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Home My WebLink About21724-zFOP~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23510 Date FEBRUARY 24, 1995 THIS CERTIFIES that the building Location of Propert~ 550 ABORN LANE House NO. County Tax Map No. 1000 Section 118 Subdivision ADDITION CUTCHO~UE NY Street Hamlet Block 5 Lot 6.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 1993 ~ursuant to which Building Permit No. 21724-Z dated OCTOBER 21, 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 A ROOF ADDITION OVER AN EXISTING DECK ATTACHED TO A ONE FP/4ILY DNELLING AS APPLIED FOR. The certificate is issued to BARleY SMALL, JAMES SI~L & FAY SMALL of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED (owner's) N/A Rev. 1/81 FG~M NO,3 TOWN OF SOU';HOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. No BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) z °ate ............. ................................. Permission is hereby granted to: ..................................... .. ~....~....~: ...................... .... ..C~.~.~..~..;,.. ~.._~..... ~z .~.~.......: ....... to......~.....,~...~Z'~......~f......~..~. ........... ~ ............ ;~). ~ ........ ...~..~.. ~../. 5. ~ ........... ..~.....c:~...~..~..c~.. ......... ..... ~......~.~ .......... ...~..,~..,~ ......... ~..~.... ............ ~..~ ........ ~~ ............. ....~. ,,.~.~. ~. ~ ~ . CountyTax Map No. 1000 Section ...... ././...,~.. .......... Block ....... ,.~...,,~... ........ Lot No ...... ~..(.,../, ............ pursuant to application dated ............. ./.~,~...~.. .......................... ~., Building Inspector. ~ee S....2~.~ ..... 19,...~...~.. ...... and approved by the Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ,!ii[Il, ~ 9~1~ !~?i TOWN HALL ~ ~ p_ · , BLDG. DEPI ~J 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-disposai(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. 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 Buildinz - $I00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.O0,,,~ommercial $15.00 Date .... %,,; ................... New Construction ....... Old Or Pre-existing Building Location of Property .............. '~.. . . House No. Street Onwer or Owners of Property.. ' ......................... " / County ?ax Hap ~o 1000, Section ........... Biock...¢¢.., Subdivision .................................... Filed Map ............ Lot ...................... '~_ 2Z.'--~.~ .Date Of Permit ........... Applicant. ~. ..... Permit No ..... ~ ......... Nealth Dept. Approval ....................... ... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ ..... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 21, 1995 Mr. & Mrs. James Small 350 Aborn Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21724-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax {516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD February 21, 1995 Mr. & Mrs. James Small 350 Aborn Lane Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984). BUILDING PERMIT # 21724-Z Please contact our office on this matter. cooperation. Thank you for SOUTHOLD TOWN BUILDING DEPT. ~U~;DATION ', ~)U~DATIO:; (2nd) ,NSULATIO,'; PER N. Y. STATE E~;ERGY CODE FI;;AL I ' " ADDITIONAL COMMENTS 7GS-1802 BUILDING DEPT. INSPECTION FOUNDATION ZST [ ] ROUGH PLBG. FOUNDATION ZND [ ] i~fiULATION [,~iNAL FRAMING DATE iNspECTOR~/~~ Disapproved a/c ..................................... B~ARD DF HEALTH ......... TOWN OF SOUTHOLD .__.~_~SURVE¥ ............ }}ii!ii BUILDING DEPARTMENT - yc4Hs-C-~_._k ........... TOWN HALL SEPTIC FORH~..~. .... SOUTHOLD, N.Y. 11971 (B~:nspector) APPLICATION FOR BUILDING· PERMIT 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 bfiildings on premises, relationship to adjoining premises or public st?eeLs 'or areas, and giving a detailed description of layout of property mu~t 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 ipspections, ~ . .(Signature of applicantL, or name, if a corpoLation) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Ir applicant is a corporation; signature of duly authori2ed officer la ,'~. /~)/~//~,~ n., ,,71-/72~L NOI1FY BUILDING DEPARTMENT AT ' (Name and title of corporate officer) : 765-1802 9 AM lO 4 PM FOR THE Builder's License No .......................... FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE . Plumber's License No ........................ : 2, ROUGH - FRAMING & PLUM~ING Electrician's License No ....................... ' 8' 4, FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. Other Trade's License No ...................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENT$ OF THE I. Location of land on which proposed work will be done ................... .~TATE, .f~DNSTRUCTIGN. & .EflERG¥. · · . RES,95B~ FOR . ltouse Number Street J,Y~let. . --- / County Tax Map No. 100OSection ............. Block ...~ .......... :..'. Lot... ~ ............ Subdivision ........ . ............... · ....... i ..... '. Filed Map No ............... Lot ............... (Name) · 2: State existing use and occupancy of prem scs and intended use and occupancy of proposed construction: ' a. Existing use and occupancy ..... . ..... ~ .t.. ,~, ~,, . b. Intended use and occupancy ..................... · ............... : ' '~ ~' · 3. Nature of work (check which applicable): New Buildi g .......... Addition ..... Alteration ....... ~,. Repair Removal Demolition · Other Work 4 Estimated Cost' .~t~4/~,~~ O (Description) Fee I, (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 mi. xe, d occupancy, specify nature and extent of,each type of use ....~r~. :7;. ............ 7 Dimensions of existing stmctur6s if any' Front Rear Depth Height Number of Stories Dimensions of shine structure w'ith alterations or additions: Front ................. Rear ................. Depth ' Height ' Number of Stories 8. Dimensions of entire new construction: Front ' Rear Depth Height .......... ~ ,,.,. Number of Stories ......... , .. P. Size of lot' Front /~...W ~..77..~ R '~2/, .......... . ....... '. ....... - ........ ., · .., · · · , , . .. ear...,z,z.~ ................ Depth .,4~..~?':.~ I0. ,ate of Purchase o//2.~t.,d 7.' ./ff~':z~%.. .... . ......... N~ame of Fgrmer Owner ~t...~.~./.3,ct~,~. ~i. ~i~ ~i i .... 11. Zone or use district in which premises are situated ,/~':'/~/6taf..(t~ ~. : .... ,12. Does proposed construction viol~te any zoning law, ordinahce or regulation: .~%/.O, ......................... 13. Will lbt be regraded ,,/~. O. '.. ! ....... ' ........... Will ekcess fill be removed from premises: Yes 14. Name of Owner of premises . ./~o.,~,.,-rd,,,~ ....... Address ................... Phone No ............ :... Name of Architect I ' Address Phone No Name of Contractor .......... ~i ........... Address ...... ~ ......... Phone No ............ ' 15.' Is this property within 300 fee't' o'f 'a' tidal wetland? ~Yes~ ....... No ......... '. ' *If yes, Southold Tdwn Trustees Permit may be rM~Fri~ed. ' ' PLOT DIAGRAM Locate dearly and distinctly all uildings, whether existing or proposed, and, indicate all set-back dimensions from: property lines. Give street and block n~ mber or description according to deed, and show street names and indicate whethm~ interior or corner lot. STATE0PNEI,~-Y'Q.~ [b SS i covey ...... . - [ ,, ........ (Name of individual signing co4tract) .... being duly s~yorn, deposes and says that he is the applicant above nmned. He is the ........................ . ........................................ (C i ffi ) ........... ~ ontractor agent, cor3orate o cer, etc. of said owner or owners, and is duly authdrized to perform or have performed the said work and to make and file this application; that all statements contained b( this application are true to the best of his knowledge and. belief; and that the in the application filed therewith. work will be performed in the manner set for!h ' Sworn to before me this ....: . ., Noraw ~ubllo. State of. NswYo~ i. L~/,~f ,',M~, · · ? ~-'~..k~..,~.. ( ~ ,. , Camml~lon EXpires O~cember 8, 19--,/.', / ~z, . I A BO~N LANE