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Home My WebLink About18774-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18763 Date FEBRUARY 5r 1990 THIS CERTIFIES that the building. ADDITION Location of Property 36400 COUNTY ROAD #48 House No. Street County Tax Map No. 1000 Section 69 Block 04 Subdivision Filed Map No. PECONICf N.Y. Hamlet Lot 07 Lot No. confol~ms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5~ 1990 pursuant to which Building Permit No. 18774-Z dated FEBRUARY 5, 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building° SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JAY & JEAN GUILD N/A Building Inspector Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ;1.8774 Z Permission is hereby granted to: ....... ~...~......~..... ....... A~..~.~L. ............. ..... .~'~._~..:.....~.~...~..v. ........................... ~.~ ....... .~..:.~.........!..!..~...~ .......... ~..~~......~...~L~.~......a.,6..~,,~...~ ....... ~....,,~L~;~...~ ~-- 0'~ U,,at premises located at ...~..~..t~ ............. ~...~.......~..~ ........ ...x~.,~ ............................ ~ pursuont to application dated .... .~.~...~ ............. , 19..~.~, and approved by the Building Inspector. Fee $ .'~ ."~. · :......'~... ...... Rev. 6/30/80 TO~N OF SOUTHOLD ~0~ HALL $OUT~OLD~ RE~ YORK 7~5 -- 1802 11971 A~PLICATIO~ FOR CERTIFICATE OF OCCUPANCY CONSTRUCTION ..~. .... OLD OR PRE-EXISTINC gUILDING ...... VACANT LAND ........ HOUSE NO. . ~TREET HAMLET O~uer or ~uers of Property Subdlv£siom ....................... Filed Map ........ Lot .......... Board Approval Request for Temporary CerEificate ....... Fimal Certificate .... ~ .......... Fee Submi[zed: rev' AFPLICATION FOR CERTIFICATE OF OCCUPANC~ INSTRUCTIONS This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for ue~ buildings or new use: ~.' Final survey of property with accurate location of all buildings, ~ropnrty lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(g-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from pluonber certifying that solder used in system contains less' than 2/10 of ]Z Icad. 5. Commercial buildings, industrial buildings, m~ltiple residences and similar,' buildings and installations, a certificate of code compliance from the Architmct or Engineer responsible for tile building. 6. Submit Planning Board Approval of completed site plan requireme~tso 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, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of cltle issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent infor~magion required to prepare a certificate. For Vacant La~d Certificate of Occupancy: I. Am application for vacant land Certificate of Occupancy shall be submitted. and a certified abstract of title issued by a title company showing single and separate owmership of,the entire 10t prior to April 9, 1957 shall also accompany the application. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor i~ ~riting to the applicant. FEES: CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. Certificate of Occupancy on pre-~xlsting dwelling - Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 Vacant Land Certificate of Occupancy -- $20.00 Updated Certificate of Occupancy - $50.00 Temporary Certlficat~ of Occupancy -$]5.00 Residential Co~,eccial er. lO/]4/SB FOU~DATIO.~ (1st) FOU ~; D A~__~T I O:; ( 2nd ) ROUGH FRAME & .PLUMBING 3. iNSULATION FEB,N. STATE ENERGY CODE FI;;AL ADDITIO~A~L CO?.MEL'TS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTt4OLD, N.Y. 1197'i TEL.: 7654802 ApprOve . .~.., 19 .~.0. Permit No ......... Disapproved a/c ............. ................... ::: (Building Inspector) 'APPLICATION FOR BUILDING PERF~IIT BOARD OF HEALTH ........... 3 SETS OF PLANS ........... SNRVgY .................... CHECK SEPTIC FORM ............... NOTIFY~ CALL ..................... MAIL TO: INSTRUCTIONS a. T1uis application must be completely filled in by typewriter or in ink and submitted to the Buildin~ Ikspector, with ~ sets of plans, accurate plot plan to scale. Fec according to schedule. b. Plot plan showing location of lot and Of buildings on premises, relationship to adjoining prem/ses or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appLi- cation. ¢. 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 applic:znt_ Such permit shall be kept on the premises available for inspection throughout thc work. e. No building shat[ be occupied or used in whole or in part for a.ny purpose whatever until a Certificate of Occupancy shall have been granted by :l~e Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to thc Building Zone Ordinance of thc Town of Sou[hold, Suffolk County, New York, and other apprlcahle Laws. Ordinances or Regulations. for the construction of buildings, additions or alterations, or for iemoval or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housi~/cofi~e,/and regular/ohs, and to admit aut~.orized insp=ctors on premises and ~ building for necessary inspectFjns. / .-~ -- (Mailing address of applicant) State wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. IrappIicant is a corpor~tion,.signature of duly authorized officer. ':,: } Oi~ ,~::L"I'3~'~ ' ............... :.. (Name and 0~':corporat~ offmer Builder S License No , · Plumber s Lmense No ................. Electrician's License No ..... .-f ................. Other Trade's License No ................... . tlouse Num bet Street Hamlet County Tax Map No I000 Section .... Lot / Subdivision.. . l~iled Map No Lot ' (Name) a, Existing usc and occupancy ..... ~'~- ~ ~''~'~ '6~/b~Jc'x¢ · ,4" //7.' "'t' "?,'~ ........................... Nature o£woTk (check which applicable): New Building ......... Addition. 'i'!~.-.'' AltJ~a'~! R~pmr .............. R~moval ............. Dcmoht on ......... ! ~,~ S ...... Tennis Court .... ~ .... Accessory Buildina .......... Fence . 2.'. {~ :0Cher ~o~f.':~ co, ....... ........................ ......... ..... ;. lfdwcllin~,numbero~dwcllin~uniis ...... ..... . ... Numb~rofdw~]lhl~unilson each ~oor ........... ... . If aaraa~ number of c~rs ............................... ;..If business, commercial or mixed ocCUpancy, specify n~,lur~ and cXlcnt of each type of u~ .................... ~. Dimcnl~ons of existin~ sz~czurcs, if any: Fron~ ............... ~ar , .~ ....... Deplh ............ . , ¢.. D[men*ion~ o~ ~ame ~tmcture with alterations or addition~: Front .......... Rear ............... Beplh .................. Height .................. '. Numbcr or Stohex L Dimen~ionx orentire new constmcdon: Front ....... , ....... Rear ............... Depth Heieht Number of Stohe~ ' ~ Size of lot: Front ................ Rear De~h ). D2te o[Purchase ...... ....................... Name of Former Ow~er ,..~, .~ or use rict in which premise~ are situated ................. ~ I 2. Dots 9reposed Const~ction violate any Zoning law, ordinance or regulation: .... ;..'... i ..................... ot be regmded "~ ' 3. WH~ 1 ............................ %UHI cxce~ ~I be mmO~'~d from pr~m~sc~: . Yes .... .................. Addre~ . . . ~ Phom~ No M~e of Ar~hi[ec~ ............................... N~e of Con~mcmr ................ .. 2 ........ Addrc~ ........ ' ' . · 5.Is this property locmted within {00 feet of a ti~%Y ....... wetla~d?Ph°n~N°~xES---LNO~' ....... .... · If yes, Southold Towm Trnstees Permit may he required. PLOT DIAG~ Loc=~e d~ly ~d dis~c~ly M1 bu~d~, wh~her ~xisfing or p~pos~d, ~d. ind~cn~ MI s~t-b~ck d~tns~on~ rop~y Hn~s. Giw s:r~t ~d b~o0k number or descHpQon ac~o~d~g ~o de~d, ~d show s~reet n~es and ~d~ ~h~h~ at~or or co,er STATE OF NEW YORK, S,S COUNTY OF ................. ' APP, ROVED AS NOTED NOTIFY 8UILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS. 1. FOUNDATION ~O REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. ~NSU~ON 4. FINAL - CON~RU~ION MUST 8E COMmiE FOR C.O ALL CON,RUiN SHA~ ME~. ~E REQUIR~E~8 OF ~E N.Y. STA~ CON~U~N & ENERGY CODES. N~ RES~NSIB~ ~R DESIGN OR ~U~ON ERRORS .............................................- · - - being dub/sworn, deposes and says that he is the appIicant (Name of individual signing contract) abovc nam'cd. (Contractor, agent, corporate officer, etc.) of safd owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and file ~pplication; that all statements contaiued in this applicadou are true to the best of Ids knowlcdg~ and boiler; 3nd that thc Work will be performed in the m~ner set forth in the application filed therewith. ' Sworn to before mc this ,.' .......... Nola~ Public .......... ~4~.EW K. DE ~lE NOTARY PUBLIC, State of New No. 4707S So k / (Signature of appllcant)