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Home My WebLink About19455-zFOR~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z1966t Date JAN. 16, 1991 THIS CERTIFIES that the building. ADDITIONS Location of Propert~ 1730 WEST CREEK AVE. House No. Street County Tax Map No. 1000 Section 110 Block 01 Subdivision Filed Map No. CUTCHOGUE Hamlet Lot 7.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 5, 1990 pursuant to which Building Permit No. I9455Z dated OCT. 12~ 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 AND STORAGE SHED ADDITION TO EXISTING DWELLING. The certificate is issued to HARRIET SPILMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ector Rev. 1/81 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) No 1945~',.:, Z ~__..+,...~ ..~...~~.,....'~....--..~..'.~'"--~ - ,~.-- ~, , w,,,/~>..~....~~,,~....~,~....~....~~.......,~. .............................. at rem s ~ated at ...................................... ~ ................................................... ~~~:~...~~ ...... z~.h~ .......... .~.~.....~..~..~ ,~o ~_0 Cou,~ ~o, a,p ~o. ~o~o s,,t~o, ....... /~ ........ m~k ....... L ............ kot ~o ..... ~...~. ....... Building InSpector. s..~...~... Fee ~ ........................ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 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 $15.00 Date ........................... New Construction .... ~ .... Old Or Pre-existing Building ............... . . Location of Proper t y.../..~..~.~?.. ~/.~.~?.T'-. o..~,. ,~..~.../~.' .~. ,~..,~./. o . .~, o~'.~..~..r~..~..~'7 ~-~. '/.,. ,~, ~.. ...... House No. Street Hamlet Onwer or Owners of Property .................................. County Tax Map No 1000, Section..././~. ...... Block ..... /. ......... Lot...~.:.[~ ............ Subdivision .................................... Filed Map ............ Lot ...................... Permit No//..~.~. ~.~....Date Of Permit./..~. ~/~..~...Applicant.~.~~... ~.~../~%/..~ Health Dept. Approval ....................... .. . Underwriters Approval ....................... · . Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $ .......................... TOWN OF SOUTHOLD oI:r:ICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 JANUARY 14, 1990 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. ~/ An application for Certificate of Occupancy is not on file. E~CLOSEB /5/ No Underwriters Certificate on file. ~/ The check is(~RX~E/not on file.) $25.00 /5/ No Health Dept. Approval on file. /~/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit It ! 9 4 5 5 Z HARRIET SPILMAN Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATIOn4 (2nd) ROUGH FRAME & .PLUMBING e INSULATION PER N. STATE ENERGY CODE FI~;AL ADDITIO~A'L COMMENTS ILDING DEPT. ECTION FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INS/~ILATION [ ] FRAMING [/~ FINAL FORM NO. I TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765.1802 Exan, incd /0/_../. .'2.7.- 19 ~ Approved .,,/~.~..~'/ ....... , l~/~.pTnnit No.f~ .~..~.~.~'~.,.... .. Disapproved :i/e .......... .. APPL'ICATLI~'N FOR BUILDING P[ INSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SEPTIC ......... . NOTIFY [ ~ CALL . . . . . MAIL ...... BLDG. a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ifispector, with 3 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 deta/led description of lhyout 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 the premises available for inspection throuo~hout the work. ~l~ e. No building shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupancy Ill, 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 iemoval or demolition, as herein described. The applicant agre~ .t.~.qo.mply~wit.h. gll applicable laws ordinances, building code housing ode and re,ulations and t ~'---~gnatu ot appl)o~nt,flr name, if a corpora't~on) ~tate whether appucant ~s'owner, lessee, agent, architect, engineer, general contractor, elec~'riciJn, plumber or builder. Name of owner of premises ...... (as on the tax roil or latest deed) If applicantjs' a corpo, r~tipn, signature of duly authorized officer. (Name and title of corporate office%-)~'..~ Plumber's License No ......................... Electr'cian s License No ....................... ther T~ade s License No ...................... 1. Location of land on which proposed work will be done; ...... ......... .a:n et }louse Num her ' ' ........................................ County Tax Map No. 1000 Section .Z/....~..~:.-?/.T~..,.. .~/... Block ......... Lot ..... Subdivision ./.~.4Z.~.-%~77~..~....~.~7.c-=/..L..~. .............. F, iled Map No... Lot (Name) ,, ........................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed constrnction: A. Existing use and occupancy ....... ~7. . .~ ........................ B, Intended use ~ad .o~an~-y ............................................................ h ppli bi ) N B ildi Additi Alteration ' 3 N f k ( he k hi · · · · atureo wor c c w c a ca e : ew u ng ........ . on ............. ...* · Repair ........ ~... R~mo.val .............. Demoliti/~n ........... ',..S~i,vanzng pool .............. Tennis Court .... ~... ~ccessory Building.. ~. .... Fence ....... Other Work; ........... 4 Estimated Cost ............................................... ' (to be paid on filing this application) $ Ifd ' g u ' Number of dwelling units on each floor . welling, number of d~velhn rots ................................ Ifgaraae number of cars [ ............................. 6 Ifb ' · d! ify f h typ . usiness, commercial or m~xe occupancy, spec nature and extent o cae e of use .................... ~ Dimensions of existing structure~ · ,if any: Front,., ............ Rear ................ Depth .............. Height. ........... . .. Number of Stories ...................................................... · Dimensions of same stmcture wi~h alterations or a,~ljl.~,~ions: Front ................. Rear ..]] ...... i.}]:] i Depth ................ ]·i Height ..... ~ .............. NumberofStories ...... ..~,~../... 8. D~menmons of entire new constmctmn: Front , . ..~ .......... Rear ....~.../ ......... Depth .>~..~... Height ............... Number of Stories ........ /. ' ' ' Size of lot: Front .... ./~.~.-~. i ........... Rear ...................... Depth ,~. O.....~..~.~ .__g~_ .... 9. Date of Purchase ...zj//~. ~-. $~.7~ ............... Name of Former Owner ,/U'&,r~.~. ,¢2/a/....-/7:...~./.. 10, · /./i · -- , 1 I. Zone or use district in which premises are mtuated...~_~,5,/.Z~.~7,~.~.~.~.../~.. ........................ 12. Does proposed construction violate any zoning law, ordinance or regulation: ............................ 13. Will lot be regraded .../~./4..i ................... Will excess fill be removed from premises: Yes ,.. 14. Name of Owner of premises,~q/.~.'~Z.. ~.?/.~ .-:'?'.~/4~. Addres~ ( .7;~ (i.~ R_~,~. ~.~..ff. Phone No ?.'.~ .~ 7:~.. c~.'~..~. .... , ' ...... / ' Name of Architect .......... ; ................. Address ................... Phone No ................. Name of Contractor ......... i ........ i ....... Address ....... Phone No ..... .~ ....... 15.Is this property loealted within 300 feet of 'a' tidal wetland? *¥~-S.~.N0...'.'' mil yes, $outhold Tow~ Trustees PLoTPermitDIAGRAMmay be required. Locate clearly and distinctly all! buildings, whether existing or proposed, and, indicate all set-back dimensions from property l~nes. Give street and block'number or description according to deed, and show street names and indicate whether interior or comer lot. , APPROVED AS NOTED DATE: , , : B.R # FEE: ..... BY: , NOTIFY BUILDINO DEPARTMENT AT 76~.-'~802 g AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. iNSULATION 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 DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF ................ .......................... ~ ................... being duly sworn, deposes and says that he is the applicanl: (Name of individual signing contract) above named. l-h: is the ' - (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dgfly authorized to pe,rform or have performed th~,said work and to make and file this application; that all statements co,!rained in this application are true to the best of l~ts knowledge and belief; and that the work w~l be perforated in the m~er set forth in the application filed therewith. Sworn to before me this fl~ffl K ~ ~ / ~./~.~ ~~~ ..... ~PO~tl~.~nY~ '- ature ora licit . m.319iSI~,8~n~ ~ql (/~ ..... ~ / (Signature of appl