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Home My WebLink About23689-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No—Z-25263 Date SEPTEMBER 11, 1997 THIS CERTIFIES that the building ADDITION Location of Property 8100 INDIAN NECK LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 86 Block 7 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1996 pursuant to which Building Permit No. 23689-Z dated SEPTEMBER 24, 1996 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 AS APPLIED FOR The certificate is issued to BARBARA ADAMS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A J-- llt4�' -"4 u' di g Inspector Rev. 1/81 FORD[ NO. 2 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) M23689 Z Date ................ . .. ....................., 19 .. Permission is hereby granted to: .064M. ......Alm�7...................... .....� ... .,l.QaA/......... V A. to .......... ''.........&kc t ...../.t.� v..r. ✓.........V...... .1... ........................ At/: 17..x. ..... ...ft.�l.. .!t�.......��?:l,/ ../dW�,�f..!?% .��....��.�.�...... /tom �/E at premises located at ..... .................�..�'.'�../..:...... ...................................... ......................................................... .r=-'..C !4:;�-.......................................................................... ................................................................................................................................................................. ... County Tax Map No. 1000 Section ... .�............ Block ....a,<.......... Lot No. .&.............. pursuant to application doted lZ':..oeZtl................................. 194W,,, and approved by the Building Inspector. Fee $.... .'V-....... ..........7................................. dIng Inspector Rev. 6/30/80 0E3 q dz vN , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and , "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildins - $100.00 3. Copy of Certificate of Occupancy - .25C. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . .l/. ///?9. . . . . . . . . . . . . . . . . . . . . New Construction. . . . . .Z�. . OldOr Pre-existing Bui ding . . . . z . . . - 0Location of Property.. 0.1 . . . . .. . L. x. . . . . . . . l . . . . . . . . . House No. 6Str et Hamlet Onwer or Owners of Property.. •lrrs`'•�� ¢:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . KV County Tax Map No 1000, Section. .. . . . . . . .Block. . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. -tL - .Date Of Permit.,,e*/- . . . .Applicant. . . .� Health Dept. Approval. . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . ./,. . . .. . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . l,l. . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . oor . . . . . .`/. APPLICANT Ce,� 533 `3 I ►CI.D 1 NS1'LiC t ON RETORT DAl L COMMI NTS W - ------------ --� --- FOI1NDAl'I ON ( I S'll FOUNDATION (2ND) ------------- n II o ROUGH FRAPIN. 6 I ii t 111.11H It I NC _ _ t 1 NSIIi.n'f 1(1N 1'FIlt N. Y . I ; �I u I P I Nnl. I ADDI'llONAL COMMFNIS: _—___—_ _ __ — - ---- __ -- --- --- — ----- ---- — — -- ---------- dam\ [t *� BOARD OF HEALTH . . . . . . . . . . . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . .. . . . . SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: + .CALL .� (2-711 x.6-9.*/SS Examined ., 19-!.� MAIL . . . . I� . . . . . . . . . . . Approved......�,�y��..., 191. Permit No. e?,34f�.e... .................................... Disapproveda/c .................................. .................................... ...................................................... d (Buil nr In Cor) APPLICATION FOR BUILDING PERMIT Da te.1. � .�!. ! �, 19 �j INSTRUCTIONS a. Ibis application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wits 3 sets of plans, accurate plot plan to scale. Fee according to schedule. h. 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 layout of property must be drawn on the diagram which is part of this application. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building, Inspector will issue 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 11ERERY MALES 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ii�` cb .... dcs............... (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........C?(i.V. .':...................................... APPROVED AS NOTE'D� q;z Y` Y tX /( y,�� DATE B.P.# Name of owner of premises ....... .... ......... ffE:-----.,j,.(—.. . (as on the tax roll or latest deed) NOTIFY BUILDING DEPARTMENT AT If applicant is a corporation, 9 AM TO 4 PM FOR THErporatian, signature of duly authorized officer. FOLLOWING INSPECTIONS: (t � 1. FOUNDATION - TWO REQUIRED (Nand-title-of-corporate.office r)' .00CU1AIIC OR FOR POURED CONCRETE me_a USE I S UNLAWFUL 2' ROUGH - FRAMING 8i PLUMBING 8. INSULATION . Builders License No_ ......... 4FINAL - CONSTRUCTION MUST WITHOUT CERTIFICATE BE COMPLETE FOR C.O. Plumbers License INo. .........._ ALL CONSTRUCTION OF-OCCUPANCY THE REQUIREMENTS OFATHE LL MN.� Electricians License No. ..................... STATE CONSTRUCTION IN ENERGY Other Trade's License No. CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Iocation of land on which proposed work will be done............................................................... `1. .... h��a .... ............ . - Y . .....J.1 .y�.......... House Numiner Street/ Hamlet r. Canty Tax Map No. 1000 Section ....d-lp........ Block ... ........... Lot ... ........... Subdivision ...................................... Filed Map No. ............... int ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,. 504„x,_ CX3 ai.1v-0 vJL h. Intended use and occupancy ... .. �y � ''_..':(; i�vG.OIJCIC^h/ ....... ..r..4+ `i' ) 1. Nature of wotk (cI►eck wlaiclI al4mlicab le): New IktildiIII .......... Addition ...... Alteration ........ .. R-pair ............ I(etmoval ............. Demolition ............ 01her Work .................................. / p (Description) 4. Est in►►te<1 Cost .�P.. t.J....-......... fee ...$.?'.S.................................. (to lie paid on fi 1 ing this application) 5. If (k4el I ing, otnimer of ckaell ing uni Ls ....3....... Umber of ckael I ing miLs on each floor . M4...�. If garage, rxnber of cars .....`................................ G. If Ixasiness, ctin►ercial or mixed occupancy, specify nature said extent: of each type of use...................... 7. Din►ensicxms of existing st.matires, if any: Frool:................ Rear ............... Depth ................. Ilei0kt. ......................... tarr►be_r of Stories ...... ................ Dimaensiax►s of sane st.rtw,lure with alteralicxms or mklitions: Front ...... ..... .... hear ............... Depth .................... neigl►t .................... Nanber of Stories ....... ........ fl. Dimensicxms of' entire new cOnstrtk_l:im: Front ................ Rear ............... DepLh .............. Ileitomt ......................... Ntnber of Stories ..................... 9. Size of loL: Front .................... Mar .................... Depth .................... 10." Mile of Purchase ..................... Mme of I-ornvr Omier ..... .... .. ............................. II. Z,rnme or use district in w1►id► premises are situated ..............................II......................... ....... 12. Ik)es proposed construction violate any zLw,oning l , ordinance or regulation: ...JYv............... 13. Will lot he regraded ................r.... Will excess fill lie re roved from premi srres: YT�.S_., ND (j Vi. Nanes of (loner of premi ses .. stmt.�o Q...a >1 Acklress ..0..�.¢�.. 4 t9� .M°' mocxa No ......X7.... Mane of Ardmitect ................................ .... Address ......... ..................... Ilion No. .............. Mine of Coaractor ................................... Acklress ...............................I1xme No. .............. 15. Is this property within 300 feet of a tidal wetland? * YE-9 .......... NO .......... *1F Yl,-S, SQl111(11D mm -ims ms) m-liurr MAY 1St: 141pimm. PLOW DIAGRAM locate clearly and distinctly all Imildings, whetlmer existing or proposed, and indicate all. set-hack dimensions ftcxn property lines. Give street arxl block r►tarber or description according to deed, aril slmow street names and indicaLe molmetl►er interior or corner lot. i�iK�C✓ J `il'A'IE (N.- ww Y(N(K, SS. (XAINIY U. ..... Q 0.. ad s................... .....Ix'ing duly sworn, (lelxmses sail says that: he is Lhe applicant min, of individiurl. signing'6AitraicL) alxmve au►a►mcl, -!4le is the ............................... ?uta -.......................................................... (Qmtractor, agent, corlxmrate office r, etc.) of said owner or cxnmers, and is duly miLhorized to perform or have lx-rforn►ed lime said work and to nuke aril file this -1111)] ication; that. :all' slate►nents conLained io Lhis algml icaLicm are lme to the best of his kaxxaledge nod IxI ief; aaxI lint the work will lie performed in the imimier set: forth in lite application filed lberewith. `kaon► to before nh this ......��..�......clay of 19.. �.. Notary Nblic . .. ................ `......_...................... ROSE RTI.SC .JR. (sigr►rrture of Applicant) NOTARY pUSUC Hoak Cou N.Y. No.4725089. Q Term Expires May 31. 18.LS� � 7/ s-e. 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] IN ULATION [ J FRAMING [ FINAL 5vz!!�S [ J FIREPLACE 8 CHIMNEY REMARKS: 12' DATE � 0 l INSPECTOR /� i I i ate] Y Lk TE c o Tyco fj• U „ r , /. C