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Home My WebLink About17306-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17198 Date AUGUST 16, 1988 THIS CERTIFIES that the building ALTERATION Location of Property_ 290 SMITH DRIVE NORTH SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 76 Block 2 Lot 18 SubdivisionM/O GOOSE NECK Filed Map No. 1663 Lot No.87,88,89 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1985 pursuant to which Building Permit No. 17306-Z dated AUGUST 8, 1988 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 ENCLOSE EXISTING PORCH TO EXISTING ONE FAMILY DWELLING The certificate is issued to JANET HEINSON SCHMITT (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING-AUG. 15, 1988 PLUMBERS CERTIFICATION DATED N/A - i Bui ding Inspector Rev. 1/81 aoia~ xo. a 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~ O173t~~ Z Date 19A..~ Permission is hereby rante®d to~: •:.r••••••f'.~~l.~A..~..y ....~1.....'.. a to .(wC~a~~ ~ ~ ~ ~?.z:e....... at premises located at ........~.gf7.......~.~1.'y.~.k~y+••••.~......./.(,[ County Tax Map No. 1000 Section ...........s1..~P...... Block Lot No............l.d...... i9.~' and approved by the pursuant to application doted Building Inspector. Fee o.o ~ ..~i2~......... Buyt~g Inspector Rev. 6/30/80 ~ ~ FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall BLDG. DEPT. Southold, N.Y. 11971 TOWN OF SOUTHOLO 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ~9~~we to the Building In~ec- torwith the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equall. 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Cade compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. nor existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" .and uses: 1. Accurate survey of prnperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. "3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- ' ~ tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50 .00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4. Vacant Land C.O. $ 20.00 ~ G~ S.Uodated C.O. $ 50.00 Date . t( .!.f i NewConstruction„y~,OldorPre-existing Building Vacant Land Location of Property .a.~T'. ~ .............;r.. axkt(G/.~',+Isl...~.er.`:L:/'(........EL~~:-G~~/~1`~~. House No. Street Hamlet ' Owner or Owners of Property .~~~ati~~. ~~as-~. lr~~Q~~~... ~ ~;,Lr„~7yt. County Tax Map No. 1000 Section ~ Block ti Lot . j.f..~.......... . Subdivision .................................Filed Map No. ..........Lot No. Permit No. Date of Permit ..........Applicant . Health Dept. Approval ........................Labor Dept. Approval , . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ . Construction on above described building and permit meets all applicable codes and regulations. v j ~ APPlicant~~;;~~~. c~G'hy~.G~n..-: Rev. 70-70-78 (~.ec.. 35 ~ 3 3 Lo ~111q~ ~ ~ 7651802 BUILDING DEPT. INSP~CTIUN [ ]FOUNDATION 1ST [ }ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: !~2~h~//~ yam, 1 ~ DATE INSPECTOR i ~ ~ ~ 4 ~ E ~ c1ELD IGSP~C;iU;J ~~UATF. ~ UOMMENT° ro a ~ ~ 1 . ~ a .i FOUNDATION (1st) N\l FOUNDATION (2nd) - 2. P,OUGH FRAME & ` o r PLUMBING ti H 3. " H IIJSULATIOPJ PER N. Y. STATE ENERGY CODE x ,y TT ~ 4 . ~ I y FIiJAL o ADDITIONAL COMMENTS: x ca ro •9a H 7yyJ~O\~q H V~ O (~V Z U C+] a • r m ~n H " _ BOARD OF HEALTH 3 SETS OF PLANS FORMN0.1 SURVEY TOWN OFSOUTHOLD- CHECK BUILDING DEPARTMENT SEPTIC FORPI TOWN HALL SOUTHOLD, N.Y. 11D71 NOTIFY .'7rC q TEL.: 765-1802 CALL CVJ.~ ~.g J ~ . Examined . ~ l~l/ MAIL T0: APProved ~ 1JGl.'~ Permit No./~`~~~~' ~ ' Disapproveda c D BI.DCa. DEP7. uild' d Inspector) TOWN OF SOUTHOLO APPLICATION FOR BUILDING PERMIT Date ...7,/0'~ 151i~ ' 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 P ~ to the applicant. Such permit shall be kept on the premises available for inspection throughout the e. No building shall be occupied or used in whole or in part for any pur ~ tever 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, Suffolk County, New York, and other applicable Laws, Ordinances or Re;ulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agree ~~~~~pp~y,with•,~11, applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized insl3 c rs dh piemtses and in building for necessary inspections. , ;9 ' (Signature r. , . ~~-~ibTir~3"53A'~,i ,l -,i~~ ; o, pplicarit, or name, rfh corporation) ~N'+ ftt.3't Ar+`~ s, r5. , ~ ' ` N+9"'~ `~t` ~ ~ ~ . . (Mailing address of applicant) • . • • ~ ~ ~ ~ ~ , {~1~iR~J~b3R fktl4 i tr7r t: i.usa;n'a ' ~ . , z k'+1 S£S't !~Gi' ~ ~ ' State whether applicat"t~i~~7ihe~? ~less,eet, gent, architect, engineer,. general contractor; electrician, lumber or builder. f}l~418fvk,1.1'11~ xF~xlPa4zzr~. .`c Pp AS.41t;,..,~~,t./.rt. Name of owne~rd~M r~,?E Ih'aSrl ~`JJS~r~Ga€a,+~ , ; „ . N. S ~.w, .........N4 N?.:. ~.?.d; wiyt" 4 Eyv.,~,r.T.7: . .r; • (as on the tax rol or latest deed) if applicant is' a ~,ory~{~lgtplt~l~ti°b'f+'dul~tduthorized officer. xr.~>+s ...........g1ttl~t't'SCI~i~B~t?'~ :":fit":' Vii. (Name and title of corporate officer) Builder's License No. . Plumber's License No. ..........J Electrician's License No. . Other Trade's License No . . 1. Location of land on which proposed work will be done. ' House Number Strcet~ Hamlet County Tax Map No. 1000 Section ~?....1..... Block , r~ , , , , , , , , , , Lot Subdivision Filed ntap No. Lot . (Name) `T State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........l,N..~ M..~.r.,. ,/~N, ; : ~ r,,i ,!~d~i Gly ..4 .............1.............. b. Intended use and occupancy .........................(~p,~ ?to~7ir'3% ~ ~rZ G 7 3. Nature of work check which applicable): New Building , Addition Alteration • ( ..,Z4 . Repair ~tnoval • • • • • • • • Demolition Other 1Vork , . C,o rw yvi r ~ G '7 /Jun.r y,} y p ww~~ri~. (Description) Q. Estimated Cost . ?Jr,Q; fJ 0, 'i , , , , , , , • , Fee 5. If dwellin^ ~ (to be paid on filing this application) r „ 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 cacti type of use , , , , , , , , , , , , e ' ^ IFcS, tf any: Front . Rear Height ~ M, N Depth............... DD`rtt ~ stuns of sametstruc ure~'Snber of Stories . p ' • ' ~ith alterations or additions; Front . Rear • • ~ ~ • ~ ~ • • ~ • t . Ilcight , ' 8. Dirttensionr~~ t•'~ ' ' ' ' ' ' ' ' • • • • • • • • • • • • • Num ber of Stories . ~cortction: Front , Rear . .Depth HeialYt N P?~cr of Stories . 9. Size 6i'lot: Front.'.. . 10. Date ofP.urchase Rear Depth "'•"•••^•••-,.....NatneofPormcrOwner 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: • . • • ~ • ~ ~ ~ • • ~ • ~ • ' • • ' ' ' ' l3. Nilllotberegraded ........L..........., • • • Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . , , • , ' ' Name of Architect ,'i' ' ' ' ' ' ' ' ' ' ' • • Address ...................Phone No........ ' Name of Contractor . • • • . ~ • ~ • ~ ~ • ~ • • ~ ' ' ' ' ' ' • • Address . . ...........Phone No.......... . • • IS.Is this property lop~ted within ••PhoneNo........ If es Southold Tow, •Address * y ~ n Trustees Permitemay bearequiredetland? *YyrS....NO~, PLOT DIAGRAM Locate clearly and distinctly al"!, buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and blockinumber or description according to deed, and show street names and indicate whether interior or corner lot. ~REQATE APPROVED AS NOTED NOTIFY pE AT aCCUPNCY ~IOR FEE o $Y: 786-1802 9 AM 7p 4 PM R THE USE 0S ~ p y, A ~F~~ FOLLOWING INSPECTIONS: , j~(•f~ i. FOUNDATION - TYNpREQUIRED ' OTI~OUT CERTlFtCATE FOR POURED CONCRETE 2. ROUQH -FRAMING $ PWM8INQ B.iF ~JCCUO A~~j ! 8. INSULATION 4, FINAL - CONSTRUCTION MUST 8E COMPLETE FOR C.O.. ALL CONSTRUCTION $HAIA, MEET THE REGUIREMENTQ OF Tl1E N.Y. STATE CONSTRUC'flQk t EN~'iV CODES. NOT i~fPQN~ P011 DESIQN OR CON8TRUCT1pN M1RppE i STATE OF NEw YOlt~h' ~ COUNTYOF.S~,,,•.• K S;S N t~:r ~ S (i\amc of individual signin r ~"7- ' ~ ' ' ' ' • • being duly sworn, deposes and says that he is the applicant r s contract) above named. '}rIe is the `.l..~~1/YL . . (Contractor, agent, corporate officer, etc.) ~ • • ~ ' ' ' ` • ' ' tf said owner or otvncrs, and is duly ,ituthorizcd to perform or have performed the said work and to make and file this tPplication; that all statements contain'cd in this application arc true to the best of Itis knowledge and belief; and that the work will be performed in rite manner sbt forth in the application filed therewith. nvom to before me this 2.~......dayof..I.V.///..,~....,.... ,19Y.~ rotary Public, R pp3~'orlA Kork 4F;G6R..'St~te'bl P1.vt County ~f,~ ~ Np(AR'1 1'N~Y~p but o OCau ~ 19..E / ~~'//.~A'-l _ ualrfled m ` ~L3%lGl; . . ~_.,i69ii~GGL~ C' Q Cvnires ~h""' ~ . ^.gmmiy'~'on (Signature of applicant)