HomeMy WebLinkAbout18832-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18854 Date MARCH 2~ 1990
THIS CERTIFIES that the building. ADDITION
Location of Property 600 SUMMER LANE House No.
County Tax Map No. 1000 Section 078 Block 09
Subdivision BAYSIDE TERRACE Filed Map No. 2034
SOUTHOLD ~ N.Y.
Street
Lot 020
Lot No. 21
Hamlet
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 22f 1990 pursuant to which
Building Permit No. 18832-Z dated MARCH 2~ 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 DW73~,ING AS APPLIED FOR
The certificate is issued to ANNE M3kKER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HF-~LTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
N/A
N/A
Building Inspec%or
Rev. 1/81
TO~N OP SO~THOLO
BUILDING DEPARTMENT
TOWN HALL
SOUTNOLD, N. Y.
NO_
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
18832
Permission is hereby granted to:
...~......~..:g.:....t/..~..~...t ..........
...............
at premises located ot ..../~2:~.....~...~..~......~ .............
County Tax Map No. 1000 Section ..... .(~.,'/.,..~.. ....... Block ..... .(~,~ ......... Lot No....~:,~ .............
pursuant to application dated ...~.~~,~......~....~,~ ............. , 19..~...~., and approved by the
Building Inspector.
Rev. 6/30/80
FOUNDATIO:! (1st)
?OUNDATIO:~ { 2nd )
ROUGH FRAME &
.?LUMBING
iNSULATIOn! FEt{ , N .
STATE ENERGY
CODE
FIi~AL
ADDITIO~[~L COMME~[TS:
TOWN OF SO~TEOL~
BUILDING D~PAKT~IE~T
TOWN DALL
$OUTDOLD, NEW YORK
76~ - IBO2
11971
BLDG D~?[
APFLICATION FO~ CEKTIFICATE OF OCCDPANCT
~eb.22,1990
DAT~
X
OLD OR. PRE-EIISTING BUILDING ...... VACANT LAND
~0USE NO. ~T~EET ~AMLET
,O~uer or O~ners of Propurt~ A~e ~!aker .
Coun~ Tam Hap No. I000 Sec=io~ .q~.. Block 09 Lot' 020
' ' ° s'de ~errace 2034 ~
Subd~v~s~o=..~.~ ................ Filed Hap ........ Lo~ ........
Permi= No ........... Date of Permi= .......... Appllcao= ...................
P!ann~ng Board Approval ................
....... Final Certificate
25.00
Fee Submic£ed: $ ....................
r~v- lO/ 14./'88
FOF,/tNO. ~
TOWN OF SOUTIIOLO
BUILDING DEPAgT~'~ITI'
~LICATION FOR CERTIFICATE OF OCC~AN~ INSTRU~IONS
[, Final ~u~y of propert~ ~th accurate locaCion of all buildings, property
3. Approval of electrical iustailatiom from Board of Fire
than 2110 of lZ lead.
5. Comerclal buildings, industrial buildings, mltlple rcsldemces and similar.'
buildings and installations, a ~ertificate of code compliance from the Architect
6. Submit Planning Board Approval of completed site plan requiremmnts.
For exi~timg buildings (Prior to April ~, ]957] .on-comfoml,g uses, or buildings
amd "pre-existing" land uses:
{. Accurate su~ey of property show~ng all property lines, streets, buildimgs a~d
umusual natural or topographic features.
. If a Certificate of Occupancy is denied, the Building I~spec~or shall sta~e
pertin~n[ infomtion required to prepare a cer[iflcate.
separaEe o~arship of ,the entire lbt prior to April 9, 1957 shall also accompan~
FEES:
i.
CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additious to Dwelling $25.00,
Alteration to Dwelling $25.00, Swiping Pool, $25.00. Accessory building $25.00
Addition to Accessory buildings, $25.00 - Businesses $50.00.
2. Certificate of Occupancy no pre-existing dwelling - $I00.00.
3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Vacamt Land Certificate of Occupancy - $20.00
5. Opdated Certificate of Occupancy - $50.00
6. Temporary Certificate of Occupancy -$15.00 Residential
Commercial
eT. 10/;4/88
I[.TppflOVEO AS NOTED
NOTIFY ~BUfLDING:: OEPARTUEN'~T
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ~'~NAL
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL.: 765-1802
Examined ·-~[aO'..c-~. ?:'. ..... 19
Approved .~ .o..~....~.,.-, 19~.O. Permit No./.~.~.,i~0.~0.0~
T77.* ........ :::::::::::::::::::::
(Building Inspector)
APPLICATION FOIl BUILDING PER,lIT
BOARD OF ItEALTfl
3 SETS OF~ PLANS
c.~c~ ~.'.. 3Ye.; f. :,.
SEPTIC FORH ...............
NOTIFY:
CALL
HAIL
765-5740
TO:
Anne baker
.~QQ.Summer. Lane .....
$oughold, N.Y. 1197~
FEB Z Z 1990
BLDG, DE PT,,
Date .~b~.22...:Ag0..,
INSTRUCTIONS
a. 'rids application must be completely filled in by typexwriter or in ink and submitted to the Building, I~pector, with
sets of plans, accurate plot plan to scale. Fcc according to schedule.
la. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of Dyout of property must be drawn on the diagram which is part of th.is appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shah be kept on the premises available for inspection throughout the work.
e. No building shall bc occupied or used in whole orin part fora.ny purpose whatever until a Certific.ata of Occupancy
shall have been granted by the Building Inspector.
APPLICATION I$ HEREBY MADE to the Building Department for the issuance of a Btfilding Permit tmrsuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Law% Ord~ancexor
Regulations, for the construction of buildings, additions or alterations, or for {'emoval or demolition, as he.in described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and repletions, and to
zdmit authorized inspectors on premises and in building for necessary inspectiods.
.o (~J&nature ~'~p~JC¢l~, br nam e, ff a c~J~omtmn
d e . % ,q fl ·
irate wh~ther applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
................ 2e..n.~.n.~. ............................................................
{amc of owner of premises ...~:O.n.e..~..a..k.e.~'. ...........................................................
(as on the tax roll or latest deed)
[ applicant is a corporation, signature of duly authorized officer.
Builder's License No ...... B}r..q'~/rke.~ ...........
Plumber's License No '
Electrician's License No ..................... . .
Other Tradc's License No "
Location of land on which proposed ~vork will be done: ' r
..... Ad0 ................ Sneaker. ~.n e ...... : .... .................... Sp.u ehgld .
tlo N b St Ha nl ....................
use um er reel '' t ct
C tyT M N I000S ti 078 :' ' BIo k .O.~. Lot 020 ,, ,,
S bdi /¢~,~ide 2la~r~ae Kil M p No 2034 L 21 "
u vision ................ ed a ot '
(Name)
~lile existing nsc and occupancy of premises and in tended use and occupancy of rd osed construction
P P ·
One family dwelling
:. .... ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
b. Intended Use and occupancy ................ -~ -
Nature of work (check which applicable): New Building .......... AddRion ...~ ..... Altcration
Rep~ .............. R~ov~[ .............. D~mo{~ian .............. S~n~ ~ooL ............
~im~Ied Cost ... ~.. ~.~ ~.,..~.~ ....................... ~e~ ..................................... ·
([o be p~id on ~]ing this ~pp~c~tion)
If dwelling, number of dwelling units .... ~ ....... Number of dwelling units on each floor ................
If garage, number of ca~ ........................................................................
;. If business, commercial or mixed occupant, specify nature and extent of each type of use ..................
'. Dimensions ofexi~ting structures, if any: Front.., ............ Rear ............... Depth ............
Height ............... Number of Stories .....................................................
Dimensions of same structure with alterations or additions: Front ................. Rear ...............
Depth ...................... }Iciest ..................... '. Number of Sto~ex ...................
;. Dimensions of entire nexv construction: Front ............... Rear ............... De~th ..............
Height ............... ~umber of StoNes .............. ; ........................................
~. Size of lot: n~ ,. ~. ................ Rca- Dc~th- ..................... ·
).- D~tc of P~'c~e Name of Former Owner ~.~..~
..... o,.- or uze d~trict in which premises are situated ....................................................
L Doc s P~'oposed con~tcuction violate any zoning law, ordinance or regulation: .......... , ....................
L W~I lot be reg~ded ............................ Will exc~ fill be removed from premisc~: Yes .... No.
L N~e of Owner of premisex~.~k~..~ ~¢.~... Addre= ~. ~ t~¢~ .~, Phone No.
N~e of Architect ........................... Addre= ............. : ..... Phone No .............
N~e of Cont~ct~r ................. d ........ Addr~ ................... Phone No ..... ~,: .... i...
5.la this property located ~ithln lOB feet of a tidal vecland?
· lf ye~ $outhold Town T~uatees Per. it may be required.
PLOT DIAG~M
Locate cle~ly =d d~ctly ~1 buHdM~, whether existing or proposed, =d. indicate ~1 set-back d~ensions from
mpe~y Enes. Give street ~d block number or desc~ption accord~g to deed, ~d show street n~ ~d h~ta whether
zte~or or comer loL
;TATE OF NEW YORK,
~OUNTY OF ......... $.S
bore named.
being duly sworn, deposes a.nd says that he is tile applicant
(Contractor, agent, corporate officer, etc.)
said owner or owncr~, and is duly authorized to pe.rform or bare performed tile said work and to make and file this
PpllcaIion; that all ~tatements contained in this application are true to the best of bis knowledge and belief; and that the
~otk w~l bc pert~nned in tile m~ner set forth in tile application filed therewith. '
worn [o before mc [his "'.
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Public