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Home My WebLink About18361-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219061 Date MAY 18 1990 THIS CERTIFIES that the building ADDITION Location of Property 825 LATHAM LANE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 09 Lot 1.24 Subdivision LANDS END Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULX 25, 1989 pursuant to which Building Permit No. 183612 dated AUGUST 8, 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 A DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to DOUGLAS H. & JOANNE FLEMING (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~ _ Bu' ding Inspector Rev. 1/81 roses 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 ~ ~ 3 61. Z Date ~ 19.~./. Permission is hereby granted t f `lO.r. .(........1~~~:.7................. , of premises located of ......~a:-~ .....l~.Qrxr.~....~ County Tox Map No. 1000 Section~.........r~.... Block Lot No.....C..e~~....... pursuant to application doted ......ja:.~.`~,< 19~., and approved by the Building Inspector. ~ O m Fee ~fiilding I for Rev. 6/30/80 Form No. 6 . ~~`'~-_n~~r- ~ w TOWN OF SOUTHOLD j BUILDING DEPARTMENT I ~ I'~ TOWN HALL Y 161990 d 765-1802 BLDG. DEPT. TbWPI OF SOtJTHULD 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 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-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 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commer ial $15.00 Date J ....~~6/~~ New Construction........... Old Or Pre-existing Building.. c/.C- GI/ Location of Property... a'L 5......... , G:Gt~~ ~v~..~-~ G7GL(GN l............. House No.%~ / S/treet Hamlet Onwer or Owners of Proper ty....Y.GV~Ii~S...~...~` ~ County Tax Map No 1000,® Secti~. 5......B1ock....~..........Lot..../'. Z'~........... Subdivision......~.MG~J.~........... .Filed Map............Lot r~ ~p y , ,j i Permit No... l.Z...Date Of Permit. o ~y. ~'d.~ .....Applicant~i"`.'~,~~~.5 ~~vR nn~ QC~i0yg1 /Z ~i,t,{ Health Dept. Approval ..........................Underwriters Approval......................... l Planning Board Approval Request for: Temporary Certificate........... Final Certicate..~ , Fee Submitted: $.°~~~t~C~ 3ysl'7 ~ ~ S/(~/yb APPLICANT icLD I::S:'F_ ~~'Jn::; I~ ~;vPiMCNT~ ~ H _ ~ OUt1DAT20`7 (1st) j`~R ?OUtJDATIO;J ti (2nd) m 2. - - - ~ C~ o .',OUCH FRAME & ~ PLUMBING ' y 3, y m I1ISULATIOfJ PER N. Y. y STATE EfJERGY CODE I ~ 4. FI;JAL I ADDITIOfIAL COMMENTS: ~ • rn x ^n H ~ • 9~ H p~ O I m a m ^o H (y [{I~ i - D ~ ~ ~ u ~ D BOARD OF HE~\LTH y~p~ 3 SETS OF PLr1NS JUL Z ~ ~ FORM NO.1 SURVEY TOWN OFSOUTHOLD CfiECK BUILDI-NG DEPARTMENT SEPTIC PORPI . BLDG. DF4~''(~~~Y TOWN HALL •.Q.w,e.70VJ~iOFS;'i~r~''~~'.., SOUTHOLO, N.Y. 11971 NOTIFY TEL.: 765.1802 CALL . `z~~ R-~ v ~ Examined ..Gl~r?r........., 1~~ MAIL 'T0: Approved 19`~./. Permit No.~Q.~~ . Disapproved a/c . (B ildingector) APPLICATION FO ,,R BUILDING PERMIT Date ~li-~:.a s-...., 15~~. INSTRUCTIONS a. Tltis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets or areas, and giving a detailed description of layout of property must be drawn on the diagram 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 Building 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 shalt be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffo]k County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housin; code, and regulations, and to admit authorized inspectors on premises and in building for nee ary inspections. _ (Sig ature of applicant, or name, if a corporation) (Mailing address of applicant) I/ State,,wh``ether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .~4V Name of owner of premises ~ V C9- LF~ S lTt I~ ~ ~-h-_S ~[_L ~ {~J ~q;-, , , . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. . (~Ll:t1-v\. , , , , , , , , , Plumber's License No . . Electrician's License No . . Outer Trade's License No . . 1. Location of land on which proposed work will be done. . b. , g 2S l.: /-~Tlf~f;~'!l... L~4-N ~ ~ 121 ~ A~/T... ~ ~ E{ouse Number Street, Hamlet / ~ ) County Tax i\tap No. 1000 Section ..1 Blttck , , , , , . , , , , Lot . a7" Subdivision .2G!v~..~.~J~ F.iled Map No. Lot . .....(Name) State existing use and occupancy of premises and intendeQd use andocc,~~up~~anQQcy of proposed construction: a. ExisLng use and occupancy ~~!!t!"`~.z~, b. Intended use and occupancy a.?.4??'1~, • • • . ~~s .c~.~-L~~ w.~y ' ..r _ / ~ b , ~ . . p • • • • • • • • • • . • R` applicable): New Building Addition . Y....... Alteration . 3. Rat air of work check which',moval . Demolition Oti'~bl~c . 4. Estimated Cost Fee . , ,tea , o-" (Description) 5. If dwelling number of dwelli ~ (to be paid on filing this application) n g units . Number of dwelling units on each floor . If garage, number of cars . 6. If business, commercial or mired occupancy, specify nahtrrc and extent of each ~ ype of use , 1 , , , , , , , , , 7. Dimensions of existing structU,res, if any: Front . Rear . ~v. , , Depth as. , Height .NtfmberofStories.~,,,,,,,,,,,, Dimensions of sa a structure with alterations or additions: Front Rear , , , , , , . • • . • D~ th .425.... - . . HuP ltt , • , • • Ileight Q Number of Stories , 7 , , , . , , , , , , c Nutntctron: Front . ~ . 8. Dimensions of entire new conk Rear . De th S or- p a: S~eA:~k~ ' " 'tuber of Stories . ~ a 9. Size of lot: Front 4-Q Rcar .o2.'/t~ r .................Depth ~'7D.~............... 1 ~1. Sone P r upsecdistnct in why ~l olate an yzoning law, Ord Name of Former Owner ~~,~1 . X21. , , , remises are situated ~ • ' ' • ' Q 1... Does ro osed construction vi' 'ponce or re ulation: 1_C NI g ~ . • • • • • • • ; • • • • • • l Will excess till be r moved from premises: ,Yes N< 13. NilI lot be re~radedp .~t~ ~ ddress .g?,~ . , , , , 14. Name of Owner of remises . i a"~xw.~,~~-,,,., phone No.3o`L~.. +~a.~. Name of Architect . ddress .Phone No. . Name of Contractor , .Address • Phone No.. . IS.Is this property located within~Op feet of a tidal wetland? *Y);S. .NO.. *If yes, Southold Town Trustees Permit may be required. . PLOT DIAGRAM 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 comer lot. ~ - 'il - - - - _ ~ - zd, , i ~a ~>Grs'I r?Jb' i ~~4~ (Zo ~ ~ tip. r~, i i IZCooR I / ~~K` { ' ~ STATE OF NEw YORE, COUNTY OF . !,S.S ' ' ' ' ' ' ' ' ' ' ' ; ' ' ' ' ' • • • • ' • • • • • • •I • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (i\amc of individual signing contract) about named. fie is the I (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 Gle this application: Iha[ all statements contained in this application are true to the best of iris knowledge and belief; and tiro[ the work will be performed in ttte manne set forth in the application tiled therewitft. Sworn to before me this ..............°Z6 .....day of'...~ \ 9 19~f• Nota !!(ll ry Public , G~1~:~~:.!~.•, , ~!e-, v , , County (^,1 ~~77.// HELEN K DE V0E ; ~'J;B~!KM-~ C.~ GelJ~vr,~.d . ~ . NOTARY PUOUC, State of New York ' No.470I87A,SutfolkCoun ~ 'i ' (Signature of appli ant) Term Ezpires March 30,1 I k !~U v" >I ' ! f/~ C e r/n n _ X12 CCR fi - - CCC/// N - 1111. ILL~~ .I ~ ~ ~,/zOUN C~ LL-?r`L ~ II, II LEI i, I ~/I r i°'I i i I.~ ~ I it p Iii ~ ~ ~ 11 / ~ ~ I, I rr ~ ` G x G C c a 11~~ D%y ~ k (l 11 ~ k ~ ~ p ~r \ T i . _ r ~ ~