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Home My WebLink About19416-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19387 Date SEPT. 25, 1990 THIS CERTIFIES that the buildin~ ADDITION Location of Property 1730 WATER¥IE~ DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 07 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 20, 1990 pursuant to which Building Permit No. 19416Z dated SEPT. 25, 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 TO A ONE FAMILY DWELLING. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. ~/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 BRUNO & ANNA TARABOCCHIA Inspector FO~.M NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N-° '1 9 4 l',S Z Date ........................... , 19 ..... Permission is hereby granted to: ii~.~.~....~~...~... ........ .~.~...~~: ........... ~ ......... ~/,... .......................................... i~ ~..m.i~..s~°cated at "~". '~"~"'~ ....... .~..~~..~9~.~. .......................................... County Tax Map No. 1000 Section ...... ..~....~... ...... 81oc~ ........ Z .......... Lot No..~.....~.... ......... pumuant to application datod ........... ~.~......~'J~.. ................................ , 19.~...~., and approvod by the Building Inspector. $..~ .~ Fee ~ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i . APPLICATION FOKCERT!FiCATE 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: 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 state,eat 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 bu~-ldings 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. B. For existing buildings (prior to April 9, 19~) non-conforming use~, or build~ngs 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 application and a consent"to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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 - $i0.00 4. Updaged C'~rtificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.90, Commercial $15.00 ' Date .... :~ew Construction ........... Old Or Pre-existin~ Bu~ld~ Location of Property..~~z~ /~' ~ z~ - ~ .... ~ .... ~ ............ ...~?. ..... .o~..~.zc~/e~co. ~ , ~,~,~, v ' · .............. .',~.~;;. vo ~ te~ , House No. Street Handler Onwer or Owners of Property.. ~-~*~ -.. . ......... · ..... ..... ......... County Tax m'p 000, Se tion..?VM ..... ~. ....... Lot... ............ Block.. ; - Sobdi isi0n .... .~. ...... ~.: .... . ~ . ~ . · ' ............... Filed Map .......... Lot ...... ~ ............... Permit No .......... ...... Date Of Permit.' ............... Applicant .................. ~Iealth Dept. Approval .......................... Underwriters Approval App ' '', Planning Board rovai ................ .: .' Request for: .Temporary Certificate ........... Final Certicate ........... bmitted, , .... .. .... .................. BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION ~I~AL DATE INSPECTOR Examined ............. , 19~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.; 765-1802 Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 BETS OF PLANS ............ SURVEY ..................... CHECK CALL ~. ~qV ~ MAIL TO: '~3~'~ ..... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- 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 permit shall be kept on tbe 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. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for/'emoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.. _ . .... ........... (Signat}Ide of i~pl~flcant or nan~e', if'a'c'o~'l~o'ran6n)' . , (Mailing address of applicant) State whether applieant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant Js a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ..... .d'..b~.../~..~ .......... PI mber s L~cense No. - Electrician's License No. ,~ t4~,z.c4x.- Other Trade's License No. ~~ 1. Location of land on which proposed work will be done; ~'. I. ',,3 //?7/ County Tax Map No. lOOOSoction ~7~ .... Block ~ ........... Lot &~f .... ' Subdi Jsion . " ~ Eiled Map No ...... (Name) .................. Lot ............... ~ State e ' -. x~s ng use and occupancy of premises and intended use uud occupancy of proposed construction: A. Ex~st~ng use and occupancy ........ .. . .............. B. Intended use and occupancy .~ '. ' ff 3. Nature of work (check which applicable): Ne~v Building .......... Addition ..... oration ...... ;. · '. · Repair ........ ~........ R~raovlal .............. Demolition .............. S~iraraing pool .............. Tennis Court ...... A~ccessory Building ..... i'/e;'F~ce ....... Other Work;..ii~.....~...,.. 4. Estimated Cost. q~- ''~.°.~. .~ ~ . .............. .~...~.. - '-'- i (to be paid on filing this application) 5. If dwelling, number of dwelling ubits ............... Number of dwelling units on each floor ................ Ifgaragn?.. number of cars .... i .......................................................... ::''' 6. If busi ess, commercial or mixed occupancy, specify natu, re and extent o f each type of use ............... of existing structuresi if any: Front Rear Depth ? Dimensions .............. Height Number of Stories .......................... Dimensions of same structure with alterations or additions: Front Rear · Depth ..................... i ' Height ...................... Number of Stories .................... 8. Dimensions of entire new constrttction: Front ............... Rear ............... Depth .. "i ........ Height Number of Stories ' Size of lot: Front ~ Rear Depth Date of Purchase ' Name of Former Owner 11. Zone or use district in which premises are situated ................................................... 12 Does proposed construction violate any zoning law ordinance or regulation: · · ~ Will fill b d f Yes .... No. 13. Will lot be regraded ............................ excess e remove rom premises: · ~ : Address Phone No 14 Name of Owner of premises · ................. Name of Architect ~ . . Address . Phone No ................. ' ' Phone No Name of Contractor ~ Address ... .... .... ................. 15.Is this property located within 300 feet of a tidal wetland? *YES .... NO .... ~If yes, Southold Townl Trustees Permit may be required. ' PLOT DIAGRAM Locate clearly and distinctly all [buildings, whether existing or proposed, and, indicate all set-back dimensions from umber or description according to deed, and show street nmmes and indicate whether property lines. Give street and block interior or corner lot. IS UNLAWFUL I , t!HOUT CERtIFICAtE (k, CUPAN Y A RO D AS NOTED .NOTIFY BUK. D1N~ DEPARTt~I~NT~'AT 76,~:,1802 9 AM ~ 4 PM FOR THE FOLLOWING iNSPECTIONS: 1. FOUNDATION ~0 REQUIRED FOR POURED CONCRETE Z ROUGH - ~RAMING ~ PLUMBING 3, ~NSULATION 4. FINAl. CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.Y, STATE CONSTRU~ION & ENERGY CODES. N~ RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sighing contract) above named, i Fro is the ..................... i ................................................................. ;.. i (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~dy authorized to pe,rform or have performed tlie said work and to make and file this application; that all statements conltained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manqer set forth in the application qlcd therewith. Sworn to before me this ~'~..~. davdf .... 19 .~ //~ ~_