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Home My WebLink About18869-zFORM NO. 4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, NoY. CERTIFICATE OF OCCUPANCY No Z-18894 Date MARCH 14~ 1990 THIS CERTIFIES that the building Location of Property 49805 MAIN ROAD House No. County Tax Map No. 1000 Section 70 Subdivision ADDITION SOUTHOLD r NEW YORK Street Hamlet Block 5 Lot 3 Filed Map No. Lot No. conforms substantially to the Application for Building Per~it heretofore filed in this office dated MARCH 13, 1990 pursuant to which Building Permit No. 18869-Z dated MARCt{ 13r 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 DEPARTME/qT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A MARIE JOHNSON Rev. 1/81 Inspector !~0~m' NO. ! TOV~N OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTNOLD, N. Y. BUILDING PERMIT ~HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~- 18869 Z Permission is hereby granted to: ...... .~:.~.?..~ ~.....~....~...k.~....: ......................... ....~.~...~.~.~.~...~.~.~.~./. .............. ,o ..~~t.....~....~ .... '.~.~......~...~......~_ ........... .... ............................... ot pr~mises Io~at,d ~...~.~...:L~ ..... ..~...o~,........~... .......... .~.~~ ................................... County Tax Map No. 1000 Section ...... .~..~.~ ....... Block .......~...,~. ......... Lot No. ,..,~..~ ............ pursuant ,o application dated ....... ~.....O~r~ ...... /...~ ................ 19.~..O.., and opproved by the Building Inspector. Fee $.~.:....%~.. ....... 13ull~ng Inspector Rev. 6/30/80 T0~N OF SOUT~OLD BUILDING DEPART}~ENT TOWN UALL SOUT~0LD, N~ YORK 765 -- ]802 I]971 APPLICATION FOR CERTIFICATE OF OCCUPANCY RE~ CONST~UCTION ....... OLD O2 PRE-EXISTI~G BUILDING ...... VACANT LANO 49805 MAIN ROAD SOUTHOLD, NEW YORK Locatio~ of ProperZy DOUSE NO. STREET HAMLET County Tax Map No. Property lO00 Section 70 . Block . 5 3 Subdivision ....................... Filed Map ........ Lo~ .......... 3/]3/90 Per=it No. 18869-Z .Oate of Permic .Apptican~ PAU> CAplNf?f, Health Dept. Approval .................. Underwriter~ Approval Plamnlng Board Approval Request for Temporary Cergificate ....... Final Certificate rev. FOICM NO. TOWN OF SOUTIIOLD BUILDING DEFART~ENT TOWN I1ALL 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filed in type~nciter OR ink and submitted to the Building Inspector with the following; for new buildings or new use: i. Final survey of property with accurnte loeatlon of all buildings, property lines, streets, aad unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Under~iters. 4. Swo~ ~atemeng from pl~ber certifying tha~ solde~ used in system contains than 2~I0 of ]~ lead. 5. Co~ercfal buildings, industrial buildings, ~ltiple re~fdeuces and buildings and installations, a certificate of code compliance fr~ the or Engineer responsible for the building. 6. Submit Planning Board Approval of co~leted site plan require~eats. B. For eximtfng buildings (Prior to April 9, 1957~ non-confo~img uses, or build~gs and "pre-emistimg" lamd uses: ]. Accurmte su~ey of property showimg all property lines, streets, buildimgm and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the mud a certified abstract of title issued by a titl~ company which shall mhow single and separate ~ership of the entire lot prior to April 9, , If a Certificate of Occupancy is demied, the Building Inspector shall state the reasons therefor in ~iting to the applicant. 3. Date of any housing code or safety inspection of boildlngs or premises, or othmr pertinent info--finn required to prepare a certificate. For Vacant Land Certificate of Occupancy: ~. ~ application for vacant lamd Certificate of Occupancy shall be submitted, and a certified abstract of title issued by a title company showing single amd separate o~ership of the e~gire lot prior to April 9, ~957 shall also the applicatiom. If a Certificate of Occupamcy is denied, the Building I~ector shall state the reaso.s therefor im ~iting to the applicant. D. FEES: I. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory buildimg $25.00 Addition to Accessory buildings, $25.00 - Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 5- Updated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy -$15.00 Residential Commercial 10/14/88 ?OUNDATIO:; C ]st) ~OU~$D;,TI0:~ (2nd) 2. ROUGH FRAME & .FLUMB!NG iNSULATION PER N. Y. STATE E}~ERGY CODE FINAL ADDITI0}~A'L COMME~TS: -G,U,~,PAIslTrE. EO,.... ~ _TIq~-HOh'IE OW~i,/OF SOUTHU[- Appro,'ed .'~cu. dk..;, g..., lg~¢. Pe,nit No./.~'.g ~':/..~. FORM NO. 1 TOWN OF SOUTHOLD BUILDtNG DEPARTMENT TOWN 14ALL $OUTttOLD, N.Y. 11971 TEL.: 705.180;~ BOARD OF HEALTH 3 SETS OF PLANS ......... SURVEY .................. CtIECK ................... SEPTIC FORH ............. NOTIF¥~ C^LL .. I MA~ TO: Disapproved afc ..................................... (Building Inspector) APPLICATION FOR BUILDING PERDIIT - ?o DaLe ........ t9 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to tile Building Inspector, wi 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 or areas, and 0' ' ~vm= a detailed description of layout of property must be drawn on the diagram which is part of tkis cat{on, c. The ~vork covered by t~s application may not be commenced before issuance of Bugding Permit, d. Upon approval of this application, the Building Inspector will issued a Building Permit to the app~c~t. Such pe~ shall be kept on the premises available for inspection throu~out the work. · . No build~g shall be occupied or used in whole or in part for a0y purpose whatever until a Certificate of Occupa shall have been granted by ~e Build~g Inspector. APPLICATION IS HEREBY MADE to the BuiIding Dep~ment for the issuance of a B~lding Pe~it pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York,~d other applicable ~ws, Ord~c~ Reeulations, for the construction of buddings, additions or alterations, or for {e~oval or demolition, as herein dosed, Th~ applicant aerees to comply with all applicab}~ laws, ordinances, bufld~g cff~code, and regulaBons, an, admit auth ' - ' remis~s and ~ build~g for necessa~ inspectio ~ ~ ' ~0~ ~ ~ ~ ~ ~ ~ (Mailiqgaddressofapplic~t) : Sta~3~~~l~ee~ agent, gchitect, engineer, general contract~n ei~g~;[¢~, plumber'or buil~ . ............... If a~c~s~~t~[ duly authorized officer. "~a(~~ ~ Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed wo..'~ will be done[ ' t-l;ao ............... Ilouse Number ' Stree[ Hamlet 70.'... , ~ ~ County Tax MapNo. 1OO0S~ction....... . Block ..... .... ..... Lot ...... - ..... .. . Subdivision ..................................... Eiled Map No ............... Lot ............. {Name) State existing use and occupancy of premises ~nd~tendcd nsc and occnpancy of proposed construction: . 3. Nature of work (check which applicable): New Building Addition Altetattot~'.. Tennis Court//~__a ......... ~' Accessory Building .......... Fence ....... Ot~r,ff~r~['~ .~[~ ...... 4. Estimated Cost '~'.~.~ ................................ Fee .................................... (.to be paid on filing this application) I 5. If dwelling, number of dwelling units ............... Nnmber of dwelling units on each floor ..... Ifgaraee.. number of cars .... J ............................................................ ... . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .................... 7, Dimensions ofexisfing structures, if any: Front ............... Rear ............... Depth .............. ttcieht ............... Number of Stories .......................................... Dimensions of same structure with alterations or additions: Front ................. Rear ........ .. ... .. Depth ...................... tIetght ...................... Number of Stories ........ s. D mens onsoren.re ne const ction: Front ....... .7. ...... Rear ..... ...... ....... Height ............... .Number of Stories ....................................................... 9 Size of lot: Front ............... Rea." ...... Depth 10. Date of ?urchase ............................. l~ame of F?mmr Owner ............................ 1 I. .Zone or use district in which premises are situated.., d:(¢{;tP.et-t..OP.~ ...... ~, ......................... 12. Does proposed construction violate any zoning law, ordinance or regulation: /q[~ ...... i .............. i ...... 13. Wi. Il lot be tegraded .; .......................... Will excess fill be removed from premises: Yes .... 14 Name of Owner of premises ' Address Phone No Name of Architect ....................... ... . Address ................ . . . Phone No ............... Name of Contractor ' Address Phone No ' 15.Is this property located within 100 feet of a tidal wetland? *YES .... NO .... *If yes, Southold To~n Trustees Permit may be required. PLOT DIAGILAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate ali set-back dimensions fror property fines. Give street and block number or description according to deed, and show street names and indicate whethe interior or comer lot. STATE OF NEW YOU COUNTY OF . . .~5.,,~. ~ ..............]2~ (Name of above named. says that he is the appl! (Contzactor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to pe,rform or have performed the said work and to make and application; that all statements contained in tiffs application are true to the best of his knowledge and belief; and th: Work will be performed in the m~ner set forth in the application filed therewith. Notaw Public ..... . ...... ~~ .... ~. County N~ ~ ~e M N~~~ ~mi~l~