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Home My WebLink About24007-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28565 Date: 07/01/02 THIS CERTIFIES that the building REPAIR & ALTERATION Location of Property: 1945 VILLAGE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 17, 1997 pursuant to which Building Permit No. 24007-Z dated MARCH 20, 1997 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 REPAIR TO FRONT WRAP AROUND PORCH AND WINDOW REPLACEMENT OF AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JUDITH WOODARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A orized S nature Rev. 1/81 FORK 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) N? 24007 Z Date ..... .............. Permission is hereby granted to: ........................ ?.V............................................ ............. .. ..... to yys,r. *.. .... .... .. ........... /-7& .......15r... .... ............ ......... .... ......q............... .......................................................................................................... ....................................................... ........................................................................... at premises located at.............. ................ County Tax Mop No. 1000 Section .............. Block ......... ........ Lot No. Al................. pursuant to application dated ................. ........ and approved by the Building Inspector. Fee $ Building Inspector ................. Rev. 6/30/80 _)3 2///7/ Form No. 6 r ' TOWN OF SOUTHOLD nl BUILDING DEPARTMENT TOWN HALL 765-1802 (=jZ"NT PLICATION FOR CERTIFICATE OF OCCUPANCY �1o2Ct� T4'i`t OF S,,, 1,5i-SOLD is 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. 3. 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. 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 Buildin¢ - $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 . . . . .?/8/ . /. . . . . . . . . . . . . . . . . . . . . . . . . . dew Construction. . . . . . . . . . . Old Or Pre-exif�ln g Buil ingg. . . .. . . . . . . . . .ocation of Prope;:ty . . 1�G?. . - . .��. 1/111/, - 2. . J.'.l. N4�.. . . . . .D e . . `.!•. . . House No. Street Hamlet )nwer or Owners of Property. . . . . . .L4 .! . . . . . . . wda b�� . . . . -11 .ounty Tax Map No 1000, Section. . . . .�+ .�. . . . .Block. . . . . . . . . . . . .Lot. .l/. . . . . . . . . . . . . . . . . ubdivi.sion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . 0 3 Vis/ 'ermit No. . 7 ' /, 007,�� Of Permit. . . .`. .? / _ _ . . .Applicant.. 1L1. �� ;ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / F IC v/V request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . ./. . . . . C\4 v 'ee Submit ed: $. S . . . . . . , . . . . . . . C��c -` Co 9.- a$-36L5 . .APPLICANT (w ).- ► — SACS :zL '2:qyo � yUd -7 � 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: a��-8'�I DATE 2 5 l� INSPECTOR 4i-�� 765-1802 BUILDING DEPT. INSPECTION [ FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: cc ^, ok- DATE / INSPECTOR 001 v Y M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ok. p DATE C� �� 1n INSPECTOR _� I UA I F, OIIIIOATI Ott U i I N 1)AT 1 1-1 C) ------------- tf. -73�- ------------------ -------------- VIIIAI. ------------ -------- ---- -------- ------------ ----------- ADDITIOIIAI. ----------- ...... 02 i5cI --2� ,r lelool 19 Fit tj 0 BOARD OF 11EA1.i11 . . . . . . . . . . . . . . . I ` FORM NO. 1 3 SETS OP Pb.ANS TOWN OF SOU'1.1101.1) SURVEY . . . . . . . . . . . . . . . . . . . . . . . . KV HOW ! BUILDiNG DEPARTMI?NT C11ECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG.DEPT. SOUT11OLD, N.Y. 11971 MnOFSOUTHOLD. TEL: 765- 1002 NOTIFY:�[ �7G6 ' X121 �y,�,�/ CALL I:4 . . . JIlaI1AGwC Eniued (y4:� ln.T'a., 19.! MAI1. TO: . . yJ - (� . . . . . . . . . . . . . . . Aprprroveol..!�� ., 1917 Permit No. /.. .. .................................. Disapproved a/(. .................................. .................................. ................................................. .._. ...... .. ..... L.. uilcling inspector) AP CATION POR BI111.DiNG PI?RM1T 7.� INSTRUCTIONS a. 'Ibis application must be completely filled in by typecrriter or in ink and submitted to the Building inspector w 3 sets of plans, accurate plot plan to scale. Fee according to sclieclule. b. Plot plan showing location of lot and of luildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property oust be drawn on the diagram wlmich is part of this application!. c. 1pre work covered by this application Pray not he commnced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Suo•Jl Permit shall be kept on the premises available for inspection thrxg1 ut the work. . e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occagnnxy shall lurve leen granted by the Building inspector. APPLICATION IS IiEiEBY MVE, to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Torn of Southold, Suffolk County, New York, and other applicable iaws, Orlituunces or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 1be applicant- agrees to comply with all applicable laws, ordinances, building code, musing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. f� (Sigmrature of applicant, or name, if a corporation) (Mailing address of applicant) State wlmet er applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plrmber or builder ...... .... j :..rvn, erl,..... .. tkine of owner of premises .... 5 t........., (as on C roll or latest deed) / ' If applicant is a corporation, signature of duly auUnrized officer. ...................... (Name and title of corporate officer) WWRWRITERS CERTIFICATE REQUIRED Builders License No. Pluri)ers license No. ......................... Electricians License No. ........ Other 1rade's License No. ..... I. ioc.ation of land on which proposed work will be &-irie ......... .�Q .......Y.)U.R ... ` ... Q121�, 1 ;..... ....li. S�....................... Ikxuse Nmnier .. 1. ........................ Street 14 nlet r 0xinty Tax Map No. 1000 Sectioxr ... ��........ Block .5............. bnC ....� . .......... Sulxlivision ........................... Filed Map N). .. Lot Mwle) 2. State existing; use and occupanc-y of preiiiises and intende4l use and ooccupar of proposed constnmction: a. Existing use and occupancy .........431AJ 1 G� ... ..................... b. Intended use and occupancy ............................................................................. 7. N e of work (dleck wlnidl alq,licahle): N' Iklilding Alklition 14:lxliu ...�,-„ l(a,xrval •• • - Alteration IkmrliIinn ........ . -.... . ...... Other hkxk .................................. (I)escri pt ion) 4- E'stmilted Cost ...Ir fee (to he paid on filing this application) •-•. 5. If lArelling, lxniber of dwellilug units ....1....... Moyer of oAjelling units on eadn floor ............. ... If garage, oullber of cars ................... ...... ......... ... . fl. if Ixusil"s, aamuercial or mixes! o:cullalxy, specify nature a,d extent of eadl type of use............ .... . Niulensions of existing structures, if any: Vrnol ....... ......... Rear .......... ..... f)epl11 ................. Ik:it;flt ......................... Mnber of Stories ........ Uin,ensiol,s of simile sLructure will, alteraLinns or additions: l root ........ Ik:ptll ....... hear ............... Ileiglul Mnl,er of Stories .................... 8. I)islensians of entire new construction. I?root N.A:.. .... Rear ....... ........ Depth ... . .......... Ik_it;ilt ......................... Mnber of Stories ..................... 9. Size of lot: lyo,t .................... RearIkaplll .................... M. Hite of Hlydnase ..................... N:un,e of Fornler Owner If. Zxxle or use disLrict in wllidn praxises are situated ........................................................... ... 11. Ikxas prolosed construction violate any zoidng law, ordillsoCe or regulation: .....-. c... ;........ Il. Will lot he regrale ,,,d ...-. o,,,,-- Hillxr: eess KF A, ,,—,, klrlie range fXrmi prenuisea: YES N;ut�) I4. les of (Acer of praxises ................ litone Mile of Ardnitect .................................... Address $0� L.... 17xxue No. ...... . /. M'xl of Conrracror .. ./Z/-!�Gl Jr` S- �1?/J f ,1 j �1_" klress �� j i q � Q�L.....I1xme No.�i.�<" .V.�.. 15. Is this property within 300 feet of a tidal wetland? * YES .......... *IF YES, S(Mpll(HI) IUM -Iid1SIMS 11'iM1I'I' MAY Rli RI Alla]). PLOT DIAGRAM locale clearly and distinctly all buildings, wi,etl,er existing or proposed, and indicate all set-hack ddll,ensions from prollerly lines. Give street and block nnber or description according to reed, and show street names and indicate rollelller interior or corner lot. �Esf10i.S ` joil, F06crr.J&i fTihj61,c (b `-0" f z )� �� .' ► c;� w jt>•{ x�,5 fin, J) l�w��i�� `Tb fox ,r ?�Sw `' x v �Ur l S'i{4 t,! 71-b SI'A'Ili (M- "-W Y(M(K, -•-��... r!' ..... ........ ... .Ixein• dun ,• •••-"" b y sworn, delloses and says that he is the spillicant (Naw of individlkll signing contract) :IIKJve luxll'd, Ike is the ....... . �Gt'AC-Pnz.. .....:................. ...... . .. ........... ........................... (( )nlraclor, agent , corlx)rale offi(-er, etc.) Of said owner or ow,x:rs, alxl is duly authorized to l,erfonu or have perfoilled the said work and to urnke and file Ibis applical ion; 111111. all slatlmlents conlailxvl in Illis 11hplicalion are lnle to elle b0sl: of his knlwletil, alxl Ix lief; alxl t11al. tho e work will lie llerfonaed it, file avunler set forlh in lute application filed lllerewith. :kn,lu to Ixaur Ihltt � ! ... ... lay of ..... .. ......... l ..... ..... .. ............. GL EW C�I�iEt eofN (Signa Ire a pylic• It ) not State of New York 487/1505 Qualified in Suffolk County Commission Expires December 8,19 1 40M -464./A CIO I M [, /air Ta , G •.` .S.$7,4 4e a (7, Sill t,f•Y, � ,�� 1� (�,r l �7'ty `.yk e ice+ ��,`ll"�, t"4 f� xr' " , ' .5 •-1 Qp � ` 'r- aN (' fv� I 'yyµµ[{.55+'' Yr f, ren 5.1t� '^I `Y' r role d �J 68 ' , .� k3 ,� ✓yr-� .� lit -900 ;•�' c;� a y. r. Ho#�� s a•.2 2 "� „fi r, !11 y. Say NOUEe y d _ r .. —Ol 'Il "kid _ - 'LM YT � *+«Rn•..nMe...sir-..+..a +w.usn.+.sre'..m.r+.:e.+.n+' `�� xa../� .. k 'Cf } ' � 1.r�q�'a? � �>I{.1 �„r •SYS�d ,, `.[ i`3�� .. - � -, ., � ., Vill �r. . a "� - �► 6of , 72C1f1 nl lfu•New Ynrk RrAtn. s � -,itsonLaw • res r.+9his survey mapnot bearinn `'� - ,„ ',•°• !r,�.erd surveyor's inked seal or F'^bnssod seal shall not be considere.t y a valid We copy, F t v t C indicated . � -al person forwhom Ui �• pleas ind porno l� _ � p '- ` '�.� �>1�''�'r,� �----"sy.rt n ..rR...:.r...•wn., n beh oa .� C7A� �"* c-nE'c^h' lFt k -'r* ,fie/ `e �!' x' .I r',....• :n:a_S�e�`lr.Gy 2"fi! * '�'i �„, ( I ,w7" ,G! �'.r.`040,l 4 F^'',�`!M y'i7F 'lir, ", e7♦*yF. '�y. >Ei J ,a �,� a..,,�. `" .N' _ to dw - ��+ 'i,c. ,+� '. ,4i' {J �'_ '-'^� " !,'�v'�:'^S."� :�. lr'►i 4... � -� °� i -�,�.d _T1;5_4_�Pl ^.:`'J. '�y,�•,�"n I - ,(�nIP .. '�.�. r.E-r ' y�yy�- .,�. 4r. S M :. 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