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Home My WebLink About20478-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20591 Date MARCH 13~ 1992 THIS CERTIFIES that the building ADDITION Location of Property 250 LONG CREEK DRIVE House No. Street County Tax Map No. 1000 Section 55 Block 4 Subdivision Filed Map No. SOUTHOLD, N.Y. Hamlet Lot 5 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4~ 1992 pursuant to which Building Permit No. 20478-Z dated MARCH 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 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 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED KEVIN & VERONICA GRATTAN N/A N/A Building Inspector Rev. 1/81 ~0u~r NO. ft 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) Permission is hereby granted to: ~.~.~~....~..~. ........ .~.~.~.~.~...~L....,.~.L.....~.. ........... ~.~.~....~.:..V.:...J.~.~..~.~. ............. ,o .~~...~.....~.~.....~~...~.....~...~.....~. ........ ................. at premises located~'~ ~at ..~...~.?....~.~....~.~.__.).....i~L..o~ .............................. County Tax Mop No. 1000 Section ....,C~..,~,~.,,~. .......... Block ...... ,.0,.,~, ......... Lot No...,,C~..,,~,.,,'~,, ........... pursuant to application doted ....~..CL~:....~.....I~.. ...................... , 19.~....~:.., and approved by the Building Inspector. Fee $. a.~.:....../~.... ..... Rew 6/30/80 Form No. 6 TOWN OF SOUTtlOLD BUILDING DEPARTMENT TOWN ~IALL 765-1802 A~PLICATION 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 bu%lding, 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 March 13, ?92 New Construction ..... Old Or Pre-existing Building ........ Location of Property ..... 250 LONG CREEK DRIVE SO--OLD, N.Y. House No. Street Hamlet Property . .KEVIN & ........................ Onwer or Owners of .............. VE.R~NICA GRATT.~ ... . .................. County Tax Map No 1000, Section ..... q~2 ..... Block 4 ..... Lot. 5 .................................. Filed u n~a~ ............ Lot ...................... Subdivision . . Permit No...~ .... Date Of Permit...~..:!~!~ .Applicant. ~IN.~ VERONICA GRATTAN Health Dept. Approval ......................... · Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... 25.00 Fee Submitted: $ ............................. ~O':a~O~l AFPLICANT FOUI~DATION ( ls t) FOUNDATION (2nd) 2. ROUGH FRAME & ® INSULATION -PLUMBING PER N. Y. STATE ENERGY CODE FINAL , A D D IT I ON A'L ~C O[~i~T S FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT Examined .5~...O~.C~....~ .... , Approved . ~/]..0~.C~..c]., 19~..~.. Permit No..~.9..~.?.~..~ TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (Building Inspector) APPLICATION FOR BJILDING PERMIT INSTRUCTIONS BOARD OF HEALTIt ..... .~... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC PORH .............. CALL ................... MAIL TO: 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 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 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 necessary inspections. , , -- (Signature of applicant, or name, if a corporation) ... '.F_.. ~.>..~.:? .~. ~x. £.~< .~:~..~..~:...s..o ~.¥:.~ (Mailing address of applicant) State whether applicant~ lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ~'~?~"-) ~ "Q (as on the t,ax roll 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 done ............................... House Number Street Hamlet County Tax Map No. 1000 Section .................. Block .................. Lot .................. Subdivision ...................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use hnd occupancy of proposed construction: a. ~dse and occupan.c~ ~.'~ "(~/c"~ .... .... / ....:-; ...... : .... ............... b. - - ' .... ~ ....... 3 ........... %'" .................................... Repair Removal 4. Estimated Cost ,7--.~t~).. ~'*/ Nature of work (check which applicable): New Building .......... Addition Alteration Demolition .............. Other Work ............... (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling Units ............ Number of dwelling units on each floor ............... If garage number of cars 6. If. business,, commercial. . . or m~xedl, occupancy, specify nature and extent of each type of use .......... , .......... 7. Dtmenmons ct exmtmg structuresl, if any: Front ............... Rear .............. D~epth ............... Height ............... Number 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 Numl~er of Stories 9 Size of lot: Front ' Rear Depth 10 Date of Purchase , Name of Former Owner 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction viola~te any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded .......... i .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .... i ................ Address ................... Phone No ................ Name of Architect ........... i ......... ... .. ..Address .............. ..... Phone No ................ Name of Contractor .......... i ................ Address ................... Phone No ................ 15. Is this property within 300 feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold TCwn 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 street and block number or descriptioh according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF.. S.$ ................................ I .................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· ~Ie is the ' (Contractor, agent, corporate officer, etc.) )f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this tpplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~vork will be performed in the manner sdt forth in the application filed therewith. ~worn to before me t.his~' .,~ .......... /.'~...~5....da~.y._~--~~~. 19 ..~. q otary Public ............... ~: ~ . ' ~/ ~Signature ot applicant)