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Home My WebLink About19182-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPAN~f No Z20126 Date AUGUST 1, 1991 THIS CERTIFIES that the building ADDITION Location of Propertz 805 LITTLE PECONIC Bay RD. CUTCHOGUE House .No. Street Hamlet County Tax Map No. 1000 Section 111 Block 11 Lot 23 NASSAU PT CLUB Subdivision PROP INC, Filed Map No. Lot No. 401 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 5, 1990 pursuant to which Building Permit No. 19182Z dated JULY 10, 199t was issued, and conforms to all of the reguirements of the applicable provisions of the law. The occupancy for which this certificate is issued is DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to MR. & MRS. THOMAS DESPAGNI (owners) 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 //fui~ding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- ~18'2 Z Permission is hereby granted to: .,., ~ . ........ at/premises I~at~ ed ,, ...~-~.....~.Z~~.~...~ ....... ~ ....... .............................................................. ~~~ .......................................................... County Tax Map No, 1000 Section .../,/,/ ........... Block ......... ~./,, ....... Lot No ........ ...~..,~,, ...... to application dated ...:.......~,/....~.-~ ................................ , 19...~....?~' and approved by the pursuant Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OV $OUTHoLo BUILDINC DEPARTMENT TOWN [{ALL 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 C~pliance from archiuect or engineer responsible for the building. 6. Submi~ 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. ;. Fees i. 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 ew Construction ......... Pre-existing Building..~ ............. . . Old Or ocation of Property..~e~ ~.':.~.~ ~ ~ A-9~ IIousc No. Street Hamlet ;unty Tek Map No 1000, Section..~[.~ .... Block .... ..... ' ......... LOt., ~bdivision ..... :reit Lq.t ........ alth Dept Approval Underwriters Approval ..................... arming Board Approval ....... quest for: Temporary Certificate, Final Certicatc ........... z Submitted: $ ~ ~ ~'A/¢/ APPLZCANT TOWN OF SOUTUOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTIIOLD, N.Y. 11971 FEBRUARY 15, 1991 SECOND NOTICE FIRST NOTICE 7/19/90 TEL. 765-I 802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy becausc .of the following reasons. /_~ An application for Certificate of Occupancy i~ not on file. ENCLOSED /5/ No Underwriters Certificate on filc. /~ The check is(~l~x~/not on file.) $25.00 /5/ No llealth Dept. Approval on file. /5/ No final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Dui]ding Permit tl I 9 I 8 2 Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing beinq issued after April 1,1984 ) TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TO~¥N HALL SOUTItOLD, N.Y. 11971 TEL. 765-I $02 To Whom This May Concern, We are unable to complete your Certificate of Occnpancy because.of the following reasons. ~_--/ An application for Certificate of Occupancy i~ not on file. ~ /Z/ No Underwriters Certificate on file. /~/ Tile check is(~/not on file.) ~ /Z/ No Health Dept. Approval on file. /~/ No final ins,pection has been made. Please contact our office on Thank you for your cooperation. Building Permit tt _~/ i -~ _~ ~ Z Building Dept. ***/_-/ this matter. No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION ROUGH (2nd) FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE ADD~TIONA'L COS~EN?S: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [] FRAMING ~.~ [ ~FINAL INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION :;ND [ ]INSULATION [ ] F~MI~G~ REMARKS.~ DATE /~/~ FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTliOLD, N.Y. 11971 TEL.: 765.1802 Examined .......... 19 Approved ......... , . . ........ Disapproved ale ..................................... /APPLICATION FOR BUILDING PERMIT 3 SETS ~LANs ~ .... SURVEY -.~.~ ClIEC~ ?..~ ............. SEPTIC FORH ................ CALL ....... HAIL TO: INSTRUCTIONS a. Tlds application must be Completely filled in by typewriter or in ink and submitted to thc Building/m~ector, 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 premlse~ or publlo streets or areas, and giving a detailed description of Dyout of property must be drawn on the diagram whichi~pa~ of th.is appli- cation. c. The work covered by th.is application may not be commenced be£orc issuance of. Building Permit. .' ., d. Upon approval of this application, the Building Inspector will issued a Building Permit to the appticunt. Such permit shall be kept on the premises available for inspection throu_-_2tout the work. e. No building shall be occupied or used in whole orin part £or any purpose whatever until a Cer~ifica~ o£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 $outhold, Suffolk County, New Yo'rk, and other applicable Laws. Ordinances or Regulations. for the construction of buildings, additions or alterations, or for removal or demolition, us l-an=~in described. The applicant a~rees to comply with alt ppbcable laws, ordinances, building code, housing code, and regulations, and to admit authoidzed inspectors on premises and in building for necessary i_~.pecdons~ . · ' " .... 1o' 5' ' ' · ffacor ora~ (Marlin= address of applic~mt} State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildir. Name of owner ofpremises ...... ,.. . ~ .~,e~ vt ~ ................ (as on the tax roll r ate If applicant is a corporation, signature of duly authorized officer. Builder's License No .... ,6~, td?.~g;f' ....... .' ....... Plumber's License No ........ ' ................. Electrician's License No ....................... Other T. radc's License No ................ ~ ..... · Location of land on wh/ch proposed work will be done: House Number Street ... Hamlet u a o ec n ............. Block ...... . Lot Subdivision .............................. ~ ...... F. ilcd Map No. '"" Lot ' (Name) ............................. State existing use and 6ccupancy of premises and intended use and occupancy of proposed constructiom ' -- a. Existing use and occupancy ..... t. 7 : ~"~'~v'g ' ' ' 3. Nature of~vork (check which applicable): New Dudding .......... Addition .......... ,'dtcratmn Rep:ar .............. . R~moval .............. Demolition ..... .......... Sw i,.'nrni n,~ pool. ............ ~enn~s Court ......... A~cessory ~ ~ .......... Fence ....... Ocher [~ork ............ 4 Estimated Cost ~p~ J (to be paid on firing this 5 Ifdx~ellin= uumberofdwellingu0its ' Numbcrefdwelling nits ch Ifgaraee numberofcars ' ~. If business, commercial or mixed ~ccupancy, specify nature and extent of each type of usc ................... 7. Dimensions ofc~isting st~cturcs~ if any: Front Rear Depth Height Nmxb'cr' of Stores Dcmens:~q~::. , .~ [~m~qrc. :c. ~, ,; , ~ ~ w~t~ alterations or add tions Front ................. Rear ............... ' i~ . ,- , , ~ ~ ....................... NumberofStones ............. t ...... 8. D mensmns of entire new cOnstruCtion: Front ...~.~ ......... Rear ............... Depth ...~. ...... 9 Si ............. . z o nt .. ........................... Rca- Depth I0. Da~c of Purch~= ..... I Name l I. Zone or se d~[nct m which premises are s~tuated T ........................... 12. Does proposed constructioa violate any zoning law, ordinance or rc~ulatien: .'~. fA . ........... N~e o rchitect ........... ~ ................ Address ................... Phone No ................. N~e of Contractor . Phone No ~ ' .......... ' ................ Address ....................... . ' ........... lS.Iu this property loeat:=ed ~ithin ~00 feet of a .tidal uetland? ~rg~ .... RO .... *If yes, $outhold Touu[~runtees Permit may be required. PLOT DIAG ~M Locate cle~ly =d distMctly ~I ~uHdMgs, whether existing or proposed, ~d. indicate ~I set-back d~nsion$ from prope~y Hnes. Give street =d block ri,umber or description accordMg to deed, ~d show street nme, and ~di~te whether interior or comer lot. ' [ ' STATE OF NEW YORg~ COUNTY OF .... :.%;.. ............... · (Name of i,,tlividual'si~i[{~ ~c~j .......... being duly sworn, deposes =d says that he ~ the applicant above n=med. , . ~Contrflctor ~ i~ the , agent, corporate officer, etc.) of ~a~d owner or owners. ~d ~s duly authorized to oe~rform or have peffo~ed t ~e ~a~d work and to m~e and file thi* application: that all statement~ contained in th s app ication are true to the be~t ofhi~ knowledge and belief; and that the work will be perfommd ia the m~ner ~et forth in the application filed therewith. Swo~ to before me thi~ ' ............ ?. .... . ~t ~:~ / . .... ~ ~~ ...... . ' ~, ' . ~ (Signature of applie~t)