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Home My WebLink About21131-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22015 Date DECEMBER 10~ 1992 THIS CERTIFIES that the building. ADDITION Location of Property 845 YENNECOTT DR & 860 TUTHILL RD. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 3 Lot i6.1 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1992 pursuant to which Building Permit No. 21131-Z dated DECEMBER 9, 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 BUILT" The certificate is issued to STEPHEN J. CARR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A // Buflding Inspector Rev. 1/81 TOWN 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) Dote Permission is hereby granted to: · .~~..~ ...... .....~..:.~......././.~z./.... .~... '.'ii~ :' - ..... .."~i;~i~...~i.~' .. ~ ........ · County Tax Mop No. 1000 Section ...... ..~..~. ............ Block ...... ...~?~.. ........ Lot No .......'~..:.,.,/.. ....... pursuant to application dot, ........... ..-~....~..~--7.: ........ ~ .................... ,! 9...~.../~., ond approved by Building Inspector. Fee $........~.,.~.:....~... .... Rev. 6130/80 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 i. 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 ever 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building..~.. Location of Property. ~..~-.. ........ y~.~2~.~.~.~(~.~.. .... ~.).~; ].]il]J]iJJ ]~(O~ .......... House No. Street Hamlet Onwer or Owners of Propgrty.~4.~..~....~....~.~..V~. ................................ County Tax Hap 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 .......... ~ ~inal Certicate..~. ....... Fee Submitted: Co oq o/_9 APPLICANT FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 E~amined.../~./.?. ..... ,197~ Approved...f~..~.~. ~. ........ 19,~.. Permit No. ~././.~./(. ~... Disapproved a/c ..................................... · t,(BtfM'dino Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTtt ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK ....... t,O, ~ FY · I'IA I L ' --~ a. Tiffs application must be completely filled in by Wpewriter or in ink and submitted to the Building Insp'~ctor, with 3 sees of plans, accurate plot plan to scale. Fee according to schedule· b. Plot plan showing location of lot and of buildings on premises, relatiot(ship 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 tiffs 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 Ordin-/nce 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 nece~ - ·' ~;~T'/;:' :~ .... L_:.oo.~ .............. (Si°nature of applicant, or name, if a corporation) '. .... (Mailing address of applicaht) State whether applicant is ~<~'~lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ '....C~.. D..~..rT. Name of owner o f premises ~).°¢t'Oltke. k/.,....x/.,,..k...~J~.V. ~ 'r ~% ~.,-,,o,, .'~_..-,, ..... ~. ........................ (as on the tax roll or latest clNEffJFY BUILDING DEPARllVIEfq~ AT if applicant is a corporation, signature of duly autt}orized officer. 765-1802 9 AM 'fO 4 PM FOR THE FOLLOWING INSPECTIONS: '.. ~ 1'. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE (Name and title of corporate officer) ~ 2. ROUGH - Fp, A~iNG & PLUMBING Builder's License No .......................... 3. iNSULATION 4, F~'NAL CO~STRUCTION MUST 8E COMPLETE FO~ C,O~ P umber's License No ........................ ~, ; ALL CONSTRUCTIO,~,/ SHALL MEET 'r?,~ ~EOUmEME~'~ OF TUE N.y. Electrician's License No .................. 7 .... "0~3,:L% ~,~OT RESPONSIBLE FOR Other Tradc's License No. ~.. ;,~(:~'~ 0~ ~ONoTBUCTION ERROR;~ · Location o£Iand on which proposed work will be'done .................................................. ............. .... ,o House Number Street .... i ............. i ............. ' Hamlet County ,ax ,ap No. '000 Section ...... ..... Bloc 3. .............. Lot.. . Subdivision ..................................... Filed M~p No .... L ' (Name) ........... ot ... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~e~c~,.w~." . b. Intended use and occupancy 3. Nature of work (check which a0plicable): New Building .......... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... 4. Estimated Cost . escription) (to be pa/d on filing this application) 5. If dwelling, number of dwelling]units ............... Number · If garage, number of cars ..... ! of dwelling units on each floor ................ 6 ICh I0 d · usiness, commercia r mixe occupancy, specify ntature and extent of eac e of use ...... 7. Dimensions of existing structures if any' Front ~o .. .-,~ th typ ............... H.eight X~._.c( N mb f}i .............. lqear ,,so ....... Depth .......... u er o ories ............... ' ......... D i of ~th It ti dditi ......................................... tmens ons same structure w a era ons or a ons: Front .................. Rear .................. Depth .................... i. · Height ...................... Number of Stories .............. ~. ~ ..... 8. Dimensions of entire new constrhction: Front ............ . Rear ............... Depth .............. Height ............... Nmnlber of Stories 9 Size of lot: Front j Rear · Depth 10' Date of Purchase .............................................. · · .......... i ......... . ...... Name of Former Owner ............... 11 Zone district in which prernises situated ' ' ' · or use are ............ Does proposed construction violate an,, zonin~ , ...... 13 Will lot b regraded i J ~ ,,~w, orumance or regulation: .................. .. 14 Name of Owne ofp ' i' ' ' · ... Will excess fill be removed from premises: Yes · r rem scs ... ~ ............. Address ..... · ' ' Pho e No Name of Architect ......... I ...... ' ............. n .............. · Add Pho e N ' ' Name of Contractor ......... [ ................ Address ................. Phone No ...... 15. Is th:Is property *rlthJ. n 3.00 feet of a t~'daI wetland? eyes.' ...... '.' blo..~' ...... ' ........ · I1~ yos, Southold Tewn Trustees Perra±l: may be requ±red. ... 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 block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. ;TATE OF NEW..,YO, I~K,, . . .... (Name of individual signing?ontract) bore named. e is the (Contractor, agent, corporate officer, etc.) f ~id owner or owners, ~d is duly a~thofized to perform or ~aveperfo~ed the said work and to m~e and file this ~pl~cation; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the ork will be perfo~ed in the m~ner se{ forth in the application flied therewith· .yom to before me this Te~ ~i~ May 31, 19~4 (Signature of applicant) b~ing duly sworn, deposes and says that he is the applicant