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Home My WebLink About19085-zFORM NO. 4 TOWN OF SOUTHOLD BOILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20661 Date APRIL 20, 1992 THIS CERTIFIES that the building Location of Property 600 House No. County Tax Map No. 1000 Section 78 subdivision CEDAR DRIVE ADDITION SOOUTHOLD~ Street Block 9 Lot 6 Filed Map No. Lot No. NY Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 16, 1990 pursuant to which Building Permit No. 19085-Z dated JUNE 7, 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 ADDITION TO AN EXISTING ONE-FAMILY DWELLING AS APPLIED FOR. The certificate is issued to D.F. NUHFER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED - ' BuTlding InsPe6t6r v - ,./ ReV. 1/81 FOB,~[ NO. ~ TOWN OF $OUTHOLD BUILDING DI~PARTMZ~N? TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ................ .... ....~.~..~.....~..~...~ ............................................ .... &.~...~..~..,...~.J.m~..I ........ at premises located at ....~...c~.p.. ...... ~.....[~..~., .......... .~ ............................... County Tax Map No. 1000 Section .... ..~....~...~. ........ Block ......~..~ ......... Lot No......~......~. ........... pursuant to application dated ...... ..~...o~..~ ......[.~ ................. , 19...~.1~.., and ap'proved by the Building Inspector. Fee $ ........................ Rev. 6/30/80 Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN t~LL 765-1802 A~PLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 buifdings and installations, a certificate of Code Compiianca from architect or engineer responsible for the building. 6.Submit Planning Board Approval of completed site plan requirements. B. 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 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. Basinesses $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 $15.00 l.f . ............. New Comstruction .... '~. ..... Old Or Pre-existing Building ................. Location of Property....~.p~ ............. ~.~/?~..~... ................... House No.' Street ........ Hamlet Property..~, ~.~-$ Onwer or Owners of .............................................. County Tax Map No 1000, Section...D.~. 8.. Block...~.~ ......... Lot ..... ~ ..... ........ ap ..... Lot .................... Permit No. . ...Date Of Permit,T~,~').J~..Applzcant ,.k~ Dept Approval - Health . . ..... . ................... Uaderwriters Approval Planning Board Approval Request for: Temporary Ccrtificate ........... Final Ccrticate....~ ...... ?ce S hmitted: .............. o . / .................... . APPLICANT ' ' ..... FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION FERN. 'STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS l0 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved "''0 ~ ''~'" 1999. Permit No. ).o~ .~..~. b'..~. Disapproved a/c ..................................... (Building Inspector) ...... APPLICATION FOR BUILDING PERMIT fNSTRUCTIONS BOARD OF HEALTH ............ 3 SETS OF PLANS S RV Y ......... ' SEPTIC FORM ...... .~,. NOTIFY$ ~ CALL . . MAlL TO: Date ./FY/.v%qc.//~..../.,3.~. .... 19 ,919. a. Tlfis application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, 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 premises or public streets or areas, and -' ' - cation, otvmo a detailed description of l~yout of property must be drawn on the diagram which is part of tlzis appl/- c. The work covered by this 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 permit shall be kept on the premises available for inspection throughout the work. e. Ng~bufil~~9.c.~.upied or used in whole shall have~lf~i~~ilding Inspector. or in part for a.ny purpose whatever until a Certificate of Occupancy 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 Southold, Suffolk County, New York, a.nd¢other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. Thc applicant agrees to comply with all applicable taws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ....... (S:gnature ot apphcant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder, Name of own ~ . x%r-Czcc, - , ,, ..... -, APPROVED AS NOTED . - · er oiprem~ses . ~_~.~. . -,~...f'. I.'q..~3. t-t.~c:.~.~. . ~.~q.l~o ~ .~.~ ..~ ..... : '<~1,, 7', ' ....................... (as onq~[~a~ If apphcant is a corporation, signature of duly authorized officer.~)~I I NG ' ' 765-1802 8 AM TO 4 PM FOR THE ............................................(Name and title of corporate officer) ;" ¢ "'" ~ !POL~O~G INSPECTIONS: '" 1,. ~LI~q~TION - TWO REQUIRED ' "E~::j~i~O'REDCONCRETE Builder's License No. . .~.~..~'~. 3. :: ~ .2r2 ~,~ ;, .... : '3 ~' :,,t ~!' s", ~.i~ ~0~'I~/~'J[BAMING & PLUMBING Plumber's License No ........ .~.1.O.. ~ '? j' ........ "¢' ' ~'~ *ug.'~t~J - CONSTRUCTION MUST Electrician's License No ...... I:O ~ .~ ............. Other Trade's License No ...... !~..]~ ............ 1. Location of land on which proposed work will be done; BE COMPLETE FOR C,O ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y, STATE CONSTRUCTION 8, ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS House Number Street, Hatnlet County Tax/lap No. 1000 S~ction ...~...~. ......... Block ..... . .~.tg. ......... Lot...-.~."~.~ . (2 ..... ,(.. Subdivision.. ,~.,(O.~..~.'4~) ff..'-C¢~.~.~..t~?.CX(Name) ........... Eiled Map No. ,~qg,~ ~ ....... Lot 2. State existing use and occupancy of premises and intended nsc and occnpancy of proposed constrnction: a. Existing Use and occupancy .......... b. Intended use and occupancy ... ~~ ..... 3. Nature of work (check which appjicable): New Building., .......... Addition .~. ..... .~g~t~al[i~l~ .......... Renair .... Rbmoval ......... Demo it on ......... Sw~m~o~ ......... Tennis Court ......... ~ Agcessory Buzldzng..~ ....... Fence ....... Other Nork ............ 4 Estimated Cost ~Oqq Fee ' (to be paid on filing this application) 5. If dwelling, number of dwe ling uhits ....... Number of dwelling units on each floor .......... If garage, number of cars ...... ~ .......................................... ~ ~occupancy specify nature and extent of each typo of use 6. If business, commercial or mixed , - .................. of existing atto ; if any' Front Rear Depth 7. Dimensions ~otures' · ·., ......................................... ............... ......................................... ... Dimensions of same structure with alterations or additions: Front .............. Rear ..... Depth : HeiSt Number of Stories of tir ....... .. .............. Rear ............... Depth . . . ' Height Number of Stories ' 10 Date of Purchase Name of Foyer Owner 11. Zone or use district in which premises are situated... :~~6~ .................................. 12. Does proposed construction violate any zoning law ordinance or regulation: . .~Q .......................... 13; Wfl[ lot be regraded .: ....... ~... ~ ~. .......... Wilt excess ~I1 be removed from premises: . Yes .., 14. N~e of Owner of premises~ ~'..~Address ~ .~.~: ....... Phone No. '~~ .... N~e of Architect ~T~ Address . Phone No .................. N~e of Contractor .~..~'. ~.~.. Address .~P~ .~ ......... Phone No..~.~.~'~.~. · 15.Is th~s property located v~th~n [00 feet of a t~dal ~e~iand~ eYgS .... NO.~* · If yes, Southold ~o~n[ ~uscees Permit may be required. PLOT DIAG~M Locate cle~ly ~d dist~ctly ~1 bufld~gs, whether existing or proposed, ~d, indicate ~I set-back d~ensions from prope~y 5nes. Give street ~d block ~umber or description according to deed, ~d s~ow street n~es and ~dicate whether 127 /',2 / interior or corner lot. ~ .,.: USE, iSUNLAWFUL ..... ~ '-~,-" ~I!THOUI CERIIFICAIE STA*r~ OF ,~W ¥or~.K, ' '.i s.s ,-.' O[ OCCUPANCY COUNTY OF .................... ~ ~: ' ' ' b i g dly depo and ys th t h is the appli (Name o f'ini(lividual'!fignin.il-eoniri~ct) (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 application are 'true to the best of his knowledge and belief; and that the Work will be performed in the manngr set forth in the application ~lod therewith. Sworn to before me this o!f ............... ! ....... day ............ , · NOTARY PUBUC, Sta~ of New York . No. 4707878 Suffot~ C~unty lerm Expires Merch (Signature of applicator)