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Home My WebLink About19866-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hal% Southold, N.Y. CERTIFICATE OF OC~JPANCY No Z-t9938 Date MAY 24, 1991 THIS CERTIFIES that the building Location of Property 32260 MAIN ROAD House No. County Tax Map No. 1000 Section 19 Subdivision ADDITION Street Block 1 Filed Map No. ORIENT, N.Y. Hamlet' Lot Ii.4 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 14~ 1991 pursuant to which Building Permit No. 19866-Z dated MAY t6~ 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 LATTICE WORK & SCREENING TO EXISTING DECK ADDITION AS APPLIED FOR. The certificate is issued to JOYCE BURTON (owner) of the aforesaid building. SUFFOLK COUN~ DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A / BuJing I~spec{or Rev. 1/81 l~tv,~ NO. ~ TOWH O~ $OVTHOL~ BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 19866' Z Permission is hereby granted ~o: .......... ~....~. ~.....~..~t~ ....... ~.....~.~...:......~: ........................................................ at premises' located at ....~,. ........... .:g..~- ~ .......... ~ .,.~,,~.~ ............. .~.,,~,< ........................................................... County Tox Map No. 1000 Section ........... .~:.~.,. ..... Block ............. ~.. ..... Lot No ......././~.......~....... pursuant to application dated ..... :~_:....~.~. ................................. ,19..~..~., Building Inspector. and approved by the Bui Rev. 6/30/80 ~.~ ~ ~ Form No. 6 BUILDING DEPARTMEN~ TOWN HALL 765-1802 oF APP~ICATI0~ FOR CERTIF~CA~ OF OCCUPANCY A. 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 archiuect or engineer responsible for the building. 6.SubmiL Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 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 $15.00 Date .......................... Iew Construction ........... Old Or Pre-existing Building ................. House No. Street Hamlet nwer or Owners of Property ..................................................... ounty Tax Map No 1000, Section .... [.$ ....... Block ..... l .......... Lot....(/.~...~.. ......... ubdivision .............. ~.~ , ~ ...................... ~lze~ map ............ Lot ................... ermit No ................ Date Of Permit..~..~//.~/~.Ap~licant ~alth Dept. Approval .......... ~~...Underwriter8 Approval ..................... [arming Board Approval ....... ~.~A~ .... ~quest for: Temporary Certificat~ .......... Final Certicate .... ~ ...... ~e Submitted: $ ........ FOUNDATION FOUNDATION COM~£NT2 ROUGH (lstl (2nd) FRAME & .FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: · , X I3uf~ro,',.I lot ~ ~ bi 11,9.-- FORM NO, 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. '11971 TEL.: 765-1802 'xamined ........ 19 ~pPr°ved . · · · .~.~.O' ........ 19 .'~./Permit No ........... )isapproved a/c ..................................... BOARD OF HEAL. TII ......... 3 SETS OF PLANs .......... SURVEY ., .................. CIt£CK ............... CALL T; .............. HA~.L : APPLICATION FOR BUILDING PERMIT Date ............. 19 . Budder s L cense .'. ,_ ~. , . , ,~ ~, ., 't' ': :,'*' ,'1' .......... ~ · Plumber's License No: '; .'.. . .... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. Iouse Num her Street Hamlet .................. :ounty Tax Map No. lOC0 Sec,ion .... ,.O.t.O. ........ B ock ..... · 01 ........ Lot .... t/.: ..Z4 ......... :ubdivision ..................................... Filed Map No ............... Lot ............... (Name) tare existing use and occupancy of premises and intended use and occupancy of proposed construction: ' ' c,,o Existing use and occupancy ............ 2' ' ~/ ' . '- .......... ~;l}t}?~;Q~-::,,5~, ......... INSTRUCTIONS a. 'Iq,ds application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, with 3 ~s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part: of this appli- :ioi,~. c. The work covered by this application may not be c'bmmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit fll 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 dl 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 Jlding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appl/cable Laws, Ordinances or gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. e applicant agrees, to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to nit authorized inspectors on premises and in building for necessary inspec~. C ~'~-- __. · ........ )~-. · ~.,'r~. .... ~'v..~. .,'.~-.~ .................. (Signature of applicant, or name, if a corporation) · (Mailing address of applicant) :re whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........... me of owner ofpremises ........ .~.~.~. '~ (as on tile tzet roll or latest deed) .pplicant is a corporation, signature 0fdtify authorized officer. ,' (Name and ti'dfi~f qorporat~offi.cer) 3. Natureot'work(checkwhcha,,..i;~.,_,,,-,. ,~_:,.,._} ,,/ . Repair ,-, F~, ~.aute/: ~Nc'.v .ounulug .......... Addition :. · A terat on ............. memo~al ..... Demolition ......... Other Work. ' ' 4. Estimated Cost ........ .0. i .................... Fee ................................. ! (to be paid on filing this appticatio ) 5. If dwelling, number of dwelling uhits ............... Nnmber of dwelling units on tach floor ................ . Ifgarage, numberofcars .. ............. ; ........................... 6. If business, commercial or m,,uu 9ccupancy, spec nature and extent of each type of use ........ 7. Dimensions of existing structures,jif any: Front Rear .............. Depth .... igl b~ ............... ' ...... He it ............... Num rofStohes ...................... ''' t~ ...... D~ensio'ns of same structure w alterations or additions: Front ........................... Depth ........... , . . ................ Rear ...... ................... Number of Stohes .. .. 8. Dimensions of entire new constm ont ............... Rear ............... De ............ Height ............... Numb6r of Stohes .... pth . 9. Size of lot: Front ........ ~ .............................. ............. R~ar .... ' ..................... 10. Date of Purchase ' · ................ Depth ...................... . . ' [' ' ' ' ·" ................ Name of Former Owuer ............................. ~ 1. Zone or use district m which premBes are situated ....... !2. Does proposed Construction violat~ any zoning law, ' ..................... rdmance or regu ation ..... ~0 3. W~I lot be regraded . . .~ .. x~__ _~ ~ ~ ' ' .' · ~ ;.',, · .~1 .... ~ ..... Will excess/iii be removed from premises: Yes No 4. ~,~.u m ~wner ot premmes .~ ~. ~.~.~..~gt.~... Address ~tM ~0 Name of Architect P one No ......................... Address ... Phone No ....... N~e of Contractor ... J ................ . ........ ....................... Address ................... Phone No ........... 5. Is this property within 300 teac of a tidal weCZand? *Yes ........ No ...... · If yes, SouChold To~n Trustees Permic may be required. ''' PLOT DIAG~ Locate clearly ~d distinctly ~1 b~ild~gs whether existing or proposed, and. indicate ~1 set-back d~ensions ~rom .ropegy ~nes. Give street ~d block number or descfiptio~ accord~g to deed and show street nines and indicate whether ate~or or comer lot APPI~OgED AS NO1 ~ro 765-1802 9 AM m 4 PM FOR THE FOLLOWING [NSPfiCTIONS: ~ 3. INSULA~I~ 4, FINAL CONSTRUCTION MU~T BE COMPLETE FOR C.G. ALL CONSTRU~ION 8HA~ ME~ THE REQUIR~EN~ OF THE N.Z STATE CONSTRU~ON & ENERGY NeW VOR ,, ...... ......................... :~ .............. being duly sworn, deposes and says that (Name of individual signing c~ntract) he is the applicant named. S the ' : ~ (Contractor agent corporate ...... ') ............................ ~ , , officer, etc. aid owner or o~wmrs, and is duly auttlorized to perform or have performed the said work and to make and file this ication; that all statements contained h~ this application are true to the best of his ~ will be performed in the manner set f6rth in the application filed therewith, knowledge and belief; and that the m to before me this /~ ~ N~ 47 Ter2L~'~,~ (Signa~re or applicant)