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Home My WebLink About20435-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southotd, N.Y. CERTIFICATE OF OCCUPANCY No Z-20536 Date FEBRUARY 18, 1992 THIS CERTIFIES that the building~ ADDITION Location of Property 785 FISHERMANS BEACH ROAD House No. Street County T~x Map No. 1000 Section 111 Block 1 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 31 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 1987 pursuant to which Building Permit No. 20435-Z dated FEBRUARY 18~ 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 (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PI~MBERS CERTIFICATION DATED N/A JOSEPH & JANET GOLD '~y~'~u/J]~Inspector Rev. 1/81 t~OR,~ NO. O TOWN OF SoU'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJvIIT MUST BE KEPT ON THE PREMISF.~ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO 20435 Z Dote . .~ .............................. , ~.....~ Permission is hereby grante~~~ ,~ /2/ · Z/~.-....' ' ~,~,- · .. '..~~...~..~. ~, . .....-~.~...~...-.~'~"%,?x~ ...................... · . ~.~ o,~,,,,,,,,,o,,~,,,...~x~......"~~z_..~.~..~./...,. ...................... County Tox /Viop No. 1000 Section ........ ~.../.,~... ...... Block ......... ~...~....... Lot No ...... ...~..~... .......... ~u,uo,, ,o o~,,~o,,o~ ~o,~ .... ~...x~...x ...................... .,,.~.~. o,~ o~,~o~ ~ ~. Building Inspector. Re~ 6/30/80 FEB 1992 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by'~t~ewril'~ OR ink an~ submSt~ed:to~the building inspector with the following: for new building or ne~ usei~ ~ 1. Final survey of property with accurat~ location of all bufldings, 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 i% 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 - $I0.00 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 ................. Location of Property...~..~.~. ........ ~''t~'''P~"' F~ ~..~. House No. Street Hamlet Onwer or Owners of Property...~(D.~..~. ......... .~.~. ................................... County Tax Map No 1000, Section... Subdivisi°n'~' 'Q'~'~'-%~. ~ ~. -~- ~ ....... Filed Map .a ~.~. ...... Lot .... /..~. ............... Permit No.~0.~.~.'.~.. .Date Of Permit..~J~.~/.~.~. ....... Applican~.~_~.~%~. ~.~..~.: .~:~: ~oz~ d ~'~ ..... Health Dept. Approval...~.~ .................. Underwriters Approval..~.~.~. .................. Planning Board Approval ~.~.~r. !{equest for: Temporary Certificate .......... Fee Submitted: $...~. ~ q ....... ;'- co OUNDATIO.U OUNDATION {1st) (2nd) OUGH FRAHE & PLUMBING iNSULATION PER N., Y. STATE ENERGY CODE FINAL · ADDITtONA'L COMMENTS: ., , -~ , / / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INSULATION FRAMING [~NAL I NSPECTO~~/~ // 765..1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. DATE ,INSPECTOR ~~ ~lteration or addition to this survey is a violation of ~ection 7209 of the New 'York State Educalion Law. Copies of this survey map not bearing the land surveyor's inked seal or embossed seal shall not be considered to be a valid copy. Guarantees or cerhfications indicated hereon shall run only to the person for whom the survey is prepared, and on his behalf to the title company, governmental agency and lendlng institution fisted bereon, and to the assignees of the lending institution. Guaranlees or cedificalions are not lran~ferable to additional in*litufions or ~j~vv All ~llfl~ ~ welle anti cesspools am · by location from house owner~ and field ob~ervalions, ~ince mo~l wells and cess- . pools are not visible the~e dimension~ cannot be cerlified. FOR ;EPH JANET GOLD iAU POINT OUTHOLD COUNTY~ N. Y. I"; 1.gX ? P£CONIC FILED CHICA; FO~,~ NO, TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN HALL SOUTHOLD, hi. Y. BUILD~HG PEIIJ~IT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL PULL COMPLETION OF THE WORK AUTHORIZED) NO_ 16054 z Permission is hereby granted to: ............ ..... ~.~.....~~....~ .......... ,o ..~~.....~..~.~......~.....~.....~...~.....~. at premises located at ...~;,.~'..~C..;....,~t~.~'~:~:t...,..~.....~ ........ ~.~~.. Coun~ Tox ~ap No. 'Ot~ STt'o, ....... '.[~ ........... Bilk ............ [ ........ Lot No .....~..~ ............. pumuant to application d~t~ ........ ~.~../..~ .................... , 19~..~.., and approv~ by the Building Inspector ~ ...... eL Rev. 6/30/80 INSPECTORS Victor Lessard Principal Building Inspector Curtis Horton Senior Building Inspector Thomas Fisher Building Inspector Gary Fish Building Inspector Vincent R. Wleezorek Ordinance Inspector Robert Fisher Assistant Fire Inspector Telephone (5 !6) 765-1802 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOTT L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 ROBINS & SPEED, INC. 625 SECOND STREET GREENPORT, NY 11944 RE: JOSEPH & JANET GOLD To Whom This May Concern: FEBRUARY I1, 1992 We are unable to complete your Certificate of Occupancy because of the following reasons: An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is SY~_~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 ~ ]6654-z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. CC: JOSEPH & JANET C~OLD BOARD OF HEALTH ..~.. 3 SETS O> PLAN. S ....... FORM NO. 1 SURVEY , TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT ~EPTIC FORM ............. : TOWN HALL SOU/HOLD, N.Y. 11971 TEL.: 765-1802 Approved ......... 19~. ?. Permit No..]..~..O..~.".~..~ Disapproved a/c ..................................... NOTIFY CALL MAIL (Building Inspector) 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 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 necessar~ inspections. · .R .o .e. # ............... ~ (Signature of applicant, or name, if a corporation) ....6. (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ............................................................................ Name of owner of premises . ~ .~...&"~...~... d.~t...~...~.~.~..~..~..--~.... ~..L-[~. .............................. (as on the tax roll or latest deed) If applicant is a corporation, signature of duty authorized officer. ~ (Name m ' rp ) - ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be ~tonl ............................................. ~ ~' ~ ~t~tf,~dgct~t,t ~ t~ ~tt~4 t~-~, ~ ' ...... ........................... ,. . ............ . . . ............. House Number V Street Hamlet County Tax Map No. 1000 Section .... ;) 'l .......... Block ..... t ............ Lot..~-t .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructiqn: a. Existing use and occupancy.., f.~..~...~..~. · .~...~... C3./.g~..~-...~:7.....~...~.(~.../.~:.~.~.'. ............ t( rr , b. Intended use and occupancy . ........... 3. Nature ' ~ .... '' of work (check which applicable): New Building .......... Addition .......... Alteratio~ .......... Repair .............. Removal .............. Demolition ............ Other Work...~. ~ .... CR~7')z~_.~-- ,~--'~/~'7"~ ~ ~'-2,//'~~~--- (Descrigtion) 4. Estimated Cost .... ~. ~.!..~.~.., O c) Fee ' (to be paid on filing this application) dwelling, number of dwellin~' units ...... /. ........ Number of dwelling units on each floor ................ $. If If garage, number of cars .... '~ .................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of u~e '....'..: .............. 7. Dimensions of existing structures if any: Front. .. ~.~(' .. Rear .... ~..~..( ..... Depth . Height ....~.~../ ....... Number of Stories..' .... /.'P'Z~/. ............ · ......... ' .....-.... Dimensions'of same structure With alterations or additions: Front . ~fi...~., .E~. ..... Rear ... ~..~..~'.. . Depth ..... ~....'. :'7.. ...... Height ...... ~.." .~. ....... Number of Stories .... .~ .~.... .......... ~',8. Dimensions of entire new construction Front ..... ~'~'.t'.. ..... Rear ....-~...~./'. ...... Depth ..../~ . . Height .: : Nu ber of Stories ....... ..--V. . .'ii"'i' ' · · ...? ......................... ........ 9. Slzeoflot: Front .... ./O~. ',i~,., ..... . .... ~ Rear .~ .... .(aO. ............ Depth ..... ~../ ............... 10. Date of Purchase ..... ~/..~:J.'?.~. ................ Name of Former Owner .~.Ll.d,~..~....~O.t~,/.~c?~,.- ....... 11. Zone or use district in which p~'emises are situated .................................................... 12 Does pr d t' n vi61ate any zo i g law ordi eg lation · opose construe lO n n , nance or r u · 13. Will lot be regraded ........................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises~.O~l°b/..O~....t~.' ....... Address PA'~/~, A~¢,i.'~.~.~. Phone No.~.7.~'..~q .~.~ ~../'· . . Name of Architect ~ - . Address · '~ ..................... ~2 ..................... Phone No ................ Name of Contractor /<Ol~l,~ ~.~.~ /;'1~ , Addressb~ ~ ~';E. ~--P'"~'. -~ No ~t-.'~7)'~'l'~ ......... ~ · ../ ............ ,I .....'..Ph. one ........... 15. Is this property locatedi within 300 feet of a tidal wetland? *Yes . .1~%.. No ..... · If yes, Southold Town Trhstees Permit maybe required. · i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and bloc: number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, i S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sigr ing contract) above named· He is the ..................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized' to perfor~ 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 set forth in the application filed therewith. Sworn to before me this ............. /.~. ........ day o~' ..... .~. ~ ......... , 19 Notaryeublic, ....f~. ~' ..~...~...~...~'-~... Countx~--'-x . NOTAflY PUBUC, SMo of f4ew Yed( / / . No. 4707878, Suffolk Counl$~. ~, lenn Exp{res M~rch 30, IL,~