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Home My WebLink About17674-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offlce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC~JPANCY No Z17595 Date DECEMBER 14~ 1988 THIS CERTIFIES that the building. ADDITION Location of Property260 OAK DRIVE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 05 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 1, 1988 pursuant to which Building Permit No. 17674Z dated DEC. 9~ 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 DW~J.ING. The certificate is issued to ANTHONY & KAT~r.R~N SALIERNO (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FOE~! NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. NO_ BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLEI'ION OF THE WORK AUTHORIZED) b1767~, Z Dot,, ../..~.. ..................................... ~._y~..~. ....... ~x_~.~;...~ .......... ; ................................................. at premmses Ioca~ -ted at ..... .~..~....~. ...... ~,~.~ ................................................... Coun~ Tax Map No 1000 Sect,on .../~2/4~. , , Block ........ ~.. Lot No ..... .~..7,., . pursuant to opphcat,on dated ../././/.~ ~ .............. ., 19~', and approved by the 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 A. This apphcatton must be fd[ed [n typewriter OR mk, and submitted m ~mmm~ma to the Building Inspec- tor w~th the fo[Iowmg, for new buddmgs or new use. 1. Final survey of property with accurate location of all buddings, property hnes, streets, and unusual naturaJ or topographic features. 2.Final approval of Health Dept of water supply and sewerage d~sposal-(S-9 form or equal). 3.Approval of electrmal mstallat~on from Board of F~re Underwmters. 4. Commerc,al buddings, Industrml buddmgs, Multiple Remdences and mmilar bui[dmgs and installa- tions, a certificate of Code comphance from the Architect or Engmeer responmble for the buddmg. 5.SubmX Planmng Board approval of completed rote plan reqmrements where apphcable. B. For ax;st,ng buddmgs (pmor to Aprd 1957), Non-conformmg uses, or buddmgs and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property hnes, streets, buildmgs and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housmg code or safety mspectton of buddmgs or premises, or other pertinent mforma- t~on required to prepare a cemflcate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1, Certificate of occupancy New Dwellzng $25.00, Accessory ,$ IO.O0 Buszness $50.00 2. Certffmate of occupancy on pre-existing dwelling $100.00 4.Vaca~,3'C°Py°fcert'f'cate°f°ccupancy~,~ C.O. $ 20.005 $.00, over 5 y,e,s $10 O0'"'~-.~/~t 5.Updated C.O. $ 50.00 Date ................ NewCons tructzon ...... Old or Pre-existing Building ............ Vacant Land ............. HOu,~e No. , Stree~,~ · ~ ! Hamlet Suo~ws~on ................................. Fded Map Ne ........... Lot No .............. Permit No ........... Date of Permit .......... Apphcant ........................... Health Dept, Approval ........................ Labor Dept Approval ................... . · . .. Underwmters Approval ...... Planmng Board Approval Request forTer~orarvCertlficate ..................... FInalCert[ficate ......... ... .. . ,,. ..... Fee Subm~tte ............................ >/Construct~on on above described budding and pP~mlt~eets all apl~hc, able codes and regulations, p, ,,cant .... ....................... /. / _2' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 BOARD OF HEALTH ........... 3 SETS OF PLANS ..... : ....... SURVEY CHECK ..................... SEPTIC FORM ............... NOTIFY TEL.: 765-1802 CALL .................... /~ /~ C'4~ MAIL TO: Examined ~.' ~ / ....... , 19~.~'. / __ . ~ .............. / '~!~ ~ ~- j~h, APPLICATION FOR BUILDING PER~IT ~t~t--~-~' -' .~ Date ~ ' x~' ' ...... INSTRUCTIONS a. Tlus application must be completely filled ~n by Wpewnter or in ink and submitted to the Bmlding Inspector, wtt sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showmg locatmn of lot and of bmldmgs on premises, relahonshlp to adjmmng premises or pubhc strc or areas, and g~vmg a detmled description of layout of properW must be drawn on the dmgram whmh ~s pa~ of t~s ap ca~on. c. The work covered by t~s apphcatmn may not b~ commenced before ~ssu~ce of Bufldmg Pe~t d. Upon npproval of th~s apphcat~on, the Bml&ng Inspector will ~ssued a Bmldmg Pe~tt to the apphcant Such pet, shall be kept on the premises avadabl~ for mspechon ~rou~out the work e. No bufldmg shall be occupied or used ~n whole or m part for any purpose whatever untd a Ce~ficate of Occupm shall bare been grated by ~e Bmldmg Inspector. APPLICATION IS HEREBY MADE to ~e Building DepOnent for the xssuance of a Bmldmg Pe~t pursuant to Building Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ce~ Regulahons, for the constmchon of bufldm~, ad&hens or alteranons, or for removal or demohUon, as hereto descnb The apphcant agrees to comply w~th ali apphcable laws, ordnances, buddmg code, housing code, and regulanons, and admit authored mspectom on premises and m building for necess, a.~ l~:??.l~.. ~~ ........ (Sign~ur~f apvl~nt, o~name, ~f a corporauon) en/neer, ;~/~:t r:~ t~r~ eCec{~cl~n~ plum bet or build (ason'the'iaxrdlioriat;;td;iJ)' "" """ ' '''''~ !~i N ' '~ .... ~ "'" ( ~ea ~f c~ ~ ~, elumber,s:.:e:s~::' *' ,,,'~- :' .. Electrician's License No ............. Other Trade's License No ......... Location of land on wluch proposed work ~wll be done ....................... House Number ......... Street Hamlet ........ County Tax Map No lO00Scct,on ]~O./J~.q.~. Block .0~,~ ..... Lot ~J'7' OOO Sabdw~smn .......... Fdcd Map No ~ ......... Lot ........... (Name) State ex~stmg use and occupancy of premises a~d mtended use and occupancy of proposed construction 5. Nature of work (check which applicable) New Budding . ' ... Addition ...... Adteration ..... Repmr ............ Removal ............. Demolition ............ Other Work ......... 4. Estxmate'd Cost ........................... Fee .......................... (to be paid on filing this application) $. If dwelling, number of dwelling units ........... Number of dwelling units on each floor ......... If garage, number of cars ............................................................... 6. If business, commercm[ or mixed occupancy, specify nature and extent of each type of use ................ 7. Dwnenslons of existing structures, if any Front ............. Rear ........... Depth .......... Hei~'k~l"£ ........... Number of Stones ................................................. D~ns o~::~me structure with alterations or additions Front ............... Rear ........... Depth .................... Height .................. Number of Stones ................ 8. Dimensions of entire new construction Front ............ Rear ............. Depth ............ Height ........... Number of Stones ........................................... 9. Siz¢oflot Front ................... Rear ..................... Depth ................. 10 Date of Purchase ......................... Name of Former Owner .... ~. · 11. Zone or use district in which premises are situated ............................................ --- ~ 12. Does proposed construction violate any zoning law, ordinance or regulation' . ............................ 13. Wdl lot be regraded ...... ~'~4: .Will excess fill be remov,ed from premises 14 Name of Owner ofpremmes '~..~i{i~'.~i i Address . .~(Ld..0~....~.h/¢... Phone No..7,~.~t.": Name o£ Architect ..................... Address ................ Phon= No Name of Contractor ...................... Address ................. Phone No ............. 15.Is this property located ~ithin 300 feet of a tidal wetland? ~YES .... NO .... · If yes, Southold To~n Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether exlstmg or proposed, and. indicate all set-back dtmenslons property hnes. Give street and block number or description according to deed, and show street names and indicate whe, interior or coruer lot. STATE OF NEW Y~P,K,4 ,, ,. ^ ......... ' (Na'.;e mdividC a s, " ontra'cti ' .. being duly sworn, deposes and says that he is the apphc abo~e l,amcd. He is the .......... ~: .................................................. (Contractor, agent, corporate officer, etc ) of sam owner or owners, and is duly authorized to perform or have performed the said work and to make and file application, that all statements contained m this apphcatmn are true to the best of Ins knowledge and behef, and that work will be performed in the manner set forth in the application filed therewith Sworn to~bef°~"~e this ..~..~?. Notary Public, .f...~..~-~.~ .......... County ~lota~/Pu,~¢, Z~'., '~ 'cu York (Signature of apphc: t'l:. , '~