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Home My WebLink About19480-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19575 Date DECEMBER 11~ 1990 THIS CERTIFIES that the building REPAIR Location of Property 30170 MAIN ROAD House No. County Tax Map No. 1000 Section 102 Block 3 Subdivision Filed Map No. CUTCHOGUEe N.Y. Street Hamlet Lot 8 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 1990 pursuant to which Building Permit No. I9480-Z dated OCTOBER 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 REPAIRS TO EXISTING SCREENED PORCH ADDITION OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. MARGARET SCHARADIN SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 -- / /BullS n Inspector · O:~l[ NO. Il TOWN OF SOUTHOLD ~,UiLDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PER6AIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 19480 Z Dc~te /0 ~ ~ ........ ~ ........................................ , 19..~....c~ Permission is hereby granted toL . ..~..~...~......~....~-'-~,~ ................ j .~~.....~.~..~~:~~....~....~-~ / , ~ ~ ,,~,,, ,=,ed ,, ....~.....z.~....~......~ ............................................................ Co..~ ~ ~ ~o. ~000 s.:~,o...../~...~.: ..... m~ ...... ~ .......... ~ ~..~ ................ pursuont to application dated ......... ,/,,.~,/~.,..~..,....~/'~ ..................... , 19.7,,,,,~., Building Inspector, Fee $. . anti. approved by the Rev. 6/30/80 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ;ZND FRAMING [ ] ROUGH PLBG. [ ] INS~ON [t~]~INAL REMARKS: DATE /'2/'~//,~2 INSPECTOR TO~N OF SOUTROLD BUILDING DEPARTHE~T TO~N HALL SOUTHOLD, NEW YORK 765 -- 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY RE~ CONSTRUCTIoN ....... OLD OR PRE-EXISTING BUILDING...~."~.V~CANT LA~i[i!i.i. HOUSE NO. ' ........ ~ .............. - , STREET .HAMLET Subdivision ....................... Permit No .... ~ ...... ~ate of Permit Health Dept. Approval .................. Planning board Approval ................ Request for Temporary Cert,,ificate ....... Fee Submitted: $ .............. Filed Map ........ LoC .......... Underwriters Approval .............. Final Certificate . .~.[ ........... APPL I CANT rev' 10/14/88 ~OP~ NO. TO~q~ O~ SOUTIIOLD BUILDING DEPA~THENT TOWN HAL~.~ 765- 1802 APPLICATION FOK ~EKTIFICATE OF OCCUPANCY INSTRUCTIONS This application must b~ filed in typewriter OR ink and submitted to the Building Inspectnr with the foll~wing; for new buildimgs or new use: I. Final survey of property with mecurate loeatlon of all buildings, property lines, streets, and unusualinatural er topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrlc~l installation from Board of Fire Underwriters. 4. Sworn statement fromI plumber certifying that solder used in system contains less' than 2/I0 of lZ lead!. 5. Commercial buildings!, industrial buildings, multiple residences and similar.' buildings and instal~atlons, a certificate of code compliance from the Architec~ or Engineer responsible for the buil'ding. 6. Submit Planning Boar~ Approval of completed site plau requirements. For existing buildings i(Prior to April 9, 1957~ non-conforming uses, or buildings and "pre-existing" laud! uses: ]. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or tDpographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstlract of title issued by a title company which shall show single and sepalrate ownership of the entire lot prior to April 9, 1957. · If a Certificate of ~ccupancy is denied, the Building Inspector shall state the reasons therefor in Writing to the applicant. 3. Date of any housing ~ode or safety inspection of buildings or premises, or other pertiueut information required to prepare a certificate. For Vacant Land'Certifi!cate of Occupancy: ]. An application for vacant land Certificate of Occupancy shalt-be submitted, and a certified abst!ract of title issued by a title company showing single and separate ownership df ,the entire l~t prior to April 9, ]957 shall also accompany the application. I~ a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. FEES: ]. CERTIFICATE OF ~CCUPANCY- New Dwelling $2~.00, Additions to Dwelling $25.00, Alteration to D~?lliug $2~.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - B~sinesses $50.00. 2. Certificate of Qccupancy on pre-existing dwelling - $100.00. 3. Copy of Certifiqate of Occupancy - $5.00 - over $ years - $I0.00 4. Vacant Land Certificate of Occupancy - $20.00 ~. Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial er. lo/14/88 FOUNDatION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING e INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENT, : APP, ROVE, D AS NOTED Z DATE:~ B.R # ~ NOTIFY"t~OIL':O[rNG DEPARTM~'N'~ AT 765-1802 9 AM TO 4 PM fr'OR THE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2, ROUGH - FRAMING & PLUMBING 3, ~NSU [.ATIO~ 4, FINAL CONSTRUCTION MUST 8E COMPLETE FOR ~LL CONSTRUCTION SHALL ME~ THE REQUIREMENTS OF THE N.~ STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS ,cORM NO. 1 0~T 2 ~l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL TEL.: 765-1802 Disapproved ale ..................................... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH sUUVEY .... ....... ctt c ..... SEPTIC FOR~I ~ ........... CALL ................... NAIL TO: ./0 ff"z- 3 - i' Date .. . a. This application must be completely filled in by typewriter or in ink and submitted to the Building I~pcctor, wi~ ~ sets of plans, aecurat~ plot plan to scale. Fee accord:lng to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or pubHs strset: or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part o£ this appll- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. -cl. 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 throughout the work. c. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupzmcy shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Buitding Dspartment 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 l:emoval or demolition, as herein described. Thc applicant agrees to comply with all applicable laws, ordinances, building cgdc, housing cods, and regulations, and to · admit authorized inspectors on premises and in building for necessary i,ns~ecti~ns, r-, ,-, . , ~n~, ap~9~ ,n~.~ naa)e, if'a'corpo'rau~n) · · ~manmg aaaress of applicant) ! State whether applicant is owne~see, aZt,archi. tect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No. 1.2. ff.g'0 Plumber's License No ........................ Electrician's License No ..................... Other Tradc's License No ....... Location of land on which proposed work ~vill be done: ' /louse Number Street, Hamlet ...... C ty Va M No I000 S ti .f.q .-)7..". ' 5 Oun x ap . ec on ......... Block . . ,. or. , u Vson ........................ Ell dM pN (Name) ............ Lot ............. ate XlStlng nsc and occupancy of premtscs and intended use and occupancy o ro osed cons/ ucti St e' . . fP o A. Existing use and occupancy ..... . ..... -- '/' ...... B. Intended use and occupancy .............. Repair. .. ~. .......... Rdm0val .............. Demolition .............. Swi,'rair}~.;,pf~ ~. ii'Ii': ........ Tennis Court ......... iA~_~sory Building .......... Fehce ....... Other'~o~k; ........... Estimated Cost .... ~ ~ ~{., ....................... Fe~ ..................................... · ~ ~ h~ paid on filing thi~ applicafionl S, If dwelli~ng; number of dwel{ing ;units ............... Number of dwelling units on each floor ............... If garage, number of cars ........ ; .......................... ~-;~-~ ...................... 7. Dimcn~ions.~f~isting ~tmctur~s, ir any: Front ..... ~[. ...... Rear ................ Depth ...~.. Height .. r..u ......... Number of Stories .... ~ ................ ~ ......................... Depth ................... ~.. HeiSt ...................... ~umbcr of Stories ............. 8. Dimensions of entire new construction; Front .............. Rear ......... Depth ...... 9. Size of lot: F~ont .. ].. ~,. r, ........... Rear ..... ' 10 Date of Purchase -~ ~me of Foyer Owner 1 1 Zone or use dmtnct ~n winch pr~mmes are situated 12. Does proposed construction vio,late any zoning law, ordinance or regulation: .. F. ;' ~ ........ ; · · · - · 13. WHI lot be regraded ...... _.: ....... a ........... Will excess fill b~emovea from pr~h~: ' 14. Nme of Owner of premises ~ .~, .f~t~;. Addm~ ~[~..~R ........ Phone No ............... ' N~e of Architect ......... ~ ................ Address ..... ~ ........ ~.. Phono No. NmeofCo-*rac*~/,~ {~T. ~' a~,~e~)~ Oe~oF b~Z .PhoneNo. Z~ff7.3~/~, IX.rs [kxm property ~ated wx~'t~ afl0 feet of a txdal wetland? *YES .... NO.~. · If yes, Southold Town Trustees Permit may be required. ~ PLOT DIAG~M Locate cle~ly ~d dist~ctly ~I bu~d~gs, whether existing or proposed, ~d, indicate MI set-back d~ensions from propmY ~nes. Give street ~d bloc~ number or desc~ption accord~g to deed, ~d show streei nines and ~dicate whether interior or cornet lot. STATE OF NE~V YORK, i S.S COUNTY Q~'.a., ...... tx- · · f'~..' ~ - . ./. .,c.'h,. .gJ. : .... ..... '~" ........ ~l~l~'i~i' '' ............. · . (Name of sicni,lgcontract) being duly sworn, deposes and says that he is the applican abovc named. (Contractor, agent, corporate officer, etc.) of said oxvner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application: that all state nents contained in this application are true to the best of his knoxvledge and belief; and that th work will be perforated in the manher set forth in the application qled therewith. Sworn to before me this Nota~ Public, . .................. County N~ PUBLIC, ~ d ~w Y~ {