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Home My WebLink About19395-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19371 Date SEPTEMBER 18, 1990 THIS CERTIFIES that the building Location of Property 330 OAK DRIVE House No. County Tax Map No. 1000 Section 104 Subdivision ADDITION CUTCHOGUE, NEW YORK Street Hamlet Block 5 Lot 28 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 13, 1990 pursuant to which Building Permit No. 19395-Z dated SEPTEMBER 13~ 1990 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 WOOD STOVE ADDITION IN EXISTING ONE FAMILY DWELLING The certificate is issued to JOHN BASSO (owner) of the aforesaid building. SUFFOLK COUN%~f DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r ' /~ B~ilding Inspector Rev. 1/81 ~*~ NO. ~8 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_ 1939t~ Z Permission is hereby granted to: .~%,,~..,~ · .~...-~. ? ? ~- . . .~ ................ ,...u..~..~..~ ........ to ~.......0~...~......~ ....... ...................... 0, pre, is,,~o,ed o,...~..~.'~ ....... ..0.....~...~ ....... ~~.~.. ........................ County To,~ Mop No. ~000 Section .... !..~ ............ B~o~k ..... ~.~. ....... Lot No.....~.~ .............. pur~uont to oppfi¢otion dotal ...~~,r~8~ ...... [.~. ...... · 19.1~..0..., ,~nd opprovod by th~ Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOW~ OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i ' APPLICATION FOR.CERTIFICATE OF OCCUPANCY .!~ · · %- This application'must be filled in by t'ypewriter OR ink and submitted to the building inspector with the following: for new building or new use: I. 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 ~lectrical installation from Board of Fire Underwriters. 4. Sworn tatement from plumber certifying that the solder used in system contains ~ less than 2/10 of 1% lead. $. Commercial building, indus·trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from'architect or engineer responsible for the building. 6. Subm/t Planning Bo~rd Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 19~3) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building amd 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 [- 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 Uertificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated C~r=ificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.90, Commercial $15.00 ::ew Construction ..... ...... Old Or Pre-existing Building .............. Location of Property.. 330 OAK DRIVE · · ...................... . CUTCR~GUE, N.Y. ' HOuse No. · ......................... Street Hamlet Onwer or Owners of Property ....... County Tax Ma'p No I000, Section... 104 5 · ........... Block. 28 ~ision ...... " ' .............. Lot ........ Fil d ' .............................. e Map ............ Lot .... . ?ermit No .......... ' ................. ..... ..Date Of Permit.' ............... Applicant ............................. fealth Dept. Approval .......................... Underwriters Approval ............. ' mooing Board Approval ........... equest for: .Temporary Certificate ........... Final CertiG~e. ...... ?'iELD I~.S,.~,~ON JID~,~ COMM£NYS ~ FOUI__JDATION ( 1 s t) FO~UNDATION (2nd) ROUGH FRAME & ~FLUMBING INSULATION FERN. STATE ENERGY CODE FINAL ADDITIONA~L COMMENTS BLDG. bEPI. TOWN OF $OUTHOLD ' Exa,,,~,i~d..~r.'t.:. ! ~ .... 19~ .o. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTItOLD, N.Y. 11971 TE L~.: 765.1802 aOARD OF HEALTH ..... ....... 3 SETS OF PLANS ............ SURVEY ..................... C~ECK sEpTic ~OR,, .... :.:::.::. NOTIFY$ CALL HAIL ..................... TOt Appro,'~d .~'t.'... !.;$ .... 199..~. Perm, No../.~t.~.9~--..'E. Disapproved a/c ..... (Building Inspector) APPLICATION FOIl BUILDING PEBMIT Date ..: ...... 1.9... INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with s{ts 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 9r areas, and giving a detailed description of layout of property must be drawn on the diagram which is parr of this appl/- L'ation. ¢. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applieant. 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. ,, .A. PPL_ICATION IS HEREBY blADE to the Buildin- De-art~--"" ..... " · · s v .mat ~or [ne issuance ota mtilding Permit pursuant to 'the t~UllOlng Zone Ordinance of the To,va of Southotd, Suffolk Count New Y . .,.Regulatit~ns, for the construction of buildings ad 'rio ..... ,~--*~'-- ~ ork,~.~d other apph.ca.b e Laws Ordinances or lhe applicant aorees to corn- .., d] .... ~,...auuns, or lot e oval or demolition, a~ herein descnb ....... -?. . ,.ly with all apphcab]e laws, ordinances, buildin ~dd. ' . ed. aumtt autuonzen mspecloi~ on premises and in buildin- f ........... :-- -/g , h~.ousi,~de, and.regulations and to .......... u, y m:~pegl:lO . .... ../. ..... Mailing address of applicant) State whether applicaT~5/.owner, lessee, agent, architect, engineer, g?nerai contracto[, electrician, plumber or builder. Name of owner ofp . (as on the tax roll or latest deed) ................ If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bu'lder s License No ............... Plmnber's License No ...................... Electrician's License No... : Other Trade's License No ............ 1. Location of land on which proposed work will be done; llouse Number : Street a r/£ · ....... Coun ax ap o. ~c on .............. Block . - ................. Lot...d ....... ,' S bdt i ' ' U vis Oil ................. .................... Eilcd Map No. (Name) .............. Lot ............... · State existing use and occupancy of premises and in~td~d u~e-and Occnpancy of proposed co{~5lrtlctioll: - · a. Existing use and occupancy ............. ' ......... ."J../~.. I t7 ' b' intended Use and occupancy W00~. b-£1./i ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... 2alteration ..... ;1-~' .... Repair ............ R~mova[ .............. Demolition ...Swim~Mng pool 4 Estimated Cost ,~ Fee ' ~ (to be paid on filing this application} 5 If dx~ elling number of d~velling units ' Nnmber of dwelling units on each floor If garage number of cars 6. If business, commercial or mixed Occupancy, specify nature and extent of each type of use ................... 7. Dimensions of existing struCtures,!if any: Front.., ............ Rear ............... Depth. ........... . Number of Stories or additions: Front . . Rear ............... Dimensions of same structure with alterations ................ Depth ' Height Number of Stories 8. Dimensions of entire new construction Front ............... Rear ............... Depth ............. Height. .............. NUmber of Stories .............. ; ................................ . .. .... 9 Size of lot: Front : Rear Depth 10. Date of ?urcl~ase ........................... Name of Former Owner ................... I 1. Zone or nsc district in which pretnises are situated .............................................. ... 12. Does proposed Construction violate any zoning law ordinance or regulation: 13. Will lot be regraded.....' · · ...,............. ..... Will excess fill be removed from premises: . Yes .... No. 14. Name of Owner of premises ................ ' ....Address ................... Phone No ................ Name of Architect Address Phone No · . Name of Contractor... · · ' Address . ,. Phone No ..... ,.'. ' 15.Is this property loeatled within lO0 feet of a tidal · I£ yes, Southold To~,,n TrasCees Permit: may be required. PLOT DIAGRAM Locate cleaxly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. OCCUPANC OR " WITHOUT C£/ TIFICATE OF OCCUPANCy APPROVEO AS NOTED OATE: ~./J.~.J).~-' S.E fl Iel ~,,~.~q~ NOTIFY BLJ~LDING DFPARTMENT AT 76B.1802 9 AM TO 4 PM FO~ THE FOLLOWING INSPEC'BON'3 1, FOLINDATION I'WO REQIJIRE:D FOR POURED CONCRETE 2, BOUGH o FBAMING & PLUM~ING 3. INSULA'rlON 4, FINAL CONSTRUCTION MUST 8E COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE NY, STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF' NEW ~?_,ORI~t [~._.. ..............'~'~ '~ .~.' .,4~..~_,., ..... ~r~/.~ ........ being duly sworn, deposes =d says that he is the applicant (Name of hldividual signiflg contract) (Contractor, ageut, corporate officer, etc.) o~ ~ald owner or owfiers, and is duly~ authorized to pegform or have perfo~ed the said work and to m~e and file this application: that all state neats contained in this application are true to the best of his knowledge and belief; and that the Work will he performed in the mannerrsct forth in the application filed therewith. Sworn to before me this . ,.: ~ ~X~ ~tl{,~?6S C of applic~t)