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Home My WebLink About18857-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-1954Q Date NOVEMBER 28~ 1990 THIS CERTIFIES that the building Location of Property 300 HARBOR LANE House No. County Tax Map No. 1000 Section 27 Subdivision ADDITION ORIENTr NEW YORK Street Hamlet Block 4 Lot 5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 1990 pursuant to which Building Permit No. 18857-Z dated MARCH 9, 1990 was issued, and conforms to all of the requirements of the applicable prouisions of the law. The occupancy for which this certificate is issued is REPAIR EXISTING DECK ADDITION TO ONE FAMILY DWR. T.LING The certificate is issued to FRANK aLL,CIA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 ' /~uil~ing Inspector l, On'n* ~TO. J, TON~4 OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CC~PLETION OF THE WORK ~,UTHORIZED) N9 18857 Z Permission is hereby gr~nted to: .~.~..~....~....~ .............. ~~;....~.~..~.......~...~ .................... ..,_., ~.~_~..,..~:.~., ...... .L!.~..,F..~,,~.....; ...... ~ , .. ~.~ ' ' ~ X~%~- '~ ~......~~.......'...; ...... .~ .......... ~.: .......... ~ ...... ~..:..~ ............................. at premises located ot .....~r~:'-...-.~...../-.!~..~.~...-......':~?~..~ .................................. County Tox Mop No. 1000 Section ..... ...~...-~...'~ ...... Block ...... ..(~..~. ........ Lot No ...... ~.~. ........... ~u~uon~ to oppI,:o,io, dot.d ......... ...~....~....~L~ ............... , 1~..~.O., o~ o~,~,d b, t~e Building Inspect°r. Fee $.. ~-'~...:.;~ .... Building Inspector Rev. 6/30/80 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL SOUT~OLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property... ~Q~.~a~bo~.L. ~]e ................. Q~ .............. HOUSE NO. STREET HAMLET Owner or Owners of Property...Pr?~....A~ecla.... ................................... County Tax Hap No. ~000 Section .~.. Block '''Qk'' Loc .Q~ ...... Subdivision ....................... Filed Map ........ Lot .......... . . '' a t~nvtroament [~aSt, I~0, Permit No. 18.83.7g...Date of Permit >/?/)9...Apptzc n '"''0'"'~' ............ Health Dept. Approval .... ~/A ........... Underwriters Approval.. N/A Plan~ing Board Approval .~/~ ............ Requust for Temporary Certificate ....... Final Certificate ...... ~ ......... Fee Submitted: $ APPLICAN .. ~r~V> ...... rev. 10!14188 FOUt;DATIO.~! ( ls t ] FOU?~DATIO:~ ~ 2nd ) ROUGH FRAME & iNSULATIO}I FER,N. STATE E}IERGY CODE Fii~AL ADDIT~O~;A'L CO:~,~ ~[;TS: BUILDING DEPT. INSPECTION [ ] FOUNDATION '"ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING (F-~'/II~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~' COUTHOLD, N.Y. 11971 TEL.: 765-1802 . ~amined ...... 19q..O. ,,proved ....~7. q~..~ .~..., 19~Q. Permit No, t .~ X.~.7...~.. .sapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH SURVEY ........ SEPTIC FORM . . . cf ........... NOTIFY c^LL .... ...... MAIL TO: INSTRUCTIONS a. This application must b~ completely filled in by typewriter or in ink agd submitted to the Building Inspector, with s 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 stree areas, and giving a detailecl description of layout of property must be diav~n on the diagram which is part of tkis app! .ion. ¢. 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 perm dl be kept on the premises available for inspection throughout the work. ¢. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupanc dl have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department tbr the issuance of a Building Permit pursuant to th ilding Zone Ordinanc~ of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances - gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe~ e applicant agrees to comply with all applicable" laws, ordinances, building code, housing code, and regulations, and t nit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant, or name, if a corporanon) ..... Ee .c.o~.(.c.,, .tq..~.., ~. ~..%s. ~. ................ (Mailing address of applicant) itc whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildes C~ .~.+c~c~c ........................................................................... me of owner of premises ......................................................................... (as on the tax roll or latest deed) ~ppHcant is a co~oration, signature of duly authorized officer. Pl~mber'~ License No ......................... Electdc~an'~ License No ~ / ~ Oilier Trade's License No ...................... Location of land on which proposed work will be done ................................................. ~oc~o ~ L-omo.. 0 c~*¢n~: o.o. . , House Number ~ Street,, Ha:nlet ' County Tax M:~ o. !0on Secnon ck ......... Lot .... Subdivision ................................. ' ....E~led Map No ............... Lot ............... (Name) ¥ State existing use and occupancy of premises and intended nsc and occupancy of proposed construcdom b Intended use and occupancy .~B.~-.~'~ ~*[[(~ ~;% ~ 3. Nature of work (check which applicable}: New Bu/iding ..... ' ..... Addition., Repair ...)ff.. ......... Removal" .............. Demolition ........... · 4. Estimat6d Cost ~ 9.-~). OD ,,, ' ..................... ~, ~... Fee .......... (to be $. If dwelling, number of dwelling units ... { Number of dwelling units on each floor ..... If garage, number of cars ................................................................. .. . 6, If business, commercial or mixed occupancy, specify nature anti extent of each type of use ................. 7 Dimensions of existing structures ~.Rear Depth . ,if any: Front.. A~ ....................... ,. .. Dimensions of same structure with alterations or additions: Front ................. Rear .............. DeptA ...................... HeiSt ......................~....... NumberofSto~es ............... ,... 8. Dimensions of entire new construction: Front .~ .~. Rear Depth Height ............... Numbgr of Stories .................................................. ~ 9. 'si~of:ot: ~o~t ...... ~fi~L ......... ~....26...~ ............ m,a ...~R2:~ ..... ............................. Name of Former Owner ...~.%({.~'" ' ................ 10. Date of Purchase 1. Zone or uae dgtrict in w~ich premises are situated .... ~ ~$.i&~2 ............................... ~ 2. Does proposed construction vjglate any zoning law, ordinance or regulation: ... ~ .......... ,.:. ,_,. .... 3. W~I lot be regraded ...... ~ .................. Will excess fill be removed from premises: 4. N~e of Owner of premxses .~.~.tl .... ¢...Address .~c~.. ~'~ ...... PmneNo... N~e of Architect ........................... Address ................... Phone No N~ of Contractor ~V ~P~...~%~...{D~.,. Address .. ~ ~vf¢.. N ;~.,... rhono ~o .............. IS.Is this property located ~ithin~O0 feet of a tidal vetland? *YES .... NO~.. PLOT DIAG~M Locate cle~ly ~d diet. ally ~1 bu~d~gs, whether existing or proposed, ~d, indicate MI set-back d~ension$ fro ropeNy ~ne~. Give street ~d block number or description according to deed, ~d show street n~e$ and Mdicate wheth ttefior or comer lot. ~,TE OF NEW YORK.-- k.. UNT¥ OF .... :$0-~.~..L..-.. S.S ........... ~-J..O~..v'x... ~ {~ ................ being duly sworn, deposes ~d say~ that he i~ the applican (Name of individual signing contract) .......... ....................... : .... .... ~ .............. (Co r t .) ,aid owner or owners, ~d is duly authorized to perform or have ~erforraed the said work and to m~e and file tiff licaZion; that all statements contained ~ this application are true to thc 61st of his knowledge and belief; and that th k w/il be performed in the manner set forth in the application tiled, thercw[t{~.. m to before me this .............. a of ...... ..... ~ry Public ........................... : ...... County LINDA d. COOPER Notery Pubtlc, State of New York TeNO, 4822563, Suffolk County rm Expires Dec, amber 31, 19 , ~ (Signature of applicam