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Home My WebLink About21142-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22031 Date DECEMBER 15, 1992 THIS CERTIFIES that the building Location of Property 135 LILAC LANE House No. County Tax Map No. 1000 Section 104 Subdivision ACCESSORY CUTCHOGUE, N.Y. Street Hamlet Block I Lot 21 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 1992 pursuant to which Building Permit No. 21142-Z dated DECEMBER 11~ 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 AN ACCESSORY INGROUND SWIPING POOL AS APPLIED FOR. The certificate is issued to MICHaeL & JOAN REDDINGTON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 . / / Building Inspector ]FO~M' NO. o 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) N°-N.° 2114i~Z Permission is hereby granted to: ~,~.....,...~.~.....~,~.~..~.~... .../.~......Z...,..~....Z~ .......................... ................................... ~...../... ~o ....................................................................... ~ ................................. , ................ ~ ..... ~~ ........ [~f~M~. ....... ~f.~ ........ .~.....~f~.....~K..... ..... .................................................................... ~~~ .......... ~:Z .................................. ....................................................................... ....... .................................. co~,~ ~ ~ ~. ~ooo s~,~o, ...... Z~ ...... ~ ....~Z ........... Lo, ~o ...... ~.Z ........... Building Inspector. Rev, 6/30/80 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 Upre-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 ....... /..~.'.~..~..~..-~..~..~.. ................. New Construction .... ..~..... Old Or Pre-existing Building ................. Location of Property../.~..~. ............. ~-~. ,~. ~..~....~..~..~'/..~. ......... ~.~/.~..~. ]~...~..~..~. ~..~. ~ House No. Street Hamlet Onwer or Owners of Property. .! ..... . ..... .W:. ~zL~ .~. County Tax Map No 1000, Section .... ./.~...~. .... Block .... X .......... Lot ...................... Subdivision Filed Map Lot Permit No. 2/~.~..~. ..... Date Of Permit.../.~-././,/~. ~. ..... Applican~.......~ . .~.~ ~.[.~.~ Health Dept. Approval ......................... o Underwriters Approval ......................... Planning Board Approval ........................ ~ Request for: Temporary Certificate .......... '~ Final Certicate ...... Fee Submitted: · . .'./dy./././ ....... Examined Approved... /~.~..1[ ........ 19 .~.d"7 Permit No. Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 __ . /(~uilding Inspector) . APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF' PL,ANS .......... SURVEY ................... ClIECK .................... SEVT~C form .............. HAIL TO: Date /~ -- O~., 19..~.°3- 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. git b. Plot plan showing location of lot and of buildings on premises, relatiox{ship to adjoining premises or public streets ~, areas, and giving a detailed description of layout of property .must be. drawn on the diagram which is part of this appli- tion. :. ;~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 shail 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 appllcable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessa~ns. /~ ~ ~ 3~, ........ -.-. - .... --.. ~..~.'(Signature~~°f applicant, of'name, if a corporation) .................... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of remses~('C.~.c~. ia/ Y- ~--~I-A~ (as on the tax roll or latest If applicant is a corporation, signature of duly auth~orized officer. FEE,~/~'~ BUlU I.G OEPA. err ,,,T ' ' 765 1802 9 AM TO 4 PM FOR THE (Name and title of corporate officer) , FOLLOWING INSPECIiON$: , ; 1. FOUNDATION - TWO REQUIRED Builder's License No .......................... FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING Plumber's License No ........................ /. 3. INSULATION ~ 4, FINAL CONSTRUCTION MUST Electric, ian's License No ............... ~ - BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET Other Trade's License No ...................... THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY · Location ofland on which proposed work will be'done. ~ COD~ff ~ RESPONSIBLE FOR /.>'34'- Z ,C-d /.' ......... .... .'CONSTRUCT O. .ROR .................................. .................... .......... House Number Street Handet County Tax Map No. 1000 Section ..... /~...~. ....... Block-...Z ............. Lot.. Subdivision ..................................... Filed Mhp No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: / :4.+. . a. Existing use and occupancy ......... ~. .... /. ,,,...~?~..~ ............ b. Intended use and occupancy .../.' .......... ~(. ............. + I0. 11. 12. 13. 14. Locate clearly and distinctly all property lines. Give street and block interior or comer lot. i ' .~Additi Nature of work (check which applicable): New Building ... on ......... Alteration .......... Repmr .............. RemOval .............. Demolition .............. Other Work ............. ' (Description) Estimated Cost ..... ~ ...... . ................................................... I (to be paid on filing this application) If dwelling number of dwellingiunits ' . ....... -- Number of dwelling units each floor If garage numberofcars 2 ~ ........ on ................ .... ;cd,, if business, commercial Or mixed ,.~,~ .................. - --,--.-,, .,-ecay nature and extent o f each type of use ' Dimensions of existing structures if any: Front Rear .................... Height Nuinl~er of Stories ............................. Depth ............... Dimensions of same structure wlth alterations or additions: Front Rear Depth i Height .............................. j .... ............................................ Number of Stories .......... ,. ~ ..... Dimensions of entire construction: Front ' ' ' new ............ "... Rear Depth Height Num'ber of Stories ............... Size of lot: Front Rear ............. Depth Date of Purchase ....... ~ ....................................... Name of Former Owner ....... Zone or use .... ' .... ' ........ ' ........................ district in which prelmises are situated ' ' Does proposed construction violCte any zoning law, ordinance or regulation: ............................. Will lot be regraded ............................ Will excess fill be removed from premises: Yes No fp ' Name of Owner o remises ...: ................. Address ................... Phone No ................ Name of Architect .......... ! ................. Address ................... Phone No ......... Name of Contractor... i .......... Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes.~ ....... No ......... *If yes, Southold Tpwn Trustees Permit may be required. ... PLOT DIAGRAM ibuildings, whether existing or proposed, and. indicate all set-back dimenmons from tumber or description according to deed, and show street names and indicate whether !TATEOF NEW~¥ORKm/-~ r./ . ....... .. · ·. ....... being duly sworn, deposes and says that he is the applicant (N me of individual signin~contract) ,bore named. . is the ......................... i ................................................................. ' (Contractor agent corporate officer etc ) said owner or owners,.and is duly aluthorized to perform or I' · . , . . have performed the said work and to make and file this PP ~cat,on, that all statements contatncd m thru application are true to the best of his knowledge and belief; and that the 'ark will be performed in the manner sdt forth in the application filed therewith. worn to before me this . 1 'otary Public,..(._~'~.~a~.-..~' .~. ] County · CLAIRE L, GL ' Notary Puhl o, State of New!York Commission Ex~ir~ De~emDer ~, '~