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Home My WebLink About18639-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUFANCY No 219335 Date SEPT. 5, 1990 THIS CERTIFIES that the building ADDITION Location of Property 245 LONG CREEK DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 03 Lot 23 Subdivision YENNECOTT PARK Filed Map No. 5187 Lot No. 7 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 24, 1989 pursuant to which Building Permit No. 186392 dated NOV. 14, 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 ADDITION (STORAGE SHED) TO EXISTING ONE FAMILY DWELLING. The certificate is issued to DAVID & MARY HEWITT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A .~L~L~ wilding Inspector Rev. 1/81 roam xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N o 8 6 3 9 2 Date 1s1,~ Permission is hereby granted to• , ~....~.:~j...~~-:...~.~ to at premises locate at ....u~.T..,,..tl......~~ . .....~/~flli~ .................................................Qr.~~~...~:.~ County Tax Map No. 1000 Section ...35....... Block .....-ems Lot No.....~...~.?~............ pursuant to application doted .......10.,,1~?-..T 19..~, and approved by the Building Inspector. / dB Fee .......4~-.'.~. .~t.,........... B Idin for Rev. 6/30/60 Form No. 6 ~ ~'S ~ ~ C ~ , TOWN OF SOUTHOLD ~ (r/g~ xa~ c ~ BUILDTOWNDHALLTMENT ~ =rH-.~ S(=~ p~ 3 ~9 ~r~ 765-1802 _ ' TL311V117(,CPL~. tl}~Fa~t ..,_.,,..,w~ APPLICATION FOR CERTIFICATE OF OCCUPANCY "~J~!T~9{~yLl,l " ~5 .1. 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-9 form). 3. Approval bf 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 19, 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-existing" 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 k. Updated Certificate of Uccupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date .~G~~ > ~9pp :few Construction... Old Or Pre-existin Bui ding. Location of Property.~,~~~, • ~or7 ~i • • • • • • • • • • • House 4. . Street Hamlet Onwer or Owners of Pro ert d~ ~ ' County Tax Map No 1000, Section...:~•:~~.,.,,.Block....:~ ...........Lot.. Subdivision .~/~C/I,QC~Tr' y~~~--,~. ...............Filed Map.oS ~~,-f ...Lot...... Permit No.L,~,,;~~•.„Date Of Permit:~o.:?,~~-or,J~ y~~, • ...Applicant " ~••/jj~~.~77'- fiealth Dept. Approval....... ••••••••••••••.....Underwriters Approval......... Planning Board Approval........... ~ • Request for: Temporary Certificate........... Final Certicate...~,,,, Fee Submitted: $~S::O~••.•••.• ~ Yd ya ~ ~ 9~ APPLICANT ' , . ?1cLD I;;SP°C:iOtJ ~UATr, ~ COMMLNT° ~ 1. ~ 3 H _ _ _ H FOUNDATION (lst) ~ij d n c ti FOUNDATION) (2nd) _ _ m 2. z ~r" P,OUGH FRAME & o PLUMBING ti H 3. ~ IiJSULATION PER N. Y. • • STATE ENERGY CODE x a r 4 . y FIiJAL 2 ° ADDITIONAL COMMENTS: x~ rn ' x H 9 H H O 2 i x A\ • r H ' Z d. [7 -o H TEL. 765-1802 ~;~FFO~kc@ O./~ OG~; TOWN OI' SOUTIIOLD .•i Lt:~r~ r OI'['ICL'• OP BUILDING INSPECTOR ,`w• ~ ;rya, ~ '}s rn P.O. BOY 728 ~ ~ TOtVN FIALL y1/o1 ~ ~~p~- SOUT[IOLD, N.Y. 1 1971 y/y`~~ _ - To t^7hom This May Concern, We are unable to complete your Certificate of Occupancy because of the following reasons. An application for Certificate of Occupancy ~9~`~,.~,is not on tile. / / No Underwriters Certificate on file. /?L.~je check is (outdated/not on file.) ~ as`oo No ltcalt-h Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your coopreration. Bui]di.mF Permit II / b ~0 3 9 Z ~~~~c~~ Duilding Dept. No Plumber Solder Certificate on file. ( all permits involving plumbing being .issued after April 1,1984 ) a ys ~a,~ p~~~l',y,~Q it 97/ I~l~ ~ ~ 765-1862 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [~INAL REMARKS: ~ DATE 0 INSPECTOR BOARD OF HEALTH 3 SETS OF PLAYS ,~FORMNO.1 SURVEY TOWV OF SOUTHOLD CHECK • - • - . BUIL"D.INGDEPARTMENT SEPTIC FORit ' TOWN HALL SOUTHOLD, N.Y. 11071 NOTIFY TEL.:7G5.1802 CALL , ~j MAIL T0: •2• Examined . 19~~YPP: e JJ` Approved 1X/.L.'Permit No.. !~o.~': ~C~.` ~ ~ l~ tl U Disapproved a/c ~ LS 11 A~.NOtED ocr 2 a ~ DATE: ~ B.P. N FEE: ~ BY; ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ~ ' ' ' ' ' 'TOWN OF SOUTHOLO NOTIFYFY-~DEPA AT uildi Inspec or) 765-7802 8 AM TO b PM FOR THFAppLICATION FOR BUILDING PERMIT FOLLOWING INSPECTIONS: _1 1. FOUNDATION - TWO REQUIRED Date ~4!9.~~.?C:. ~7.., l~~ FOR POURED CONCRETE 2. ROUGM -FRAMING & PLUMBING INSTRUCTIONS 3. INSULATION a4. ~I~lAnpplic:Qiald4Ti196MC$UCNmlMplBTely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of pSkTtBOta(RItBTE ~(Ng ¢1C]t to scale. Fee according to schedule. bALPIc¢CpStlhTBlil~'G(8~I1cStdESbb ~.986T and of buildin;s on premises, relationship to adjoining premises or public streets or artlSiE aR ~ipt~Nn of layout of property must be drawn on the diagram which is part of this appli- catiofsTATE O R C N°IIa ENERGY c9.aorweN€)~ovRfi~~`1$(¢~ppE~ion may not be commenced before issuance of Building Permit. r~F~'~?'i4$l~N&T~(3~1~H13A6&, the Building Inspector will issued a Building Permit to the applicant. Such permit shallt~pi~¢txpt RtMltlt6l9~r06~~RP~6N inspection throughout the work. ` e76~I08b~i1¢ih(L;lll $eRMcPA1Zdf13E used in whole or in part for any purpose whatever until a Certificate of Occupancy shall~pe(bt~ltlSrtN4fiT'I(41?~]3uilding Inspector. A'P1E ~ Y !Gi-gllE to the Building Department for the issuance of a Building Permit pursuant to the Builn~ r ~~pp $t ~'~}}yy ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re; at "f' a consi:"ruction oI"~uildings, additions or alterations, or for removal: or demolition, as herein described. The ~p~~~t,l~~~ed-reFbl~~~l`(7~~1~' applicable laws, ordinances, building code, housing code, and regulations, and to admi 'a~E>°~~illl'LiE°1S~~~Q~ premtses and in building for nece~s~-i~pection ~ _ ` ALL CONSTRUCTION SHALL MEET ,.;t/c,= ~~~Y~G~.~~/."~ THE REQUIREMENTS OF THE N.Y. (Signatttre of applicant, or name, if a corporation) STATE CONSTRUCTION & ENERGY COPES. NO? RESPQNSIBL'`E FOR U/'. , , Sou~Q~~ /;~;I; • • Sys-. . pESIGN pR CONSTRUCTION ERRORS Sailing address of applicant) i1g~~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~G.~t?,Pf- . . .tn. Name of otivner of premises ,!,lam?; ,L~ /~~~1~~ /~i /~'~.c9,:77` . . (a on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ..........r r . (\ame and title of corporate officer) ~s~ ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENS~1~ e ~n Builder's License No. ~ , ~pp,~ , ~~,1~: , ~ i1 i6i~ . ~ Plumbcr's;Liccnsc No . ~ 1 Electrician's License No . . . . . . . ?~j Otltcr Trade's License No . . I. Location of land on which proposed work will be done. / House Number Street ~ ~ ~ ~ ~ ~ ~ Hanilet County Tax h~~t//ap No. 1000 Section . , , , , , , , , Block , Lot . Subdivision y~l/O<!C~Q~, f, C7i;,~ .Filed \9ap No. °r/°~7...... Lot . , . ..1Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy /J¢~ e-- b. Intended use and occupancy ...:S~F.'~r~.:~....<.$~/7~L./ . 3. Nature of work (check which applicable): New Building • • • • Addition • • • Alteration Repair Removal,./ Demoliti n .Other 11'ork (f~f~~ oO~WCij ~r`7~.V ~G~~ ~j~J~ P,G/ • (Description) . . 4. Estimated Cost~7~1~.': , 7?^0~?, ~oi:~,'~•~; , , , , . Fee . . ~`~OQ~ U'~S'9~ (to be paid on fi]ing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars , . . • 6. IC business, commercial or mixed ;occupancy, specify nature and extent of each/ type of use ~ . 7. Dimensions of existing struchues{ if any: firont Rear ...4005....... Depth R?ta . Height .,Number of Stories ....R/C • . Dintensions'of same structureavit~t alterations or additions: Front , .~S'. ; , , , , , , , , , Rear ~ • . Depth ....~3. ~ Height Number of Stories ..U /l.?,-. ~~~~,,~~5........ . 8. Dimensi~o~~ttra;~tew construction: Front . /.4.~ Rear ..~P..'.....~~~~j~4I)¢ptlit+:i,'`:K`a~.~ . Height Number of Stories Q.(1.~ ~ • ~ • 9. Size of lot: Front Rear l~S. , . ' ept tf"~ r3f9~~ ~~~E`~j~"~`~,a.~~~ 0. Date of Purchase , ~C~".,. , % ~7. Q. , . , , . , , , , ,Name of Fotmer Owner...l~~nG_~1~?"t':•, z;~7,k/,,•;/?.. , , , , , ' 1. Lone p r pse district in which remises are situated i "r~"`'t • --tt Fri •..Fr.'4i '+~`Y 2. Does ro osed construction violate any zoning law, ordinance or regulation: , , , , , , , , , , , , 3, Rill lot be regraded .CI. Q . . , iV!',I~~xcess fill be remgv ~~pm gremises:; , . Yes 4. Name of Owner of,premises C~a~tP.~~?P~,/~/R~i.!~,d'f~sse2 j~-,{ll„~ ~i ~rt_ , ; I?{POrle No. -,~lP:~:°,r3 Name of Architect Address a~.~.:;.a.:•P.hgne-No..'... Name of Contractor .Address ..Phone No.~.. 5. Is this property located within 300 feet of a tidal wetland? *Yes~i~<~": No *If yes, Southold Town Trustees Permit may be reqyu~ired. PLOT DIAG1<P,M Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from •roperty lines. Give street and block number or description according to deed, and show streeE names and indicate whether ~terior or corner lot. eo , y `T-.. 4 b \ o~ r ' ;ii it ~ , . ~ G ~ ~ ~a o~. .r 4" I ~ Q V, ~ Z., ~ a f- ~H ~ ~ ~ ~ ~ 4 ~ p .~t~ ~i~~.~^~. T ~ i Dlfk I t ~J~~~ ls. ~1. .'w 6t ~ .«aiw~ NC ~W GtlrrgCo ~ ~ ~ rij ~ w ~ ~ i\nJ 0 ~ , ~ ~ ~ ~ c ~ it' t ~isa~ ~a~ by '3 ~ - -~i X53 g- 3-~,.. i ~ tATG OC KLtt' YOT2I~ OLA'fY OF . S.S • . . being duly sworn, depose nd sa that he is the applicant (\amc of individual si~nina~j /S ~ d contract) -ove named, :isthc .......................'I (Contractor, agent, corporate officer, etc.) ' said owner or owners, and is duly authorized to perform or have performed tfte said work and to make and file this plication: that all statements contained in this application are true to the best of }tis knowledge and belief; and that the irk will be performed in the manner sCt forth in the application Gled therewith. corn to bc(orc me this o~ ;F day of ..'L ..~.//r.-//~ 14~.~, :tart' Public, ! ; , ~!de; , , , , , , County ?:flTARYFUe C notEeMNeuowtyY,o.'rl~~ (Signature of applicant) YePmaExP~esrMBfch 30 1091 ~