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Home My WebLink About18395-z ` FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18368 Date SEPTEMBER 13, 1989 THIS CERTIFIES that the building ADDITION Location of Property 1D65 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 7, 1989 pursuant to which Building Permit No.18395-Z dated AUGUST 17 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 MATTHEW GREGUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBER5 CERTIFICATION DATED N/A Building Insp ctor Rev. 1/81 r ' iroise~ xa 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 18 3 9 5 Z Dore .9j1.~,7 19.9 Permission is hereby granted to: of premises loeoted at ..,lQ.lp.~.lX.t0.. ~~~-yJ. efr:........................................................................................ Cvunty Tox Map No. 1000 Section .......~0........... Block ..~1....p y....... gqLot No.........~1.......... pursuant to application doted 19~/..,, and approved by the Building Inspector. CJ1J Fee $..s!.. ems. .:..~i ,t di g Inspector Rev. 6/30/80 ti TOWN OF SOUTUOLll ifs. ~ BUILDING DEPARTlfENT ~ ~ ~ a oti~~ TOWN HALL ~ ~ SOUTHOLD, NEW YORK 11971 L~~,..,re 765 - 1802 70lNNOFSfJU1M0l.b APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.Segtember,6i19~9 NEW CONSTRUCTION ..X ....OLD OR PRB-ESISTING BUILDING......VACANT LAND........ Location of Property...~Qh~...$n~~,t~l},Rod;d,,,,,,,,,,_„„,,,,Pee~nie_....._... NOUSE NO. STREET •NAMLE'l Owner or Owners of Property...M..Ci~B1tt1S County Taa Map No. 1000 Section ..v8,. Block Lof]:...1][.... Subdivision..Indian,~Tec~S,Park,,,,. Filed Map ....»~:.Lot.......... Permit No. .~a~~5....Date of Permit ..~/.~Z~$~.Applicants'nvironment,r;ast==,Inc, For Owne r Health Dept. Approval ..?T/lA Underwriters Approval....C~~A....... Planning Board Approval N,~~1.1........... ~t¢quest for Temporary Certificate Final Certificate .......X........ Pee Submitted: $...?~.«QQ........... 5 APPLICAN ...1'Y'fiSj-i16K?~.. nvironment Fast, .c, Co ~ 183(~Q ev. 10/14/88 { ~3~ 5 ~ 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 15T ( ] ROUGH PLBG. (]FOUNDATION 2ND ( ]INSULATION [ ]FRAMING (L]'~INAL REMARKS: r DATE~~INSPECTOR~c.~.t d1ELD 11~J:~~.V.iV1) ~~lln;~ i;OiKMENTS ~ -o 1. - m ~ = ~O~ _ _ 1 FOUNDATION (1st) i C FOUNDATION ( 2nd ) _ z. 3~ Z\ 00 P,OUGH FRAME & ~ ~ PLUMBING y 3. ~ ca ~ IIJSULATIOP! PER N. Y. STATE ENERGY CODE x fi, 4. . W y FIlJAL 2 ADDITIOIlAL COMMENTS: x~ ' ~ x w ~ ~ a~ H H O Z x [*1 A r~ . o m ro H v~. ~ { r ~ .fir ~ _ t. .1.. ::Ia~'.v`:' ~i~~'y: " .7 .e a~,~y~ /r 1~ ~ 4 / ".2 'S C1d" L'? • /C)C)• ~9~Tn.~~~O w/'~111`w~~. t i d ~ ~ ~ ~ ~ ~ ~rd`l ~ ~ SA R' (n ~ r~ ~ V ~ A ,fit 1 ` 4 ~ _ ~ t. 10 Z}'q A' yt • ~ ,r;.; ^`•r / C P p :;a. ~ ; ~ ~ bra ~ 't ~ v : , ~ . ~ ~ . ~ tr tia Gi y D ~ ~Jt!~ BOARD OF HEALTH 3 SETS OF PLANS ~ FORM NO.1 SURVEY,;;;;;;;,,,,,,,,,,, TOWN OF SOUTHOLD CHECK , , , , , , . BUILDING DEPARTMENT SEPTIC FORM TOWN HALL BLOC. DEp'i. 70WNUFSOUrrto~n SOUTHOLD,N.Y.11971 NOTIFY ~t,~ TEL.; 765-1802 CALL . Examined o~cc/.//~........., 19g ~ cp MAIL T0 : . Approved ....4L~~........, 19~~. Permit No. fQ~.gS..~ . Disapproved a/c// . (d3uildi nspector) APPLICATION FOR BUILDING PERMIT Date 158 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 Blot 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 street: 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 permi~ 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 Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to ttte 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 of 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, housinG code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature o[ applicant, or name, if a corporatton) ' (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder. ............~.~iv.~R.A!!.. Co..v.T/SAC.IRS +Vameofownerofpremises .....,M.I~1.TTY.E.~....C?~~~:V..~ (as on the tax roll or latest deed) ff applicant is a corporation, signature of duly authorized officer. ......t'.~~s.. (Name and title of corporate officer) Builder's License No. . I~I .r.:~.555~ . Plumber's License No . . Electrician's License No . . Other Trade's License No . . Location of land on which proposed work will be dorie. , ' t House Number Street Hamlet County Tax htap No. 1000 Soc[ion .....Q.QQ........ BlYck , , , Lot . . Subdivision.~.N.oJ.~(~.//~4~~!?+...~r`.t<.lZ.~........ F~iledilapNo. ...~Stl...... Lot..~2.~. (N~nte) ~ . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .S!N~4-.E..~~l•4Y ..~?`'.•?E ~-.1;1N.(G . b. Intended use and occupancy +~.)1Q.C~-~ ..FANMr~"Y •O.~!`! ~ 4.~,t;-~ /~1,~ j),~C ~ • _ • . . 3. Nature of work (check which aQplicable): New Fluilding Addition Alteration Repair . . . Removal Demolition . , ,p 1Vork ..QI~C,~,,, , , , , 4. Estimated Cost ,ar`?~t~' 1 (Description). . Fee (to be paid on filing this application) 5. If dwelling, number of dwclling~ units . Number of dwelling units on each floor . If garage, nuntbcr of cars • • • ' ~ ' ~ ' ~ ~ • ~ ' • ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typpe of use . ' 7, Dimensions of existing structurCS, if any: front . :~L1~ , , , , , ,Rcar , .`'rL~. Depth Height Num ber of Stories ~ • • . Dimensions of dame structure with alterations or additions: Front ....~.f~ ~ Rcar T ,°(~3 ; , ~ ~ ~ ~ ~ ~ • • Depth ...Sy.. . ; IIcight .............Number of Stories a.r?,, , • . • • • • • . 3. Dimensions of entire new construction: Front x','I, , , , , , , . Rear . ~ ~ ~ ~ ' ' Hei Itt ....Z~.r....... Depth enf g Number of Stories Size of lot: Front ...../.4~.C~ ' , Rear ......../,0~,•(Q, , . p....... ~.yS,y... , . ' Dc th Date of Purcliase . . . : ,Name of Pormcr Owner , , p 1. Zone or use district in which remises are situated R~.S~l. Nf.Tl,t41,_; , , , , , , , , , , , , , • , , , , , , , , , . , Does proposed construction vio}ate any zoning law, ordinance or regulation: ...14~ ~ . 3, Will lot be regraded N, O, , Wili excess fill be removed from premises: Yes f,~ E. Name of Qwncr of premises , , , , , , • ,Address ..Phone No. . Name of Architect .Address ...................Phone No... ~ ~ ~ . Name of Contractor , , , . ......Address ..Phone No. , S.Is this property located within 300 'feet of a tidal wetland? *YES....NO..~: *If yes, Southold Towri Trustees Permit may be required. PLOT AIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and indicate all set-back dimensions from operty lines. Give street and block number or description according to decd, and show street names and indicate whether [erior or corner lot. SSE: A~rrpecHEr~ SuR~yEY ATE OF NEW YORK, S S AUNTY OF . (i\amc of individual si ni ' ' ' ' ' ' ' ' ~ • • being duly sworn, deposes and says that he is the applicant ~ "n ?g COIL IraCt) rve named. ' is the ~ , (Contractor, a • •nE,tcorporatc officer, etc.) said owner or owners, and is duly autltorrze o per orm or~have performed the said work and to make and 6le this ~lication; that all statements contained in this application arc [rue to the best of his knowledge and belief; and that the rk will be performed in the manner set forth in the application filed therewith. ~rn to before me this ' ..............r~, .....day of'.. , 19 ary Public, ~:`S-Y"-G.~.l..~'.. U.~, County , HELEN K DE YOE kIBTARY PUBLIC Sure W~~yyaoeeuuw York • • . • • • . TcrSOm•E7pir~~t#irch30,1l..~.~ Signature of applicant) 765-1802 BUILDING DEPT. 1 NSPECTICyN [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] F UNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL REMARKS: '~r-~ DATE U -3~ INSPECTOR ~G~