..OU.EO Builder's License No ................. ' .....-,.... 2. ROUGH - FRAMING & PLUMBING CERT HOATE .WffHOUI ,..NAL CON, ,UCT,O..,us, Plumber's License No. ......... . BE COMPLETE FOR C.C. 8F , O.ST.U T,O. EET Electrician's License No ......... THE REQUIREMENTS ,OF /HE N.Y. STATE CONSTRUCTION & ENERGY Other Trade's License No ...................... , CODES, NOT. RESP~ONSIBLE FOR I. Location ofland on which proposed work will be done ...... .~ ......... ~..~. /?.~(/.U.t..] ............. .~ ....... ,. .~. . .~. ~ . .~. . ;.o. . . . . .~. . . / ............... House Number Street Hamlet Connty Tax Map No. l'OOOSection..:.¢~.0~. ....... Block '.~../. ........ :... Lot.../..~.'.,/..k; ........ Subdivision ........ . ............................ '. Filed Map No ............... Lot ............... (Name) . 2: State existing use and occupancy of premises and intefiged ~se and occupancy of proposed construction: a, Existing use and ocbupancy ..... ~ (.d<'..~(~ ... ~, .~..: .(~., ........................................... '. ........ ..' ......... . ................. ,, ~, .'? ,~" .': :~ r .................... -3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .... ; ..... Repair .............. Removal .............. Demolition .... ; ......... Other Work ............... . .. (Description) 4. Estimated Cost ~ . ."~. Fee ~ (to be paid on filing this application) 5. If dwelling, number of dwelling units / 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 existing structures, if any: Front ............... Rear .............. Depth ............... Height ............... Number of Stories ........................................................ Dimensions of shme structure with alterations or additions: Front ................. Rear .................. Depth ....................... Height ........... ' ......... ·.. Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size ,~I to,. Fro,,/ ......... , ............ Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ....... '. .................... Will excess fill be removed from premises: Yes rNo 14. Name of Owner of premmes ..... ~ ...... .~.~] .....Address ................... Phone No ............. .... Name of Architect ........................... Address ................... Phone No ............ .- r · - Name of Contractor .......................... Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · 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 comer lot. STATE OF NEW YORq97, - ,- S" COUNTy c. P--.-, · ~Name Of individual signing contract) above named. ' He is the ..... . .... ~/(Contractor, agent, corporate officer, etc.) ........ "" ............ of said owner or ownem, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application flied tlierewith. Sworn to before me this ~f"/' day of ~...~./q '~ 1984 NotaryPub,ic, ./.4-F ....... /r~...7..0~.i~..('-...(~7-~.... County . 2.:< .../_ .)