The URL can be used to link to this page

Home My WebLink About16947-zNO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NOZ17146 Date AUGUST 1, 1988 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 100 WEST SHORE DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 03 Lot 06 Subdivision REYDON SHORES Filed Map No. 631 Lot No. 7-8-9 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 1988 pursuant to which Building Permit No. 16947Z dated MAY 9, 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT AND PATRICIA BD~dRY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I~pector Rev. 1/81 ~rOEM NO. ~ 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 AUTHORI~ZED) No- 16947 Z Permission is hereby granted.to: /_ .,~,/,,~ .... ,/ . ..~..~./... ..................................................... ........................... otp,emi,e,'ocoted%,.../..a.~ .......... ~~~..--.-~.,. .......................................... County Tax Map No, 1000 Section ............ ~,,~. .... Block ............... .~, Lot No ..................... ~ pursuant to application doted .... ~,~,, ...................................... 19~.'.,, and approved by the Building Inspector. Fee Rev. 6/30750 FORM NO. 6 TOWN OF SOUTHOLD Building 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 m ~ 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: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occnpancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25,00 1. Certificate of occupancy New Dwellin§ $25.00, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $~0.00 4.Vacant Land C.O. $ 20.00 5. Updated C.O. $ 50.00 Date . .~.~-O~,../~.? .......... NewCons%ruction ...... OJd or Pre-existing Building ............ Vacant Land ............. Location of Property ..../~.~..O .............. ~[/~¢~..~...~.....~., ......./~e.~...~//~..~P~. ..... Hou.~e No. Street Ham/et Owner or Owners of Property ...~.~.~.h~../-'.~.'~'.~). .~.~.Z~./.~...~'~i~'~.. ......................... County Tax Map No. 1000 Section ............... Block ............ Lot Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ~.~?.~.7..~.... Date of Permit ~.~.~.'~....Applicant .~...~..Jt~J~'...~.~.~.~...~.....~,?~ Hearth Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .......................... Construction on above described building ?,,~e, rmit meets all applicable codes and regulations. ^pp,icant ./.: ............ 765-1802 BUILDING DEPT. INSPECTION ]FOUNDATION XST ~ ] ROUGH PLBG. ] FOUNDATION ZND [ ] INSULATION ] FRAMING [//~INAL DATE OUND^TION Ils t ) OUNDATION (2nd) OUCH FRAME & .PLUMBING ~$ULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: ll~i~ uyt)3.1~ o~t ~t eA~ ~1~ ~ ~t ~n e,,~ io~ ,E ~9/i~.mi~ 0t, aI ~ervation Room 219, Stony Brook, NY ].1794 Dear Re: Commissioner Please note that any additional work, or modification to the project as described, may require authorization by thi~ Department. Please contact this office if such are contemplated. Please be further advised that this letter goes not relieve you of the responsibility of obtaining any necessary permits or approvals from other agencies. Very truly yours, ~~'{- ' ~~ r tor Deputy Regional Permit Administ a A review has been made of your proposal to: ~z~ ~ ~0~ ~t X ~q~ Based on the information you have submitted, the New York State Department of Environmental Conservation has determined that the __ parcel project is: Greater than 300' from inventoried tidal wetlands. / Landward of a substantial man-made structure ~(,~'~1~ ,~_~_'~r~~ ~(~'~ greater than 100' in length which was constructed prio~ to 9/20/77. Landward of the 10' above mean sea level elevation contour on a gradual, natural slope. Landward of the topographic crest of a bluff, cliff or dune which is greater than 10' in elevation above mean sea level. Listed in Part 661.5 of 6NYCRR (Tidal Wetlands Land Use Regulations) as a use not requiring a permit or notification letter of approval. Therefore, no permit is required under the Tidal Wetlands Act (Article 25 of the Environmental Conservation Law). Please be advised, however, that no construction, sedimentation or disturbance of any kind may take place seaward of the 10' contour or topographic crest without a permit. It is .your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation in this area as a result of your project. Such precautions may include providing adequate work area between the 10' contour or topographic crest and the project (i.e. a 15' to 20' wide construction area) or erection of a temporary fence, barrier, or hay bale berm. Examined .-~./~. ......... , 19 .~.~' 1 ~f Permit No/~..~Z..7.~.. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 CALL TEL.: 765-1802 Disapproved a/c ..................................... ( ................................ ....... {~ii~o'I~n};ector) ....... APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 tins 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 Law% 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 c?~e~using code, and/,z, el},~lations, and to admit authorized inspectors on premises and in building for necessary inspectio,.n~':/ (Signature of appiica~,J~name, if a c~ .... 7../.. ............ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises 4YX~'~r ./.-..~.~..c/'. ,~/~./.?~../. ~(~.....~.~..,~../.. ..................... ' (as on the tax roll or latest deed) -- If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CO~TRACTOR'S M_UST B~ SUFFOLK COUNTY LICENSED Builder s License No. T. qcP.'.~q .. ~...Co~.'~./. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done..~?/! ............................................. .................. ....... , . . 3.,. ............... House Number Street Hamlet County Tax Map No. I000 Section FO Block...~.. ..... ~ .... Lot ~...~. Subdivision/~k-t/'~0AJ.?./.~t,~N. ai~) ................ Filed Map No. ~.~J. .......... Lot..~.~. :~. ......... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy.../';7~..,~. .................................................. b. Intended use and occupancy ................ . .02-J~........~. ........................................ 3. Nature of work (check which applicable) New Building ..... ' ..... Additi&,~, -- ~ -~ "!' ," ' ', '.. ........ Repair ...... .. ....... Remg~ai .............. Demolition ....... ~..~. ig(~l~q'r~S~ ~.]-~/<::7 tto bqpaid on filing this a~plic tion) 5. If dwelhng, number of dwelhng umts ............... Number of dwelling un~ .............. 6. If business, commercial or mixed loccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures[ if any: Front ......... i ...... Rear ...... '; ....... Depth ............... Height ............... Num~eFof Stories ............................... ; ........................ Dimensions of same structure with alterations or additions: Front ...... ............ Rear .................. Depth ..................... 5 Height ...................... Number o~fitohes .......... 8 Dimens' ns of entire n constm:ction Front ~ B ~" Rear ~ ~ Depth Height .............. Np~er of Stories ............ > ............................ ~ ............... 9. Size of lot: Front, ..... ~ ............. Rear. ~ ............... Dep~ .~.~. ........ ~ ....... 10. Date of Purchase . .~ Z~ ........... Name of Fomer Owner ...~. ................... 11. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violate any zomng law, ordinance or regulation: ................................ 13. Will lot be regraded ................. Will excess fiH be removed from premises' Yes ~ 14. Nme of Owner of premises .. ~~ ..... Address . .~7.~. ~... Phone No. ~ 2. ~/.~. .... N~e of Architect .... ;~ ..... i ................ Address .. ~~?~Phone No ................ Nmne of Contractor...~~.. ....... Address ~' ~~. ~ Phone No.~*~:~O~ ....... 15. Is thls property located ~lthSn 300 feet of a t$dal wetland? ~Yes ..... No ..... ~If yes, Southold To~ Trus'¢ees PermSt maybe requSred. ' PLOT DIAG~M Locate clearly ~d distinctly ~1 build~gs, whether existing or proposed, and. indicate ~1 set-back d~ensions from property ~nes. Give street and block ngmber or description according to deed, and show street nines and indicate whether interior or corner lot. STATE OF NEW YORK, ~.S COUNTY OF .................. .............................. , ................... being duly sworn, deposes and says that he is the applicant (Name ofindividuai ' slgmng contract) above named, He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly[ authorized to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner Iset forth in the application filed therewith. Sworn to before me this .... ...., .............. day of.! .................... , 19 ... Notary Public ................... i ............... County (Signature of applicant) OCCUPANCY OR USE IS UNLAWFUL ;!iTHOUT CERTIFICATE NOTIFY ~;~ OCCUPANCY .E ~ A~~~~ DESIGN o~terotion or ac~dillon fo this survey 7209 of the Hew Y,~k Slate Educallon SURVEY FOR REFERENCE ROBERT L. ~ PATRICA A. BARRY ,~,o ~roo~ eUARANTEED TO ~ CHICAGO TITLE INSURANCE ROBERT L. & PATRICA A,~ARRY AT BAYVIEW TOWN OF SOUTHOLD SUFFOLK COUNTY~ N.Y. SCALE ~ J"s 40' DEC. 20, 1985