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Home My WebLink About19124-zFOP~ BO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19801 Date ~JIRCH 18, 1991 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 155 BIRCH DR. PVT. RD. #6 House No. Street County Tax Map No. 1000 Section 128 Block 04 subdivision Filed Map No. LAUREL Hamlet Lot 04 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAN. 8, 1990 pursuant to which Building Permit No. 19124Z dated JUNE 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 ADDITION TO EXSITING ONE FAMILY DWELLING. The certificate is issued to GAlL A. KAR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 / ~uilding Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE K£P.T ON THE PREMISES UN'TIL FULL COMPLETION OF .THE WORK: ^UTHORIZED) NO_ ~ ~1 2~I Z Permission is hereby granted to: .... ...... · ..-,.~. ........ ,~.~...~.-~ ............ ."/ ....... 1..3. ................ ,o // ~ ~ ~ ,~. ~ ~ o .... - ............ ~'~ ........... '~' ....................... at prem,ses located at ..I.~k..-~.....~. ........ LP.....L...~...~...~ ...... ~ ..................... County Tax Map No. 1000 Section .... ........ Block .......~...~ ........ Lot No ...... ..~..~... ........ ...... · ~.~...-.~.. ...................... , 19..~...~.., and approved by the pursuant to application dated Building Inspector. Fee $ ........ Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 TOWN OF SOUTHOLD 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly conrpleted 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. 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 $15.0% Commercial $15.00 Date ..... ~/[~.~ ...................... New C~nstruc~ion. , ~ .... ~ ~r~e~,e~ i s t~ ~i-%. , r ~ ..... -- ~'?'~q/'C[ i ' ' Location of ~roperny..'~H~. ~i' ~'~ .... ~'~'/'~?r~t/~' ''~ ' '~f¥~-~? '~' ~' '~'~' ........ Onwer Owners of Property · County Tax Map No 1000, Section .......... oc ............... Lot ................. .. . Subdivision ........................ F~ed Map ............ Lot ..................... Permit No...iiiil/!~.'~.']ii.Date Of Permit ..... .~/.~/.?.~ .... Applicant....~..d~../~.'..?.~...~.. ........ i. Health Dept Approval Underwriters Approval ....... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted:~$ ...... ~~/ ................... .................. , ....... ................... ~'' 'AFPLICAN~ - ~/ ,,~l z~ . c zle? l ~ ?'iELD ~,S,~*~U,~ tfDATE FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & (2nd) .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF ~UILDING INSPECTOR P.O. BOX li79 TOWN IIALL SOUTIIOLD, N.Y. 11971 Mark Finne 1370 Lighthouse Road Southold, ~ew York October 5, 1990 11971 RE: MATHE~ & GAIL KAR TEL. To Whom This May Concern, We are unable to complo~te your Certificate of Occupancy because .of the following reasons. /_--// An application for Certificate of Occupancy is l]ot on file. (ENCLOSED) /--/ No Underwriters Certificate on file. /~/._ Thc? check i.';(d~X~Of/not on file.) $25.00 /_-/ No Health Dept. Approval on file. /-'/ No final inspection has been made. P]ea'.~c contact ()ur Thank you for your cooperation. lhiildir~g Permit t~ I 9 I 2 4 Building Dept. office on this matter. Z Ho Plumber Solder Certificate on file. ( all o',' ',' p.~uzt~ involving plumbing being issued art..r April 1,1984 ) FORM NO. 1 TOWN Of SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined . ..~ ~1..&,...., 19 .u/.O. Approved . .~, .4te~..1..~.., 19 5.°. Permit No./.cl./..&,..~...~ Disapproved a/c ~/C~' '°O' '~ (Building Inspector) APPLICATION FOIl BUILDING PIzIIMIT 3 SETS QF/'I'SLANS . . ' SEPTIC FORH ............... NOTIFY CALL MAIL "tOWN oF Date ................... 19.. INSTRUCTIONS a, This application must be completely filled in by typewriter orin ink and submitted to the Building Inspector, ~vith 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 th.is appt cation. ¢. The work covered by tkis 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: ~hall be kept on the premises available for inspection throu~out the work. e. No building shall be occupied or used in whole or i~n part for any purpose whatever uvafl'ch COvtificate of Occupanc s~all have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, ad~ditions or alterations, or for removal or demolition, as herein described The applicant agrees to compIy with all applicable laws, ordinances, building code, housin~ode, and regulations and t( admit authorized inspectors on premises and in building for necessa~~~ .~_ ' (Signature ot applicant, or name, if a corporanon) ' (Mailing address of applicant) , State whether applicant is owner, lessee, agent, architect, engineer~ electrician, plumber or ~ Name of owner of premises (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 ....................... Ot ~er Trade's License No ...................... 1. Location ofland on which proposed work will be done. /_5'"~-- C,/~.,'.;~,: /~ (o ~ ~. ~ House Number Street\ ....................... ' Hmnlet ' (24'e° 0..05/.. County Tax Map No. 1000 Section .................. Bock Lot. oa, O Subdivision ..................................... Eiled Map No../.~ ~. 7.?. Lot ............ (Name) ~ ..... · . · 2. State existing use and occupancy of premises and intended use and o,',". ..... - ~ _ .'r~C-7~ , ~},uncy oI proposeu constrtlction: a. Existing use and occupancy ~' "~~'~0. ' b. Intended Use and ~. occupancy ......................... . ~ . ......... 3. Nature of check which ap lcable): New Building .......... Addition ......... Alteration ......... Repair .... w~. ........ Remogal .............. Demolition ........... i.. Other Work ........... i... · .~ ~ (Description) 4. Estimate'd Cost ..... ..-.°'/O-'°"a'. ..,.. ..................... · Fee ........................... i (to be paid on filing this application) 5. If dwellingnumber ofdwelhng' uplts' ' Number of dwelling units on each floor ' If garage ri'umber of cars i ............... - ' ...... i ..... 6. If business, commercial or mixed iloccupancy, specify nature and extent of each type of use .................... 7. Dimensions of existing structures; if any: Front Rear ' Depth D~menmons of semele, th alterations or add tions: Front ....~. ........... Rear .... :c:n.. , .....~, .................... Number of Stories ........ 8, D~menmo~r~ll~)v ,cg~stmctlon: Front .... po/~.. ....... Rear .... /.q/-~. ...... Depth ~ t .............. .,~p~,nber of Stones ..... ~. 2., 9. Size of lot Front ...... iO'l..ii r,o.,. ................................... 10 Date of Purchase "7, .'r i ~ .. · ~ ,. ~o,~. · .~ ................. l'~ame otFormer Owner I1 ' ' .......... '' . ' ........................... · z. one or use dmtnct ~n which premises are s,tuated 12. Does proposed construction vie ate any zoning law ordinance'or regulation:' ' '' '" 13. WilI lot be regraded ..... "~' '~' 'I .................. Will excess fill be removed from premises: Yes No 14. Name of O~vner of premises .... : ...... Address Phone No Name of Architect ......... .- .j ................ Address .......... Phone No .......... Name of Contractor ... ....... , ....... , ......... Address ................... Phone No ..... ' 15.Is this property ocated wxthxn300-feet of a tidal wetland? :~YES...~I'O'.''~,'~". ' ~If yes, Southold Town!Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from property [/nes. Give street and block ffumber or descr/ption according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, COUNTY OF S;.S .............................. I ................... being duly sworn, deposes and says that im is the applicant (Name of individual signi~i contract) above named. (Contractor, agent, corporate officer, etc.) ................... of said owner or owners, and is duly authorized to perform orahave performed the said work and to make and file this application: that all statements contm,~c,d in fids application are trne to the best of his know/edge and belief; and that the Work will be performed in the manner set forth in the application l~,l~d therewith. Sworn to before me tiffs ...... day ............ Notary Public ........... County ' ..... /' ...................... ' ' . No._4707878, $uffolkCol~lty (Signature of applicant) 0 'D I~ g - Nnr .% r ~ APPROVED A~ NOTED CONSTRUCTION ' SHALL~ REQt:JlR~ENT,*; 0~' THE N.Y.~ O~ CONSTRUCTION ERRORS i '.o~trlON TWO COMPETE FOR:C O' ' ~ONSTRUCTiON SHALL MEET RESPONSIBLE F'Ofl C~STRUCTION ERRQRS '