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Home My WebLink About18933-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19063 Date MAY 21, 1990 THIS CERTIFIES that the buildin~ Location of Property 8300 HORTON LANE House No. County Tax Map No. 1000 Section 054 Subdivision DECK ADDITION Block 04 Filed Map No. SOUTHOLD Street Lot 29 Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 27, 1990 pursuant to which Building Permit No. 18933Z dated APRIL 4, 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 A RAISED WALKWAY AND DECK. The certificate is issued to (owner) 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 KATHLEEN WILLMAN & OTHERS FOU'M NO. fl TOWN OF SOUTHOLD BUILDING DEPARTMI=NT TOWH HALL SOUTHOLD, N. ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18933 Z Dote .. ' ..... ...'~.. ........... , ... ..... ~., ......... ,~.~ Permission is hereby gronted to: · .~.~.....~.~,..~...g,....././...7..t 2.. et premises ,~ated at ...1.~. ............ ~....~ ....... ~ ....................... County Tax Map No. 1000 Section ...... ~..~'~....~ ...... Block ............ ..~. ...... Lot No. pursuant to application dated .... .~..~.~......,~...~. .............. , 19..~..0.., and approved by the Building Inspector. ~ Fee $.. I~)..: ............ .............. '~iYding Inspector ..... ~ ....... Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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 seweragerdisposal(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 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 - $i0.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date ..... ..L~~/.~.C~.~ .............. New Construction ........... ~ /~~-~ ~ Old Or Pre-existing Building ..... - -Z ......... . . ... ..' .' Location of Property...~..~.~v.~-.-~v-.....~ ................ House No. Street Hamlet Onwer or Owners of Property. . ........... County Tax Map No 1000, Section ............ Block ..... c~'.~.. ....... ~ot ...... l. .............. Subdivision .................................. .. Filed Map ............ Lot ...................... Permit No./..~.~..~..~%..Date Of Permit ............................................ Applicant . Health Dept. Approval ........................ .. Underwriters Approval ......................... Planning Board Approval ........................ Request for: Fee Submitted: $ ......... ..~..~. .......... Temporary Certificate ........... Final Certicate ........... / , / . APPLICANT FIELD I~,S, m~ ~lON ~ 1,.~. ~ FOUNDATION (1st) COM~gNT~ FOUNDATION 2. (2nd) ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, 130X 728 TOWN IIALL $OUI'IIOLD, N.Y. 11971 May 8, 1990 Nancy Fetherson 101 Bast LonE Beach Rd. Saint James, N.Y. 11780 TEL. 765-1 g02 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /_--//An application for Certificate of Occupancy is not on fil~. (ENCLOSED) /~o U,lderwriters Certificate on file. /__/_/ The check is(W~}ilt~I~.~ot ou file.) $25.00 /-/ No llealth Dept. Approval on file. /~/ No final inspection has been made. P]ease contact: our office on this matter. Thank you for your cooperation.' BuildJ. nq Permit tl I 8 9 3 3 Z Building Dept. ***/-/ Mo Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD. N.Y. 11971 TEL.: 765-1802 Examined..Q~... ?..., l 9 .~.tp Approved ~ .... .~.., 197.~. Permit No./.~.~ .i~.~..~,.. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..a .................. C~ECK . .~.~..~.~ i SEPTIC FORM ................ NoTIFY~ CALL ...... 7 .......... MAIL TO: o'~ .. i ..... INSTRUCTIONS Date Plumber's License No ......................... Electrician's License No ....................... Other Tradc's License No ................ ~ ..... I. Location of land on which proposed work will be done; a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, 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 giving a detailed description of layout of property must be drawn on the diagram which is part of th/s apph- cation. 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 appl/cant, Such permit sfiall be kept on the premises available for inspecti.n throu.,zhout the work. . e. No building shall be occupied or used in whole or in part for agy purpose whatever until a Certificate of Occupancy shell 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 Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings,.;additions or alterations, or for removal or demolition, as herein descr/bed. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on p. remises and in building for necessary inspections. USE IS UNL ' · .. ...... . . WITHOUT CERTIFICATE , ( =nature ot ~hcant, or name, jfa corporanon) '' ...... ~:.~. .... j .... . OF OCCUPANCY' r~-,,) e.~,. (M_ailin~ address of State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........ , ......... ~ .... ~ .~. ....................... (as on the tax roll or latest deed) ................... If applicant is a corporation, signature of duly authorized officer. APPROVED AS ~OTED NOTIFY BUILDING OEPARTMEhIT AT 765-1802 ,9 AM TO 4 PM FOR FOLLOWING INSPECTIONS. 1.FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2.ROUGH - FRAMING & PLUMBING 3.INSULATION ' '- -, 4. FINAL CONSTRUCTION MUST . 8E COMPLETE FOR C,O C'~..~OO · .~..'Eq~ ~ ALL CONSTRUCTION SHALL MEET ................................. ~oU,~R~tL~mE~ENTS OF mE N V. HOuse Num bet ' Street, : ............. STI0'E ',CONSTRUL~ON' ltl ' ENEI~SY .... ' coW etNov UESUO.S,aU FoR County Tax Map Nol i 000 Section .............. : Block DESIGN OR C, ONST_R~OTJON ERRORS / Subdivision. ' · · .................................... Eiled Map No. (Name) .............. Lot ............ .¢.. State e×isting use and occupancy of premises and intended usc and Occupancy of proposed construction: ¥ ' ARc ti .- , rs oil ......... ppi ~ ) Addition ........ 23. Nature of work (check which a t able New Building .......... - · Demolition ............. Sw±mtaing pool. ............ Repair ... ~ ........ Rfimova! ......... :" :~ . FeNce . Other Work Tennis Co ......... Accessory Buzldz g ............... '' 4. Estimated Cost ............... ~ .......... on filing this application) ~ (to be paid 5. welling, number of dwelling uffits ............... Number of dwelling units on each floor ................. Ifd , If garage, number of cars ................................................... 6. If business, commercial or mixed qccupancy, specify att n e e ac typ .... 7. Dimensions of, existing structures, if any: Front. fo.. r, , Oear /.~:~ / ' . .. Depth . ~.-? 7. ........ Height ./.o.,.~. .......... Number of Stones .......................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. De.th ......... ~ tleight .......... Number of Stories ..... ,..~ ........... 8. Dimensions ne construction: V'ront ............... ear ............... D p,. ............ rx .~ ~,r ~,,~q .... ,~////7 '7 ...... 2qame of Former Owner a-r.-.rv* r~ ........ /. ......... 1. Zone or use dmtnct in which prermses are mtuated..~...'~q ........ 12. Does proposed constructtop wola(e any zonmg law, ordnance or regulatmn. · .~/~- .... ' ' ' Will lot be re,,raded . .~.0. . .i ........... Will excess fill be removed from ,,~3'.emlses: Yea .... No. ^no ....... Phone No .......... -_ ...... 15.Is this property locatled w:tthln ! 00 feet oi: a t~tllai wet mil yes, Southold TownlTrustees Permit may be required. i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, roperty lines. Give street and block humber or description accordh)13vto deed, r P t i - ' ,nte oro =rlo. i ~ ~ .-'"'-' , '7 md, indicate all set-back dimensions from show street names and indicate whether STATE OF NEW, YORK,, ~, , S S CoU,NTY OF. 15. c-d,~. ~°..c'15,..~ -~. 2...~..~ .............. being duly sworn, deposes and says that he is the applicant . . (Name 8{'indiy!dual,oi=0in,, contract) above named· the .e:?..%'4. ~ · ,~--...~. ~ i ' ~lare is ............................................................................ · ' (Contractor agent corporate officer etc) of said owner,or O,.v~ffrs, and is ddly authorized to pe,rform or have performed the said work and to make and file this application; that all'statements coniai ~ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in thc application ~lcd therewith. / Sworn to before mc this & l ..q.0 O- v~ .day of ............. , Notary Public, ~t_a.~ f?~ew Yor~ · NO, 4869416 , · · ' f (Signature of apphcan