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Home My WebLink About17760-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17679 Date January 13, 1989 THIS CERTIFIES that the buildin~ Location of Property 2395 BAY AVENUE House No. County Tax Map No. 1000 Section 31 ADDITIONS EAST MARION Street Hamlet Block 18 Lot 01 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 1989 pursuant to which Buildinq Permit No. i7760Z dated JANUARY 13, 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 ADD TO EXISTING DECK ALSO TWO SMALL STORAGE ADDITIONS. The certificate is issued to ROBERT L. ROEMER (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 l~ou~r NO. ~ TOWN OF $OUTI'IOLD 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_° 0i[T6'0 Z Permission is hereby granted to: / ............~.~.~,.~.~ ................ .-~ ~ ~ ....... ,..~..~. ....... ~.~..,.~... ....... ~..~:.¢::.~.~.....,~./.'....,~....z~,.~.~.,.,~... ..,"~ . , /: ./,,, '/ '//I ,...'~ ........ ~..&~..'......;..~..-.~.~ .......... ~,....:,.. - . . .2~;(~ · .~ ...... ~ ...... ~ · .A- { .......... ~...~; 7~.~ >~.& ...................... ~ ......... ~ ......................................... ~t promi*o~ Im~ted ~t ............... ~.....~...~..2.... ...... .~¢~flS~....~¢.J*C ............................................ ............................................ ¢(~....~:~.~ ....... 5~z2...,~,~ ................................................. 2, 4./- Counb/ Tox ~op ~o. 1000 Section ~ / 81~k kot ~o ....... '; ................. pursuant to application dated ........................................................ , 19 ......... and approved by the Building Inspector. Bbildlng Ins~tor ~/ ~ Rev, 6130/80 TOWN OF SOUTROLD BUILDING DEPARTHENT TOWN HALL SOUTROLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..... LD OR PRE-EXISTING BUILDINO.--u~..-VACANT LAND ....... Lo~atlou of Proper,y.~.~?~. ~¥/~4~,..~.~..~. ~<~ /. ./.V: .7.: ........ ROUSE NO. STREET HAHLET Coun,y Ta~ ~'ap No. ~000 Section .3./.... ~loc~ /.~ .... Lot .X ...... Subdivision ....................... Filed Hap ........ Lot .......... Realth Dept. Approval .................. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submit,ed: V..~.~..~. ............~.~ Underwriters Approval .............. Final Certificate ................ //, APPLICANT 70- C.o. £o rev. 10/14/88 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined ................ , 19... ,,pproved ../3.., 19 . eermit No.../. Disapproved a/c ..................................... BOARD OF HEALTH 3 SETS OF PLANS SURVEY CHECK SEPTIC ...................... FORM NOTIFY CALL MAIL TO: (Building Inspector) APPLICATION FOR BUILDING PERIVIIT INSTRUCTIONS Date -~.~.~.qqq~...'{.. a. Tiffs 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 street or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl/ cation. ¢. 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~ shali 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 Bu/Iding Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk 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 applicab~te laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~tions. · ,7: '/. ' ' ' ', ........ /~ -I · · ~-'~. v-q~-W. · .~'~-7.. ..... ~lg~ature ot applicant, cC name. if a corporation) (Madmg address of applican6 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate of tic'z) · . ~ Bu lder s Lmense No .............. Plumber's License No ......................... E ectnc an s Ltcense No ....................... Other Trade's License No ...................... I. Location of land on which proposed work will be done ...'... ' ................................. 7..: ...................... I[lo~e' ~qu~ l}~r' "f ............ ~' Stre~t~, '- ' .... Hamlet .... County Tax Map No. 1000 Section ................ BlVck Lot ........... ............................... Eiled Map No ..... Lot Subdivision ...... (Name) '~ ......................... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing Use and occupancy .... .{?..~. g 'i 0.~. ~..~./.~ ~ b. Intended .~' .~.rkl../~.. Use and occupancy ...................... . ............................. 3. Nature of work (check which applicable). New Building .......... Addition)~ ......... Alteration .......... Repair ~ Ren~ova! Demolition Other Work ~;xC.(.~. · ~/.. ~/.~. ~,...~. ,i 9/.,~.~.~..~.. (Description) 4. Estimated Cost ~/ · ..! .......................... Fee ......................... (to be paid on filing this application) Ifd ~ ' $. welling, number of dwellin units ............... Number of dwelling units on each floor .............. If garage number of cars 6. If business, commercial or mixdd occupancy, specify nature and extent of each type of use .................... 7 ..... if any: Front Rear Depth · Dimensions of existing structures,. ............................................. Height ............... Number of Stories ........... Dimensions of same structure" ' or additions: Front Rear w:th alteratmns ................................... Depth ~ IIeight ' Number of Stories 8. Dimensions of entire new const!mction: Front Rear Depth ' ' Height ............... Nmpber of Stories .............. : ............................ 9; Si r 35¢¥ i '~ ,~. pth I ~i~. ...... ' ....... ze of lot: rent ................... Rear ................ De ................... 10 Date of Purchase , Name of Former Owner .... pi ' 11. Zone or use dtstnct m which cruises are situated ...... ~. ........................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ I .................... Will excess fill be removed from premises: Yes No 14 Name of Owner of premises ' Address Phone No ' Nmne of Architect ' Address Phone No Name of Contractor ' Address Phone No 15.Is this property located wlthin300 ~'feet of a tidal wetland? ~YES .... NO .... · If yes~ Southold Tow~ Trustees Permit may be required. PLOT DIAGRAM Locate cleaxly and distinctly alI buildings, whether existing or proposed, and, indicate ail set-back dimensions from property lines. Give street and blocki number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF COUNTY OF .Q.' .............. · .~.a..&?.. §9.,..c9.o. ~ ......... i .................... being dnly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. e e ........... .,~a.l ...... ~, ....... \.,... '~ .............................................. i (Contractor, agenf~.corporate officer, etc.) of said owner or owners, and is dully authorized to perform o{Idmve performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the Work will be perfommd in the manndr set forth in the application filed therewith. Sworn to before me this I ...4'~. ...... day O~ .... Notary Public ............ ', ........~. ............. County . NOTARY PUBLIC, Slato of/dew Yo~k ................ . tto. 4?O?SIll,$uffo?County.(w? ~ (Signature ofap~licant) Perm Expires M~*ch]30o 19 q, / · AP. PROUD AS NOTED NOTIFY 8t,m.olN(a 766-1802 0 .M~ m 4 PM F(HI THE FOLLOWING INSI~CTION~: I. FOUNDATION . 1WORE. OUIREO FOR POURED 2. ROUGH. FRAMING & PLUMBIN(~ 3. INSULATION 4. FINAL CON~ltUC'I1ON MU~T BE COMPLETE FOR ALL CONSTRUCTION SHAU,. MEET THE REQUIREMENT~ OF THE N.Y. STATE CONgTRUCTION & ENERGY CODES. NOT RESPON~IBU; FOR ~$1GN OR CONSTRUCTION ERRO~Sr