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,