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Home My WebLink About18001-z t FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19043 Date MAY 11, 1990 THIS CERTIFIES that the building ADDITION Location of Property 270 BOISSEAU AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 03 Lot 06 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 1989 pursuant to which Building Permit No. 18001-Z dated APRIL 5, 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CARLISLE & JEAN COCHRAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 _ roast xo. s TOWN Of SOUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, N. Y. BUILDING PERMIT tTHfS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL CQMPLETION OF THE WORK AUTHORIZED) N°_ Z ~ 19..~~....J ~.8 0 01 Date Permission is hereby granted to: ~f • d .C~.1lx.!:' :R.~f:~.~.....~SRsw!.....~C~J~.4-!fit..... ...~.7..d....3. f~.+~,...~..~-~-~,.~, ....~.~d4.......:~.:.y..:... .9.7..1....... at premises located at ...te3.~.Q County Tox Map No. 1000 Section .....Q~..~..... Slack ....Q..x .....ggqLot No.....Q.S4........... pursuant to application dated ...~........~j 19.R..1.., and approved by the Building Inspector. Fee S.~~D.:. l ,,,~o;;c_ Bu ding Inspector Rev. 6/30/80 Form No. 6 t TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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 2J10 of 1% 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. G. 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 JI$15.00, Commercial $15.00 Date .S~/•~~!•~ New Construction...'x....... Old Or Pre-exis((t~~ing BuildingOQ..~~~~~~~,{';~. nn Location of Property. ~.70...%~0:`.'!r4:~~*.4. House No. pp Streets ~ Hamlet Onwer or Owners of Property..~°.ktRMEvGri . . . County Tax Map No 1000, Section... 3.....Block...... Q.t~......Lot....4 Subdivision ....................................Filed Map............Lot...................... Permit No..1.~~~~:~:....Date Of Permit. ~!,lr.L~g......Applicant.~iQ'r14..~:~-!`:"":'R... Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate...~..... Fee Submitted: 5~..~ ' / y APPLICANT Po~l~oy,3 lELD Z1:S72C:iU;i ~~D;,^.E GUMM€iuTC 7• c H _ _ y FOUNDATI01! (1st) ~ c FOUNDATIOtJ (2nd } a.~s ~ _ m 2. z 0 ROUGH FRAME & PLUMBING 3. y o nM C.o"r~. ~ m n INSULATZOP] PER N. Y. • • 'j ~ STATE EflERGY CODE m 4. FI;JAL ADDITIOTIAL COMMENTS: ~ ` c L RY ' x ~v H ? ` H H O m ' r H O m ~o H t . o 4~ n,Qy~~ ~ , - ~N ~ o ~ ~ ~ ~ 9, SOS O 2 ~ t~ D s r, w ~i 0~ 6h. 2 1- m . BOARD OF HE.\LTH D • ~ U ~ 3 SETS OF • PL,1NS . • • • • . • • ' • • ~IUII FORM N0.1 SURVEY 3 e~ TOWN OF SOUTHOLD CHECK ii BUILDING DEPARTMENT SEPTIC PORM ' TOWN HALL BLDG.6EPT. SOUTHOLD,N.Y.11~J71 NOTIFY 70WNOPSOUTHOLD TEL.:765~1802 CALL ` MAIL T0: Examined . 19~~ . ' Approved ...J~..., I9A ! .Permit No.~.VP.~~ I ~L Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT p Date .~.T.~3./........., 15P. INSTRUCTIONS a. Tltis 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 stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appL 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 perm 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 Occupant 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances c_ 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 g code, housing code, a gulations, and t admit authorized inspectors on premises and in building for necessary ' s lions a ignatuore off appl~ ant, or name, if a corporatcion) • (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builde, ~-,~P~w ~r. emu..-~.-- Name of owner of premises ~~f /G ~ G (as on the [ax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate o/fFfc~er) Builder's License No. ....~•~i. . Plumber's License No . Electrician's License No . . Otfter Trade's License No . . I. Location of land on which pro osad work will be done. . House Number Street / ~ ~ County Tar Alap No. 1000 Section BI'ock ..Q•rr........... Lot . Subdivision Filed Wrap No. Lat . (Name) State existing use and occupancy of p/remisesCand in[e~ndcdj use an_d/occupancy of proposed construction: a. Existing use and occupancy / / •~~f~":: C •w~~•` • l~ b. Intended use and occupancy ~...~11+.-L 3. Nature of work (check which applicable): New Building Addition .Uterationr ....~3 . Repair Removal Demolition Ot gE3cn f • • • :.1t ! G ~scripti n: _s-" 4. Estimated Cost .......~b6 Fee (to be paid oh filing this application) 5. If dtveilin„ number of dwelling units Number of dwelling units on each floor . Ifgaragc.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 Number of Stories . Dimensions of same structure with alterations or additions: Front Rear . Depth Ilcigftt Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth . Height Number of Stories ....R............. . 9. Size of lot: Front Rear Depth 10. Date of Purchase .............................Name of Former Owner . 11. Zone or use district in whic]r premises are situated . 12. Does proposed construction violate any zoning law, ordinance ar regu]atian : . 13. Nill lot be regraded will excess fill be removed from premises: ,Yes t 14. Name of Owner of premises ....................Address ...................Phone No............. . Name of Architect ...........................Address ...................Phone No............. . Name of Contractor ..........................Address ...................Phone No............: . IS.Zs this property located within X00 feet of a tidal wetland? *YES____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 fro property lines. Give street and block number or description according to decd, and show street names and indicate wheth interior or comer lot. I . STATE OF \EN YORK, S.S COUNTY OF . being duly sworn, deposes and says that ire is the applica (Name of individual signing contract) above named. fie ist}te (Contractor, agent, corporate officer, eteJ of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl application; [hat all statements contained in this application are true to the best of his knowledge and belief; and that t. work will be performed in the manner sci forth in the application filed therewith. Sworn to before me this Notary Public, 1~ ~:L•~~• County HELENKOEVOE (Signature oCapplicar NOfIIRY PUBLIC, State of New York ND. 4107878, Suffolk Coin Term Expires March 30,1 R ry' 1 i i i - `F~ i Y Exr~/vca- RooF - _ - 'sl<y ~x1s'~'~h _ _ ` _ 1 ~ _ ~ y _T 15 1 i _ F r~ - --Ste _ CoNCkL7E~Fk7o - ' - ~ - - - lam' Ff N ~ R~-+P~ _ _ _ _ ~ - 1 I a~I 011 ,s- 6-, EniStl,•j Q ~1~1 f/J N~ ~ I gyp' OATS `f 9 B.P H L~ FEE S~• ~ BV... d. a.~,. - fl0(IFV BUILDING DEPARTMENT AT NaOPpB~tubinpiiutsd 7fi5~ 1802 9 AM TO R PM FOR THE ~ water tllstributinp 1 _ FOEtOWING INSPECTIONS. SySteRl, piplnp shall a ' 1, FOUNDATION - TWO REQUIRED of (ypES I( O~ L OlIIV ' FOR POURED CONCRETE ~ - n+ ' 2. ROUGH - FRAMING k PLUMBING UNDERWRITERS CERTIFIGIE 3. INSULATION REQUIREO : ~ .d 4. FINAL - CONSTRUCTION MUST , EI BE COMPLhTE FOR C.O. - ~ /'f dV / I /eN I-oR ~T4E C 6~~.A NS ' U ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. _ su.e q .PPwo~eo oeeww n. ~ ~j' STATE CONSTRUCTION !1 ENERGY ~CCUPANCrOR _ _ - ~ • o..e 2y $ .E~~sEO3 6 CODES. NOT RESPONSIBLE FOP USE IS UNLAWFUL DESIGN OR CONSTRUCTON ERRORS WITHOUT CERTIFICATE ALL PL~B~ OF OCCUPANCY ~.t~MyO~°E" ~w`^~ o.~wwe vuM~e~r I _ _ - - ~ - ~ A 0 I , 1 ! ~o ~ _ ~ ~y ~ E~ s ~ , ~ n s ? ? e.~.._„~~t gkart' ~ It ! ~.rt~~ w n,e,.~ I C 2 ~ { on/ t I 1 poor ~ ~ ,~.r~+°~ ~''#~.n ~ f § ~ " ~'m ~M Y'~ ~°=s~66s's+' 5 i ~ n t ,.hlSk ~ ~ ~ F s ~ 3 f . ~W~„~,,.~ I r' ~,yL'wn L%i4 VJ'p•k~:F;~F11'!s {.~AIW _ . d AdS4. 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