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Home My WebLink About18504-z ~ * FORM N0. 4 TOWN OF SOUTHOLB BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-26734 Date MAY 15, 1992 THIS CERTIFIES that the building ALTERATION Location of Property 550 ABORN LANE CUTCHOGUE, NY House No. Street Hamlet County Tax Map No. 1000 Section I18 Block S Lot 6.I Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SFP'1`FMRFR 7, 1989 pursuant to which Building Permit No. 18504-Z dated SEPTEMBER 15, 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 REMOVE OLD PORCH AND ENCLOSE INTO SUN-ROOM AS APPLIED FOR. The certificate is issued to CANDACE (:RTMFR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Bu lding Inspector Rev. 1/81 rosx xo. 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 5 0 4 2 Date CC~~ .....~i.,(Gf..t.,.O.S........, 19..9. Permission is hereby granted to: p~ ~ O~ ..'~~'..n. tel.:...... ~..:~.:..c~_ ..~-w(.a at premises located at S~"7~....1'~....~:........L:!::~.`~.:~.!.`:T.:~.-~ ....q.~ T.. sue.... ~ ? County Tax Map No. 1000 Section Block .....5~ Lot No....~:.. Q~ pursuant to application doted '~..1...~ 19.~.~.., and approved by the Building Inspector. Fee 5...`~....:.. ..A..~~e....~ . . Building Inspector Rev. 6/30/80 Form No. 6 a t i' -~S f . - ~ . 11 ~ I TOWN OF SOUTHOLD f ~ BUILDING DEPARTMENT ° E ~Y ~ 2 TOWN HALL 765-1802 j{iiiJJ! L1 _ !„~„T~ ' , 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-9 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 1~ lead. 5. Commercial building, industrial building, multiple residences ahd 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 Euilding - $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 :.5.~ ~r New Construction........... Old Qr Pre-existing Building.....!'.........., _ , Location of Property....3'. ` ....~.~t.~-!1,... ~ C1 1Y°:.......:Y~t~5~1:).~.... b' t r:.-i... ~-'6 fZf~(IC VL House No. Street Hamlet Onwer or Owners of Property....S~.+`~!~::?F1~:<...... ~~J ~'a.G.._~ County Tax Map No 1000, Section.. J.1. F~........Block.....~. .........Lot...: ~r.:.~. Subdivision ....................................Filed Map............Lot...................... _ _ Permit No..~~.5. ~:~.~,..Date Of Permit ................Applicant.. 59:~~Er:.. ~'a4'Z.i?y......... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval i Request for: Temporary Certificate........... Final Certicate...Y....... i ~i Fee Submitted: APPLICANTS iELD 1::.°,:'c ..J:: ~f'Jr,:E I :;vP4M(;NT^ - - Lw 1 . ~ ~ a ~ i _ ?OUtfDATIOtt (1st) ~ ~ c ?OUtdDATI0:1 (2nd) m 0 ~ r ROUGH FRAME & ~~'0L PLUMBING y 3. a m~ n IIISULATIOff PER N. Y. • • STATE EftERGY CODE 4 . y FINAL • I o , ADDITIOf7AL COMMEI7TS: m a m . x ^o • H 9 ' y H O m a r H O m . ~ _ _ _ _ 1~~~ ,~-182 BUILDING DEPT. INSPECTION [ ~ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [v] FRAMING [ )FINAL REMARKS: J ~ .t-n /e~ /fit .(r~UGC~ ~/L?~/.tAt~sc..~c~- DATE D INSPECTOR n 2 R Q M N ~ BOARD OF HEALTI3 . • • . - . . U LS hJ L5 U •~,~li 3 SETS OF PLANS . FORM NO. 1 SURVEY . SEP ~ TOWN OF SOUTHOLD CHECK • • • - • • • . BUILDING DEPARTMENT SEPTIC FORDS TOWN HALL SLOG. DEPT. ~ N O T I P Y OUTHOLD, N.Y. 11971 CALL ~ TOWN OF S013T~1nLD " . ~ ~ . TEL.: 765.18!)2 ~i~_~a... MAIL T0: Examined4~~^:wfoR,+. 19~~ Approv~~~ ~ 5' 19~ Permit No. ~ Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT a Date ? 19 . . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the $tiilding 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 stree or azeas, 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: applic~rrt. 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 part for any purpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit puisuanY to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws; Ordinances Regulations, for the construction of buIIdings, additions or alterations, or for removal or demolition, as heYein describe. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code,.and regulations, and admit authorized inspectors on premises and in building for necessary inspects ns. (Sig ure applicant, or name a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build; ..~~1 Name of owner of premises ~~"4~`-...... , (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 CONTRACTOR'S MUST BE SUFFOLK--COUNTY LICENSED Builder's License No. ........./~4.(Q.q . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed w//ork will be done . . House Number QStreet Hamlet County Tax Map No. 1000 Section ~ .~.(J........... Block Lot ~ r` Subdivision Filed i`Iap No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Sr~gGG...~...f . . b. Intended use and occupancy " ......u:~~~ . 3. Nature of work (check which applicable): New BuiIdin • ~ . . g Addition Alteration Repair Removal Demolition • Other 1York . ~ ~ (Description) f ~~1 Fee...................................., 4. EsIimated Cost ~ • (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage,numbcrofcars 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 ...............NunrberofStories....................................................... Dunensions of same structure with alterations or additions: Front Rear Depth ......................Height ......................Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth . Height ...............NumberofStories........................................................ 4. Size of lot: 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: f~e . 13. 1Vi11 lot be regraded .....;f~i] ....................will excess fill be removed from premises: Yes N.. 14. Name of Owner of.premises ....................Address ...................Phone No.............. . Name of Architect ~ y. Address Phone No.... . Name of Contractor .:f...t,/~{'.r(,`(~ Address . 3?-:.!~.... Phone No. ~.Y2,1,-,ll',5;5 15. Is this property located within 300 feetyyof a tigidal wetland? *Yes No . *If yes, Southold Town Trustees PermitPLOT DIAGRAM ed. Locate clearly and distinctly all buildings, whether existin; 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. y'LtyturcrG ~e+~ Y" ~ ..irWA~ ~ 3T'ATE OF NLR' YORK, S.S ,OIiA`I'Y OF... . ~ : being duly sworn, deposes and says that he is the applicant ame drvtdual signing contract) .Dove named. Ieisthe. (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication: that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. worn to before me this q ......................day oC..././.~.~~............,19.F1 rotary Public, r`w`.~-~: ; ; . ~~.r!di:......... County / NEIEN K DE YOE NOTARY PUBLIC, State d New Yak . Na 4707878, Suttaik C f Term Expires March 34,1 (Signature of applicant)