HomeMy WebLinkAbout17312-z
1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OE OCCUPANCY
No Z-17182 Date AUGUST 10, 1988
THIS CERTIFIES that the building ADDITION
Location of Property 925 LONGVIEW LANE SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block 5 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 4, 1988 pursuant to which
Building Permit No. 17312-Z dated AUGUST 10, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to CLAUDE & NINA LEONARD
(owner, }
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
I~fii/1/~G~~ W ~-G~~
Building I pector
Rev. 1/81
aosu xo. a
TOWN OP 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)
NO ~17~12 Z Dote ......r~~V 19.~.~
Permission is hereby routed to:
~,s.~.S
to .4~sPaC/.ye,~~4!..~....~.. .e.~°~:......Giizc~ar~lydrl..... ..~~~~~.~.~...tan~......:~~
~
at premises located of ......9..°~.~..........~,x~
...................................................7'"'
...........................................................................y,.~y..................................................................................
Caunty Tax Map No. 7000 Section ..........~f.1....... Block Lot No ..............1~....
pursuant to application doted )9.~~.1, and approved by the
Building Inspector.
O
Fee
B ildin I for
Rev. 6/30/80
Dc a ~
76s-1693
' rye + t ~ FORM NO. 6
i IaJl7 ~7 TOWN OF SOUTHOLD
Building Department
3LDG.
CCiti~.^'~'~ Town Hall
rowly of srlu rrar~u7 Southold, N.Y. 11971
s. W.--__.......
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
A. This application must be filled in typewriter OR ink, and submitted a to the Building Inspec-
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 equal).
3. Approval of electrical installation from Board of Fire Underwriters.
Q. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, acertificate of Code compliance from the Architect or Engineer responsible for the building.
5. Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of property 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 $ 10.00
. 4. Vacant Land C.O. $ 20.00 ~~jj
5.Updated C.O. $ 50.00 Date ~ : ~ :0.~
NewConstruction,,,a,,rr~~OldorPre-existing Building Vacant Land
Location of Property ....,f,s~~.....~ON~.V~~~!?..L.A-N..~"i.....SG?U(,~,I'fbLj~t.lY.~,~l~~~
House No. Street Haml t
Owner or Owners of PropertyG,.(: ~ L... d. , N,f N~ , , , L ~ (~,/1~,/~ . . . . . . . . .
County Tax Map No. 1000 Section Block , ~-.pprr Lot,. 22 l~
Subdivision .................................Filed Map No.r~,'e~W'Y(C+~.ot No. t{.".J\. , , , , .
Permit No. Date of Permit ..........Applicant . N~f~~ , , , ~,~j~(~/lj; (.l, , , , , , , ,
Health Dept. Approval ........................Labor Dept. Approval
Underwriters Approval ........................Planning Board Approval .
Request for Temporary Certificate .....................Final Certificate .
vp
Fee Submitted $ . c~ rJ. r .
Construction on above described building and per it meets all appl' ble codes and re ulations.
Applicant..:%~G~..t6~~LG.~'~..~,
9
Rev. 70-10-79
(~2e„3 X53 $D
Co ~ 1714a-
Rzs
Tss-isoz
BUILDING DEPT.
i NSPECTION
[)FOUNDATION 1ST [ ]ROUGH PLBG.
[ 1 FOUNDATION 2ND [ ]INSULATION
[)FRAMING [t~FINAL
REMARKS: ~ ~ W~ C ~ ~ r
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Memorandum from • •
S'D ~ ~ j
BUILDING INSPECTORS OFFICE AY 0 1989 ~ ~
TOWN OF SOUTHOLD M 3 ~A~
r._-V..-.~~.N -
TOWN HALL, SOUTHOLD, N. Y. 11971
765-1802
A,T : ~~~aLa 1Z,,,E s/2c~ ley
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C ?C'~R M~ADAN,
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N ROSE- OuT TG T!-f~ "1'aL,.7N 0 F SOUTNot~l7
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COMMONWEALTH LAND ° ~ ~ ~ ° ~
rs,,
r~
TITLE 1NSLlRANCE COMPANY R9AY 2 6 1989 ;
A Reliance Group Holdings Company sLOG oEr~r.
209 W. MAIN STREET, P.0.80X419, RIVERHEAD, NEW YORK 11901 _
EASTERN SUFFOLK:516-727-7760 ° 2 ~ n
IS~ _~iJ
~ MAY ~ 6~Fh~eryt
ROBERT!H.GA FGA
'------....~.._J~ 1' r~
8lC•~~ GcP~llel7itfter
TOWA' OF 50, uTi_inLD
DATE ,S ~ ti1A-1i7ER"A7AIVE FOGARTY
'"`-~T- Reader
TOWN OF
ATT: BUILDING DEPARTMENT
RE: TPl'LE 170: G lc~s D ~ 7~ Q $
Premises:
BUILT APPROX:
ORIGINAL OWNER:
PRESENT OWNER: R~ /Q»/~i./~
GENTLEMEN:
We have enclosed a check in the amount of $ /Q ,0O for Certification as
to whether a Certificate of Occupancy and/or Building Permit is available for the
abo ve captioned premises.
if so, the date thereof and limitations of occupancy.
If more than one certificate is available, please advise me of this immediately.
Very truly yours,
COMMONWEALTH LAND TITLE
INSURANCE COMPANY
ANDREA RIVE
BRAMCH MANAGER
AR/bdb
encl
DLSTRICT DODO SECTION Qljg'. ~ BLOCK OS.DO LOT_Q
TITLE INSURANCE SINCE 1876
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t~ (n~~~J ~ BOARD OF HEALTH
LI ~ 3 SETS OF PLANS
U !I FORM N0.1 SURVEY
~ TOWN OF SOUTHOLD CHECK Onae°iti
BUILDING DEPARTMENT SEPTIC FORM
TOWN HALL
eLt;,. c~,.:' SOUTHOLD, N.Y. 11971 NOTIFY
~TO1NN01',g,T~r~i.t)L~ •.n,.i
.n~. TEL.: 765-1802 CALL .
MAIL T0:
Examined . ~fp~~ 19 Q`~~ - .
Approved ....P,f/a 194U Permit No.~~~~~~.
Disapproved a/c
(Building ~pector)
APPLICATION FOR BUILDING PERMIT
Date 15~g
INSTRUCTIONS
a. This 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 Permit to the applicant. Such permit
'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 the Building Depaztment 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
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 in/s/pections.
(Siggature of"applicant, or name,`if~a corporation)
I' r3O ~ ~S o~ ~ ~ GGG~4lJuCG-~.~.
D............N.....
• (Mailing address of applicant) if ~J'~ l •
State whether applicant i owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
..........................................~.p...../.~..............................................
Name of owner of premises ..~.~.'L~~/!~~•~•IV•~~•%7-•~'•~~/~f~}2~••••••••••••••••••••••••••
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No. ...'~d'~~ .
Plumber's License No . .
Electrician's License No . .
Other Trade's License No . .
1. Location of land on which proposed work will be done . .
House Number Street p~ Hamlet
County Tax Map No. 1000 Section .1 Block ®~~j~. , . Lot , , • •
Subdivision Filed Map No. ..~!:t.®.~ Lot .
(Name)
2. State existing use and occupancy of premises~and inten~rd~e-d useaand occupancy of proposed construction:
a. Existing use and occupancy ~ ~A • f Y • • ~N•Ti • ~•M • • ~ C.~ 1 .
L
b. Intended use and occupancy • , , • , , , , , • .
e __._w_ ~ :ua.. ~:~~,~~-gib.. _ b, .
. ~'J~- : .
3. Nature of work (check whiRemq licable): New Building mien Alterat'on .t~.:~.,..... .
Repair val . Demolition , Ot}yq/~1!•. f~.,.~1.... .
t7 I ~ a p
a Fee scr{:tion)
4. Estimated Cost . n2..... ~ S4• , , , , ,
(to be paid on filing this application)
5. If dwelling, number of dwelling µnits 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 . . .
Hei ht g.... Nums, if any: Front Rear , Depth . , , .
7. Dimgensions of existin structureber of Stories . . . . .
Dimensions of same structure with alterations or additions: Front Rear .
De th . Height ......................Number of Stories .
8. Dimensions of entire naw const
g . ction: Front ....tg,~........ Rear s~•`b........ Depth ,1.1, . , , , , , , , , .
9. Size of lot: Front t1Q, . ber of Stories . .
11. er ht Num........... Rear.....1)~ Depth ...1v`~.$...............
10. Date of Purchase 14:PR'I L..~.q, , , , . ,Name of Former Owner N./V...t"3. S-aL~1T.
S.o,!~(, , ,
Zone or use district m which premises are situated . . .
P P g ~ p ~ ate any zoning law, ordinance or regulation: ~O .
Will lot be~ e rad d tru ~7 n viol ~ ~yill excess fill be removed From premises: ,Yes No
14. Name of Owner of remises .Address ...................Phone No............... .
Name of Architect , ...........Address ...................Phone No............... .
Name of Contractor .~'....ld?Q': , .Address .Phone No....... . .
IS.Is this property located within 300 feet of a tidal wetland? *YES....NOJ-~.
*If 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 dimensions from '
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
I~
~ ~ ~
i
STATE OF NEW YORK, $ S
COUNTY OF
. /1~.1.L}. ,
~Nam~of ~dividual sign~~ ~ ~ ' ' ' ' ' ~ • • being duly sworn, deposes and says that he is the applicant
pg contract)
above named.
He is the ...........T.........;~.......'rcer;0tc.).,..,....,.........,.........
(Contrac orr) agent eor brats bff'
of said owner~or owners, and is duly, authorized to perform or have 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 performe4l~in the mannerlset forth iri, the application filed therewith.
Sworn to before me this
~
.day of ,''~~lr?!~......, 19 g.~
Notary Public, .......lam : ,~,,[~;t-,, (/d, e; ; , , , County ~ ®,Q
HEIENKDEYOE u~'~/~~'•'~~ ../~~iaGz.
`71Z.~LG/.ti-...... .
~t~4707878 ~
off 0ot0o~onty~ (Signature of applicant)
Term Expires Mttch 30,18_x../