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Home My WebLink About20555-zFORM NO. 4 TOhrN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20665 Date APRIL 21~ 1992 THIS CERTIFIES that the buildin~ Location of Property 700 GLEN COURT House No. County Tax Map No. 1000 Section 83 Subdivision ADDITION CUTCHOGUE~ N.Y. Street Hamlet Block 1 Lot 18.1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1992 pursuant to which Building Permit No. 20555-Z dated APRIL 16, 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 EXISTING DECK ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to ALFRED A. MAGILL (owner) of the aforesaid building. SUFFOLK COUN'I~f DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N/A ng Inspector FO~M NO. ~ TOWN OF $OUTHOLD 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.°N? 20555Z Permission is hereby granted tg:.. ~ ~ ~ ~ ^ . · ..... at pram,sas ,~ot,v J a, ~~....~.........~.....~ '...~~--~ ............................. to application dated ..... ~ ....... !...Q .................. , 19..c[..~ and approved by the pursuant Building Inspector. Fee $..~.~....~ ~... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN ILALL 765-1802 A~PLICATION 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 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 bui%dings 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: ' i. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A ~roperly 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 Constroction ........... Old Or Pre-existing Building . ... Location of Property .................... House No. Street Hamlet Onwer or Owners of Property.~.~.~.~.~..~ .... County Tax Map No 1000, Section. ~ * .Block... ~ .......... Lot .... Subdivision ................ . ..... Filed Map ..................... · Lot Permit No ................ Date Of Permit .... ............ Applicant ........................... Health Dept. Approval ......................... Underwriters Approval ....................... Planning Board Approval ...................... Request for: Temporary Certificate ........... Final Ccrticate.....~...... Pee Submitted: ............. ..... ~OUNDATIoN :OUNDATIO:! ?. ~OUGH FRAME & ·PLUMBING (1st) (2nd) fNSULATION PER N. Y. STATE ENERGY CODE Fi~AL ADDITIONA'L COMMENTS: · " L 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSU~I~LATTON FRAMING [/~]~FI NAL REMARKS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1809 Approved · .].~'..-, 19 ~'.~. Permit I'4o. ?v?..~,~-.~.; .':~- Disapproved a/c ..................................... (Building Inspector) · APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTIt ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTZC F 0 R,~I .............. NOTIFY; CALL ................... HAIL TO: Date ............. 19 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 ,r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ation. ¢. The work covered by this application may not be cbmmenced 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 of Occupancy hall have been granted by the Building Insi~ector. · 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 '.egulations, 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, hoiising code, and regulations, and to :trait authorized inspectors on premises and in building for necessary inspections. SignaYure of applicant, or name, if a corporation) ...?q... - . (Mailing address of applicafit) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder] lame of owner of premises ' (as on the t~ roll or latest deed) ~'appLicant is a corporation, s[gnature of duly authorized officer· Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location oflahd od which l~roposed work will be llouse Number ~ Street Hamlet ........... CountyTaxMapNo, 1000Scc nn~dJ /-I ,' ................ Block ................ Lo ........... ~ ........ 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 ~/~Z~ ~/L ~LL /~ ~ , / ~.~ ", . , ..... .,. 3. Nature of work (check which applicable). New Building .......... Addition ~ ,'tlteration Re!6 ]8~ Rem val .............. Demolition .............. Other Work ............. 4. Estimated Cost. ....! ......................... . ............... , (to be paid on filing this application) $. If dwelling, number of dwellinn Units ' · -, .................. .N.u/nb. cro f dwelling units on each floor ~ · lfgarage, numberofcars ..... ~..2 ...... · ............ 6. Ir business, commercial or m~xed occupancy, specify nature and extent of each type of nsc ...... ...... ? Dimensions of existing structurei if any: Front Refit- Height Numl~er of Stories ' ' i ........... ~ ............... Depth ........... . . .. Dimensions of same structura with alterations or additions: Front ....................................... 8. Dimensions of tnt re new eonsmction: Front .... · .... ~. ......... Depth .. ,,~ ....... ... ~Rear ~. ' Height ............... Number of Stories ....... 9. Sizeoflot: Front //.~(.O.: ................................ .... . ........ " > ....... 10. Date of Purchase ~ ' " . .......... Depth ... t/~. ....... ~.. . 1 1 Zen dist i .......... ~ ........ ' ......... Name of Fenner Owner ................. · e or use r ct in which ,,r ~msea are mruateu .......... 12 Do prop d tion vioklt inglaw .................... ' ............................... . es ese construc e any zen , ordinance or regulation: 13 Willl be grad d .o ........... · t re e ' ................. of p ' ' '~ ...... ' .................. Will excess fill be removed from premises: Yes _ No 14. NameofOwner rem,scs ~f.~..,~j~.'.t~.~..~.~..C:.. Address ~'0O~/,~-A./ C?z PhoneNo..~..3~Z~../.,.~.O.... Name of Architect .......... ~ ................ Address . Phone No. Name of Contractor .... ~ . · ......... : ...................... ..................... Address .............. :.. Phone No ................ tS. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, Southoid T~wn Trustees Permit may be required. · .- i . PLOT DIAGRA/Vl . -. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ail set-back dimensions from property lines. Give street and block n¢mber or descr/ptioh according to deed, and show street names and indicate whether interior or comer lot. 5'ATE OF NEW YORK 3UNTY OF ...... .~j.'.~..k'~. 7.,, .......... /'/ff.,~./.../Y../q~.,47~../...4:.. ................ being duly s~vorn, deposes and says that he is the applicant (Name of individual signing Con tract) eve named, m is the ' 0~ ~f - ~' '" ....... i (Contractor agent corporate officer ) ........................... , , , , etc. said owner or owners, and is duly au:tborized to perfom or have perfommd tim said xvork and to m~e ~d file this flication; that all statements contained in this application are true to the best of bis knowledge and belief; and that the rk will be perfumed in th~manner set[ forth in the application filed therewith. om to before me this / ) ..... - · · ....... ~'. · .aav~f /1, .Z~q-I ~o q ~ ~. _~ '[ ) ~7'"~7 ...... ~ '~-"." ~ 'a~ Publ;c ~~~'"'~ ' ~05~' '~ ' , · o/~...._....,~,~.Z~.;~ .... County . · · ' .......... 7 ...... ........ '"' '":; . ~0,4Z~,.g~a~ ...... . ' ' ' ' , (Signature of applicant) ":. T~y,~,19~ , .