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Home My WebLink About18028-z ` ~ FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17974 Date APRIL 27, 1989 THIS CERTIFIES that the building ADDITION Location of Property S00 PRIVATE ROAD #18 SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block O1 Lot 13.1 Subdlvlsion Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 10, 1989 pursuant to which Building Permit No. 18028-Z dated APRIL 12, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ESTATE OF JOSEPH BASEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A c Building Inspector Rev. 1/81 roses xa s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT iTH15 PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Na 802$ Z Dare 19...1 Permission is hereby granted to: .~C..~:4Xi4.... I.r? :i^w?~ to '~,-Q..+.:~~4!.s.~s~:... cw.....s~.RS..~c.... sz.cS~,c4~.~:a~...°.ta.... ~-~,....~kJ.n~.~;~.. Qr1R°~ 1 - 1.~._..~rra.4,lh~....~.... ~ . of premises located at County Tax Map No 1000 Section((~~..~~.. ~~0.~~~..`.f Block ......5?.(.......... plot No pursuant to application dated ~!YS~?cti.x.....) 19.9., and approved by the Building Inspector. 1UV Fee S.•.`?~' ~ .L.srrT .d.-~:. . Bui ing Inspector Rev 6/30/80 . _ ' TOWN OF SOUTIIOLD BUILDING DEPART2IENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. ~~G~1.... NEW CONSTRUCTION OLD OR PRE-ESISTING BUILDING......VACANT LAND....t__... Location of Property....~Ga.'1.......... ~1L,L fi~l~~~ _ . _ _ ..~~CcC.C~f.~E~_ HOUSE NO./'/}A /~1T_ STREE / HAMLET Ovner or Owners of Property.. A.KFf~-~:'K. , . :y4.s.. ~~~-C~ 1 / County Taa Map No. 1000 Section Block Lot .C~:~.. Subdivision Filed Map ........Lo[.......... Permit No. ~.~1.6 Z.Date of Permit .........,ApplicanC Health Dept. Approval Underwriters Approval...__._..._.._ Planning Board Approval Request for Temporary Certificate Final Certificate i Fee Submitted: $...~S.l~~.,....... APPLICANT.. /:~~.c2..:~:'?'~-~. ...~.L"r:`.`:.1 /Boas f /~%ay ~ Glier-~Z~ !a 3 ~ GLG ~~.-C~ C~l`~ ~',G L lC- L ~~„31~a~ rev. C~ [0/14~8~ -1r:LD ~CS:..~C:IU;i ~~ll,iTF. ~ - - ;;JtwMCNT° -a 7. a_ H y ^OUtlDATION (1st) ~ h C FOUNDATION (2nd) _ m`~ z o ~ .ROUGH FRAME & PLUMBING ti H 3. ~ m m IilSULATIOPl PER N, Y. STATE ENERGY CODE x _ FI;IAL . t ~ `i ADDITIONAL COMMEP7TS: x ~ ra ' x ~n - H • 9 H _ N O x m A r H Z d m 'a H 1 1 Lone or use dtstnc,t m whu.h premises are sihmted 12 lloes proposed construction violate any zoning law, ordinance or regulation . . 13 Will ]ot be regraded C 1Vil1 excess fill be removed from prenuses Yes ld Name of Oµ ner of premises ,1-~ . Lt'7f ~ ll S ,F-[. Address ~ .Phone No i 3 ~ 7 . Name oC Archriect ~ .Address Phone No . Name of Contractor ~"~6~35 tZ: •fy5`Ji-T Address So c.7`t:l o4D Phone No.IL-S 3,~.~ PLOT DIACRAbi Locate clearly and distinctly all butldtngs, whether existing or proposed, and mdreate all set-back drmensions fr property fines Give street and bock number or descnption according to deed, and show street names and mdreate whet interior or corner lot d ` ~ L 6~4 f Y ~ ~f C ~ \ E / , ~~1 \ d- / Vi c ) I ~z 3 7 ~ r s~ / ,s II ~ ~ ~ V ~1~ 1 / ~ ~ ~ ~ r~~~~ ~ Iw w ~ ~ . ,t \ , ~J ~ ` ~ ~ 1 -3 iJ C' ~ ' - - STATE OF NE1V YORK, COUNT~~ OF 5 t ~~~0~ K S S - - ~ - 7 being duly sworn, deposes and says that he rs the applica (Name oC mdn idual signing contract) above named w xe is the . ,t ~ ; z (Contractor, agent, corporate officer, etc ) of said owner ar ~,:a~ners, and is duly authorized to perform or have performed the card work and to make and file t] application, that a(I statements contained in thrs application are true to the best of fits knowledge and belief, and that t work will be performed m the manner set forth m the application filed therewith. Sworn to before me this ~ n~ day of . 19 ~ 2. NotaryPubhc,~'~'~d ~ .~~f ~L~'~'~~"~~... Ceurtt~ Ll;lOA F KO~NP C~KI ~ 7 v IiN1N,Y I'NGLlC, State of New York 7/~~"~7~'t--~ " Nn 52 4524771 " ~ " • ~ ' ~ ~ ' " " RildbNad fn Sugofk Cuunly ~ (Signature of applrcai Famnnaouro CxU,rax Much 30, tss~ ~o 765-1802 BUILDING DEPT. 1 NSPECTION [ ]FOUNDATION 1ST ~ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ FINAL REMARKS: C-~ DATE ~ ~ INSPECTOR ~r~` BOARD OF HEALTH 3 SETS OF PLANS FORM N0.1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL . SOUTHOLD, N Y. 11971 NOTIFX TEL.. 765-1802 CALL ~q MAIL T0: Examined .G. 1?-.. , 196 1 ' Appravedllllll ~ 1 . , 19~ Permit No. ~~0~$~ i ~ ~ C~' ~ f =rt:'' Disapproved a/vc ~ ~ . BLDG DEPT • • • • • n.R~~ • • • • • • • • • TUWN OF SOUTkOLD (Buildino Inspector) APPLICATION FOR BUILDING PERMIT Date 1~ INSTRUCTIONS a. This application must be completely filled m by typewriter or to ink and submitted to the Building Inspector, wtth sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of bu~ldtngs on premises, relationship to adjoining premises or public stre~ or areas, and giving a detailed description of layout of property must be drawn on the dtagram which rs part of this apF canon. c. The work covered by this appltcatron may not be commenced before issuance of Building Permit. d Upon approval of thts application, the Building Inspector will issued a Building Permtt to the apphcant. Such pent shall be kept on the premises available for inspection throughout the work e. No building shall be occupied or used rn whole or to part for any purpose whatever unttl a Certtficate of Occupan shall have been granted by the Butlding Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appltcable Laws, Ordinances Regulations, for the construction of buildings, addttions or alterations, or for removal or demolition, as herein descnb= The apphcant agrees to comply with all applicable laws, ordinances, butlding code, housing e, and regulations, and admtt authorized inspectors on premises and in building for necessar~chons , CGS ' C •GCf `C.a ~~y/,2 ~c ( a ure of apphcant, or name, i a corpo arson) (Mailing address of apphcant) State whether apphcant rs owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build: . . . . ,~n~~ ~ / . Name of owner of premises ...L44~~L L G/ ~7~ A ~ / N. u-!~4-~'~ ! . (as the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer . . . (Name and title of corporate officer) Builder's License No . . Plumber's License No . Electrician's License No . Other Trade's License No . . I. Location of 1~ on which proposed work wIll be done . S..~.. -!Lt~t~~ House Number Street Hamlet f County Tax Map No 1000 Section .....-.1. .Block Lot . / Subdwis~on Filed Map No Lot . . (Name) 2 State existing use and occupancy of premises and intend •d use and occupant of proposed construction• a. Existing use and occupancy .a~!G b. Intended use and occu ant • • . . 3. Nature of work (check which applicable). New Building . i-~.. Addition . Alteration . Repazr emoval Demolition ~ther Work . ~ (Descnption' 4 Estimated Cost Fee S~' U~` (to be paid on 61ing this apphcation) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage. number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . 7. Dunensions of existing structures, tf any Front Rear Depth . Height ....NumberofStones....... Dimensions of same structure with alterations or additions Front Rear . Depth ~ ...........Height . Number of Stones . 8. Dimensions of entire new construction. Front .Rear Depth . Height .Number of Stones . . 9. Size of lot Front Rear Depth . 10 Date of Purchase ......Name of Former Owner . I I. Zone or use district to which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation• . L3. Wdl lot be regraded \Vil1 excess fill be removed from premises. Yes i 14. Name of Owner of premises ...................Address .........Phone No . Name of Architect .....Address ...Phone No . Name of Contractor ..............Address ...Phone No..... . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.Il~ *I£ yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dunensrons frc property lines. Give street and block number or descnptton according to deed, and show street names and indicate wheth intenor or corner lot. STATE OF NEW YORK, S S COUNTY OF . • • • • • • • • • • • • • • • • • • • • • • . being duly sworn, deposes and says that he is the applica (Name of individual signing contract) above named. Hers the (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 file tl application, that all statements contmned in this apphcation are true to the best of tus knowledge and belief; and that t. work will be performed m the manner set forth to the apphcation filed therewith Sworn to before me this~j / Q day off/. G:........ 19 ~ J / _ Notary Public, ~~PG~ew... ,tl :...A.l~ YF° County NQfTt K. OE VOE - ~ . . NoTxmrruette,s~emN~rr«k (Signature of apphcar Na 47117878, Suffolk Cawdy Tam Expires Mcceh 30.19