Loading...
HomeMy WebLinkAbout17563-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17729 Date JANUARY 31r 1989 THIS CERTIFIES that the building. Location of Property. 380 INLET LANE House No. County Tax Map No. 1000 Section 43 Subdivision ADDITIONS GREENPORT Street Hamlet Block 05 Lot 02 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 19, 1988 pursuant to which Building Permit No. 17563Z dated OCT. 27r 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 AND SCREEN IN EXISTING~DECK WITH DECK ON ROOF. The certificate is issued to PETER & CLAIRE DE SANCTIS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Building Inspector FORM NO. 0 TOIN'N OF 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) N~ 017563 Z Permission is hereby granted to: -- ~ / /"/ ~ ,, / ~....~.~.~ ................................................. -- _ ' ...... '7.-~" 7 ........ '~; " '; ~ ')' ";' " ~/ .......... . ~; ............. . .............. at premiseslocateda, .-~..~ff..~. .~"~./~ .................................................................. County Tax Map No. 1000 Section .......... .~...,~.. ..... Block ~ Lot No. pursuant to application dated ........... .A/......~...~../~. .............................. 19...~....~., and approved by the Building Inspector. Fee $..~..~.~ Re,.,. 6/30/80 TOW~ OF SOHTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK ?65 - 1802 1197 I APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING.X..VACANT LAND ........ Location of Property ...................................... HOUSE NO. STREET HAHLRT Owner or Owners of Property ................................ Subdivision ....................... Filed Map ........ Lot .......... P ermlt No. ].' .7.~:~. 3. .Date of Permit f.~./.~..Applicant . ~ . . .~ ..... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ./.. ............ Fee Submitted: $ ..~..~.,.6~ APPLICANT .......... ev. 0/ 4/ss . FOUI~DAT!ON ( ls t) FOUNDATION 2. (2nd) ROUGH FRAME & .PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FIliAL ADDITIONA'L COMMENTS · -_~ J ~'z~. ' . '.~ ' '/ ~' 14' TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ltALL SOUTIIOLD, N.Y. 11971 January 30, 1989 TEL. 765-1802 To Whom This May Concern, · We are unable to complete your Certificate of Occupancy because ~of tho following reasons. /~ An application for Certificate of Occupancy is not on file. application enclosed /5/ NO Underwriters Certificate on file. /~ Tile check is(outdated/not on file.) $25.00 plus $3.60 /~/ No lIealth Dept. Approval On file. footage. /-~/ No final inspection has been made. for additional Please contact our office on Thank you for your cooperation. Building Permit ~t ! 7 5 6 3 Z Building Dept. this matter. No Plumber SolderCertlflcate' ' on file. ( all permits involving plumbing being issued after April 1,1984 ) BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [/~RAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION 1ST [ ] ROUGH PLBG. []FOUNDATION AND [ ] INSU~TION []FRAMING ~~. !1 ....... .~. O~ATE: ,, ). INSPECTOR INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INFLATION FRAMING ,r,,'] FINAL DATE ~h~/~ I NSPECTO~~/., ~/ BOARD OF HEALTH . .,~.~./.. .... 3 SETS OF PLANS FORM NO. I SURVEY ......... Q~.~- ........ TOWN OF SOUTHOLD CHECK ..... :~,-,/~.~."y .... BUILDING DEPARTMENT SEPTIC FORM '---"-' ' : - , ' ' TOWN HALL $OUTHOLD, N.Y. 11971 NOTIFY - TEL.: 765-1802 CALL ................. /..~./~..'7. ........ , 19... MAIL ~0: ~ Examined Approved ../'"~/~.7 ........ 19~Pe~it No. / Disapproved a/c ." · ...................... 7 ............. N~~~~ ~PPLICATION FOR BUILDING PERMIT ~ ~~: ....... 1. F~ ' ~R~D INSTRUCTIONS -' a.~'~~~~ly filled in by ~pewfiter or in ink and submitted to the Building Inspector, with 3 ~sets oPp~~[a~l~ax~e--~ee accordin="* to schedule 'b.4' - N~O~I . . '. or are. ~[k~~~l~ri~ of layout of properW must be drawn on the diagram which is pa~ of t~s appH- catto~~~E ~ c.~~i~ ~n may not be commenced before issu~ce of Bu~d~g Pemit. d.~-~a~~h~the Building Inspector w~l issued a Build~g Pemit to the appHc~t. Such pemit sha~ ~&~~~spection throughout the work. e~~l~-obkupied or used in whole or in part for any purpose whatever until a Ce~ificate of Occup~cy shall have been grated by the Build~g Inspector. APPLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~lding Pemit pursuant to the Building Zone Ordnance of the Town of Soutkold, Suffolk County, New Yoxk, ~d other applicable Laws, Ord~ces or Regulations, for the construction of bufld~gs, additions or alterations, or for removal or demolition, as here~ described. The applicant agrees to comply with all app~cable laws, ordnances, bu~d~g code, housin~code, and regulations, and to admit authorized ~specto~ on premises and ~ bulldog for necessa~ ins~ · ' ..... ...... :' (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 ........................... Plmnber s Lmense No ......................... Electrician's License No ....................... Other Trades License No..'1..~./..~. q?...~.'.'27. ..... /~/ 1. Location of land on which proposed work will be done. ' .......... ................... ............ ..... ltouse ~umber Street Hamlet ......... County Tax Map No. IO00Section ....~ ........... Block ...~........... ~ Lot....~ . Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended uso and occupancy of proposed construction: _ ......... .......... ............... 3. Nature of work (check winch apphcable). New Build~,,,, ' d ' ' p; m A d~tmn .., ~ ,~ .... ~,-:441~rl~t~..;. ~,. .... Repair .............. Re ovai ............. '~'~olition'~ .......... ', ~: Other W~kS~-O,e~, . 4. Estimatid Cost .......... , ........... 'J ............. Fee ................................... i · (to be paid on filing this applicatiqn) 5. If dwelling numberofdwellin~units [ .... Number of dwellin u ~ a -~ ............ g nltsone cnnoor~.~.L If garage, number of cars . .~.~ ............................... / .... ~' ' ' 6. If business, commercial or mixed occupancy, specify nature and exten~ of e~'t;;;'~[d;''' j' ~ ............ Dimensions of existing st~ctu~es if any: Fro~t Rear De~t.h 7. Height ............................................. ............... NucberofStofies ............................................... . . Dimensions of same structure With alterations or additions: Front ................. Rear ......... ; ........ Depth ................... ]... HeiSt ...................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear Height ........... ~... ~u~ber of Stories .......... ~ ........... 9. Sizeoflot Front 1.~ : i~Q " ..... ................ 10. Date of Purchase ~ ' · .......... ] ................... Name of Fomer Owner. ,],. .... ~ ....... ; ~ .~{...~. 11. Zone or use district in which premises are situated ......... ~~~ .... v 01at, any o inan , or 13. ~llot be regraded ... ~ .~....z,.; .... ~ ....... Will excess fill be removed ...................... ..... ...... ,..5" 14. ~me of ?wner of premises ~.~15... Address ~M~.~~one ~~. Nme of Contractor ~..~.¢~ .... Address ~?7~,.~~~~J~. 15.Is th~s property located within 300 feet of ~' ... ~ PLOT DIAG~ - .O~ll~t~),~ Locate cle~ly md dist~ctly fll bulldogs, whether existing or proposed,Yffid,~ic~ ~~e~l~s from number or desehption accord~g to deed, ~ ~r~ffiI~d~:~hether Property lines. Give street and bloct interior or corner lot. STATE OF NEW YORK, COUNTY OF ....... S,S ........... ~'O~ }".,~. ~.. ~.:~.~ '.~'j¢'.~. ........... being duly sworn, deposes and says that he is the applicant (Name ofindividuaI sign lng contract) ' above named. ' He is the , (Contractor, agent, corporate officer, etc.) 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 performed in the mannei set forth in the application flied therewith. Sworn to before me this I HELEN K. DE VOE NOTARY PUBLIC, State of New York No. 47078711, Suffolk Cou~tlt>-~ Term Expires U~rch ~,0,