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Home My WebLink About17471-zFOP~J NO. 4 TOWN OF SOUTHOLD BUILDING DEP/LRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20688 Date ~LPRIL 28, 1992 THIS CERTIFIES that the building. Location of Property CRESCENT AVENUE House No. County Tax Map No. 1000 Section 6 Subdivision ADDITION TO ACCESSORY FISHERS ISLAND, N.Y. Block i Filed Map No. Lot No. Street Hamlet Lot 9 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 14, 1988 pursuant to which Building Permit No. 17471-Z dated SEPTEMBER 28~ 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 ADDITION TO ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to PETER P. NITZE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildigng- InSpector Rev. 1/81 FO~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILD'lNG FERJ~IT (THIS P£RMIT MUST BE KEPT ON THE PP, EMIS£S UNTIL FULL COMPLETION OF THE WOP, K AUTHOP, IZED) N~ 01747! Z Permission is hereby granted to: .... .............. County Tox Mop No. 1000 Section ....... ~. ........... Block ........... / ......... Lot No ........ ~ .......... pursuant to application dated ..~ .............. ./.....~.. ........ , 19 .~.~., and approved by the Building Inspector. Fee .~....~...~....~? Rev. 6/30/80 12' TO, IN OF c-,OL[THOLD TOWN OF SOUTHOLD UUILDINC TOWN HALL 76541802 Z~P PLIC,\NT APPLICATION FO2 CEP. TIFICATE OF OCCUPA):C¥ -\, This application mt.mC be filled in by typewriter OR %n],t and ubs ..... ~. to the inapcctor with the following: for new building or new us~; s ~.~-~ ~, Final survey of propert> with accurate location of all buzldl~gs, pro~er~v iice3~ ~...stgae~s' and unusual natural or topographic features. 2. %i~zl Approve! from Heallh DOOC, of water supply and sewerage-dls~osa!(S-9 f,:,r-~}. ~* ~,[.~ royal of ~lec~rJcal installation from Board of Fire Underwriters, 4. Sworn statemou~ from plumber cartifyi~g [hen the solder used in syscom contains less ~han 2/10 of I% lead. ~. Co[m~ercial building, industrial building, multi~le, residences and s~..,l~a~ ~ b~tld~ngs- '' · o~allatz~n~, a certificate of Code Compliance from ar~.Ltec~,'.~ ~ ~ or a',.'.;.~.~.~n~r responsible for [he building. 6. $,~bmi% Planning Board Approvel of Completed site plan raq,~ u~i[=m_n~o.-~ = 3. For c;<is~ing buildings (prior ~o April 9, 1957) non-conforming uses, or ou~,~i~.gs'~'-~ "pre-existing" land ua, es: 1. Accurate survey ol property showing aZ1 Proporty linem~ streets, buiJdin% cad unusual natural or topographic features, 2. A properly completed application and a consent to inspect signed b~ the applia.zn~. If a Certificate of Occupancy ia do;lled, ohm Building !nspeccor ~hail st-at~ reasons [herofor in writing ~o the ap~iicann. C. Fees 1. Certificate of Occupancy - New dw'clling $2~,00~ Additions to dwe]!ing Alterations tm dwellin~ $25.00, Swim~ing pool $25.00, AcCessory bn~Idi - - ~ no ~25 Additions CO accessory building $25.00. Businesses $50.00. 2. Cercig!cane of Occupancy on Pre-existing Building - $100~00 3. Co~w of C~rsificata of Occupancy ~5~00 ove~ 5 years $10 ~' 4 Updated .... ~ ' , C~rc~_icaCe of 0ocupancy - $50.00 Temporary Certificate of Occupancy - Rasidential $15.00~ Co~u~orcigl ';ow C~;,'str~, ;,.,, ............ Old Or Pr~-exisring guildi ........ ~ [,oca~ion of ~roperty ................ , ..... House No, S[roet Hamlet ~rtwur or O'4ners of Proper~y .... Tax 1000, Sec[loc J~b~ ~visio~ ....................... ~ .... Filed Mnp ............ "' g' A~d'r°va] ....................... Underwriters Appr,Jval .... ~... 'hma~ ~ "card Approval for: Temporary C~r~ificate ........... Final Certica~e..~.'.-- FOUNDATION {1st) COM~£NTg FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Itt FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, r,l.Y. 11971 TEL.; 765-1202 Disapproved afc ., .',...,' .............................. APplication No ............... (Building Inspector) APPLICATION FOR BUILDING PERMIT 1NST RUCTIONS a. This application nmst be completely filled in by typewriter or in ink and submitted in triplicate to the Build Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Ptot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public strc or areas, and giving a detailed descriptioa of layout of property must be drawn on tile diagram which is part of this ap cation. c. The work covered by this application may not be commenced before issnance of Building Permit. d. Upon apprcval of this application, the Building Inspector will issue a Buildiug Permit to the applicant. Such per' shall be kept on the premises available for inspection throughout the work. e. No buildiag shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupa* shall have been granted by the Building Inspector. APPLICATION IS IIEREBY MADE to the Building Department fer the issuance of a Building Permit pursuant to Building Zone Ordinance of the Town ~f Southold, Suffolk County, New York, and other applicable Laws, Ordinance, Regnlations, for the constructiou of buildings, additions or alterations, or for removal or demolition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building coda, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (Signature of applica~dl ~r name, if a corporation) (Mailing,address of applican' t) State whether applicant is owner, lessee,, agent, architect, engiucer, general eon'tractor, electrician, plumber or buih Nmne of owner of premises ..................... [2 ..... (as on tile tax roll or latest deed) If applicap_t is a corpor,~tioq, signat.ure of duly attthorized officer. (Na,n~,~ci iitle of cou, o~te of~cer) Builder's License No..~/~7.~.. ~ ...... Plumber's Licensz Electrician's License No... ~..~ ........... Other Trade's License No ...................... Locationoflandonwhichproposedworkwillbedone. ..~.~.~...o,~.)..~/'~.~. ...................... House Number Street Hamlet County Tax IVlap No !000 Section ' Block Lot Subdivision ..................................... Filed Map No ............... Lot ............. (Name) 2. State existing use and occupancy of premises and intended t~se and occupfincg of proposed construction: Existing use and occupancy If dwelling, number of d~vell,ing units ..... If garage, number of cars .............. Repair .............. R,cmoval .............. D,.mo,i;ton ~. ........ : ..... Other Work ............ (to ~be paid on filing this application) ........ NumScr of dwelling (mits on e~ch floor ........... If business, commercml or mixed occupancy, specify nature and extent of each,type of use ....... Dimensions of existing stmctfires, if any: Front , Rear i Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front : Rear Depth ...................... lleight ...................... Number of Stories .............. Dimensions of entire new construction: Front ' Rear Depth Height ............... Nnmber of Stories ......................... i ....................... Size of lot: Front ' , Rear Depth Date 6f Purchase ............................. Na. me.~ Former Owne,r .......... .......... Zone or use district in which pre nises are s,tuated Does proposed constrnction violate any zoning law, ordinance or regt latmn . ! ........................ Will lot be regraded .......... ' .................. Will excess fill be removed from premises: Yea N( Name of Owner of premises . Address ~ Phone No Nmne of Architect ......................... '.. Address ............ i' ...... Phone No ............... Name of Contractor Address i Phone No PLOT DIAGRAM , l. oca~e clearb, and distinctly all buiMings, whether exJsth~g or proposed, and, indicate MI set-back dimensions fron roperty lines, Give street and block number or description according to deed, and show street names and indicate whethe tterior or corner lot. ~ TATE OF NEW YORK, C~OUNTY OF .. ~p?..~q?.C.~....... S.S ...... · "JTi.q-9.,c3&~... 0,..~!q ~..L.L.q ................... (Nanie of individ ual signing con tract) ~ove named. beiffg duly. sworm,depoSes and says that !~e is the applican e is the ....... q.c¥9,W.~&c. TP.~, ...................................... ! ............................... (Contrac!or~ agen~t, 9qrporate officer~ etc.) f said owne~: or o{vne~, m~d is duly ~uthodzed to perform 0r have performed ithe said work and to m~e and file fid )plication; flint all statements contained in this application are true to the best ~f his knowledge and beli0f; and that th. 'ork w~l be performed in 'the manner set forth in the application filed therewith. worn to before me this ........ · .......... or ..... ........... ~ota~Publie~ , ~ ~o~ ,' Count~ './~~/ t;OMMI~I~ EXPI~ ~/aol00 ;