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Home My WebLink About21418-zFORM NO. 4 TOWN OF SOUTHOLD BUII~ING DEPARTMENT office of the Building Inspector Town Hall Bouthold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22345 Date MAY 20~ 1993 THIS CERTIFIES that the building ADDITION Location of Property 735 WATERVIEW DRIVE House No. Street County Tax Map No. 1000 Section 78 Block 7 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 11 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1993 ..pursuant to which Building Permit No. 21418~Z dated MAY 19, 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 TO EXISTING ONE FAMILY DWELLING "AB BUILT" The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JAMES F. & BEVERLY MURPHY Rev. 1/81 FO~M' NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) No-N°. ~1418Z Permission is hereby granted to: .... /£~..~.~ .~.~...~..'~.~z.:'~' .................. .... ..8..~!~.......,~......~.,.../.=.../z~. ,~..m~ ................... ~.~. .................. ~.~ ....................... ..A...,. ............................................. ......... ~£~. ~. ..................... · ,", ....... ~""~ ...... ~Z~ii"D~2~i~ ............... ii ....................... at prem ses Ioca ed at ................................. .~..,..~.~...~ ........................... ~ ................................... ....................................... ~2.~.....~_~..~ ././..~z/.. ............ ....................... ,z'~",,;",~5"F~ .... z" ........................... Coun,,/ Tox ~op No. ,ooo Sec,,o, ....... .Z...~. ........ B,=k ...... .~Z. ..... Lot No ...... ./../.. ............ ,,ur,uont ,o opp',=t,on d,,,ed ............. "----...q./Z..../....Z'.. .......................... , ,,'~.5...., and ,,ppro,,ed Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 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 f~rm). 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-~onforming 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 , / Z~ , Da e ..,~%..~;~,~.,. ...... . . House No. . Street Hamlet . operty .................. . .............. .................... 7 !.(.. ' ~ounty Tax Map No 1000, Section .......... Bloc .Lot .............. Subdivision .................................... Filed Map ............ Lot ...................... ?ermit No ................ Date Of Permit ................ Applicant ............................. {ealth Dept. Approval ......................... Underwriters Approval ......................... ~lanning Board Approval ........................ ~equest for: Temporary Certificate ..... Final Certicate ........... .. . ...................... C 0 '~ ~o~ q S APpliCAnT 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING ROUGH PLBG. I~JLATION [/]~INAL DATE INSPECTOR ......... 4 4' 8~' TOWN ~:* ' '~' ~' OF..~O, HO,,u N.M',' · ,~.~)' ,~ ,,~"~ ,.~ ~/o~ ~,~.~. ;...:~: J;'-.~... ~ALE ~ ''" 620' · , i :' FORM NO. 1 TOWN OF SOUTHOLD ~/t¥ L3 Jg~' BUILDING DEPARTMENT TOWN HALL , SOUTHOLD, N.Y. 11971 ~ ~ ,, , . , , . TEL.:765-1802 Examined ..... .... .............. Disapproved a/c ..................................... BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH . . . H^IL TO: 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 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 cDmmenced 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, Ordinarces or Regulations, for the construction of buildings, additions or alteratiqns, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinance/(, )ufiding code, hou/~g cl~e, and regulations, and to admit authorized inspectors on premises and in building for necess~ irons. ~'~ -- //- i~i'g~:!_r'e'of applicant, or name, ir a corporation) _ .... ~ , , (Mailin~ address o£ a, pplicant) ~.~, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .~..,~...~.'..D~....ff.:-....~... (as on the taxx roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No.. Plumber's License No ......................... Electrician's License No ........................ Other Trade's License No ...................... Location of land on which proposed work will be~d, one ........ ~ ........................................ }~;;;e' ~q'u;~;r ........................ ~ir;;; ....................... I~};~'l;i ~) ................ ' .... County Tax Map No. I000 Section (:5~'~f~ Block ~.. Lot. Subdivision ..................................... Filed Map No: .............. Lot ................ (Name) 2. State existing use and occupancy of premises and intended use and occupanc~ of proposed construction: a. Existing use and occupancy -/~v/~..'~..~-. ...... b Intended use and occupancy . :~ 3. Nature of work (check which a~plicable): New Building .......... Addition .. ~ ..... Alteration ....... '... Repair ............... Removal .............. Demolition .............. Other Work ............... · .,r-- ~ ~ (Descnphon) 4. Estimated Cost .. ......... Fee z~"~ ........................ ~1 (to be paid on filing this application) I . 5. If dwelling, number of dwelling Cmts ............... 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 structure~, if any: Front ............... Rear .............. Depth ............... Height Num~ber of Stories Dimensions of same 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 of lot: Front ' Rear .............................................., Depth ...................... 10. Date of Purchase ........... .................. Name of Former Owner ............................. 11. Zone or use district in which premises are sitnated 12. ' · : ....................................... Does proposed constructmn '~lol{tte any zoning law, ordinance or regulation': i. i .~.~.' .......... ,. .............. 13. Will lot be regraded ......... i ................. Will excess fill. be removed g,';ca~,n~emises:~ Yes , o 14. Name of Owner of premises-~..~.~~r.~.~.~.~./~'~,Y~ Name of Architect ......................... Address .... ~..Z'.~.~.. Phone No ............... Name of Contractor ........................ Address ................... Phone No ................ 15. Is th±s property within 3100 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southold Tlown 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 stre tax, d block umber or descnptmn according to deed, and show street nmues and indicate whether interior or corner lot. ~ STATE OF NEW 5~ORK. ,', ., ,~ cou v ....... . .~.. ~.p,~.e_.ff....7l~...... ~...4~. t~ t'.~O]~,~.~. ( being duly (Name of individual signinl: contractJ above named. sworn, deposes and says that he is the applicant He is the ......................... ~./-U .q~. ~ ..F~.. ................................................. ! (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly ~uthorized 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 s~t forth in the application filed therewith. Sworn to before me this ......... ~.-~. ~ ........ day of..! ..... ~ ~.'&t .... , 19.~ Nota~ Pu, blic ...... .~ ............ ~LI?~BETH ~IN~iEVILL~ No. 52-8125850, Suffolk CouJ'd~ Term Expires O~tobet