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Home My WebLink About18821-zNo Z-18852 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date MARCH ir 1990 THIS CERTIFIES that the building Location of Property 910 SIGSBEE ROAD House No. County Tax Map No. 1000 Section 143 Subdivision ADDITION LAURELr N.Y. Street Hamlet Block 01 Lot i1 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 1990 pursuant to which Building Permit No. 1882t-Z dated MARCH 28r 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 DWRLLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HF_JtLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A RICHARD & MARY VAHEY Building Inspector Rev. 1/81 IPOBJf NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO- 18821 Z Permission is hereby granted to: ~ / ./~ __ /~ ..... .c,~..~~,.....~,.~ .................... ,. , ,o .~~...~ ;~~......~...~~...~~ ..~.....~~...:...~....;......~. ............... ~ ........................................... ~. ...................... ~ at premises l~at~ ~ ...~/~...~:.....~ ............................................................. ............................................................. .................................................... the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANC~ Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 Date ,,, .~,~ ~,,.~,/ New Building ............. Old or ,Pre-exiFting Building . --~ ..... Vacant Land Location of Property ~o~..~..~.~ ..... ~. (~--~,~' Owner or Owners of Property' .. ~~~,..~~ ..................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ~.~--~..~.<~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $...~..~)~.: .~..'-~1. ................ Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 FOUNDATIO.U {1st) FOU:~DATIO~I (2nd ROUGH FRAME & ·PLUMBING INSULATION PER N. STATE ENERGY CODE Ym ADDITIONAL COMMENTS: VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) 765-1823 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 February 22, 1990 Richard Vahey 11 Sargent Place Manhasset, N. Y. 11030 Dear Mr. Vahey: Enclosed are the forms you need to file application for the deck. Please give us some construction diagram. On the survey indicate where the deck is and how many feet from side and rear lines. Please return the applications with a check for $75.00, to the attention of Mr. Tom Fisher. Yours truly y~ Building Inspector TF:vz i i BUILDING DEPARTB/IENT "~ TOWN HALL TOWN OF SOUTHQLD_ ~j ~eOUTHOLD, N.Y. 11971 ' TEL.: 765-1803 E×~mined .~'.>~.. ...... ,19 Approved...~./~.. .... 19 ~?' Permit N°' '//~' ' '~'// Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT Received ........... ,19.. INSTRUCTIONS a. Tins 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 streei or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl cation. c. The work covered by this application may not be commenced before issuance of Building Permit,. d. Upon approval o f this application, the Building Inspector will issued a Building Permit to the applic/gt. ~Such perm shall be kept on the premises available for inspection throughout the work, ")~ e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificat~ of O6~hpanc shall have been granted by the Building Inspector. ' APPLICATION IS HEREBY MADE to the Building Department for the issuance of a B~Iding Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applj~ca.ble La~'s~,Ordini~{3es Regulations, for the construction of buildings, additions or alterations, or for removal 6r derooliti0~t~i~tein describe, The applicant agrees to comply with all applicable laws, ordinances, building code, ho.usf~,cgdq, and~regutatt~tis¢~iI4d admit authorized inspectors on premises and in building for necessary inspections .... , .. . ~-~t',:., .~.~. <~ _ (Signature of ..~ State whether applicant is ow2aer, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde k ~ ~ /2 ~'r-~z~.-:--- . ..% ..... "'/~"~t_/'///I,I//~__/,,r~,'~'~ ...... '" ............. ,..... .... , ....... : ...... ,~...~,~... (as on the0~ax roll or latest deed) (j if applicant is a/c~rporati,o~, signature of duly a~uthorized officer. . .... (Name and title of corporate officer) Builder's License No ..... Plumber's License No ......................... OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE Electrician's License No ....................... Other Trade's icense ...................... OF OCCUPANCY Location of land on which proposed wJ~rk will be done ..... /.,~,J~.. ................................. I. ...... ~ :p~. . . e. ~ .... ~. . . . . .':z~. . ... . . . .Y. .f. ~ .-f-R~. . .:: . ....... K.Z. ..~/. . . . ....... House Numbe6--' Street Hamlet County Tax Map No. 1000 Section ....... ]..~..~ ..... Block t9 ] Lot... / Subdivision ..................................... Filed Map No ............... Lot .............. (Name) State existing use and occupancy of prem~ a~d~i?t~d~d use.and occupancy of proposed construction: a. Existing use and occupancy ....... ff. ~ .......................................... b. Intended use and occupancy ......... ~ ........................................ 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ......... Repair ............ .~ Removal,.... .......... Demolition .............. Other Work .............. . ~ (Description) (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... [. ...... Number of dwelling units on each floor .... .ffl ......... If garage, number of cars ................. ~. .................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each~type of use .................... 7. Dimensions of existing structures, if any: Front ...,~JT'..t~ .... Rear .~..r ........ Depth .y~ ./..~.. ~ f. Height .... loC.. ( ....... Number of Stories ........ ].~-~t. ......................................... .. Dimensions of same structure with alterations or additions: Front . .~'..,~,,,,_~ · . ..... Rear .. t~..... Depth · ..~ ~...~ ........ Height ...oC.-:~ ....... ?. Number of-Stories .................... 8. Dimensions of entire new construction: Front..~.. Rear '. .............. Depth .............. Height ............... Number of Stories ........................................... 9. Size of lot: Front ...................... Rear ...................... Depth ..................... 10. Date of Purchase ............................. Name of Fonuer Owner '. ........................... 11. Zone ar use district in which premises are situated .................................................... Does proposed construction violate any zoning law, ordinance or regulation: ....... .~-"/.~. ..... : .' ........... 13. Will lot be regraded ....... .~. ~.. .... ,..,~...~:.. _. Will excess Ail be r_r.~moved, from premises: Yes ,, N Name of Architect .......... , ............. q... Address ... ~ ............... Phone No .... '..'. ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fron property lines. Give street and block number or description according to deed, and show street names and indicate wh,0the )~ ~,~. 1. FOUNDA~N . ~R~fRED ~ 3. INSU~TION ~ ~ ~ ~'~ ~ BE COMPL~E FOR C.O. ALL CONSTRUC~ON SHALL ME~ ~.t~ ~ THE REOUIREMEN~ OF ~E N,Y. STATE CONSTRUC~ON & ~ERGY ".~'.DES. NOT RESPONSI8~ FOR ~~ v O ~ ~ ~ ~ F ~h.,N OR CONSTRUC~ON ERRORS · STATE OF NEW YORK, ~COUNTY OF ................. S.S ................................................. being duly sworn, deposes and says that he is the applican (Name of individual signing contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi application; that all statements contained in this application are true to the best of his knowledge and belief; and that th, work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............... ~7.7 ..... day of....~...-4~.. ............ , 19.~. Notary Public, . ...................... .t~.. . County 'T*'~ ~i~ ~,,~eh ~ (Signature of applicant