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Home My WebLink About20542-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC~3PANC~ No Z- 10963 Date AUGUST 24~ 1992 THIS CERTIFIES that the building. Location of Property 745 LOVE LANE House No. County Tax Map No. 1000 Section 141 Block 3 Subdivision Filed Map No. Lot No. ACCESSORY MATTITUCK~ N.Y. Street Hamlet Lot 28 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1992 pursuant to which Building Perrflit No. 20542-Z dated APRIL 13~ 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 ACCESSORY 30x30 GARAGE AS APPLIED FOR. The certificate is issued to RAYMOND F. NINE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 F~'uwe NO. fJ TOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. ¥, BUILDING PERMIT fTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~N.o 2054J~Z Permission is hereby granted to: .... ...... ......... ...... ~'....~.......(Z~ ................. [i premis:: located at County Tax Map No. 1000 Section ....... ./...~../. ........ Block ......C~....~ ........ Lot No....~.~ .............. pumuont to applic~tion dotc~:l ............. ~....0.. ................ , 19.~......1~, and opprovc~l by the Building Inspector. Building Inspector Re~ 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 : ~PLICATION FOR.CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to th~ building inspector with the following: for new building or new use: 1. Final survey of property w'ith 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 qses: 1. .Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed applicatio~ an~'~ consent to inspect signed by the Rpplicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. ~ Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swirmaing 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 ...... . ................ ew Construction .... .~..... Old Or Pre-existing Building ................. oeation of .............................................. "' House No. Street Hamlet ewer or Owners of Property...~.~ f~z~ ~.~..~. /~, ./~..f .~. ~.~ 3unty Tax Map No 1000, Section .... /~7 ...... Block ...... ~.~ ....... Lot..~.~.. ............... ~bdivi-sion ,. · .................................... Filed Map ............ Lot ......... !rmit No..~..~.~.~ .... Dat~ Of Permit...~/. tSP. ~..Applicant .... /f ~?.. ~. a.a~..~.. ~.,...~./~ ~alth Dept. Approval .......................... Underwriters Approval ......................... arming Board Approval quest for: Temporary Certificate ........... Final Certicate ....... e Submitted: qq qY ~OUNDATIO~'.! ( 2nd ) IOUGH FRAME & ·PLUMBING [~SULATION PER N. Y. STATE ENERGY CODE FI;;AL ~. ADDITIONA'L COMME~!TS: Examined . .(~.~'..I.?~.'.'., 19c/..m- FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N.Y. 11971 TEL.: 765-1802 Approved .. J..~ ....199...'.'~. Permit No..D...O..~ .... Disapproved a/c ... ' ' "~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALIOit ......... 3 SETS OF PLANS .......... SURVEY ................... ClIECK .................... ' ' INSTRUCTIONS a. 'Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 ets (ff 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appll- ation. c. The work covered by this application may not be c~mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit hall 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 uf Occupancy hall 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 '.uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or '.egulatinns, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to · Ka: .... TE. 1Z4' ........... ... (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder~ · .. . , · ,amc of owner ofprem~ses ... (as on the t.ax roll or latest deed) : pphcant is a corporatmn, s~gnature of duly agthOr, lz>?d officer. (Name and title of corporate officer) Builder's License No .... ~..,-~,~,. .... ~ ~ ..... Plumber's License No .... ~.. ;....T,T~..~?~.~- Electrician, 's License No ....................... .l-I other Trade's License No ............ Location of land crt which I3roposed work will be done.. /~0 k~/: ~.)J/. ~...~,~ ' I'Io~ e ul ce amlet . County Tax Map No. I000 Section .............. Block ................ Lot ............... Subdivision ..................................... Filed Map No ............... Lot ............ (Name) ' ' ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy f./.oyA4 .................. /. .,~ ~p~ .................. .. .o , ......... ' b. Intended use and occupancy ' '/ .... ~ ~. ~.'f-.ff'. ' ' 3. Nature of work (check which aDpiieable): Ne',.., Building .... A/ ' Repair .............. Remgval .............. Demolition . n .......... /,dteration .... ~ ..... .............. Other Work .... : ......... ; 4 Estimated Cost ' ' I ~ ' (to be paid on filing this application) $. If dwelhno, number of dwelhng Units Number of dwelling units on each floor ........ · Ifgarage. numberofcars ; .... 1 ...... ,,,~t~..ff~t~4. ........................................ " 6. If business, commercial or mixe occupancy, specify nature and extent of each type of use ........ 7.Dimensions et'existing tmctures, ffany~. Front ............... Rear .............. Depth ............... Height Num[ber of Stories ::'Depth .................... i Height ............. . Front Rear 8 Dimensionsofentirenewconst~igtion: Front ~ Rear ~g.'. ' ........"' ........ Number of Stories Height Number of Stoffes ............ ' ............ Depth ...., ........... 9 Size of lot: Front i ' · ..................... Rear .... 10 DateofPurchase i .................. Depth ...................... ' ' ......................... Name of Former Owner 11. Zone or use district in which preexists are situated ............................. 12. Does proposed Construction viol4t any zoning law, ordinance or regt alien' . ............ 14. m]4mav~, C..MJ~. Address · Lg.R ~C. L.~ .... Phone No.~q~: N~e of Architect . , 4 ......... Address ................... Phone No ............. N~e of Contractor. ~g ~.gV~..~.. m/~. Address ........... ~ ....'.. Pho~e~' .... IS. I~ th~s property ~th~n B00 feet of a t~daY weCland? ~Yes ....... '. No..~ ..... ~f yes, Southold Tbwn Trustees Perm~ may be required. ', ' PLOTDIAG~ , , , ~ ~,,,. Locate clearly and distinctly fll ~uildMgs, Whether existing or proposed, and, indicate fll set-back d~ensions from prope~y ~nes. Give street =d block nhmber or descfiptio~ accordMg to deed, and show street n~es and ~dicat~ whether int~or or comer lot. ', FOLLOW~A~G ~NSPECT~ONS'. THE 1, FOUNDATION T ....... ~ ' ~ " vvu HEQUIRED , FOR POURED CONOR~I'E ovo name~ ORCONoTRUCT ON ER~RoRs USE t iTHOUT. CERTIFICATE F'OCCUPANcy ~, ractor agent corporate officer otc ) ............ said owner or owners, and is duly authorized to perform or have per£onhed the said worl~ and to make and file this ~lication; that all statements ' ' contained in this application are true to the best of his knowledge and belief; and that the rk will be performed in the manner Sell forth in tl,e application filed therewith. om to before me this day of ' ' ,a trY~Pubhc ...... .... ........ County ~ -, ,, L NDA J,,; COOPER /; ,. , ~ ' .... ' . NotaryPub o; State of New York~ ~ ,. '.'.. . .......... being duly sworn, dcposef andsays that he is the applicant