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Home My WebLink About19705-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19842 Date APRIL 9, 1991 THIS CERTIFIES that the building Location of Property 2800 WUNNETA ROAD House No. Street County Tax Map No. 1000 Section ill ~lock 7 Subdivision Filed Map No. CUTCHOGUE, N.Y. Hamlet Lot 14.1 ALTERATION Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1991 pursuant to which Building Permit No. 19705-Z dated MARCH 12, 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 REFRAME & CHANGE ROOF ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. LLOYD MORGAN & WIFE (owners) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne_ 1970§ Z County Tox Map No. 1000 Section ....... LJ..( ........... Block ..... ..~....~. ......... Lot No ..... I..dl'.:..I .......... pursuant to application dated .... ...~.~ (~ 19..~.~ , and approved by the Building Inspector. Fee $...,~.,,.:.,...,/,,,,... Building Inspector Rev. 6/30/80 Towu OF SOUT~.~ Form No. 6 TOWN i0i~':SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION 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 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 Vpre-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 oi 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 .... 'r '/'~'f;27;~1 ..... '-'"'~'; ........ New Construction ........... Old Or Pre-existing Building ..... ................ ~ .......... ~.~....~. . A~... House No. Street Hamlet Onwe~ o~ o~.~ o~ ~o~,~..~/X..'.~e~..~O~ ....... ~ ............................. ~ou=~ ~x ~a~ ~o ~o~, ~, .... f/.L ...... ,~ .... ~.~ ....... ~ot Subdivision ................................. · . . Filed Map ............ Lot ...................... of Permit No.. ~.~..~ ~. f.~..Date Permit...~//..~/~/ .... Applicant .~.. ........... f ....... Health Dept. Approval .......................... Underwriters Approval ......................... Planning Board Approval Request for: Temporary Certificate ........... Final Certicate.....~.. .... Fee Submitted: $ ............................. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ F~I~L '765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION ( ~ s t) FOUNDATION (2nd) 2. ROUGH FRAME & .FLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: ). 11 uwcihn=, number of dwcll{ng units ............... Number of dwullh~g un~tS on each fl°°r · · ...... 'If gar;Igc, number of c=rs ................................................................ ;. If bus,ncs~. COmmcrcia, or m~d occupancy, spccify n~tt~rc ~nd c~tcnt ofcach tyoc of l. Dm~cnsmns of ex~stmg st~cturcs, ff any: Front .... ~.~ ..... Rear ..... ~..~ ..... Depth ...~.~ ..... Heicht ............... Number of Stodcs ........ ~.~J~"~ .. · Hei=ht Number of Stones .................... Rear ...................... Depth ) Size of let: Fiont ........................ 3. Date of Purchase ...................... Name of Foyer Owner ........................... 2. Does proposed construction violato any~zoning law, ordinance or regulation: ............................. 3. W~I lot b= regraded ........ s~.~ . ..~.. ...... Will excc~ flu be removed fromur~u~: ~ ~c: ....... N~e of Architect .......... ~ ............. Address .......... ~..~ ~= ..~ No...-~L- .;~-;. ·. .S-~; ~kia pcoperc~ ~oeaced ~ithin'3OO feet og a cida~ veCZaud? '-yES .... ?{~-- ~If yes, Sou~hold To~n Trustees Permit may be PLOT DiAG~I Locate cle~ly ~d d~t~ct~y ~ bu~d~, whethcr'exi~in~ or proposed, ~d. indicatc rope~y ~nc~. Give ~treet ~d block number or dc~c~ption a~ord~ to deed, ~d ~how ~trect ~te~or or comer lot. ' ~ ~ ~ .............. FATE O~ NEW YORK-t~ ~ · . {~ame of individual ~gniug cOatracO . .: ..... ................... x~id owner or owncr~. ~d ix dulg aud~orized~erform or h~ve perfo~ed O~e sa~d work and to ~tic~t~on: that all statements contained in this applic;tion arc /rue lo thc bcs~ of his knowledge and belief; rk ~vii{ bc perlbm{cd in thc m~ncr sci forth in Ihu ~pplic~tJon filed therewith. APP~0VED ~. ,.~"e'-.__~;,/_._~._~_:__. 765-1802 ,q 1. FOL)N[."&i ~ 2. ROUGh F'E. 4 FiNAl_ '7~"; '"'7F~:.'C3';'.}C',~ ~t~l.,Sf ALL C.O,r'J L4 t RdC I'iO & THE REQUIREMENt90~ rile NV. STATE CONSTRUCTION & ENERGY COOES. N~ RESPONSIBLE FOR OESIGN OR CONSTRUC~IOf~ ERRORS OCCUPANCY USE IS UN~AIVFUL WITHOUT CERTIFICAi OF OCCUPANCY · I TOWN OF SOUTHOLD ~ FORM NO. I TOWN OF $ouTHOLD BUILDING DEPARTMENT TOWN HALL TEL.: 705-11302 BOARD OF REALTa ......... 3 S~T$ OF PLA~S .......... Cll£cg .................... SEPTIC FORH .............. ~ HAIL TO: Oisapp?ovcd sic ................ i ......... " (Building Inspector) APPLICATION FOR BUILDING PEF1MIT Date .................. · -- ' t IN~ [ i~UCTIONS a. This application must be completely filled in by typewriter or in ink/end submittcd to the Building I.m~pc~tor, '~it2 sct~ of plan% .--,tram plot plan to scale. F~ a~u~ing to schedule. b. Plot pl~ showing location of lot and of bulldogs on prcmisex, rclationship to adjoining premise: or pubic or arcax, and givMg a detMled description of layout of property must bc drawn on the diagram whi~ ix pa~ of EMs ca,on. c. ~e work covered by t~s application may not be commenced before issuance of BulldOg Peril ~. ~pon ~pproval of thix application, thc Building Inspector will isxucd a Building Pc~t rD thc appfic:n:. Such sh~II be kept on thc prcmisex available for ~pcction throu~out thc work. c. No bulldog shall bc occupied or u~ed in whole or in part for a~y purpose whatever until a C~catt of shall h~vc been gr~nted by ~c Bulldog Inspector. APPLICATIOM IS HEREB~ MADE to thc Build~g Dep~mcnt for thc issu~cc of a B~l~ing Pc~it ~:~nt to Building eon: Ordinance or thc Town of Sour~old, Suffolk Counr~. New YorL'. ~d other ~ppli:~blc ~ws, Ordmm~cex Rcgxbtion~. for thc con,traction of bufldLngs, a~dition~ or alterations, or for removal or demolition. :x hereto Thc ~ppti::nt agrees to comply with all applicable law~. ordinanceS, bufld~g code. houxin= cede. and ~C,.~Tr;~m~. ~md aG..c ~,;t~.~:G b~pe::o~ on premme~ and m budding for ncce:s~ in~cnonx~ ~ .... ............. (Jignat~e ol applic~n~or ~e. ir a corroranon) ~Mai[ing ~ddre~s of whether a~plicant is owner, essce, agent, architect, engincer, general contractor, e cctrician, plumber or builder '' -~-.-/ (~ on the tax roll or latest deed~ lrapplicant is a corporation, signature of duly authorized officer. DATE: ~B.R # ~EE: ,.%'"3- --- eY: ~J~ G;,/-,, - Location of land on which proposed work will bc done; NOTIFY BUILDING DEPARTMENT A~]: 76,5-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS, 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBI~'~G 3. INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOE; C 0 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF. THE NY STATE CONSTRUCTION & ENERGY ilou~u Number Strect ' ' Hamlet ~ubd~visJon .................................... F. ilud Map No. Loi ' (Na,,te) ............................. A. ~x~se~ng usc and occupancy B. 'Intended use and qccupancy.; ......... , .................................................. 3. Nature of work (check which applicable): New Building .......... Additicn .......... '-'~:mq~l~' ' 'ef~' ' ' ' ' R~moval Demolition S~k~[ng pool .......... Rev~r ......................................... Tennis Court ..~ ..... Accessory Building ......... ~ence ....... 0thee ~ork ........... ~ta ~ paid on filing this S If ds; elling number of dwelling units Number of dwelling units on .......... each floor ..... If garage number of cars .......... 6. Irbusincss. commercial or mixed occupancy, specify nature and extent of each tyoC of use ...... ~ 7. Dimensions of existing st~cturcs, ifany: Front .... ~.~... ~, ~ ~ . Depth ,,i:h~ ............... ~.,,,,~ o~ s,o,~, .............. ~]:: ~: gZ; ~::: :-fi:j/~:: '-' Dimcnsions or,amc s,~cturc with altcration~ or additions: ~r~,[ ~ ~ .. NumbCr of Storics .................. Depth .......... ~.~. ...... tlci~t .................... 8. Dimcnsions ofcntire ncw consmxction: Front ............... Rcar ............... Depth .............. Hci~lxt Num her o f Stohcg ' 9 Size of let: F?ont Rear Depth ..................... 10. Date of Purchase ...................... Name o~ Fo~gr Owner ............................ 11. Zone or usc district in xvhich pr~mis~s are'sitUated ~. ] ......[CES/gev.?~.~ ? .... ·............. 12. Does proposed Construction violate anvzonlng law. ordinance ar regulation: .................. 'L'~; ...... ~l lot be e~de . . Will execs- fill be removed from ~r~: 13.x r. a ........ ~ ............. ........... :__.~ .... _..v ..... E~(EE:."-~ .-.".''. .. n ~o ............... N~e of Architect ............ ~ .......... A · ..n. -~ --.~ ~ 4~~ . ~- t ~ 6 . N~e of Cont~ctor~[~q~. ........ Address .~/~f~._- ..... . -, .~e$ .... ~.. l~a C~ prope~ Loc~ed w~ghin 300 feet o~ a txda~ ~eC~aao- · I~ yes, Southold Town Trustees permit may be required. PLOT DIAG ~M Locate clt~ly ~d d~t~ctly ~I bu~d~gs, whether'existing or proposed, ~d. indicat~ ~1 set-back d~n:io~: :': propt~Y Hnes. Giv~ street ~d block number or description accord~g to d~ed, ~d show street n~es ~d intefiororcomerlot. ' ~,~ .' .~ x,& . . (~ame of ~diC~ual ~gniu~con tract) ' bore named. 3 ~ said owner or owners. ~d is duly authorizcd~pcrform or have pcrfomcd the sa~d work and ,plic3tmn: [hat all gtatcmcnt~ contained in thig application arc lroc to thc best of his knowledge and belief; and that ork will bc pcrfommd in [J~c m~ncr set forth in [he application Qlcd therewith. yom lo bcl'orc mc ~ 6 ........... .