HomeMy WebLinkAbout19398-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19390
Date SEPTEMBER 26, 1990
THIS CERTIFIES that the building
Location of Property 15 SUN LANE
House No.
County Tax Map No. 1000 Section 76
Subdivision
ADDITION
SOUTHOLD, NEW YORK
Block
~iled Map No.
Street Hamlet
Lot i
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTF24BER 11, 1990 pursuant to which
Building Permit No. 19398-Z dated SEPTEMBER 14, 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 DECK ADDITION (AS BUILT) TO EXISTING ONE FAMILY DWELLING
The certificate is issued to BARRY & BEVERLY LEHR
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
/ Building Inspector
Rev. 1/81
~vO~ NO. ~
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)
N9 1939b Z
Permission is hereby granted to: . ~ , , ~
....~~.....~.......~...~.., .............................
,o ..~~.....~....~.~.....~~.x,.,....~....~ .....
County Tax Map No, 1000 Section .....~..~,,~, ....... Block. ....... ,?,.! ......... Lot No ..... -(~,...) .............
pursuant to application dated .... ~t~...~ .......... ./../. ......... , 19.~..0..., and approved by the
Building Inspector.
Building In.q~ector
Rev. 6/30/80
BLDG. DEPT.
TOWN OF SOUTHOLI)
TOWN OF SOUT~OLD
BUILDINC D~PA~TM~NT
TO~N DALL
£OUTIIOLD, NEW YORK
765 - 1802
11971
APPLICATION I:OR CERTIFICATE OF OCCUPANCY
09/0~/90
DATE ................
attached deck addition
NEW CONSTRUCTION ~ ..... OLD OR PRE-EXISTINC BDILDINC'''~--¥ACANT LAND ........
Location of Property.. Sun Lane Southold
HOUSE NO. STREET HAMLET' '
~wner or Owners of Property. Ba~y W..~ Beverly Le~
'County Tax Map No. 1000 Section ..0ff~.. Block
Subdivislon.~{a.q~.~%{% ~Lep~ ~.. Filed ~ap
--.~. Lot 001
· .Lot. 1 and 2
Permit No ........... Date of Permit .......... Applicant ...................
Health Dept. Approval ............
...... Underwriters Approval .............
Planning Board Approval ................
Request for
Temporary Certificate ....... Final Certificate . ~X
Fee Submitted:
APPLICANT~~x~m~'I ri. FRACE, JR. ~¥t~'d~/'~e'dt
for Barry W. & Beverly Lehr
10/14/88
co~ 1~390
WILLIAM H. PRICE, JR.
ATTORNEY-AT-LAW
828 FRONT STREET
PO BOX 2065
GREENPORT, NEW YORK 11944
(516)477-1016
September 26, 1990
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
RE: BARRY AND BEVERLY LEHR
SUN LANE, SOUTHOLD, NEW YORK
Gentlemen:
Enclosed herewith please find application for certificate of
occupancy for attached deck addition together with my check
in the sum of $25.00 representing fee for same. Please
contact this office when certificate is completed so that
I may arrange to pick up same.
If you require any additional information, please do not hesitate
to contact me.
WHP/lmt
enclosure
FO,UNDATION (2nd)
ROUGH FRAME &
PLUMBING
INSULATION PER N.
STATE ENERGY
CODE
Ye
FINAL
ADDITIONAL COMMENTS:
Memorandum from....
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOL~), N. Y. 11971
765-1802
SEPT. 14, 1990
Bear Liada,
ENCLOSED IS THE PERlq~T FOR TIlE DECK WITH
RECEIPT FOR TNE $50.00.
IT NI~ ~QUI~ A C.O. FOR ~25.00 ~TEK T~
DECK PASSES INSPECTION.
~ ACCES~RY BUILDING WAS GI~ A DIS~PROV~
SO I ~ ~I~G YO~ SECO~ C~CK /~2758
Z.B.A.
~TER ~ Z.B.A. G~S YOU ~IR ~PROV~ YOU
C~ ~ FILE FOR '~'~ BUILDING PE~IT ~ C.O.
YOURS TRULY,
WILLIAM H. PRICE, JR.
828 Front Street
PO Box 2065
Greenport, New York 11944
(516) 477-1016
September 7, 1990
Southold Town Building Department
Southold Town Hall
Main Road
Southold, New York 11971
RE:
BERRY W. AND BEVERLY LEHR
SUN LANE, SOUTHOLD, NEW YORK
SCTM 1000 - 076 - 01 - 001
Gentlemen:
Enclosed herewith please find application for certificate of
occupancy together with application for building permit regarding
the subject premises. Please issue a certificate of occupancy
covering the attached wood deck and detached frame shed. I
have enclosed herewith two (2) checks: One in the sum of $50.00
representing fee for building permit and one in the sum of 575.00
representing fee for two (2) certificates of occupancy.
If you require access into the subject premises, please contact
Sandra True, Jim Gray Realty, #765-5333.
If you have any questions, please do not hesitate to contact me.
WHP/lmt
enclosure
i¢, !JA~J' ~i",;~,,~J~ FORM NO, 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined..~'~ ]¢., 1, .~.
Approved...% .. !.q, 19 n Permit No.
Disapproved a/c ....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received .......... ,19...
Date ...~P%~A .~.., 19~Q
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
sets 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 stree
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl
cation.
c. 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 applicant. Such perm
· 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 Occupam
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 tl
Building Zone Ordinance of tho Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ~
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe
The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulatio~s, and '
admit authorized inspectors on premises and in building for necessary inspections.
(Signature ofapplicant, orname, ifacorporation)
(Mailhgaddressofapplicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde
for Owner
Agent ...........
Name of owner of premises .... B, .a.r,KY,. V:..a.n. ,d, .B,e.y .e.r,l,y., ,L.e.h.r. ......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..........................
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ................................................
...... %.~... .................... . ........................... .Sun Lane ...... .......... Southol.d... .... .......
House Number Street Hamlet
076 Block 01 Lot O..0.1
County Tax Map No. 1000 Section ..................................................
Subdivision ~a.p. pti..W, pp.t..C..r.e?.k. ,ppy. e.l. pp.m.~.n..L.. Filed Map No..1.2..3.6 ......... Lot . .~. 9.n.d...2 ....
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a Existing use and occupancy Private one-family dwellin9
b. Intended use and ,occupancy . ~.r.J:.Yg~.e..9.n?.-.f.a..m.i.ly...d.w.e.l. 1. ~-.n.9..w.i. ~.h..a..t.~.a.c.h.e..d..w.o. 9.d' .d.e. 9.k ....
and detached frame shed
3. Nature of work (check which applicable): New Building .......... Addition ..
10.
11.
12.
13.
14.
........ Alteration ..........
Repair .......... Removal , Demolition .i. Other Work XX
Wood deck & accesso~'y building (Description)
Estimated Cost ...................................... Fee .
(to b~ paid on filing this application)
If dwelling, number of dwelling units ............. Number of dwelling u~its on each floor ..............
If garage, nmnber of cars
If business, commercial or mixed occupanrC. Y, specify nature and extent of eac4h4ty~e of use ...................
Dimensions of existing structures, if any: Front .... 4. .4 ·.2. ...... Rear ...... ~ ........ Depth ..... 1.6. ~ .3 ....
Height ............... Number of Stories ..... 1. ..................... i ..........................
Dimensions of same structure with alterations or additions: Front ........... i ...... Rear ...............
Depth Height Number 6f Stories
Dimensions of entire new construction: Front Rear ~ Depth
Height ............... Number of Stories ........................... : .................
· .95.' Re 7.~ .93.: ! D pth ........
S~ze of lot: Front .................... ar ...... .. .......... e ..................
Date of Purchase ............................. Name of Former Owner i .........................
Zone or use district in which premises are situated... A-res±dential/agricultural '
Does proposed construction violate any zoning law ordinance or regulation: ~ .No.
Will lot be regraded ........................... · Will excess fill be removed from premises: Yes No
Name of Owner of premises .................... Address ................... Phone No
Name of Architect ........................... Address .................. Phone No ................
Nrune of Contractor .......................... Address .................. Phone No ................
PLOT DIAGRAM
Locate clearly 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 shbw street names and indicate whether
interior or corner lot.
STATE OF ~EWuY~ORoKk
COUNTY OF $ ff. .1 .... S.S
wi..1.1.iam H. Price, Jr.'
(Name of individual signing contract)
above named.
...... being duly sworn, d~poses and says that he is the applicant
a..'~.t.orne¥
Itc is the ............................
(Contractor, agent corporate officer, cfc.)
of said owner or owners, and is duly authorized to perform or have performed th~ said work and to make and file this
application; that all statements contained in this application are true to the best of'his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
.............................. , 19
Notary Pub c ..... S. uffolk
, NO 52-465;5~2~ ~t~gORt {~_~ ,~1 (Signature of applicant)
' ' Commission ~pil'~ ~lovemtl~