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Home My WebLink About19046-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19271 Date AUGUST 7{ 1990 THIS CERTIFIES that the building. Location of Property 1410 MAPLE LANE House No. County Tax Map No. 1000 Section 35 SECTION TWO Subdivision CLEAVES POINT Filed Map No. 3521 DECK ADDITION GREENPORT Street Block 06 Lot 03 Lot No. 42 Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18~ 1990 pursuant to which Building Permit No. 19046Z dated MAY 24, 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 REMOVE EXISTING DECK AND CONSTRUCT NEW AND LARGER DECK. The certificate is issued to BARBARA AND ROBERT TRA~ULSI Rev. 1/81 of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A TOWN OF SOUTHOLD BUILDING D£PARTMENT TOWN HALL. $OUTHOLD, H. Y. BUILDING FERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ...... ........................ ,....~..~A~ ....... ~....~.~:q.:....u.~.~..o.... ,o ...~ ~....~....&.~..~.....~.,,,~......~.& .......... at premises located at ..I..~..~ ...... .~..~....J~.~ ....... ..~..~~......A~,.:...~ ................... County Tax Map No. 1000 Section ...(~..~..'~..'~.. ....... Block ......c~..~2 ........ Lot No....(~...-~ ............. pursuant to application dated ......... ....~.. ~..)....~. ....................... , 19.C~.O., Building Inspector. and approved by the Rev. 6/30/80 Ce Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG, DEPT, APPLICATION FOR CERTIFICATE OF OCCUPANCY ,i, ., TOWN OF SOUTHOLD This application'mus 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 cotters 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 o£ 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 $15.00, Commercial $15.00 Location of Promertv./.~.~.../~..~ Z~/~-~ ' ~-~-/~/ ~ff~ House No. Street Hamlet Onwer or Owners of Property .................. County Tax Map No 1000, Section ..... ~j ...... Block... SubdiVision ' Filed Map Lot Permit ..... ~. ...... Date Of Permit. ~ . ~z~/~ '' .. Applicant ............................. Realth Dept. Approval .......................... Underwriters Approval ....................... ,, PI g App 1 annin Board rove ........................ Request 'for: Temporary Certificate ........ Final Certicate ........... Fee Submitted: $ ............................. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ,PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BUILDING DEPT. PECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING ?~NAL DATE 'INSPECTOR ~EE:~ ~V -V~_~ ~M ..... THE R~QUIREMENT~ OF THE COD~S. N~ RESPONSIBLE FO~ DESIGN OR CONSTRUCTION ERRS)RS' · · . . i rio n'~[~=~_ f. Nature ot ~vork (check v,.h~cll apphc~~4ildin~ .......... Add .. ,kltcrat~o~ · · - Rep:tit ............ . i R~movat~., ...'~. z-.- **~, ,. Dcmohtion .............. Swim~in~' poor ............ ..... ................... ......................... (to be paid on fiIing thi~ application) S. If dwelling, number of dwelling units .... ~ ~ ~ Number of dwelling units on each floor ........... If garage, hum bcr o f cars .......................................................... .~ ............ 6. If business, c~mmcrcial or mixcd occupancy, spccify naturc and cx)cnt o f each type of us~ .................... 7. Dimensions of existing structures, if any: Front ............... Rear ....... ~ ....... Depth .............. Height ............... Numbc~ of Stories ....................................................... Dimensions of same structure w~th alterations or additions: Front ................. Rear ................. Depth ...................... HeiSt ...................... Number of Stones ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Hci=ht ............. Number of Stories ~ ............... ~ .................. : ....~ .............. 9. Siz~oflot: Front '. .... / e.~ ....... Rea." ..... Z~P. ............ Depth .,/.~.~T.., ......... 10. Date of Purchase ~-ps~ /P~ ..... . ...... ............. , ............. Name of Foyer Owner ~-~..~;~ . ~.~ ~. .'' ' ' 11. Zone or u~e district in which premises am sltuate4 ........................ ~ ............................ 12. Does proposed Construction violat~ an~ zoning law, ordinance or regulation: .~ .......................... ....... 5*~ue~ ....... 2 .... ~ ............ Will excess hll De removed Irom~m~ses: 14. N~e of Owner of premises ~4~.~ No. .... N~e of Architect ........................... Address ................... Phon2 No ................. N~e of Contractor ................. i ........ Address ................... Phone No ...... ... ~.~. ,. 15.Is this ptopett~ located vlthin 100 feet of a tidal vecland? ~ES .... ~O.~ · If yes, Soathold Torn Trustees Permit may be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly ~I bu~d~gs, whether existing or proposed, ~d. indicate ~1 s~t-back d~ension$ from property ~ne$. Give street ~d block number or description accord~g to deed, ~d show street n~es and ~dicate whether interior or cornet lot. STATE O F N~O~f.D _ I IF' S S COUNTY OF. . ./~.,ff../ff.~.,.~.~'.:'2 ~ ,~ . .~.~../~-.~.82 £ ~' / being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. H~ is the '~ LA) ~ (- .' (Contractor, allent, corporate offkcr, etc.) _ of said owner or owners, and is duly author/zed to pe,rform or have performed the said work and to make and file this application; that all statements contaioed in this applicatioo are true to the best of his knowledge and belief; and that the Work will be perfommd in the manner set forth in tile application ~lcd therewith. .., Sworn to before me this , ~,~ ., ........... ....... ..... NO~q~ Rubli~ State of N~w ~ ~ .............. Disapproved ale . . . FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHoLD, N,Y. 11971 TEL.; 705-1802 BOARD OF HEALTH 3 SETS @F~ANS ....... ' CitEc ·..--.qgo ....... SEPTIC FO RI'! NOTIFY= CALL Pe it No. I?l OgL (Building Inspector) APPLICATION FOR [IUILDING PERMIT INSTRUCTIONS a. Tins apphcatmn must be completely ~illed in by ~ypewriter or in ink and submitted to the Building lfi~pector, with sets of plans, accurate plot plan to schle. Fee according to schedule. . b. Plot pl~ showing location o~f lot and of bulldogs on premises, relationship to adjoining premi~ or pubic streets or areas, and giv~g a det~led description of l~yout of property must be drawn on the diagram which Np=~ of tNs app~- ca~on. ~. The wor~ covered by tNs application may not be commenced before issuance o~ Bu~din- P d. Upon approval of this application, the Buila~-. · .......... - ..... ;' = e~it. · ' shall be kept on the ~re~; ...... :,~, ~ . . -.-? m~pc~tor wui lSS~ea a Uuuamg re.it to the app~t Sue ~ ~it ..... ~ ,,,,~a uv~uaulC for inspection /nrou~out the worU . h e. ~o ouudmg shall be occupmfl or used In whole or In part for a~'~urpose whatever until a Ce~ifi~ of Occup~cy s~all have been grated by ~e BulldOg Inspector. APPLICA~ON IS HEREBY M~DE to the BuildNg Dep~ment for the issuance of a B~Iding Pe~it pu=uant to the Building Zone Ordinance of the To~n of Southold, Suffolk County, New York, ~d other applicable ~, Ord~ees or RegulatiOns, for the construction ofi bufld~gs, additions or alterations, or for 3emoval or demolition, ~ here~ described. T!~e .~pplisan5 a}[ees to comply with all applica~e laws, ordinances, bu~dNg code, housing c d . and ~Iadon , and aamlr aumonzea mspecton on premi ;es and ~ buil~g for necessa~ inspections. /~ ~ · ·, ' = t applicant, or name, if a corpora~mn) (Mailin~ address of apptic~0 State whether applicant is owner, l~ssee, agent, ~chitect, en=ineer, =choral contractor, electrician, ~lumber or builder (as on thc tax roll or latest deed) ...... IFnpp/ic=n[ is a co~oradon, signature of duly authorized of~cer. Plumber's License No " Electrician's License No Other Tradc~ Ncense No .... ~ ' I. ocalmn orland on which proposed work will bc do.e: · , t)ousc ~umocr ~ Street. ' ' ' ' ' Hamlet ........................ County Tax M~p No'. I000 S~ctioni ' ............... Lot . (Name) ............... Lot ............... · State ~xisting use and occupancy o~ premises and intended usc und oeeflpancy of proposed eonstrucdom