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Home My WebLink About16932-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy PLUMBERS CERTIFICATION DATED: No. Z-16849 Date May 5, 1988 THIS CERTIFIES that the building DECK ADDITION L ..... 2140 Carroll Ave. & 34000 County Rd. #48 Peconic ocanon oi t'roperry ............................................ ' House No. Street .............. h~r~/ol County Tax Map No. 1000 Section 74 .Block 3 ..... Lot 4. 1 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... A. p..r ~.1.. ! .3 .,.. ! 9. .8.8:pnrsuant to which Building Permit No. 1 6 9.3 2 z dated . . . .A.p.r..~ .1..2. 8..,.. 1.9. 8..8 ......... 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 The certificate is issued to WILL IAM 0. KASWELL ..................... io~n'o;, ~&;~'~'ffS' ~ .................... of the aforesaid building. Suffolk County Department of Health Approval ............. .N./.~. ......................... UNDERWRITERS CERTIFICATE NO ..................... .N/.~. ......................... N/A Building Inspector Rev, 1/81 FORM' NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~:.,;....~.~~ .......................... ..... ~.,.....;~.O~..-.~....~Z .............................. ....... ~~~ ...... ~,,.,/..,., ........ ~__,~.~_~ · .... ~.~.. ...... ~..¢ ....... ~. ....... ~....~ .......................... at premises located at ....~../...~..~.....~..~.~. ................................................................ ....................................... ~../...e...?. ........ ..d....~. ..... ~ ................................................................. County Tax Map No. ,000 Section ............ ..~..~...... Block .............. .~...... Lot No ......... .~..-..Z ..... pursuant to application doted ......................................................... 19 ........ , and approved by the Building Inspector. Fee $,..~.....~. .... ~ildin~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY BLDG. DEPT, TOWN OF SOUTHOLD Instructions A. This application must be filled in typewriter OR ink, and submitted ~ to the Building Inspec- tor with the following; for new buildings 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 of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: I. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to p~epare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling. $25.00, Accessory ,.$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10,00 4. Vacant Land C.O. $ 20.00 5.Updated C.O. $'50.00 Date .............. New C on s~, r u cf. i o n ....... Old or Pre-ex isting Building ~ ,C-/~,,, Vacant Land ............. Location of Property . Owner or Owners of Property ....... ~ ........ County Tax Map No. 1000 Section...~)?.c~ ........ Block ...... ~. ........ Lot...~.~. ........... Subdivision ................................. Filed Map No ........... Lot No .............. PermitNo. ]6932 Z Date of Permit .4/.[8../.88.Applicant William 0. Kaswel. 1 NA Health Dept. Approval ...... N..A ................ Labor Dept. Approval ........................ Underwriters Approval ..... N.A. ................. Planning Board Approval . .N.A. .................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 2 5.0,0 Construction on above described building and permit meets all applicable codes anc Applicant William O. Kaswell regulations. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 15T ~ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS~ON FRAMING [ ~FINAL REMARKS: N/F S.J8°$4 '10 "£. KONARSKI $ ,4fi'/~ OLL .4 BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL SOUTHOLD, N.Y. 11971 Examined ....... 19 .~. ·~ Approved ............ 1,-.... ermit No.. · · ....... Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT CALL - MAIL TO: INSTRUCTIONS a. Tins application must be completely filled in by Wpewriter 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. 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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectio~ .,~_~ -.~' / ~-(Signature of applicant, or naC4f, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........__.~.Y-~'. ~. ('-~' ............................ : .... - ............................................ Name of owner of premises.. ~r./~./,~.~7.. ~.Q .~'~d~..~.~...C.~.. ....................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate officer) . ALL CONTRACTOR'S MU~T BE SUFFOLK COUNTY LICENSED Builder's License No...~/(¢:/f~. F..z~.. ............ Plumber s License No ......................... Electrician s License No ....................... Other Trade's License No ..................... : 1. Location ofland on which proposed.~ork will be done ..................... .,~...~ ~ ..................... ~) ~ ~..~...~..,~¢~0.*..C....ZT~ ..... ~.~'.."~.C~..~'.&. ........................... House Number Street Hamlet [ County Tax Map No. 1000 Section ..... ~:77 ......... Block....-~ ........... Lot .... .~..~J .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ... '~-" ........................ ~¥ '~/~ta~r~ ........... b. Intended use and occupancy ................................... 3. Nature of work (check which apphcable): New Building .......... Addition .......... Alteration . Repair .............. Removal .............. Demolition .............. Other Work ............... i (Descriplion) 4 Estimated Cost ' Fee ~ (to be paid on filing this application) 5. II dwelling, number of dwelling ynits ............... Number of dwelling units on each floor ................ If garage number of cars 6. If busin~ess, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. l~qnsi~l¥~,fiexigting structureI if any: Front ............... Rear ............. Depth ............... Number of Stories ................................................. D~¢flsions~of~ame s.t~ctur~ wi lh alterations or additions: Front ................. Rear .................. Number of Stories .... 8. [lt~.~sions of entire new constr lction: Front . . . I~eig~' . . . . :.. , Number of Stones Rear ............... Depth ............... 10. Date of Purchase ............................. Name of Former Owner 1 I. Zone or use district in which premises are situated ................................................... 12. Does proposed construction violgte any zoning law ordinance or regulation: 13. Will lot'be regraded ......... i ......... Wilt excess fill be removed from premises: Yes No 14 Name of Owner of premises ' Address Phone No N hit Add Ph amc of Arc ect .......... , ................. ress ................... one No ................ Name of Contractor ......... b ................ Address .... ; .............. Phone No ................ 15. Is this property located ~ithin 300 feet of a tidal wetland? ~Yes ..... No ..... *If yes, Southold Town Trugtees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly all !buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and. show street names and indicate whether interior or corner lot. .~'~_ ~_o, *~ STATE.OF NEW ~If/~7/~ (Name of individual signifig contract) above named. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner iNet forth in the application filed therewith. Sworn to before me this./~..~. 5d i i '~ ..~. ............... ay of../) ......... 19 Notary Public .... CounJ~y