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Home My WebLink About18673-z °ORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218598 Date NOVEMBER 29, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 410 BUNNY LANE NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 06 Lot 28.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 24, 1989 pursuant to which Building Permit No. 186732 dated NOV. 28, 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 ACCESSORY METAL STRUCTURE, IN THE REAR YARD. The certificate is issued to RUDOLPH ROM (owner, XXXXxxxxxxxxxxxx) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui d' 1 ing Inspector Rev. 1/81 roans xo. s TOWN OP 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 7 3 2 Date ~ s~r.~..... 19..~ Permission is hereby grantedt,to: ~ q oo rf n ~ WAC.~..t/laliv.~....WtiW!~4.w~ T 'O~a~W.y P~a~.a..~~.~`~ to ..C.r!'.`.^~?u:4S~.~......Q!!x\.... a:~-.c~:!'.~::r`.t.(1 .../..?'Y4tS,Xs'4K....~ft~i. e4:S.:s:K:~-:,...Jrx~......71.i:1~9~.,.. t! at premise located at 0 owc,~... .!L?.:y........ County Tox Map No. 1000 Section,1 ~ Block ......5?.~Ct......p..gLot No...a.g.:.~.......... pursuant to application dated ..NJ.ra.NM.......ao~.`~ 19.Q..1.., and approved by the Building I1nspector. Fee S...a?4:.../.... B Ing Inspector Rev. 6/30/80 ~ _ TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORR 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE. November 24 1989 NEW CONSTRUCTION ..X....OLD OR PRE-ERISTING BUILDING......VACANT LAND........ accessory shed Locat ioa of Property. , ,410 Bunny Lane New.Suffolk,. New York, ,11~~F . . . . . . . HOIISE.NO. STREET HAMLET Owner or Owners of Property.., Rudolph. Rom . County Taz Hap No. 1000 Section 117:00_ Block .6:00_ Lot ,028:001._ Subdivision Filed Map ........Lot.......... Permit No./A.6 ? ~ Z..Date of Permit ..........Applicant Rudolph. Rom.._.._... Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: y~?5:00 APPLICANT.. Rudolph Rom B •W .lliam Wic •a as • . torney ~ 3kG75" 8P /8G 73 z has' Co i8 sy~' as rev. 10/14/88 is~r_~ ~ ^ ll t . II ~ ~ ~ ' _ H ~/J •-3 ?OUtlDATIO;I-... (1st) ~ ti ?OUI7DATI0;! (2nd 1 _ . ~ 'OUGH FRAME & PLUMBING y 3. m n II7SULATIO!! PER N. Y. ~ STATE E27ERGY CODE I _ > NU ~ H 'i FI;JAL ' ~ o ADDITI0IIAL COMMEIJTS: ro x ' ~ g~., m x • H . H H O ,.L) • m • ( H d . m '7 ~ ~ ! ~ H = r ~ a ~ s rl/ ~ ~ ~ ~ w t: r- y ' c o i M uZaii l,. q W ~9 Ju`;r ~z~~a y 4 Ax. CJ `~"u _ ~~WJw ~W `~o ka„f ~ ~ IXlZ w> ~ Z~ h. ' ~ ~ ~ ~ y ~ .c, aLL~i_ oZgg s ¢c r< ~ ~ ~ i s A ~ ~ i 4 ii ° Y i - r zQ~, Wes, ~ C4 H- u.~~w z. ta.! ~ ~ ;r O w t= w ~ ~ N ~ caro~LLd~~~~~~~5 4~P f" iU F' .r u. Ct ~ u. tJD J LLl ~ r' r.~ ~ A ry ~ c W v i ~ ~ ~ c g ~ ~ ~ ~t o ~ a l~ ° ~ ~ o Q W ..09 W3 ,k r v N ~ 3 , 4~ „ 1 ( tt77 ~ ;~3y ~ o~ ~ .r o, ~ 0 ' ~ vA ~ .7y ` V q P ` ~ ~ ~.L/'i0Y 4 w ~Q ,g0'O~r',/ ~r0® ice' i~/•.? * ~ ~ ~ M ~ ~ s ` Q Y a ~ ~ N J p m Y f~, v S3~ - ' <~:,„,~„a„,,,,~, B 0 r1 K D O F HEAL T H . D , , ~ ~ L~ 3 SETS OF PLANS ~1~ ~fORMN0.7 SURVEY Ytr/ 2 A {j TOWV OF SOUTHOLD CHECK • • - • nur BUIL"D.INGDEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SLOG, t)EP7 EOUTFiOLD, N.Y. 11971 CALL TOWN OF S(JIJTFiOLD TEL.: 7G5~ 1802 ~ ~ - ~ ' ' ' ' ' ' ' ' ' ' ' ~ MAIL T 0 : ' ^ Examined tJ.a:t.~..,~'~., l9$g. Approved „ 19~. Permit No. ~,$.ts?~:~-. ' Disapproved a/c (Building Inspector) e APPLICATION FOR BUILDING PERMIT r Date . November. 21, 19 $9 . INSTRUCTIONS a. This application must be completely filled in by typewriter or iri 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 of public stree[~ or azeas, and giving a detailed description of layout of property must be drawn on the dia~tam which is part of this 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 Buildin; Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occunanc} shall have been granted by the Building Inspector. APPLICATION IS HEREBY hfADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, Cor the construction of buildings, additions or alterations, or for removal. or demolition, as herei-t described. The applicant agrees to comply with all applicable laws, ordinances, building de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspecti (Signantre of a licant, or name, if a corporation) No/~ Bunny Lane, New Suffolk, New York (hfailing address of applicant) State whether app]icant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. owner Name o£ owner of premises ,Rudolph Rom and Waltraud L: Rom, his wife . • • • • (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . (Name and title of corporate officer) ALL COtITRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No . . . Pluntbcr's License No . . Electrician's License No . . Otltcr Trade's License No . ~jO ' Bunny Lane, New Suffolk, New York 1. Location of land on which proposed work will be done . . • , House Number,,,,,,,,,,,,,,, ,,,,,,,'Street'.,,,,, ......•....•...Hamlet........................ County Tax Atap No. 1000 Section , 117; 00. , • . Block ,QEt,QQ Lot . 028.D01, • ' . , Subdivision Filed \fap No. Lot (Nmnc) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,one,,-~a . . . . . . • _ • • _ • . b.lntended use and occupancy ....?luml- u MrL~ , 3, Nature of work (check which ~'~applicablc): Ncty Building Addition • • • • • Altcra{iori , , , • moval Demolition Other 1]'ork • , , , , , Rcpatr ( i 4. Estimated Cost Fee . .~-r D...~...... •'i ~ ito be paid on Citing this application) 5. If dwelling, number of dwclliri'g units Number of dwelling units on each f]oor • Ifgarace,numbcrofcars •t. 6. ' IC business, commercial or mixed occupancy, specify nature and extent oC each type of use 7. Dimensions ofexisting structures, if any: Front ...............Rear Depth Height ...............NuimberofStories........................,.............................. Dimensions of same structure ~vitit alterations or additions: Front Rear Depth i, Height Number oC Stories . Dimensions of entire new construction: Front , Rear ...............Depth Height Nulnbcr of Stories , , , 9. Size oflot:•Front Rear Depth 0, Datc of Purchase , . . ....Name oC Former Owner 1. Zone or use district in which ptemises are situated . p p 'late any zoning late, ordinance or regulation: , ,no , , , , , , , , , , , , , , , Does ro osed construction vro 3. 1l'il] !ot be rc~radcd .rF4.. Nill excess fill be removed from premises: Yes ~ Nc 4. Name of Owner of, premises , R~rsiol~h •Rom , • , , , ,Address No(1 SunnX Lane • • , • ,Phone No, ? 34,-5013, • , , , Name of Architect • • • . • ...........Address ...................Phone No.. . Name oC Contractor ~ ......Address . ....Phone No.... , 5. Is this property located within 300 feet of a tidal wetland? *Yes No ..r5..•`r *If yes, Southold Town Trustees Permit may be re uired. - PLOT DIAGRAM Locate clearly and distinctly al; 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 street names and indicate whether netior or corner lot. see attached survey • I, i "ATL• or• ~sn•s~i~liec s.s • • . Rudolph Rom • , • • , , , , , , , , , , , , , , , , being duly sworn, deposes and says'thaY he is the applicant (::amc oC indieidual signiri; contract) ovc named. is the ......owner (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly',authorizcd to perform or have performed the said work and to make and file thi: ~lication: that all statements contained in this application are true to the best oChis knowledge and belie C; and that the rk wilt be pcriormcd in the manner set forth in the application filed therewith. orn to before me this I ...........20~...... November........19.89 .day of.''. i ~ n tar}• Public, q , k ~i Caunty ~ ..........licant • (Signature of app