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Home My WebLink About19879-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20061 Date JULY 9 1991 THIS CERTIFIES that the building ADDITION Location of Propert~ 3680 STILLWATER AVENUE House No. Street County Tax Map No. 1000 Section 137 Block 1 Subdivision __Filed Map No. CUTCHOGUE~ N.Y. Hamlet Lot 13 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, i9~1 pursuant to which Building Permit No. I9879-Z ~dated MAY 21, 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 & SCREEN IN PART OF EXISTING DECK. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N~A UNDERWRITERS CERTIFICATE NO. N/A_ PLUMBERS CERTIFICATION DATED N/A DANTE & FLORENCE COLOMBO Rev. 1/81 lq)mM NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOU?HOLD, hi. ¥. BUILDING PERMIT (THIS PERN~IT MUST BE KEPT ON THE PRE/v~ISE$ UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 19879 Z Permission is hereby granted to:. __ .... ~....~.~.......,, .................... : ............. , , .~-.-~.-.-~,r -/.~....:.-.~.-.~..~./-.... ,o ~-.,.~...,,-~C~....,,~Z.....~~'~ ' '"'? ........ ~'----7' ...... 7' ......... '_ ....................... ':' ................................................................ at premises located at ....~....~..~..~.....~~ ...................................................... County Tax Map No. 1000 Section ........... ./..~.,~.... Block ......... ./... ........ Lot No ........ ../..~... ......... pursuant to application dated ...... ~..~../.~;, ................................... , 19.~./..., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 BUILDING DEPARTMENT ! TOWN ltALL 765-1802 BLDG. DEP?. Tow. q? soumo,,m \. 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 Realth 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 C,~mpliance from archi'-'ect or engineer responsible for the building. 6. Submid Planning Board Approval of completed site plan requirements. ;. For existing buildings (prior to April 9, 1957) non-conforming uses or buildings and pre-existing" land uses: , 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. ~ 2. A properly completed applicacion 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 i. 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 BuildSng - $i00.00 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 ..... . :w Construction ........... Old Or Pre-existing Building.'' '~ I-~ ........................ ~cation of Y ......... C ~-~,_ ............... c. ?: .~.. ~...~. ~.,. ~. llouse No. Street Hamlet '' wet or Owners of Property .......... ,~.~ ~nty Ta~ ~ap Un lO00, Section ....!~17 ..... Bloa~ ..... t.: ......... ~division ....... ................ Filed Map ............ Lot ....... ............ :mit No... '' · .Date Of Permit ........... Applicant..' ...... ith pt App i ............ t De . rove ................ · .~ ...... Underwriters Approval nning Board Approval nest for: Temporary Certificate. Final Ccrticate ..... ../.... . .... ~ 0 '~3~0~1 cA~r ' . .......... TOWN OF $OUTHOLD O 'I'ICE OF BUILDING IN~'PEC'TOR P.O. BOX 728 TOWN ttALL $OUTHOLD, N.Y. 11971 TEL~ 765-1802 JULY 5, 1991 To Whom This May Concern, We are unable ko complete your Certificate of Occupancy because.of the following reasons. An application for Certificate of Occupancy is not on file. ENCLOSED /~/ No Underwriters Certificate on file. The check is~cl~a~Vd/not on file.)$25.00 /5/ No llealLh Dept. Approval on file. /~/ No final inspection has been made. Please co~tact our office Thank you for your cooperation. Building Permit tt I 9 8 , 7 9 ~ ADDITIONS COLOMBO Buildinq Dept. ***/5/ No Plumber Solder Certificate on file. ( a].l permits involving plumbing being issued after April 1,1984 ) on this matter. SENT TO: JOUN BORN BOX 208 EAST MARION, 11939 TOWN OF SOUTHOLD OFFICE OF BUILDING iN~P£CTOR P.O. BOX 728 TOWN HALL : SOUTItOL~, N.Y. 11,971 TEL~. 765-1802 JDLY 5, 1991 To Whom This May Cogcern, We are unable to complete your Certificate of Occupancy becanse .of the following reasons. An application for Certificate of Occupancy is not on file. ENCLOSED /~/ NO Underwriters Certificate on file. The check is~X~3~//not on file.) $25.00 No Health Dept. Approval on file. No final inspection has been made. Please co'tact our office on Thank you for your cooperation. Building Permit ~t I 9 8 , 7 9 Buildinq Dept. ***/~/ this matter. ADDITIONS COLOMBO No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1984 ) SENT TO: JOHN BORN BOX 208 EAST MARION, N.Y. 11939 FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: I01 MAP OF PP. OP~.TY .. 6~'ct'l*O~ TWo, 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ~ [~]/~INAL DATE ~/~'/~ ( FORM NO. 1 i ~& = I , ~ TOWN OF SOUTHOLD ~{~ t I , il TOWN HALL l~i\\t MAY 61991 jlitll BUILDINQDEPARTMENT '~sapproved a/c ..................................... BOARD OF HEAL'rt! ......... 3 SETS OF PLANS .......... SURVEY ................... ClIEcK .................... SEPTIC [*ORtl ,/ 'h"K'IL TO: APPL,CAT,ON FOR BU'LD,NG PERMIT Date ., 19. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to tile 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 appI;- ,ion. c, The work covered by this application may not be c~)mmenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appl/cant, Such permit fll be kept on the premises avaL!able 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 .11 have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Buildin,, Permit ursna 'Iding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other an~lJc for the construction of buqdings, additions or alterations, or for removal or demolition, as herein described. -~ 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 inspecti (Signature of applicant, or name, if a corporation) ................... , . . .,-..~ :,....-.... , . ./.< ?.% ~... (Mailing address of applica~/~) ' te whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ~e of owner of premises ......... F.~...../~c~. ~9, . (as on the t .a3'~ roll or latest deed) pplicant is a corporation,, signature of duly authorized officer. ,' (Name and title ?f ~2?rporat~ officer) Plumber's License No ......................... Electrician's License No. Other Trade's License No ...................... tocation of land on which proposed work will be done .................................................. ..... ~ ...... · .......... .... . ....... . .~..~.c. ~ .o.~?..~. ............. louse umber Street Hamlet ;ounty Tax Map No. 1000 Section ...... [ .~.'~. ....... Block ....... /. Lot../.~.. ubdivision ..................................... Filed Map No. /7--~0 Lot (Name) ............................. tare existing use and occupancy of premises and intended use and occupancy of proposed construction: Existing use and occupancy Intended use and occupancy ...~..~...T.?. r r:'x.- ...... ,~ ......... :"?'.~ .':,~.. ~ ff¢*¢ q-.,~ ¢,aiii~,~. ~ ~ .~ ~ .. 3. Nature of work (check which applicab e)' New Bud ng . Repair ~ ......... Addition ..... Alteration .......... .............. RemoVal .............. Demolition .. Other Work.. 4 Estimated Cost ~3 '~."'.~. .~ (Description) ............... Fee "~ ~'; ' If dwelling, ffumber of d',velling i (to be paid on filing this application) 5. u its ............... Number of dwelling umts on cach floor . If garage, number of cars { ................ ' · .... ..................................... 6. usln.ess, co.,mm.m-ciaI ~¢~ occupancy, specify nature a id extent of each tv,,; r~r ,]~' ..... 7. w~menslons wi exlstin~ stCuU'tu'r¢'~ l;r .... ~- . ---- -,, ........ e' . - -- ~-,i.-",Y:rront ............... Rear . 2.-z~." Depth..j/o/ ' H.eight ............... Number of Stories ........ Dunensions of same structure, with a~* ....... 1"" ' ' ' ~.' ....................................... 8. Dimensions of entire new construction: ...... · , ,.~ ga~ . ' ......... Number wi Stones .............. Front ............... Rear ............... Depth ............... Height ...... Nu--' ~ · ....... · ,,,o~r wi ~tones ........ . 9. Sizeoflot: Front .... . Rear . ' ' ......... ~, ;;~ ................... 10. Date of Purc mst .... i ...... ' ..................... e~-... ',1. , , . . . . , ............ Name of Former Owner ........ Zone or usc district in which premises are situated .... ' .................. .2. Does proposed construction ,olatq any zoning ..... · ............. , .............. V' { law, ordinance or regulation: , .3. ~,¥Hl lot be regraded ........... ! ................. Will excess fill be removed from premises: Yes No 4. Name of Owner of premises h~.~..c~(-...c¢~..ac,. Address .... <::et,,-.c_.ae~'~. ~... Phone No. · · · . a l-{ ~-~. ~.~.~.c~-z~ Name of Architect ..... I · · Address Name of Contractor '~.,'/'~'~'t .......... :.,. · · :. .............. rnone rqo . · "" ."' .... '~' '"'":'~ ............ Address /.~p( ~.ft £. ~ to~ .' ' ' ' '--' ~ .... 5. Is thzs property wzthin ~, ~., ~.~,~ .... · ....... ~ . . .Phone No..~..Z-.~ .... _ 300 fe ....... ~a~ wet±ana.~ *Yes - ' ' '' · If yes, Southold ToWn Trustees Permit may be requirg~[ ..... ~o ......... .... ,PLOT DIAGRAM. Locate clearly and distinctly all buildings, whether existing or ro osed and ind' - .roperty lines. Give street and block number or de~mq,~H,~;, .. 1~ .P , , . j irate all set back dmaensmns from ~terior or coruer lot. i ........ ~' ..... accoramg ~o ween, ann snow street names and indicate whether ~,TE OF NE~,YORi~ ~ t .. S S ....... ,x ............. (Name of individual signing cgntract) ye named. APH~Ot~ED AS NOTED NOTIFY BUIL{:fl'NG O~P~A~ 765-~802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION . ~0 REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION ~. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTROCTION SHALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRU~ION & ENERGY CODES. NOT RESPONSIBLE FOR OESIGN OR CONSTRUCTION ERRORS being duly sworn, deposes and says that h0 is the applicant s the ....................... ~ '.-.'. ................................ i (Contractor agent corporate officer etc) ........................... aid OWner or owners, and ,s duly autliorized to perform or have performed the said work and to make and file this ication; that all statements contained ~n this application are true to the best of his knowledge and belief; and that the '< will be performed in the manner set f~rth in the application filed therewith. m to before me tliis , · ' ......... . ..... , .......... MMant Pul)ilo, stye · NO, U ....... in SuffOlk Go ntv ~ ~ ~ ' ' · · ......... , ~ lixl~O,~e~ Ii, tl~;"~' . (Signature of applicant)