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HomeMy WebLinkAbout20014-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28519 Date: 06/14/02 THIS CERTIFIES that the building ADDITION Location of Property: 20 SEAWOOD DRIVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 1991 pursuant to which Building Permit No. 20014-Z dated JULY 12, 1991 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CARMEN & TERESA BATTISTA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u or' ed S'gnature Rev. 1/81 !'OBa[ NO. ~ TOWN OF SOUTHOLD sU1LDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°- 20014 Z Dare i9..~~f Permission is hereby gmnted to: o . 1 at premises located at G~..i'?.(.'...~. ........~..t......................................................... ~,1~~~.................................................................................. County Tax Map No. 1000 Section ........~.bl....... Block .........2....... Lot No........?...(~........ pursuant to opplicotion doted lq~~~,,,~ and approved by the Building Inspector. ~ g~ Fee S.. ~ to Rev. 6/30/80 I'UWN U!' SUU'1iiUL1J _ Rli1LD1NG DGI'ARTMEN'f TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCI' A. This application must be filled in by typewriter OP, ink and submitted to the buildin 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 wafer 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 17 lead. 5. Commercial building, industrial. building, multiple residences and similar buildi and installations, a certificate of Code Compliance from archi_CecC or engineer responsible for the building. 6. Submit Planning Board Approval. of completed site plan requirements. B. F'or existing buildings (prior to April 5, 195Tj non-conforming uses, or buildings a "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 applican 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 Building - $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 New Construction . Old Or Pry-~existin Building. Q............ Location of Property..~J........~e.!%C.t~~010j~....... JS~clr/T"~~..... House No. Street Hamlet ~,Q~~ Onwer or Owners of Property.... .!1~.~?.~Y....~ !.F..!.!.~~~ County Tax Map No 1000, Section..' ....Block.. Q ~........LOt....../Q Subdivision ....................................Filed Map............Lot.................. Permit No~Q 7.Z...Date Of Permit ................Applicant......................... Health Dept. Approval ..........................Underwriters Approval..................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate........... Fee Submitted: $ ~l ~ 9 ~ ..APPLICANT......... - I uu? 1i.?. ..V.~.. 1~ ~~j?:11u vv:{fit{f~(y 1.. 1. m~ ?0 ~ - H c 0U17DAT20N ~ ( 1st ) - ti rOUNDATIOW (pnd) m 2. z 0 O ROUGH FRAME & PLUMBING b. to H 3. ~ m INSULATIOf! PER N. Y. ~ • • STATE ENERGY CODE . x FZ;JAL o . ADDITIOflAL COMMENTS: x • . • _ cn x ^o H \ 9 H H O n~ ~ X1 m A • r~ _ H • C7 . m ^c H n Q~~(~~ BOARD OF HEALTH • • • • • . . u I f~ FORM NO. 1 3 SETS OF PL.1:1S J-~r~ ~I TOWN OF SOUTHOLD SURVEY _ _ ~ . ' BUILDING DEPARTMENT CtIECK ~I TOWN HALL SEPTIC I'OR:I _ . BLCG. DEPT. ~ ~ SOUTHOLD, N.Y. 11971 TOWPd OF SOUTHOt_p ~ TEL.: 765-1802 t:OT I F'f ; CALL - - Gxamincd . 7 ~ , . , , , 19 p~~ Cin I L TO approved 19 Pennit No.~~.. ~ ~ . Disapproved a/c _ . 7~ ~ , (B tiding Spector) APPLICATION FOR BUILDING PERMIT o ~r Date c!1 ! */L. Z.), , 197 ~ . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink end 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 layout of property must be drawn on the diagram which is part of this appli- cation. 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 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, ing code, and emulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~j (Sienature of applicant, a~me,/~if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........Q7.tt.zn.t Ems Name of owner of premises .4.'~~.~~, ~ !l.?...~`! `,J, n ,l ,r/ ~ ~ , ~ ,IG~G~! . . . . . . . . . . . . (as on the talc roll or latest dee~) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~~u!`~f~.',~~~--, Plumber's License No . . Electrician's License No . . Other Trade's License No . I . Location of (and on which proposed work will be done . . . House Number Street .Hamlet County Tax Map No. 1000 Section ....Cn/, Block ...~02. Lot Subdivision .....~~~~;a~.. Filed Ma No. SAC Lot #~:3... . (Name) P 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .....~E . b. Intended use and occupancy ~ ~.f~ 3. 1\'ature of work (check which applicable): Ne~v Building Addition ~Vteratt~n , , . Repair Removal . Demolition Other 1Vork ..1 .~C•:K, , , , • J' i u~1• (Description) _ 4. Estimated Cost ...cX.v.~~. ~ 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 ture and extent of each type of use . 7. Dimensions of r fisting stnictures, if any: Front . , \2• , , , , , , ,Rear Depth ..:71~ Height . s~•.r Number of Stories LY.., , . , . , , , , , , • . Dimensions of same structure with alterations or ad itions: Front ,3.~ Rear ..~tF>'. . Depth .....~l'?~ Height 0~~........... Number of;Stories ~ . 8. Dimensions of entire new construction: Front pZ.... ~ Rear o~R.....:.. Depth ~ . Height ...r~."r Nuymmber of Stories /.t!lrQ.. , , , , , , , , - 9. Size of lot: Front.....zrtJ..,. ~ Rear l ~ fJ Depth .l~Q. 0. Date of Purchase , Name of Former Owner . ~1. Zone or use district in which premises are situated.....~~.5;,,,,•,,,,,,,,•••.,•..•.••,•.•.•„•„•„••• 2. Does proposed construction violate any zoning law, ordinance or regulation: ..../L~ . 3. Will lot be regraded .........../,1~ ~ Will excess fill be removed from premises: Yes 4. Name of Owner of premises ....................Address ...................Phone No............... . Name of Architect ...........................Address Phone No............... . Name of Contractor .Address ...............Phone No........... 5. Is this property within 300 feet of a tidal wetland? *Yes.. No..x.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fr~~m property lines. Give street and block number or description according to deed, and show street names and indicate whether nterior or corner lot. ~E ~ ~ iTATE OF NEW YOR S.S 'OUNTY OF • • • • • • • ~•~R• • • • ~•'e•K'•tS • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) bove named. Ie is the W.?-v:'„ " ....................t~.............................. (Contractor, agent, corporate officer; etc.) f said owner or owners, and is duly authorized to perform or have perforred thi; said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the cork will be performed in the manner set forth in the application filed therewith. wom to before me this ~2 .day o ~UL`(....... 19~ S~ `otary Public, .:Z~L~. ~ • , , • Coun~~ t ROBERT I. SCOTT 1R. ' ' NOTARY PUBLIC, State of N.Y. 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