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Home My WebLink About18478-z f. FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19103 Date JUNE 4, 1990 THIS CERTIFIES that the building ALTERATION Location of Property 620 LAKE DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 1 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1989 pursuant to which Building Permit No. 18478-Z dated SEPTEMBER 12, 1989 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 2 SKY-CITES IN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES & BARBARA GENOVESE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~LQ~'l/ _ B ilding Inspector Rev. 1/81 IIrOBDi NO, f TOWN OF SOUTHOLD BUILDING DEPARTMENT , TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N°- x.8478 Z Date 19. Permission is hereby granted to: p ~ p/fq ~ ...,~:~r... to .l?yt~~?~a!iC.rf:.:'.~S'!.'a..'.-.. .A~', c....... ..G.t~' ........y~...~.~.. ct premises located at .....~..~:~.......~f-Gt~.r4-......~~1..`.:~ ......................................................................~~...cc.~~.................................................................................... County Tox Map No. 1000 Section ......~.1...~........ Block Lot No ..............v~....z- pursuant to application dated 19 yL~...,, and approved 6y the Building Inspector. pd Fee ;••~.:l..f?y.~ .`L(r.......... uildi I for Rev. 6/30/80 c15LD I;:S:FC.i~S ~(Un:E i~ ~JNMENTS -v 1. ~ ~ ~ I a FOUIIDATIO:J (1st) c FOUNDATION (2nd) m` 2. z 0 P,OUGH FRAME & PLUMBING H 3. ~ m ca IIISULATIOPI PER N. Y, • • STATE ENERGY CODE . ~ .r Q`~lC . z C~ r 4. ~ FI;lAL • ~ - I o ADDITIO?dAL COMMENTS: s° • cn . ' x -n H 9 H , H O . ~ b\ • r~ ' S d M b H ~ Form No. 6 - _ ~.S.~Yd'''i~ TOWN OF SOUTHOLD ~ ~ NPR g I~~ Z C `US ~n BUILDING DEPARTMENT ll3 ~ TOWN HALL TOVV~LCF cD`FT. 765-1802 OUTHOL4 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. 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 sewerage-disposal (S-4 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 17 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. B. For existing buildings (prior to April 9, 1957} non-conforming uses, or buildings and "pre-exi"sting" 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 - $10.00 4, Updated Certificate of Occupancy - $50.00 5, Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / Date New Construction.... . Old Or Pre-existing Building........ •r, Locaticn of Property ....`f. L/~(C~...~! .:...............~~~~!1.~..... /T' ~ f~ House N~o.~ Street Hamlet Onwer or Owners of Property.:lff~:1;;~,d;,~AJ2~~~~,.CC ~Q1/C"~C,,,,,,,,,,,,,,,,,,, County Tax Map No 1000, Section.... .,l.9.....Block .........Lot...~.7i.............. Subdivision......c~ ...................:.........Filed Map............Lot...................... Permit No.~ ~.y-~ p.~.....Date Of Permit ................Applicant............................. Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate.....//.~~.QQ..//. Final Certicate........... Fee Submitted: $..~QJQ..R.'~!NS~~ ~.WU t~~ ~ 1 APPLI BOARD OF HEALTH 3 SETS OF PLANS FORMNO.t SURVEY......_... TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM c TOWN HALL NOTIFY 7~ r _ ~ C~~ . .,OUTHOLD, N.Y. 11971 CALL, TEL.: 765.1802 j / tTI'L~ T0: Examined 19~q Approved 1901. Permit No.. ~~t/.1.7~. ~ ~ ~`j ~y ~ ' t ~l Disapproved a/c (~I Al1G 2 21989 . / SLDG. DEFT. TOWN OFSOUTHOLD Building nspector) APPLICATION FOR BUILDING PERMIT Date 19 . . INSTRUCTIONS a. This 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app 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 pern shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in pazt for any purpose whatever until a Certificate of Occupan~ shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, b ~ code, hou ' co ,and regulations, and admit authorized inspectors on premises and in building for necessary i spect' ns. (S' atone of appl' , or name, if a corporation) . ln. ~ ..~~4? ...1?!Z So cl (Mailing address of applicant) ~///C State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premise ......~yscs.-v:.. ' (as on the tax rollYOr latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S T $)~_$UFF COUN~fY L ENSED Bui]der's License N Plumber's License Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . ~ ~kc........~f~~ .............~S.~Y.~1?..:.....:.... . House Number S~t-r^e'et / Hamlet County Tax Map No. 1000 Section Block Lot ~ .Z~.... Subdivision Filed blap No. Lot . (Name) 2. State existing use and occupancy of premises and inte~ded~usne a-nd occu/Jp~ancy of proposed construction: a. Existing use and occupancy . ~ ..:~?.l(.!...~-~X`~,G.~r~!c.C~~, , , , , , , , , , , , , , , , b. Intended use and occupancy . 3. Nature of work (check which applicable): New Building , Addition Alteration L/ • . • . Repair Removal Demolition Other Work . (Description) 4. Estimated Cost ~ Fee . ` (to be paid on filing this application) 5. 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 and extent of each type of use . 7. Dimensions of existing structures, if any: Front ...............Rear Depth . Height Number of Stories . Dimensions'of same structure with alterations or additions: Front Rear . Depth Height ......................Number of Stories . 8. Dimensions o~eiitiTe new construction: Front Rear ...............Depth . Height ...............NumberofStories................................................,....... 9. Size of tot: Front Rear...................... Depth 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation : . . 13. FVill lot be regraded ............................Will excess fit] be removed from premises: Yes N: 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 300 feet of a tiidal wetland? *Yes No *If yes, Southold Town Trustees PermitPLO~ DIAGRAM ed. Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~ v1 \ w*~ O ~1 ~ ~ ~ z- L ~ _ ~ ~ ~ r ~ c ' r-\ U p\ ~ ~ 1 ` O STATE OF KE~V YORK, S.S COC;NTY OF . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. }ieisthe (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 this application; that all statements contained 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 the application filed therewith. Sworn to before me this .............~n~ day of 19~.~ n_ ~ g~ \otary Public, !V.-L,`:~~':....... County v' . . . l~I.EN K OE VOE (Signature of applicant) ~om4TW678 Terns Expires Nkrch 30.1 i I i- I ~ - - - ~ ~ ~ - ~ - r _ ~ " ~ I I I - I -i i i i I I _ - - i - - I i - - - _ . I i ~ i ~ I 1 I I ~ i ~r ~ - - ~ . I i j - i ~ ~I I i li I I i I - I --I-- - -r- - ~ - - _ J i 7 i a~ - - i- G I ' I I 'uat~.71~srl~ ~~7 - - I . _ r - c , o ~ i i i I I FEE: ' _ _ - _ NOTiE~r~ . - - ~ - - F - ~ - - j ~ ~ - - - - - - ' I ' • _ - ~ 7B5- 9 B02 S AIN Tp 4' PM FOR T4~ - ~ FOLLOWiNGlN t:CYIONS: FOUN ~ _ - - I - ~ - !9_T~ 7WOREOANRED - I - i ~ - ~ I - 3~ROUGH'. FRAMING 8 PIUMBtlYCa - _ _ _ - I 1_.i _L_ ~ - ~ ~ _1-..--~ ~ ~~P`IIiECONST UCTiFpTRUCT, MUST THE' R Q IU REM NOR C.O:10N - i I i - • Y. _ - ~ i _ TAf€ i ONSTRUC~ N 9r ~ENERG - - - - , - ~ 1. N OFR THE NET Y ~CIUES. NOT IRE PONSlBL~ , FOR I - - _ ~ Q 1 i ~aTtiN CSR CONSTRUCTION ERRORS L _ € ~ - ~N--- - _ _ _ - - ~ - i -,I- - _ ~ I T J i - _ ~ T , i - I - ~ _ - - - - - ~ - _ I ~ _ - ~__y_r___ ~.I - - r' - r.. - J ~ i i I r I ~ - - - _ _ _ j i ~ ~ . - - _ - - I ~ _ - - - 1111_!!11 ! `i Ivy- _ ~ ~i i I ~ i ~ I ~ _ - ~ ~ ~ ~ ~ I ~ i ~ ~ i i - ~ - ~ I 1 I ~ I I i C~.ri~~fF 4' T - - - - - i ' _ I_ ~ TI p I J i v j _ ,3 fG I I - ~ I ~ ~ - - ~ _ I ~ ~ I- L UPA~ CY OR ACC - - - _ I ~ ~ ~ =115€ IS ~NL~IU~FUL - l - ~ ~ ~ ~ I- ~ ~ - ~ I ~ . _ _ _ Q T I~ ~ - ~ ~ ~fiN ~ U ~RTiF1CAT ~ - I I - I - 4~CUPAN~Y - - I - - - - _ _ - ~ ~ - I ~i - • - ~ , - ~ - i I i I - i I i ~ i - - - I - ~ ~ r -~----r -r - - - _ II r - - i i - ' L _ r_I_-~ I ~ i ~ I- 1 - - - _ _ - I I _ . ~ - ~.J_ ~ ~ I ~ - ~ ~ ~ I I ~_-T . I - - - - - - ` - - - - , f A I I - - ~ _ -