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Home My WebLink About17581-zFORM MO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17521 Date NOVEMBER 17~ 1988 THIS CERTIFIES that the buildin~ ADDITION Location of Property350 HARBOR LIGHTS-90 WINDJAMMER DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 71 Block 02 Lot 20 Subdivision HARBOR LTS SEC II Filed Map No. 4681 Lot No. 42 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 26~ 1988 pursuant to which Building Permit No. 17581Z dated NOVEMBER 2, 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 DWELLING. The certificate is issued to JOHN & VALERIE KRAMER (owner, ~L~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDER~RITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Ins~ctor Rev. 1/81 FOR~ NO. B TOWN 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~ 01Y581 Z ....................................... ~.~ .......... ...... ~.~_......,_.,.. ............ ................ ~... Counh/ Tax Map No. 1000 Section ........... ~ .... Bilk ......... ~ ........Lot No ........... ~ ..... pursuant to ~ppJication dated ..... ~/~ .............................. , the Building Inspector, Fee 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 Instructions A. This application must be filled in typewriter OR ink, and submitted m ammmmam to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, industrial buildings, Multiple Residences and simila~- buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~'operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..../..~ ~.~ NewC°nstructi°n...~.. Old.or Pre;e.xisting Building ........ Vacant Land . House No. Street Ham/et O or Ow of P perty '~ TM County Tax Map No. 1000 Section . ~'~/ Block . ?~. ........ Lot..2: .O ...... Subd,v,s,on ~ ........ .~. ................... Filed Map No .~z/'~ o~/ Lot No . .~..2-~. ....... // Permit No ......... Health Dept. Approval ....................... Labor Dept. Approval .............. ; ...... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...................... Fee Submitted $ ............................. and regulations. 'd V//V "t :0330 'ON 'S 'H 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I' ] FRAMING [~FINAL REMARKS: (~ ~/~_ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING [~FINAL REMARKS: DATE FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y, 11971 TEL,: 765-1802 BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ ., 19 ~tflPermit No. Disapproved a/c ..................................... " .............................. ~~~'"''~~i'i~pect ) '""' APPLICATION FOR BUILDING PERMIT NOTIFY CALL ..................... MAIL TO: INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of l~yout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tkis application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for iemoval.pr demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build~g"~6'~e, ~Sfisin~ cgfle, and regulations, and to admit authorized inspectors on premises and in building for necessary ins~/ /~,~5~ ,/(Signjttum of ap!~icant, oj nam~kif a corp~U'a~uon), / · (Mailing add,ss of applicant) ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . .~'7..~)..~ .r3..~.~..d ~.' .~.../7:.~.../..~..F'..,~. '.~./T~..~.~ .............................. (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 ..... ~5>. .~...~'~-,-~.. , .'~- ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ................ : ........................... .~ ...... House Number Street County Tax Map No. 1000 Section ..... O.?./ ......... Block ...... ~.. ......... Lot...~..O. ............ Subdivision. ~.-~./.?~../". (4q aln e) ....... Map ....... Lot .e.g. .. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... ' ...................................................... b. Intended use and occupancy ....... ........................................... 3. Nature of work (check which pplicable): New Building .......... Addit o ... ;~ ~lteratiofl . .. ....... Repair .............. Removal .............. Demolition ............ ~..:~/~a~r ~,p..rk...~ ~...4Z, ,~% ~ o ~ ! ~ (Description) E re'de .~ .~..(/ . .'7..,'.... 4. stima est.. · , ................. Fee ............ , .... , ...................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ..... ,/' ......... Number of dwelling units on each floor ................ If garage number of cars ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmctui'es, if any: Front ............... Rear .............. Depth ............... Height ............... Num bet o f Stories ................ Dimensions of same structure with alterations or additions: Front Rear Depth ' Height Num her of Stories ".8 Dimensions of entire new construction: Front Rear Depth Height ............... Nu,mber of Stories ...; ......................................... ,, ./.~..~. ..... "ii 9. Size of lot Front ...... Rear ................. De ............... 10. Date of Purchase ,../'.~..-2.~ .[ ..... i i i.. i ........ Name of Former Owner .. ,~'~. I 1. Zone or use district in which premises are situated ,~.~/.c~/fr-i, .~. ~ ................. ' ' "' 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ...~....i ....... .' ',L_ .... ~;' ....Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .'////////~.k{.O.~qO.cf.,?,t/f('.~r~rddress Name of Architect .,6/.o.~..,[. i ' Address Phone No ................ Address .................. Phone No .............. Name of Contractor /Y'P.~.ru . . . 15.Is this property loeoted within 300 feet of a tidal wetland.* *Yg$.!-ff'..NO .... · If yes, Southold Towln Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or coruer lot. £ STATE OF NEW ~O R.K. ~ i .................... being duly sworn, deposes ~d says that he is the applicant (Name of individual sig~ tng contract) above named. Heis the ... ~ .................................................................................... (Contractor, agent, corporate officer, etc.) of sam owner or owners, ~d is du~y authorized to perform or have perfo~ed the said work an~ to m~e and file this application; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the work will be perfo~ed in the m~n~r set forth in the application filed therewith. Sworn to before me this ~ ....................... ay ...................... 19. ~. 4707878, Su~l~ C}u~ (Signature of applic~t) Te~ E~res Maroh 30,1~