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Home My WebLink About19431-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19505 Date NOV. 13, 1990 THIS CERTIFIES that the building Location of Property. 29330 House No. County Tax Map No. Subdivision ACCESSORY MAIN ROAD CUTCHOGUE Street Hamlet 1000 Section 102 Block 006 Lot Filed Map No. Lot No. 23.1 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 24~ 1990 pursuant to which Building Permit No. 19431Z dated OCT. 1, 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 ACCESSORY CARPORT. The certificate is issued to EVELYN FLEET (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROYAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Building Inspector FO~t~_ NO. 0 TOWN OF Sou'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT C'rHIS PEP, MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 'i'943~ Z Permission is hereby gronJed to.~ /)/ ~, /~ _ .,,..~ ~ · ~/~ ~~....~..~/~...~.,..~....~_/~ ~ ~ ................. -. ~? ...... ,Z'.~,~..~. ~,~ ~,~/ .... ~ ,...'.~q,..~.,... ..~,.-,,,,. ......... .,. ..... ~ .... ,..:...... .................. :.~:.. ......... .~ ..... ~.,~ ................................................... at premises located of ..~..~... ,~.,....~....~. ........ ~~ ....... ~.~...f. ................................................... County Tax Map No. 1000 Section .... ./..~.....~... ..... Block ....... ...~... ......... Lot No ............... ..~..;..~..~ / pursuant to application doted ....... .~....~.... ............................ , 19.,,~.....~., and approved by the Building Inspector. Rev. 6/30/80 TOVV~"6~"g~)~JT'IJIOLD -... ~P~ICATIOH FOR C~RTIF~CAT~ OF 0CCH~A~C~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN ~ALL 765-1802 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, preperty 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 architect or engineer responsible for the building. 6. Submit 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 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 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 $i5.00 Date ./~T.~.%.~. ......... ~ .................. New Construction .... ~ ..... Old Or Pre-existing Building .... Location of Property... . fJ/. ............... ................... House No. Street Hamlet Jnwer or Owners of Property..~.~/y~/.. ~.'/~. ............................................, ~ounty Tax Map No 1000, Section .............. Block ................ Lot ...................... ~ubdlvlszon .................................... Filed Map ............ Lot .................... . . ~ermit No.I~.$~,L ........ Date Of Permit.~.~.?~ ~.L?. cant .................... .... Appli ......... lealth Dept. Approval .......................... Underwriters Approval ....................... .. ~lanning Board Approval ........................ [equest for: Temporary Certificate ........... Final Certicate..~. ........ Submitted: $ ......~.-~.? ....... .~..~.Q.~.~....~ ~ ~ · . ..................... FOU~;DATION FOUNDATION 2. ROUGH FRAME & (1st) (2nd) -?LUMBING INSULATION PER N. STATE ENERGY CODE ADDITIONA'L COMMENTS: FI;IAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALl. ~OUTltOLD. N.Y. 11971 BOARD OF' HEALTH '1 SETS OF PL,,'~NS SURVEY NOTI FY: CALL ;gl ................. FIA I L ' i TEL.: 765-1802 Examinud ........ Disapproved =/c .................................... ~ ' APPLICATION FOR ~Di~G PERMIT INSTRU~IONs a. Tlds ~pplic~tio. must bc completely filled in by ~pewdtcr or in ink :ud submlttud to the ~ets of plans, uccu:te plot plan to scale. Fcc according to schedule. b. ~iot p{~ showing locution of lot and of build~s on prcmisc~, relationship to udjoiniu~ prcm~ or public streets or areas, and giv~ u dct~lcd description oF layout of properly mus~ be drawn on thc diagram which ~ oF t~s uppU- ca,oR. o. The work covered by t~s application may not be commenced b~for~ i~uance o[Bu~din~ Peril - d. Upon approv~[ of this application, th~ Buildin~ Inspector will issued a ~uildin~ Pc~it to th= appel ' ih~ll b~ kept on the premises avaflablo ~or inspection throu~out th~ work. Such p=~it e. No build~ shall be occupied or used in whol~ or ~n part for a~y purpose what~v=r until a Cc~fi~ of Occup~cy sh~ll have b==n g~t=d by ~e Build~ Inspector. APPLICA~ON IS HEREBY MADE to thu Build~ D~pmment for th= issuancu o~ a B~ldin~ P~it pu~u~nt to th= Buildin~ Zon~ Ordinanc~ of the Town of Southold, Suffolk County, N~w Yo~k, ~d other applicable ~, Ord~ces or R~ulati~s. for the Construction of bufld~g~, additions or alterations, or for ~cmoval or demolition, Th= applican~ a~r=~s to comply with all appiica~ laws, ordinances, bu~d~ cod~, housina code, and ~Qons, and to admit autho~z=d ~sp~cto~on pr=raises and ~ build~ folnc~c~pc?ions. (Kailing ~d~ess of applic~0 State whether applicantis owner, lessee, a~ent, ~chitcct, engineer, general contractor, elcctriciam plumber or builder. Name oF owner ofp~emises ..... . I¢applJcant is a cO~oratJon, signature of duly authorized officer. ~uildcr's Liccn~c No. . . . Plumbcr's Lkcnse No EICctricJan's ~ccnsc No Olhcr Txadc's ~ccnsc No ............................. g ' House Number Strcc~ ...................................... ,. , Hamlet ' ' 3. Nature ot'~vork (check which applicable): New Building .......... ^c~uition .......... ,'dictation ........... Repair ............ R~mov!al .............. Demolition .... Sw~t~,~p~ ............ Tennis Courc .... .':... A~cessory Building .... , ..... '.'~;;'~' . .... OCher [4ork ............ Es.matedCost .... ................ ............................... : ..... .. , (to be paid on filing this application) $. If dwelling, number of dxvcllin,~ u.~its . .~, ....... qg, · · ..~Lmber of dwelling units on each floor·..: .... ~. 6. If business, commercial or mixed Occupancy, s~cc]fy nature and e , .- , xtcnt of each type of tJSe ...... o 7. Dimensions of existing structures! if any: Front..; ...... ...... Rear ............... Depth .............. Height ............... Number of Stories ........................................................ Dimensions of same structure wit~ alterations or additions: Fro~t ................ Rear ............ '.. Depth ..................... ,i. Height .......... q-~ ..... ,~ ....Number of Stories ...; ............ S. Dimensions o£entirc ne~.v constrt,~tion: Front ..~e.~../"4~t~.~.'.~ Rear ............... Depth ......... '~ Height ............... ,N,~umbler of ~tories .......... ' .................. ...... :ii"' ·Size of lot: ron . car .. e ~ ...... 10. Date of Purchase ...... ' ....... . ..... '. 11. Zone or use district in w~ich pren%ises are situated .... ; ................................................ t2. Does proposed Construction viola/.e an_y..zoning law, ordinance or regulation' . ..................... 13. Will lot be regraded .:... ~...~ , ~ .......... " ~'s~Z'_.' '.' '! ......-,,-~ .,.,'sYAtL~xcess fill be removed from premises: Yes ... 14. Name.of Owner ofprcmises/]4~,$.i~y.~.~.~?.~¥'..-ff/~..~re~ ~. ~.~__., .... Phone No. ~.~..,~:~:~.t~.. Name of Architect ....... . ~t _.. ~/" ......... -, - -- /"'~;"'07' ~=e of Co~traetor ...a'.~.;7--/S~/.4e ~.t . . . address .. d~ ~ ..... Phone ~o. 7 :~'ff. . -X, ~ ~. '/. . · s this I : .' ' ' t .--_- ' ' 15 I property locat,ed wzth~n lO0 feet of a .t~dal wetland? ~YES .... NO~. · If ~es, $outhold Town iTrustees Permit may he required· PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and b!ock nttmber or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, ~'OUNTY OF S.S APPROVED AS NOTED . NOTIFY BUlLD~N'G D~:PARTM~,N~'~AT 76~-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1 .. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH . FRAMING & PLUMBING 3. ~NSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DE~IGI~ OR CONSTRUCTION ERRORS ........ .' '('~a't~ ' ~'f'h"~l; ;c~ ';l's}=~;i;} 'e~'t 'a'c't j .......... being duly sworn, deposes and says that he is the applicant c v u g r above named. ~ is the i , . ' (Contractor ageut corporate officer crc ) .................. )f ~altl owner or owners, and is duly authorized to pc,florin or have performed the said work and to make and file this ~pplication: that all statements contaihed in this application are trne to the best of his knowledge and belief; and that the york will be pert'ormcd in the manner !ct forth in the application filed therewith. iWom to bciore me this .............. ...... dayor.i. .'..' ..... ,'otaty Public ..... ' , ............ : .............. County '-- H~tEN K, DE ~OE NOTARY POi~LIC, Statei of ~New York (Signature of applicant) No. 470787~, lmm £x~J~es