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Home My WebLink About20979-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22109 Date JANUARY 14r 1993 THIS CERTIFIES that the building ADDITION Location of Property 30170 CABOTS WOODS ROAD House No. Street County Tax Map No. 1000 Section ~3 Block 4 Subdivision Filed Map No. PECONIC~ N.Y. Hamlet Lot 2.2 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1992 pursuant to which Building Permit No. 20979-Z dated SEPTEMBER 24, 1992 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 AS APPLIED FOR The certificate is issued to JOSEPH V. GRECO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED ~~~uil/ding Inspector Rev. 1/81 FORM NO. S TOWH 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) N°-NY 2097J Z Permission is hereby granted to.', ........ .(~...o...?.~_~....~...~...~.~. ..~~.~. ...... ~.:~.: ............................. ,o ..... ........ ............. ~~-~...; ......... ~. ........... : .... = ......... .; ............... ~ .............. ; ....................... at premises located at ......~....0......~..~...~...~.'..~...~..,.......~...~:.~. .................. County 'lax Map No. 1000 Section ....... ..~..?....~..... Block ..... ..~.....kJ ......... Lot No.....-~...:.....'~... ........ pu~uo.t to app,catio, dot~d ...;;;:~..~......m...~ ........... ~..~.~ o.d oppro~*~ by ~e Building Inspector, Fee $ ....~...~....'....~. · · ....... Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 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 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 ... ~.~.,..~..'~././..~..-]. ~ ...... New Construction~.~.~... Old Or Pre existing Bumldzn Locatzon of Property. ~q~ 7~. LV~. f.{'.7~. 9~qB.~ /i House No. Street Ha~et " oX. County ~ ~ap No 1000) Section ......... B~ock ............ Lot.. S~hdivi~ion ........................ . Filed Map ............ Lo~ .................... Permit No..~Pl~.g ...... Date Of Pe~it..~+~Tf~...Applicant. ~O~ Health Dept. Approval ......................... . Underwriters Approval ......................... Planning Board Approval ........................ ~ j Request for: Temporary Certificate ......... i Final Certicate ........... Fee(~.qj~.. ~ ~t~6'~Submitted: $ ........................ i~'--'I~~~' ~~ ~ __________~ ~77~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ]' ROUGH PLBG. [ ] FRAMING REMARKS: FOUNDATION ZND [ ] INSULATION ? DATE ~C~/////,/~Z---'~ INSPECTOR ~~"~ 1ELD · .... a ..... ~ ID~-~ il' OUNDATION ( 1st) 'OUNDATION (2ndl IOUGH FRAME & .PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FI;;AL ADDITIONA'L COMMENTS 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F/OUNDATION ZND [ ] INSULATION / FRAMING [ ] FINAL DATE INSPECTOR ~~ 7LS-I.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [/]' FRAMING [ ] FINAL __~~----~REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ~xamine~ .~.~., 19~ .~.. \pproved::~..'~['~:'r~.~..~,~., 19~. Permit No.~O.?[~..~..~.. 3isapproved a/e ................................... _ .. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BO,\RD OF HEALTII ......... 3 SETS OF PLA~,IS .......... SURVEY ................... ClIECK ........... sE~ ;;~/, ...:: .... :~ o a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ts 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 : areas, andoXVm,,o' ' ,, a detailed description of layout of property must be drawn on the diagram which is part of this appli- ~tion. c. The work covered by this application may no~ be commenced before issuance Of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Buil~ling Permit to the applicant. Such permit :ail be'kept on the premises available for inspection throughout the wcrk. e. No building shall be occupied or. used in whole or in part for any purpose whatever until a Certificate of Occupancy .a~l 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 Mlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or -'gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. ~e applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to '.mit authorized inspectors on premises, and in building for necessary insp~Z, ions.~_ J ')~d ~,~--' ~ -" ' ~ -- ; (Sionaturev of applicafit, or name, if a corporation') .... ........................... g (Mailing address of applicant) :ate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. · ..... .................................................................... meo ownerofprem,ses...¢a .ef L.. e..e. o ........... (as on the tax roll or latest deed) applicant is a corporation, signature of'duly auth, orized officer. ....... }~[~ ~e'a;d ........ ti'tie of c; 'I1;'or;;; officer) ............... Plumber's License No Elcctr~cmn s L~cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be'done ............... .. '" llouse Number '%~ Street Hamlet County Tax Map No. 1000 Section ............. Block ....... Lot Subdivision ................ Filed Map No .......... Lot (Name) .................... State existing use and occupancy of pre~ni~es and into n~ed use and occ~ancy of proposed construction: a. Existing use and occupancy ... '. .~ · 3. Nature of work (check which ~pplicable): New Budding .......... Addition .......... Alter~.i,o~,n_ I 'e~'~' Repair .............. Removal .............. Demolition ......... Other Work (,;qr, dpO. ~. ~g'~gfi priori) 4 Estimated Cost ~ ~l, ~ · · · · .~tw~ ~ ......................... Fee ~ (to be paid on filing this application) 5 If dwelling number 6f dwelling units Number of dwklling units on each floor If garage, number of c~s . .i... .,.....'.. · ......~ .......... 6 If business commercial or mixed specify nature and extent of each ty~e of use ..... ~' .......... · , occupancy 7 Dimensions of existing structures if any: FrOnt ' ' Rear Height Number of Stories ....... ' .....~ ................. Dimensions of same structure ~ith alterations or additions: Front Rear Depth ~ HeiSt ................................... ................ ' ' ' · .................... Number of Stories ........... 8. Dimensions of entire new cons{motion: Front e" ...... Height Number of Stories ' "' ' ' ............... Depth ............ ............ Rear 9. S ze of lot: Front .... ~ ............ ~ar Depth 10. DateofPurchase . ' ..... "a .... ~ ................................. 11 ....... ....... ' ...... ~N m~ oI eo~er Owner ............................ h p? it d ' . Zone or use district in whic emises are s uate ....................................... 12. ' Does proposed construction vi61ate ~ny zonin law ordinanc ~ ' · 13. Wall lot be regraded ..... . .~ . g , ,,,.,,e or re~ion .... ~ t~ .... ~ ~-l' II '~ .......... ~111 ex~ess HII O~ remo~ea xrom nremises: Ye~ ~ ~. ~ e o z ~wner o~ premises V-~.~. ~ ~. . Address ~q~ ~ N~e of Architect ...... .' ........ -,. ~ t~ i~,i~b~ ............ N~e of ~ - ' ~t~f ._.'t ~r '~'~ · .... ~oaress :ffL: I.t~.t.~l/gfZ~Phone No ................ 15. Ia t'h ~y~StS~Sty~- ~'~ 't)~n~' ........ ''.' 4ddress ff0~/~/~/~hone ~ ~v~uy w~c~xn ouu zeet or a ciaa~ wetland? *Yes..~fl.. u ~ · · If yes, Southold Town Trustees Permit may be required· .,o.~ ....... .... PLOT DIAG~ Locate clearly.~d distinctly fll buildNgs, whether existing or proposed, ~d, indicate fll set-back d~ensions from prope~g fines. Give street ~d bloek~number or description accord~g to deed, and show street nines and indicate wh~ther Nte~or or comer lot. t STATE OF NEW YORK, (Name of individual signing contract) lbove named. being duly sworn, deposes and says that he is the applicant 'lc is the ' ~ , (Contractor agent corporate officer ete ) )f said owner or owners, and is duly auth6rized to perform or have performed the said work hnd 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' York will be performed in the manner s~et forth in the application filed therewith. ;worn to before me this [~IK L~Lj __ LL BU!LDING 9 AM TO )UGH NOT ~ CONST~ ~'~ce ~ bs~o~ MUST SHA__. MEET OF TH~.Y. d. J5~ $ +,:. h's- OJqlKLu~1 __ ~.L. L,DING AT ~ ~ )R THE