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Home My WebLink About18982-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z192t2 Date JULY 13, 1990 THIS CERTIFIES that the building DECK Location of Property 9820 NASSAU POINT RD. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 118 Block 06 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 23, 1990 pursuant to which Building Permit No. 18982Z dated APRIL 25, 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 TORE-CONSTRUCT AN EXISTING 16'X25' DECK ADDITION The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Mil. & MRS. ARTHUR STUCHBURY Rev. l/el Building Inspector FOB,~f NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18982 Z Dote ......~'...~..~.....-~... .............................. Permission is her,eby~r.a~,~d to~,~ -- ,, / -- / .,., . ..~./..~o.....~:~..~.~.. . .....~..~..~.,~. . ...... .~.....,~ .... ~ .............. ~ ....... ,.~ ............................... ~.~...~..~.., ................ ~ ............... ~.~... ~, ,r~,,e, ,~.,,, 0, ..~..~~....~/.....~ ................................................ co..~ ~x ~.~ No. ~000 s~t,o. ...... ZZ~ ...... m~ ........... ~ ....... Lot No ........ Z~ .......... pursuant to application dot~ .......... .~ ......................... , 19.~.~., and ~pprov~ by the Building Inspector. Fee $ Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC] This application must be filled in by typewriter OR ink al inspector with the following: 1. for new building or new use 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 sewersge-dispossl(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 contm~ns less than 2/10 of 1% lead. r 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 New Construction ........... Old Or Pre-existing Buildimg .... d~/~ ........ House No. Street Hamlet County Tax Map No 1000, Section .... ~.~.~. ...... Block....~ ........... Lot .... f.~ ............... Subdivision .................................... Filed Map ............ Lot ...................... ~{eslth Dept. Approval ..... ~)~.4~ .............. Underwriters Approval...,~d .............. Planning Board Approval .~.~y.~. Fee Submitted. $... ~ ~P. ............... FOU~DATION {1st) FOU:IDATIO~'; ( 2nd ) ROUGH FRAME & -PLUMBING INSULATION PER N. Y. STATE E~;ERGY CODE Fi;:AL ADDITIONA'L COMMEI,~TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS 0P PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ............. NOTIFY~ ~ _-~ ~-"~ ..... (.~.~TO: ' Disapproved a/c ..................................... ... APPROVED AS NOTED x/ 78B-~802 9 A~ ~ 4 P~ ~Om TM~ APPLICATION FOR BUiLDiNG PEH~T FOLLOWING ;NSPECTIONS: ~/ ~ 1. FOUNDATION~ -~- ~O REQUIRED ~z/ FOR POURED CGNCRETE Dar · - · ~ .......... 1 2. BOUGH - FRA~NG & PLUMB NG [~STRUCTIONS 3. ~NSULATION . .r:.~--~~ ~[ot =~d of~j ........ ~i~P I~ bu,ld~=s'~' on prem,ses, relationship to adjoining prem,ses or public streets ~~m~afion may not b~ commenced befor: issuance of Building ~ ~P~l~D~R~~.the Building Inspector will issued a Building Pc~it to the appHc~t. Such pe~t shall beFvgkept.~ ~gM°n the Ere~es available, for ins p ection, throu-~ out the work.. ' e'~?~~~~sed In whole or in part for any purpose whatever until a Ce~ificate of Occup~cy shall ~. ~ff~ ~h$~pector. ' A~O~fO~[~ MADE to the Bulldog Dep~ment for the issuance of a B~lding Pemit pursuant to the Buildihg~p~~~ Southold, Suffolk County, New York, ~d other applicable hws, Ord~ces or Regulati~h~ ~~t~n of bufld~gs, additions or alterations, or for removal or d moliti ' ' Th. a~,a~a~;~ml~,mx~um~n . , . ~ . on, as hereto described. ~. ~1~21["~2~77' *~ ~ty~n~m~apphcable. . . .laws' ordinances, bufld~o code, houqi.~. codE, and 6~ulatmns,- ' and to admlt~u~b~pecto~ onpremlses and m budding for necessa~ ALL CONSTRUCTION SHA~ ME~ - (Signature of 5ppljchnt, ;; ~id;. i/f&}dSr~rld~)' ' ' THE REQUIREMEN~ OF THE N.Y. ~,~ *v~ ~-,.~ .:~ ~,<~<~. ,<<.,x.~-?~- ...... 2.%. CODES. N~ RES~NSIB~ ~R (Mailing address ofapplic~t) DESIGN OR C~STRU~ON ERRORS State whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. a e ofownerofpremises .. .~ ~as on e'tax roil 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.. ,<....~.' ~-"..r ............. Other Trade's License No. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY I. Location of land on which proposed work will bMee~one; ' ........... }louse Num her Street, ~ ............................ , County Tax Map No. lO00 Section .............. Block Lot . .,{ Subdivision Riled Map No 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancy ' ' 3. Nature of work (check which applicable): New Building ........... ~-~$ditioo~, ......... Alteration . · .? ....... , ...., . R~moval ..... Demol,t,on ~.~ .... g P '~;%~is'~;~;;' 1'.'. · [ 1. · · Accessory Building .......... Febge .a~. · · . .Other Work . ' ...... 4. Estimated Cost .................................... ee .................. ~0~{~ ........... (to be paid on filing this applicat!on) $. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................. If garage number of ears" · ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7 Dimensions of existing structures if any: Front Rear . . Depth ...... Height Numbcr o f Stories ............ Dimensions of same structure with alterations or additions: Front ................. Rear ............... Depth ' Height. .. ...... .. ....NumberofStories:;.~ :...'.. ion: Front Rear ' Depth 8 Dimensions of entire new construct Number of Stories ' ~ Height 'Depth 9 Size of lot: Front Rear .................................. 10. Date of Purchase .... , ......................... Name of Former Owney.,.; ................. . ...... 11. Zone or use district in which premises are situated ................................................ · · · 12. Does proposed construction violate any zoning law, ordinance or regulation: . ',-"qO~% ..... ' ........... ' ...... 13. Will lot be regraded .......................... Will excess fill be rerno'vTed 'from premis.es:~. , ',, ,Yqsl, ... ~ No ~ · ~ P rune No 14 Name of Owner of premises Address · ·: ......... Name of Architect .......................... . Address ................... Phone No ...... ............ : ' Phone ,No Name of Contractor ..................... .. . Address .......... .. 1 :..;.~ ......... ,~ · · ,' ........ 15.Is this property located within [00 feet of a tidal wetland? ,*xgs-~:.-NO .... · If yes, Southold Town Trustees Permit may be require~b~,,~ t' PLOT DIAGRAM , ,! ,il ~ ~:~ ,'"':: ocate clear and distmctl all buildin s whether exmtmg or proposed, an~:{~,~.:,~9~ill,s,~.~-~'l~ ,d..~,~enm~nS o · propL;rty lines. ~ve street and block number~; description according to deed, and ~r0~¢} !f,d, ~flalcate whether interior or comer lot. STATE OF NEW YORI~, COUNTY OF ' ' ............................. .................... being duly sworn, deposes and says that he is ,the applicant (Name of individual signing contract) above named. I% is the ........................................... : .......................................... .'. · (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file this application: that all statements contained in this applicMion are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. / Sworn to before mc this . ' Not ............. ?.0.%,/.~dayo£/, ............ 19 .d. . , ,, . '" ' ' ', ............... NOTARY PUBLIC, State ~f New Yedt No 47078'/8, Suffer County~ / (~ ...... ~ ........ Te~n Expires Msfch 30,1~-2../ (Signature of applicant) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION ~ FINAL ~ DATE TOWN OF SOUTI~OLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTI{OL~), N.Y. 11971 June 8, 1990 TEL. 765-1802 Christopher Dantes 6130 Sound Ave. Mattltuck, N.Y. 11952 RE:ARTHIIRSTUCHBI~RY TO Whom This May Cogcern, We are unable to complete your Certificate of Occupancy because .of the following reasons. / /_--//An application for Certificate of Occupancy is not on file. (ENCLOSED) /--_///No Underwriters Certificate on file. /_J/ Tile check is(d~not on file.) $25.00 /5/ No Ilealth Dept. Approval on file. /Z/ No final ins.pection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit Il I 8 9 8 2 Z Buildinq Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 )