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Home My WebLink About17673-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17611 Date DECEMBER 16~ 1988 THIS CERTIFIES that the building ALTERATION Location of Property 350 HARBOR LIGHTS DR±¥~ House No. Street County Tax Map No. 1000 Section 71 Block 2 Subdivision Filed Map No. SOUTEOLD~ N.Y. Hamlet Lot 20 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5~ 1988 pursuant to which Building Permit No. I7673-Z dated DECEMBER 8z 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is lssued zs ALTERATION TO 2ND FLOOR OF EXISTING ONE FAMILY DW~T.LING The certificate is issued to JOHN & VAT.R~IE KRAMER (owner,)Lv~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING-DECEmBER 5~ 1988 PLUMBERS CERTIFICATION DATED NOV. 15r 1988-K&K PLUMBING & HEATING CO / ~ldl~§ InS~-~ctor Rev. 1/81 FOBM NO. · TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT ('THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 017673 Z County Tax Map No 1000 Section ..... 7,~... · pursuant to oppl,cahon dated . Bu,lding Inspector. Fee,. Block ......... ~ ..... Lot No ...... .~ ~., ... , 19.~., and approved by the Rev 6/30/80 ................ 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Bulldog Department Town Hall Southold, N.¥. 11971 A. Th~s apphcatlon must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor wtth the foliowmg; for new buildings or new use: I. F~nal survey of property w~th accurate location of all buildmgs, property hoes, streets, and unusual natural or topographic features. 2.Foal approval of Health Dept. of water supply and sewerage dmposal-{S-9 form or equal). ~) Approval of electrmal ,nstallation from Board of F~re Underwmters. .Commercml buddmgs, tndustrml buddmgs, Multiple Remdences and mmilar bulldogs and msta[la- t~ons, a certffmate of Code comphance from the Architect or Engmeer responmble for the buddmg, 5. Submtt Planmng Board approval of completed rote plan requirements where apphcable. B. For existing buddmgs (poor to Aprd 1957}, Non-conformmg uses, or buddmgs and "pre-existing" land uses 1. Accurate survey of p~operty showmg all property hnes, streets, buddings and unusual natural or topographic features. :2.Sworn statement of owner or previous owner as to use, occupancy and condition of bulldogs. 3 Date of any housmg code or safety respect,on of bulldogs or premises, or other pertinent mforma- t[on required to prepare a certificate. C. Fees: Addztions $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert~ficeteofoceupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancv on pre-existing dwe~hng ~[ IO0 .OO 3. Copy of certfflcate of occupancy $ 5.00, over 5 years $I0.00 4.vao.nt c.o. 20.00 5.Updated C.O. $ 50.00 Date ..................... NewConstruction ...... OidorPre-existmgBu[[dmg ...~ ....... Vacant Land House No. Street Ham/et Owner or Owners of Property ...~.,/~?. ........... ~4-~..-~5,"1~ .................................... ~c/,~..~--~ ....... County Tax Map No. 1000 Section ..... O.?. [ ..... Block 2.~ Lot, ..~;. Subd[vlmon O~-,Z'~?/77~ ~b~-~ :; Filed Map No ......... Lot No .............. Permit No. ......... . Date of Permit .......... Apphcant , .-~...Jt.~...~ r'o .x:]-. .n,[ ~ .~.. .............. Health Dept Approval Labor Dept Approval .... Underwriters Approval ........................ Planmng Board Approval ............ . Request for Temporary Certificate Final Certificate . .. Fee Submitted $ ............................ Construction on above described budding ar~rm~t~m-"e pit odes and regulations Apphcant~ t ...................... TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 Pl CO1 19 , Not 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PILBG. [ ] FOUNDATION ZND [ ] INSULATION . , ~, '- -~..~.~, / ?~/;,-,_ , INSPE~OR~~ DATE_ .... T~O"z,,; ~: t_.~,£,... ~C...__['fl~ .... ~OUTHOLD, N Y. 11971 TEL.: 765-1802 o Examined /~..~.~] ,19~--~ Approved ........... Disapproved a/c ............................. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF HEALTH 3 SETS OF PLANS SURVEY .................... CHECK ..................... SEPTIC FORM ............... 0TZFY CALL ................... MAIL TO: Date ........... 19°. INSTRUCTIONS a. Ttus application must be completely filled m by typewriter or in ink and submitted to the Bmlding Inspector, wit, sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatmnship to adjmmng premises or pubhc stre or areas, and giving a detmled descmptlon of layout of property must be drawn on the diagram which is part of ttus ap caUon. c. The work covered by thas application may not be commenced before issuance of Budding Permit. d. Upon approval of this application, the Building Inspector will issued a Budding Permit to the apphcant Such pen shah be kept on the premises avmlable for inspection throughout the work. e No budding shall be occupied or used m whole or in part for any purpose whatever until a Certificate of Occupm shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Bmlding Department for the issuance of a Building Permit pursuant to, Buildmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or for removal or demolition, as hereto descnb The apphcant agrees to comply with all apphcable laws, ordinances, bu~.~ code, hous)n~ code, and regulations, and admit authorized inspectors on premmes and m bmldmg for necessary ~pecn~ffu / ~ t~Ignature o~ appucan~, or name, 1I a corporatlonj (Mmhn~, address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bull& Name of owner of premises ..'~B..lq..~ q-fl...~.~..r-i..~....~/..F'~../~..~..~ ............................. (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No ................ Plumber's L~cense No .................. Electnclan's License No ................ Other Trade's License No ............... 1. Locat~o~ of land on winch proposed work will be done C~)?.r~.r' HJe~]a°~' ak-]~'~ q- ~d~mm~ .. House Number Street Hamlet County Tax MapNo 1000Secuon ..O~ I Block ~ Lot. ~0 Subd~vmmn ~0~ ~t~a .~4 ..... FdedMapNo ......... Lot .... (Name) 2. State exmtmg use and occupancy of premises and intended use and occupancy or proposed construction a. Ex~sttng use and occupancy ............................................ b. lntended use and occupancy [ ~ ~,/~,~c,~ '' ~~ ff~ ................ ............ . ·. Alteratmn . .~..... 3. Nature of work (check which applicable)· New Budding .......... Addition .... Rep:ur ............. Removal .... . Demolition ........... rk tt2Z/ /V A( I-/ ,'e~ 77'~l C,. 7~0 /,l?,4;/e~,~_ '/(' ~ /t~ /:~ /l~,,v-772' ptim 4. Est~mate'dCost . ./~/.0..O 0 Fee .................... (to be prod on fihng this apphcatmn) 5. If dwelhng, number of dwelling units / Number of dwelhng units on each floor If garage, number of cars ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent o f each type of use .................. 7. Dimensions of existing structures, if any Front ............. Rear ........ Depth ............ Hmght .............. Number of Stones ......................................... D~mens~ons of same structure w~th alterations or addmons' Front ,. ~. O7.'%.; .... Rear ~...~..,~. Depth . ~7.~.<f72...,~- .......... tImght . .,.5:,~.,~??. ......... Number of Stones ....o~..,~..,,'~...~. ....... 8. Dlmensmns of entire new construchon Front ............... Rear .............. Depth ........... Height ............. Number of Stones ............................................... 9. S~ze of lot Front .../.?~.. .............. Rear . f.~ P ................ Devth . f,~.? ............. 10 Date of Purchase . ../~..7.? ................... ~Nam?iof Former Owner . .,ffZ. ff ................ I 1. Zone or use district in which premises are situated../;~.~ g.L .c~:~,-T' .~. ............................. 12. Does proposed construct~on v~olate any zomng law, ordmance or regulation' N. .................. . ........ 1 3. Will lot be regraded .......... 32~.q ........... Will excess fill be removed from premises' ~Y/,q Yes 1 4. Name of Owner of premises-~l).~.q .~.0.~. ?.~. t~..r..~.~.e~Zddress ~tTo...~..m~.~.e.~..Z.7~..~..~. Phone No..7..~.. e~d:.~'.~.. Name of Architect ..................... Address ................. Phone No ......... Name of Contractor .......................... Address ................... Phone No ............ 15.Is this property located within 300 feet of a tidal wetland? *YES.~..NO .... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and &stmctly all buddings, whether existing or proposed, and indicate ali set-back dxmensions fr, property hnes. Give street and block number or description according to deed, and show street names and in&cate whetl interior or comer lot. STATE OF NE'er. YORK, COUNTY OF. ~..o~,~.o. ~).c.... S S (Name of mdlwduaI signing contract) above named. bmng duly sworn, deposes and says that he ~s the apphc: He ~s the t~ .~.~?..~... (Contractor, agent, corporate officer, etc ) of said owner or owners, and ~s duly authorized to perform or have performed the said work and to m~e and file appkcatton, t~at all statements contained m thts apphcatmn are true to the best of his knowledge and behef, and that work will be perfo~ed m the m~ner set forth m the apphcatmn filed therewith Sworn to before me thxs ....... ...... of. ........ Notaw Pubhc, .~~>~-:. ~ .......... : ..... :~ounty / ~] J NOT~ PU~[I~ ~[e et ~w york / k ~ / / - I I