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Home My WebLink About20148-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20706 Date MAY 7~ 1992 THIS CERTIFIES that the building ADDITION Location of Property 1675 CEDARFIELDS DRIVE House No. Street ~County Tax Map No. 1000 Section 40 Block 5 Subdivision Filed Map No. GREENPORT~ N.Y, Hamlet Lot 1.9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTF/4BER 9, 1991 pursuant to which Building Permit No. 20148-Z dated SEPTEMBER 17, 1991 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFJtLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A VIRGINIA M. GIIi~ORE Rev. 1/81 Building Inspector lrOK~ NO. It 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) Ne 20148 Z Permission is hereby granted t~: ~ ,:, I ....%......~......-/....~ ................................................. _ .&.~,. -~...:....~4, ....... u.~.~..1. ...... .;: no .~....~.....~.~._~...,~,.,..~.,.,~......~ ...... ~.....~~.~......~...~..~......~ .................. :....................' ! ........................ ot pre,',~se-Iocoted ot...(.~.3.~.....~ .~.._.'~..,¢, ......... L.4.~ ,.~..2.~ .......... ~,t~ r .... County Tax Map No. 1000 Section .... .,~,..~..O.. ........ Block ......~..~.. ....... Lot No .....[.....CJ. ............ pursuant to application dated ...~....~ ....... ,.~ ............. , 19...1~.J.., and approved by the Building Inspector. Building InSl:mctor Rev. 6/30/80 TOWN OF SOUTIIOLD , , ~...'-.. - - ' BUILD INC, DEPARTNENT 765-1802 t /\' ; "' ~PLICATION FOR CERTIFICATE ~ OF ~ OCCUPANCY This application mu~t 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 ali 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 instal,iation 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. Co~ercial building, industriai building, multiple residences and similar building~ ~ and installations, a certificate of Code C~pliance from archiuect or engineer ~ responsible for the building. 6. Submi~ Planning Board Approval of COmpleted site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-exiati~g" 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 [o the applicant. :. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to d~elliag $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, Co~ercial $15.00 ' ' ....... ew Constructi , ~ . ~ _ ' '' . '7>'--Ol~°r Fre~ex~stz~g Building ........... o~o~ o~ ~=o~..,:.~.~,~.. ..... ~,,~...~ .... ,o~ ~o./ ~ s~ · -F~jf~gk..../...~.,.,, , . . . ~- ~ .I ' ~ ~' .... ~ ~ ....... ,~ ........ ~ot,..~Kl..Vy.,~ ........ .,,,~,~o, .... ~...~.~... ~ ~,a,,. ~ ~...~o~ ...~.. . ,~, ~o.ae).~ ...... ~ ~ ' ~ ~/,~'/~ ..... ~ r ...... ~ ...... ..... - o~ ,~i~..~/~.~tV.l...~,~n,~ . ~. ~~.~. . 'alth Dept. Approval .. ' -- [ ~ .... ' .... ................. k ...... Underwriters APproval ..................... arming Bonrd Approval ................ quest for: Temporary Certificate ........... Final Cur~icate..~ .. ,- .................... 765-1802 BUILDING DEPT, INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [ ~t~AL FOUNDATIO,~ ( 1 st_~) FOUNDATION (2nd) 2. ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE 4. FINAL ADDITIONAL COMMENTS: [ I i i , i FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approvedc~'~O~a~.. I.~., 19~!. Permit No..~,, .O. ! .~..~'.~.. . ........ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL · · · FLAIL TO: a. This applicati~n must be c~mp~ete~y ~~Ied in by typewriter ~r in ink and submitted t~ the Bui~ding ~nspect~r~ 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~lding Permit pursuant to the Building Zone Ord;nance of tke Town of Southold, Suffolk County, New York, and/et'her applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remov/al or demolition, as herein described. Thc appiicant agrees to comply with all applicable laws, ordinances~buil~qng code, ~ousing cq~e, and regulations, and to admit authorized inspectors on premises and in building for necessar~s~cti~ns., - State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ ~ (as on the tL~x roll or latest deed) If applicant is a corporation, ~ignature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician s L,cense No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ........................ ; ....................... '. .............. ..... ................ House Number hamlet ~ County Tax Map No. 1000 Section ....... ..~ ...... Block . ~O~ Lot ~[ ' O~ ~ ..... .... .... ......... State existing use and occupancy of premises and in tended use and occupancy of proposed construction: a. Existing Use and occupanc .... . ........................... b. Intended use and occupancy ...... 3. Nature of work (check which applidab e): New Building ...... Addition ~ Oth Aheration Repair , i ..... ' ................. .......... Removat~ .............. Demohtion .............. er Work . .,.:~B~... i 4. Estimated Cost ,.,9.6?9 . (Description) .............. ~ .................. 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 ; ............. Ifbu in ci 1 ~x~ ' 7 Di (Sns;SS' commer a or m~ uu oecupancy, specify nature and extent of each type of use ................... · m onsofexistingstructures i~any' Front ~..~, 3- ' ' r ~.S~ ~ , o?..~' ~ Rea Dep~th' '" Hight Numbe~, of S~ori ...... / ........... Dime sion fs '" es ...................................................... stru e with hit tie r additi F .~,.~7 .'3 g ~...~ ' ,~ Dept~ so ame ctur era nso OhS: rent : ....... Rear .. ........ ....... Height N b of St ri 8 Di ..................................... um er o es ................. · mensions of entire new construction: Front ........ ' .... ........ Rear .............. Depth Heig it .... Nu ' ~ ~ ~' ......... moer oIatones ........... . ;~ ................................ 9. Size of lot: Front ..... ,,~ ,7..~.. !:. · Rear :...-].$ '~ · ' Depth 2~.~_~,~- .... I0. Date of Purchase ~.4a ~t~ .... ;.i ' 0,- ' ' ,:, ............... . · ........... ,~ .............. ~,~a,rn or ~o,rme Owner ...................... Il. zo% or use d?t in ,vh,eh premises are situated..r.e. ' .............. . ......... :... :::. :: : 12. ,o, proposea construction violateiany zoning law, ordinance or regulation ~/~ , . '. 13. W//llot be regraded A/'r) , .... : ' ' ~ .................... ....... ~ ................ wm excess fillbe removed from premises:' Yes ~, ........ ~ .............. Address ........... /~. ...... Phone No ............. Name of Contractor ........... t ~f ............. Address ................... Phone No ................ 15. Is this property within 300. eet of a tidal wetland? *Yes ........ No..}(. ..... · If yes, Southold To~!n Trustees Permit may be required. ... i PLOT DIAGRAM Locate clearly and distinctly all bmldmgs, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or descriptio~ according to deed, and show street names and indicate whether interior or corner lot. ,TATE OF NEW YORK, 'OUNTy OF S S ..... ('I~ ................... ' .................. being duly sworn, deposes and says that he is the applicant *)eve named, ame of individual s~gmngjcontract) is the ........................ (Contractor agent corporate officer etc ) ......................... said owner or owners, and is duly authorized to perform or have performed tim said work and to make an~t file this ~plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork w~ll be performed in the manner sdt forth in the application filed therewith, Vorn to before me this ~a~ Public, . ...... County ~.4707878 ~.olk~ ' ~ / (Signature of applicant)