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Home My WebLink About20870-zEOP~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20911 Date AUGUST 4, 1992 THIS CERTIFIES that the buildin~ Location of Property 90 THE STRAND House No. County Tax Map No. 1000 Section 21 Subdivision ADDITION Block 5 Filed Map No. EAST MARION~ NEW YORK Street Lot 8 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31~ 1992 pursuant to which Building Permit No. 20870-Z dated AUGUST 3, 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 SCREENED IN PORCH ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to CHRIS & KATHERINE PAMAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 lrOUw'r NO. 0 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°. 20870Z Permission is hereby granted to: Co~,~, Tox Mop No. 3000 Serlio.....~.~.L ........ Block ..~..~. .......... Lot No ..... ~.~ ........... pursuant to opplicotion dat~ .... ~...~.....~.' ................... , 19~.~ ond approv~ by the Building Inspector. ~B~fdinO Inspect~' 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 6uilding. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Ppre-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. 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 $15.00 New Construction ........... Old Or Pre-existing Building Location of Property .... ~..~./~..~... ~?~.--.~..~ ~OO ~ J/'f ~-/~t o ... ..... r ............. .... House No. Street Hamlet Onwer or Owners of Property ...... ~.~f..~...'~.. ........~.~-...77~ ~7..A~.~...~ .~ .................. 1000 21 Bi ~ 8 County Tax Map No , Section .............. ock ............... Lot ................. . . . .. Subdivision ...................... . ............. . Filed Map ............ Lot ...................... Per it N .2.O.8.7.O.Z Date Of P rmit 8/3/92 Appl' lW~ PAMA$ Dept Approval .. Underwriters Approval . Health ................................................. Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... 5.oo / ) , APPLICANT :OUNDATION f2nd) tOUGH FRAME & .PLUMBING :~SULATION PER N. Y. STATE ENERGY CODE FI;IAL -It CC;ffC'I£NTE ADDITIONA'L COMME~TS: / ! / / : · ,, :', ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT ,.IU~ ~ ~ t',79~. TOWN HALL . ? SOUTHOLD, N.Y. 11971 · ' ' ' .... """" i TEL.: 765-1803 Approve ~.. ~.., 19~. Pemit No.~9. g2 Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... B SETS OF PLA~tS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. t:OTI PY; CALL ................... blAIL T : Date .................. , 19... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 gets 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 hreas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :at;,on. : e. 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 ;hall be'kept on the premises available for inspection throughout the w6rk. 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 Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the 3uilding 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. Fhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessary inspe_ctjons. ~ --' : (Signature of applicant, or 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 premises ..... .g'~.]~/. 5 ....~..t~. ~'1, ./)f.5....'~7...~)...~. .................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly auth. orized officer. (Name and title of corporate officer) Builder's License No .... .~...~-...~.....(~....A)..~?'.:. Plumber's License No ......................... Electriean's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be' done../~..~. ~../~..~.' .~.-.../~....~..~..~..P~....~.~...~..~.. 5..f .......... House Nmnber [ " ..................................... Street Hamlet County.Tax Map No. 1000 Section ..... ..~.1 .' ........ Block ..... ~ ........... Lot .... .~. ............. 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 ~'IQ~ [3- ~' ~ ~c(' ~) ~'9 ~/'e~'¢ ] P* ~ " '" b. Intended use and occupancy t, ~ ~ ~ ~ 3, Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair RemOval Demolition Other Work 4. Estimated Cost ,~:'. } ~ .~, 7' 0 0 .~...~. ~ (De,scription) ....................... Fee ' (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 mixed occupancy, specify nature and. extent of each type of use. ........... i ......... 7 Dimensions of existing structures if any: Front Rear ~ Depth Height ............... Number of Stories ........................................................ Dimensions of same structure w alterations or additions: Front ................. Rear ................. Depth ...................... Height .................. ' ....Number of Stories ........... ~. ?. ...... 8. Dimensions of entire new construction: Front .... ./.O.../~'.T'.:... Rear ...,/.o..~.7~. .... Depth . ./. ~ .! .~..~.. ..... Height ~.~.'~tp~.. ~ .t/.gr.P.,fNumber of Stories .................. 9. Size of lot: Front .......... ..: ........... Rear .......... Depth 10 Date of Purchase ' Name of Former Owner 1 I. Zone or use dislrict in which premises are situated .......... ' D ' ' ate n'ny zoning ........................................ 12. Des proposed construction viol law, ordinance or regulation' 13. Will lot be regraded M.q .......... ' .... ......................... Will excess IUl De removes from premises: Yes 14. Name of Owner of premises .................... Address ................... Phone No ....... ......... Name of Architect ........................... Address ................... Phone No .... .. } ......... Name of Contractor ........ ~ ............. Address .......... No .... ' ........ 15. Is this property within 300 feet of'a 't'i~al wetla~'d'9'~'_'_'~-~C~'' '; ' *If yes, Southold Town Trustees P~u ~12 ............ ~ , Locate clearly and distinctly ali'!buildings, wheth&~e~'-t~i& dimensionk from property lines. Give street and block fiumber or descriptio~4.~cording to deed~t names and indicate w/~ether mteno, r or corner lot. ~ APPROVED AS NOTED DATE: EE: .--' 765-~802 9 AM ~ 4 P~ FOR THE FOLLOWING 1. FOUNDATION '~0 REQUIRED FOR POURED CONCRETE 2. ROUGH., FRAMING & PLUMBING 3. iNSULATION 4, FINAL CONSTRUCTION MUST BE COMPLETE FO~ C,O, ALL CONSTRUCT/ON SHALL MEET THE REQUIREMENTS OF THE N.~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPON~IB~ DESIGN OR CONSTRUCTION STATE OF NEWXQ41-K, , , COUNTY OF...."-.-~ ~.~9:~1~. ..... S.S ............. , ................. being duly sworn, deposes and says that he is the applicant (Name of i.ndividual signing contract) above named He is the ~%x~ ~ : ' (Contractor, agent, corporate officer, crc of said owner or owners, and is duly authorized to perform or have performed the said work hud 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 maker set forth in the application filed therewith. Swom to before me this //~/ ! ......... · ~' '~'~" '~''./~Y~, y °ft~'~.. ff. · .'~..x~..~X...~_~ ..~o~.~.~c19~ ~ : ' ~COT1;, JR. ~ ...... . ' ' ' N. OTARY}~I:I~ State Of N.Y, (Signature of qpplicant) . ~e~ 4725089, Suffolk ~ I ~erm Expires ~y al, 19 ~