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Home My WebLink About19973-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20052 Date JULY 3{ 1991 THIS CERTIFIES that the building. Location of Propert~ 1545 RUTH ROAD House No. County Tax Map No. 1000 Section 106 Subdivision ADDITION MATTITUC~{ N.Y. __ Street Hamlet Block 7 Lot Filed Map No. Lot No. 11 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17~ 1991 pursuant to which Building Permit No. 19973-Z dated JUNE 25, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOI~ COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.__ N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ROBERT & VERONICA CIDONE " //Building Inspector IPOmM' NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COARPLETION OF THE WORK AUTHORIZED) NO 1997~ Z Permission is hereby granted to: / A ~L ' ' .~.~..L¥~.~ ...... ~.~ ./...~.~...,~.....C~ .......................... ....~a.~~...~..~..,. ......... /,~.~. .......... ~ ~,o ...~~.t...~...a~.....~.~.~.....~....~....~ .............. ,...................' t ....... · '"'~;"P'/;T£'~ ' :~ .......... at premises located at .../...~.~...LL~.~.....~......~. ........ ~..~.G~ ....................... County Tox Map No. 1000 Section ...J...~..~.. ......... Block .......~...~. ........ Lot No ......l.! ................ pursuant to application dated ..... .~...~ ......... I...~. ......... , 19..~..~.., and approved by the Building Inspector· Fee $.....~.....T. ........... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTnOLD TOWN I~LL 765-1802 L BLDG, DEPT, TOWN OF SOUTHOED ~PL[CATION FOR CERT[P[CAT~ OF OCCUPAH~ \. This application must be filled in by typewriter OR ±nk and submitted to the buildin~ inspector with the following: for ~e~ bu±ldin~ or new use: [. F~nal survey of property w±th accurate [neat±on of all buildings, property lines. streets, and unusual natural or topographic features. 2. ~inal Approval ~rom ~ealth Dept. of Water supply ~nd sewera§e-dispos~l(S_9 form). 3. Approval of eleetr±cal installation from ~oard of ~±re Underwr±ters. 4. $~orn statement from plumber certifying that the solder used in system contains less tha~ 2/10 of [Z lead. 5. Commercial building, industrial bu±lding, multiple res±dences and simila~ buildings and installations, a certif±cate of Code C~pliance from archizect or en~±neer responsible for the building. 6. Subm±~ ?lanning Board Approval of completed site plan requirements. For existing buildings (prior to Ap¥il 9 1957) non-conforming uses, or buildings and pre-exzsting 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,S15.00 · Date .............. . ew Construction ......... O1., ~ ' ' L~ or~rre-existing Building ................. ocation of Property ..... 1~7.~.~ .... l..~......~..~. ........... ~.~.~...~..~.. ............... House No.~ ~ Stree~ ~ _ Hamle~ -,..r o, .... . . . . . . . . . ............... . ,,nty Tax Map No 1000, Section...~.~..O.¢ .... Block..¢.~.~.... -~.L :bdivision.. ....... '%~''': ...................... Filed Ma~ ........ ~ ~ . . . ,. . , .... : .... 'alth Dept Approval · ' ........ Underwriters Approval arming Board Approval .......... quest for: Temporary Certificate ...... Final Certicate. e Submitted: $ / .......... ~ P [C^NT ............ FOUNDATION --- (l{,t) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL *~OUTH QI..D.,. tx, L¥ _ 1.1,q21. BOARD OF HEALTH 3 SETS OF PLANS SURVEY ......... CttECK :::::::::::::::::::::::::::: .~ TEL.: 765-1802 Exanfined...~,4d:72~.....~.., 19 .el.I. Disappyoved a/c ............... . .~ (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS CALL HAIL ..................... TO: Date ............ t,/. ...... .. a. Tiffs application must be completely tiled in by Wpewr/ter or in ink and submitted to the Building L6speCtor, · sets of plans, -accurate plot plan to scale. Fee :recording to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appLi- cation. ¢. The work covered by this application may not be eomrnenced before issuance of Building Permit. fl. 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 ::emoval or demolition, as herein described· The applicant agrees to comply with all applicabJe laws, ordinances, building code, housing code, and regulations, and to ,admitauthorizedinspector$onpremisesandinbuildingforn¢cessaryin.~.~ ~_~J).t_~ - . (Signature ut applicant, or name, ' ' (Mailing address of' appiic~t) ...... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ... . . (as on the tax roll or latest deed) ......... If applicant is a corporation, signature of duly authorized officer. ( am; a fi t[tie o orati ffi er) ' Builder's License No .... Plumber's License No ............. Electrician's License No .................. Other Trade's License No ...... 1. Location of land on which proposed W~ork will be done: · . tlouse Number Street, ' ' ' ' "~t~[n'l:t' ........... County Tax Mup No. 1000 Section . .. /. .... ' ......... Block . Lot / / " ubdivision ............ ......................... Filed Map No. (Name) .... Lot ~. State existing uEe and occupancy of pr~miscs and in tende~ use and occupancy of proposed construction: A. Existing use and occupancy... .~N:~g~%~t, ff ................. B. Intended use and occupancy.. 3 N f k (check hi h pplic b ): N B ilding Addition Alteration . Repair ....... R~m~val ............ .., Demolition ...... Swimming pool .............. Tennis Court ~:'.':':.. - ' · · ,Accessory Building ......... '.'~;J~ ....... Other Work; .......... Estimated Cost ~3 C)~)~ ~ r- Fee { {t~ he. paid on filing this applicationl If dwelling, number of dweilinglunits ............... Number of dwelling units on each floor ............... If garage number of cars ~ ............................ Ifb ' ' !d ify h typ usiness, commerctal or mlxc occupancy, spec nature and extent of eac e of use ...... , ............. Dimensions ' ' ' if any' Front Rear Ddpth; of exmtmg structures . Height Number of Stories . Dimensions of same structure With alterations or additions: Front ................. Rear ................. Depth ................... i ' ' Height ...................... Number of Stories .................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............. Height Number of Stories ' ' ' Size of lot: Fi-out .' ' ' Rear Depth Date of Purchase .......... ~ .................. Name of Former Owner .......................... . Zone or use distrizt in xvhich pr~mises are situated .... ; ............................................. Does proposed construction vioilate ,arB, zoning law, ordinance or regulation: .............................. Will lot be regraded ........ :., ~.? .............. Will excess filkb,e removed frc~m premises: Yes .... Name of Architect. ' Address Phone No Name of Contractor ........ i ......... : .. .......Address ............ Phone No .... ~ ~ No.%. [~.I.a t.la.x$, property located withxn'300 feet of a tidal wetland? ~YES.. ~If yes, Southold Tow~ Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and. indicate all set-back dimensions from number or description according to deed, and show streei names and indicate whether 10. 11. 12. 13. 14. property lines. Give street and bloc~ interior or comer lot. S.S being duly sworn, deposes and says that he is the applican (Signature of applican~ (Name of individual signing contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d01y authorized to perform or have performed the said work and to m~e and file thi application: that all statements co,rained in this application are true to the best of bis knowledge and belief; and that th, Work will be perforator in the re=ocr set forth in the application qled therewith. S~vom to before me this ~ " .day ........... 19 ................. County