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Home My WebLink About16879-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bmldlng Inspector Town Hall Southoid, N.Y. Certi[icate el Occupancy No Z-16773 Date April 7, 1988 THIS CERTIFIES that the bmldmg D E C K AD D I T I ON Locatlon of Property .. 1200..C.e.da.r..P.o.~.n[.?.r. ¼v.e E.a.s.t .... .S.o.u.~..h?.l.d.:..~e?...Yp.r.k. House No Street Ham/et County Tax Map No. 1000 Sechon .0.9 0. ..... Block ...0.2. ........ Lot ...2. ] .......... Subdivision ..................... FHed Map No .... Lot No ............ conforms substantmlly to the Apphcahon for Building Permit heretofore filed in this office dated M.a.r.c..h. 2.8.,,.19.8..8 ..... pursuanttowtuchBuddmgeermltNo. 16879 z dated. April.... 5,.....1988.... ... . . waslssued, and conforms to all of the reqmrements of the apphcable prowsions of the law. The occupancy for wluch tlus certfficate is issued is ........ DECK ADDITION TO EXISTING ONE FAMILY DWELLING The cerbficate ~s ~ssued to ..... .S.O.U.T.H.O.L.D.I.N?.,..I.N.C.. ..... ....... .-......... (owner, FKcl~ l~F~tl~al{~ X of the aforesaid braiding Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO .............. N / A PLUMBERS CERTIFICATION DATED: N/A Braiding Inspector lt'ORM NO. 0 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) NO- 16879 z County Tax Map No 1000 Section . (~).~...~... Block .l~ ;~. Lot No pursuant to application dated .....~.~'~%.~ .~.~..~ ....... 19.~..~., and approved by the / Building Inspector. Fee $.~ ........... B~llding Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buildmg 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 i ~ to the Building Inspec- tor with the following; for new bullrings or new use: 1. Fmat survey of property w~th accurate location of all buddmgs, property lines, streets, and unusual natural or topographic features. 2. Fmal approval of Health Dept of water supply and sewerage disposal--(S-9 form or equal). 3. Approval of electrmal mstallation from Board of F~re Underwriters. 4, Commerctal buddmgs, Industrml bullrings, Multiple Residences and simdar bullrings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the buildmg 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buddings (prior to Aprd 19§7), Non-conformmg uses, or bullrings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buddmgs and unusual natural or topograph ~c features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddmgs. 3. Date of any houmng code or safety inspection of buddings or premises, or other pertment ~nforma- t~on required to prepare a certificate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert~flcate of occupancy New Dwelling $25.Q0, Accessory .$10.00 Buszness $50.00 2 Certificate of occupancy on pre-exmtlng dwelling $ 50.00 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $]0,00 / ..oo 5.Updated C.O. $ 50.00 Date ... ~ ....... NewConstructzon ..... Old or Pre-ex~st~ng Buddmg ............ Vacant Land ............. House No. ~ ~ Street Ham/et Owner or Owners of Property .... . .............................. County Tax Map NO. 1000 Section . ..C~ ~). ......... "Block ..... ~- ....... Lot..,,~j ......... Subdw~mon ................................ F ded Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Apphcant .................................. Health Dept. Approval ........................ Labor Dept. Approval .................... Underwmters Approval ........................ Plannmg Board Approval ..................... Request for Temporary Certificate ................... Final Certificate ....................... Fee Submitted $ . .~..~. ..................... Construction on above descmbed buddmg ~'~d-perm~t meets all appb~able codes and regulations FOUNDATION { lstl FOU~DATIOII (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMI~N~ , FINAL ~REMARKS:. DATE ~//~~'~ INSPECTO~ LOT 99 AREA = 25,430 SQFT tohe hne CERTIFIED TO. TICOR TITLE GUARANTEE SOUTNOLD SAVINGS BANK ANDREW LETTIERI BERNICE LETTIERI P. O. BOX 909 MAIN ROAD SOUTHOLD, N.Y. 11971 DLDG DE~T Prepc~red in accordance with lhe mlnlmum .TOW_N pF. SOUTHOLD *tandards for t,tle su~eys as establi~ed by ....... Ihe LI.A. LS. and approved and adopted lor ~u~ um by The New Y~rk Slate Land Title. Ass~iation. SURVEY OF PROPERTY AT B A YVlEW TOWN OF SOUTHOLD SUFFOLK COUNTY , N.Y. lO00 -090 02 2! SCALE I"= 40' FEB . 23,198 8 ENGINEERS, P.C. LOT NUMBERS REFER TO '°MAP OF CEDAR BEACH PARK" FILED DEC 20,192'7 IN THE OFFICE OF THE SUFFOLK COUNTY CLERK AS MAP NO. 90 , BL~G D~ T TOWN HALL TOWN OF SO~P~ .... SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Approved~ .%~.. , 19~ Pe~t No ) ~9~ ~ , Dmapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : NOTIFY CALL .... 7£(: 2 .~.~ Z.. MAIL TO: (Braiding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a This application must be completely filled in by typewmter or in ink and submitted to the Budding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule b Plot plan showmg locatmn of lot and of bmldmgs on premises, relationship to adjmnmg premises or public stree or areas, and glvmg a detailed descnptmn of layout of property must be drawn on the diagram which is part of thru app caBOB. c. The work covered by this application may not be commenced before issuance of Budding Permit. d. Up~nappr~va~fthmapphcat~n,theBm~ding~nspect~rwd1~ssuedaBu~dmgPermitt~theapphcant Suchpem shall be kept on the premises avadable for mspechon throughout the work. e No budding shall be occupied or used in whole or m part for any purpose whatever untd a Certfficate of Occupan, shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Buddzng Department for the msuance of a Bmlding Permit pursuant to t Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws~ Ordmances Regulations, for the construchon of buddings, additions or alterahons, or for removal or demohtlon, as herem desonb¢ The apphcant agrees to comply wzth all applicable laws, ordinances, budding code, housing code, and regulatzons, amd admit authorized mspectors on premises and hi bmldmg for necessqFry'~insp~chons ~ r"-'x ,c-. 0 .' 0 ~ (S~gnature of apph( ant, or name, ff a cor~foratlon) (Maihng address of apphcant) State whether apphcant m owner, lessee, agent, architect, engineer, general contractor, electrlcmn, plumber or budd~ Name ofownerofprem~ses SOX-~2't';Y .~ ..~. ~C~. (~ (as on t ~e tax apphcan, t m ~ co~ahon, mgnature of duly authorized officer (Name and t~tle of co.orate ~ficer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's L~cense No. ~~ .. roll or latest deed) Plumber's License No Electnman's L~cense 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 Hamlet Block . .~"-.. ....... Lot .~.. ! Subdlvlslon (Nan~e) ' Filed Map No Lot State existing use and occupancy of premises and ~ntended use and occupancy of proposed construction a. Exlstmg use and occupancy ' ~L~ ........ ' .... b. Intended use and occupancy .......................................... 3 Nature of work (check which applicable) New Budding .... Addition. / .... . Alteration Repmr Removal ..... Dmnohtlon ........ Other Work ....... .~.~j ~.rT0 ~ ~(Dcscription) 4. Estrmated Cost .................. Fee .................... (to be paid on filing this application) 5. If dwelhng, 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 structures, ffany Front. Rear ........ Depth ....... Height ............... Number'of Stones ............................................... Dwaenslons of same structure w~th alterations or additions Front ...... Rear ....... Bepth .......... Height ' ~ z .... NumbeIo.o~ ~tones ............ 8. Dxmens~ons of entire new constructxon Front . ',,. - . Rear .. 0.. Depth .-?~a--- ..... Height ........ Number of Stories .................. 9 Slzeoflot'Front /C~/./ . Rear /~..~.'/. ' '" Depth 10. Date of Purchase .......... ,.~Na?n.,e[o.f~Fo~n.e~: O~y'ner ................. 1 1. Zone or use district in which premises are situated ' '~ '-~"-*~? ..... O, ........... 12. ,, ,, t Does proposed construction violate any zonlno law, ordinance or re~,ula lon ......... 13 Wxlllot be regraded . .. ~.....,~ ~__ .,. ...... gqll excess fiI1 be removed from premme's' ' ~e~'" 14 Name of Owner of premises .~l~.~V~-.~_.x3XY~d'~ess ......... Phone No Name of Architect ............ .~. Address ............. Phone No ........... Name of Contractor ...... Address .............. Phone No ........... 15. Is this property located w~th~n 300 feet of a t~dal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permzt may be reouired. PLO~F DIAGRAM Locate clearly and distinctly all buddings, whether exlstmg or proposed, and indicate all set-back dnnens~ons from property hnes Give street and block number or descnphon according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S S COUNTY OF ... (Name of individual slgnmg contract) above named · being duly sworn, deposes and says that he is the applicant He is the ...... (Contractor, agent, corporate officer, etc.) of said owner or ownem, and is duly authorized to perform or have performed the smd work and to make and file flus application, that all statements contained in this application are true to the best of his knowledge and behef, and that the work w~ll be performed in the manner set forth m the application filed therewith Sworn to before me thru .......... ~..[ .... dayof .~ a~Y_. Not, Public, NOTARY PUaLIC, State ~ New ~ Ne. 47078/8, Sm'folk Coun~c..,~ ...... County ~..~.~. (Signature of appheant)