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Home My WebLink About16754-zFORM NO. 4 Town OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17171 Date AUGUST 8~ 1988 THIS CERTIFIES that the building ADDITION Location of Property 260 THE CROSSWAY LANE House No. Street County Tax Map No. 1000 Section 30 Block 02 Subdivision Filed Map No. EAST FJ~RION Hamlet Lot 108 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 11~ 1988 .pursuant to which Building Permit No. 16754Z dated FEB. 24~ 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 ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to JACQUELINE HENNELLY (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N0t6853 JUNE 16, 1988 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 · / B~ilding Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PEPJV~IT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NO_l 6'~ 5 4 z ............................ County Tox Mop No. ]000 Section ...... ~,.~,, ........ SlocE ......... ~ ....... Lot No...../....~?....~.. ........ pursuont to opplicotion doted .......... ,~.../,,~, ................................. , I0..~.~, ond opproved by the Building Inspector, Fee $.~.,. Re~ 6/30/80 FOUNDATION (2nd) 2. ROUGH FRAME ~/ .?LUMBING INSULATION PER N. STATE ENERGY COD~. FINAL 'IONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION 765-1802 BUILDING DEPT. INSPECTION [ ~/OUNDATION 1ST ~- ] ROUGH PLBG. FOUNDATION 2ND [/INSULATION FRAMING FINAL DAT'_.~/~ /~F .INSP,CTOR.h~~ 7GS..xS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION AND [ ] INSULATION FRAMING [,~I~NAL REMARKS: R£MARKS: 765-t802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ) FRAMING REMARKS: [~/~FINAL 1000121 mm~AU OF ~ 85 ~HN STREW. ~W YO~, ~ Y~K I00~ 5~823188/88 X 0168~3 B~Y, 260 NXTUEIIS SERVICE DISCONNECT S I lB V I C ELEC. ROOH HEATERS:l-2.0 K.W. PAUL R. BU~IJS 275 TOW~ HARBOR i~Rg SOUTROLD, RY. ]1971 11 LICENSE NO. 282E the office ot the ii - Lo/ ~ ': £0Y54 sc, ft. \ THE , CROSS ,' LOT ~1' B~ACH TOwN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ,MAY I~, 1980 SCAL~' I"; .t0' NO /'~ ' 4?3 BOARD OF HEALTH .~. --. 3 SETS OF PLANS ....... FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK : i~: :~: BUILDING DEPARTMENT SEPTIC FOHM ............. TOWN HALL SOUTHOLD, N.Y. 11971 TEL; 765-1803 CALL ---~;.---~-~f-- (Bui~ng inspector) ~' APPLICATION FOR BUILDING PERMIT D~te .................. , 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 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. t d. Up~nappr~va~~fthisapp~icati~n~theBui~ding~nspect~rwi~~issuedaBui~dingPermitt~theapp~icant. Suchpermit 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, housing c,¢~de, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio~ ,~~' (Signs appl rporation) ........... i~ailiJ~ ~d~res} ~'a~ii~ni) .... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............................................................. N amc o f o w n er o f pre m is es ,~/~..~. 1.~.' .~..~.".Z.f./?.~'..~.~7~'*.fi/.~..~-."~-x5 (as on the tax r~I1 or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) · ALL CONTRACTOR'S MUST BE SUFFOI~K COUNTY LICENSED Builder's License No .... &~. 7~. 7/~...~ ....... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done] .~..~:'.~.'~ ............... .............. : ..... f ............................ ..... , ............. ttouse NumberStreet Hamlet CountyTaxMapNo. 1000Section ...~...~. .......... Block ....~,,, ............ Lot'./g~. ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: · ............................... b. Intended use and occupancy 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... , (Descriplion) 4. Estimated Cost ..... .~. .~. .0. ~ . r;r~'o. ................... Fee ...................................... ~ ~ (to be paid on filing this application) 5. If dwelling, number of dwellingi 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. D~mensmns.of existing structures, ~ any: Front ........... Rear ........ Depth .~ .......... Height .../~ ~ ........ Number 6fSto~es ..... ~5 ........................................... D~ensmns'o~ame"~tm~th alterations or additions: Front ...... ~ ........ Rear . . Depth .... '~ . . ~...~.~...HeiSt ~/ .. Number of Stories . .~ ........ --.8. Dlmenmons of enbre new constmctmn~ Front ...... ~.. .... Rear .... ~ ........ Depth ./~ ...... Height ~ Nu er ofiStofies 9. Size oflo~ Front ....... ~,5~ :7 ...... Rear ...... ~.2 .......... Depth .. ~ ~.~ ........... 10 Date O~ Purchase ' Name of Fomer Owner 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vie:late any zoning law, ordinance or regulation: . ~4 ........................ 13. Will lot be regraded ...... ~ ......... ; .......... Will excess~fill be removed from premises: ~ ~ No 14. N~ of Owner of premises ~t~. ~~ .... Address ~.~.~. Phone No.~~.. Nme of Architect . .~. ~.~ ........ ~ ..... Address .................. Phone No ................ Nme of Contractor~f~.. ~ ~ .~ ...... Ad dres~{O~ ~. ~(~one No .~}~ ~ ~... 15. Is this property located~within 300 feet of a tidal wetland? *Yes ..... No .~...- *If yes, Southold To~ Trfi~ees~ermit maybe required Loc~<learly ~d d~stmctly Ml bufldMg~, whether ex~stmg or proposed, and. indicate ~1 set-back d~ensions from property~nes. Give at,et and block~ number o~ description according to deed, and show street n~es and indicate whether interior o} corner lot .,..~[ STATE OF NEW YORK, i . COU~Y OF ................. [ S.S ................................................ being duly sworn, deposes and says that he is the applicant (Name of individual sigfiing contract) above named. He is the ........................................................................................ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is du~y authorized to perform or have performed the said worg and 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 perfomed in the m~ner set forth ~ the application filed therewith. Sworn to before me this N°tawe~blic' "~"~"~ '~ ..... C°unty ~~~~¢n.. i OCCUPANCY OR USE IS UNLAWFUL ~;iT~OUT CERTiFIC~,JE OF OCCUPAN, CY