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Home My WebLink About17432-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NoZ17486 Date NOVEMBER 4~ 1988 THIS CERTIFIES that the buildin~ Location of Property 675 CEDAR DRUVE House No. County Tax Map No. 1000 Section 106 Subdivision ACCESSORY MATTITUCK Street Hamlet Block 11 Lot 07 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 12, 1988 pursuant to which Building Permit No. 17432Z dated SEPT. 15, 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 ACCESSORY SHED. The certificate is issued to KENYON H. & KATHRYN TUTHILL (owner, X~Q~) 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 TOWN OF $OUT~OLD B~ILDING D£PARTM~NT TOWN HALl. SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 017432 Z County Tax Mop No. 1000 Section ....... /~../~ ..... Block ....... .~'.~... ....... Lot No...~... ................. pursuant to application doted .... . .~...~... ................................ , 19..~'.~, and approved by the Building Inspector, Fee $.~,~~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,- ~ to the Building Inspec- tor with 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-g form or equal}. 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate 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 ~x!s-t4n~ bu;Id;,,y~ (prior to April i.~57), Nomcunl'u,,.h~y use~,~ -~nd "pre-ex~.~i~g" land uses: 1. Accurate survey of property showing all property li~n_es_,_str~ee,,ts~-~ouff~unusual natural or topographic features..~-- 2.Sworn statement of 9wner-or~p-F~i~u~0wner as to use, occupancy and condition of buildings. 3.Date oLany--h~d~s~ng code or safety inspection of buildings or premises, or other pertinent informa- -:'-% C. Fees: Additions $25.00 POOLS $25.00ALTERAT~ON $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling ~ 3. Copy of certificate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Dete .......................... New C on s t z* u c t i o n Old or Pre-existing Building Vacant Land Location of Property ..................................... Owner or Owners of Property ........... County Tax Map No. 1000 Section .... /..o..~. ...... Block ..... /. ? ........ Lot. ,.~, Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant ............................., ... . Health Dept. Approval ........................ Labor Dept. Approval ........................ ....................... Planning Board Approval ................... Underwriters Approval . Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ...... /~., O~ FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION 2ND FRAMING REMARKS: ROUGH PLBG. INSULATION ~*FtNAL DATE 765-1802 BUILDING DEPT. INSPECTION --~OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS, /~.~,- o~~~~ DATE INspEcToR ~/~g~'4~ ~ / , / / Approved ...?.5 ..... : .., 1 . Permit No ............ Disapproved a/c ..................................... FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK SEPTIC FJRM ...... MAIL TO: (B u)14ing I~f45ector) APPLICATION FOR BUILDING PERMIT Date ................... 19... INSTRUCTIONS a. Tiffs application must be completely filled in by Wpewriter orin 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 ,,' ' o olvmo a detailed description of l&yout of property must be drawn on the diagram which is part of this appli- 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 wi/1 issudd 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 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 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 necessah'y insvect~12: · . ~ ~ ~ .......... , ?,' ,: ~'~ // (~gignature dFapplicant, or na'a'a'a'a'a'a'a'a'~me, if a cofpbranon) l& !~9A0..~ t.?J,, ,*:,,~i ~,,, (Marl,lag address of applicant) State whether apphcant~I~h~r;q~ls~ee~,.ase3t,~architect engineer, general contractor, electrician, plumber or builder. ame of owner of premises ........................................ *f~ ¢f~2~, ~' "/~ v (as on the tax roll or latest deed) ' ' · , ,' ~dl,.~authonzed If applicant zs a~f~r~,~i~lsz~l~T~'~0~ ~ officer. p , . lumber s L~cense No ....................... Electrician's License No. ' ...... Other Trade's License No ............ .~ ........ Location of land on which proposed work wil~be done. House Number Street Hamlet County Tax Map No. 1000 Sectioa/Q.G. .............. Block [J ................ .............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing nsc and occupancy of premises and intended use and occupancy of pro, posed constrnction: a. Existing use and occupancy .............. L Z b. Intended use and occupancy . .'~. B. . .~. ..................... : Repair .............. Rel noval ............. Demolition ...... ! . "' ' ~i~ Ia'~i"~-l~r " 4. Estimatdd Cost ~l~ ..... ............ , , ................. ........... 5. If dwelling, . ' · O . number af dwelhng umts ............. Number af dwelling units on each fluor. If garage, num her of cars . ~ ' ' ' ............. 7 Dimensions if any: Front ..... · of exmt~ng stnctutes Rear ............. Heigl~t Nutn~er of Stohes ............................. Depth ............... ............ ' ....................................................... of same structure With alterations or additions: Front ................. Rear .................. Depth ................... [... Height ............. 8. Dimensions of e~tire new construction: Front I ~ ......... Number of Stahes ............ ........ Rear .............. epth Hmgh ........ Nulnber of 8tones ........ 9. Size of lot: Front .. l~, i ....................................... .... ' ......... Rear " ' 10, Date o~Purchase ! ....................... Depth ..................... 11. Zo ........ · ......... ..N meofFo~erO ............................ '".... 12. Does proposed construction v ate any zoning law, ordinance or regulation: ............... ' ' ' ' ' 13. Willlot be regraded ............... ........ ~ .................... Will excess fill be removed from premises: Yes No fp 14. Nme of Owner o remises . .i ................ Address ................... Phone No ............. '. N~e of Architect ......... ~ ............. Address .......... Nme of Contractor ....... ........................... Address .............. Phone No ......... 9 300 f ........... ' 15.Is this property loc ted within oct of a tidal wetland~ *YES. .NO .... · If yes, 8outhold Town Trustees-Permit may be required. ... ~ PLOT DIAG~ Locate cle~ly ~d dist~ctly ~ bulldogs, whether existing or proposed, ~d. indicate ~I set-back d~ensions from prope~y Enes. Give street ~d block~ number or deschption accord~g to deed, ~d show street nines and ~dicate whether inte~or or corner lot. STATE OF NEW YORK, COUNTY OF.. LS . amc of individual signiI1 contract) above named. APPIOVEII) 785.1~ 9 FOLLOWING 3. 4. F~'AL ALL CONS~ THE C0~8. DESIGN OR being duly sworn, deposes and says that he is the applicant HELEN K BE VOE NOTARY PUBLIC, ~ of New York . No. 4707878, Suffolk County~,~ lerm Expire~ MI,'ch :30, ]9 .. / lie is the ...................... , ................... (Contractor agent .............................................. , , corporate officer, etc.) of said owner or owners and is dull/ authorized to perform or have performed the said work and to make and file this application; that all state:nents contained in this application are tree to tim best of his knowledge and belief; and that the work will be performed in the manner~set fort ~ in tile application filed therewith. Sworn to before me this /..&-. dayof i ~ 19 .~?. Notary Public ..... ' ... County (Signature of applicant)