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Home My WebLink About21848-Z I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22804 Date DECEMBER 20, 1993 THIS CERTIFIES that the building ADDITION Location of Property 6790 HORTON LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 14.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1993 pursuant to which Building Permit No. 21848-Z dated DECEMBER 20, 1993 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 "A3 BUILT" The certificate is issued to RICHARD A. WINTERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ildi g Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22805 Date DECEMBER 20, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 6790 HORTONS LANE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 3 Lot 14.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1993 pursuant to which Building Permit No. 21848-Z dated DECEMBER 20, 1993 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 ACCESSORY SHED IN REAR YARD "AS BUILT" The certificate is issued to RICHARD A. WINTERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uild ng Inspector Rev. 1/81 FORM NO.3 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 AUTHORIZE/`D)) ` 9 Date 19.. . N 21848 Z Permission Is hereby granted to: .4 ......./9.....~z/, 1 ...p~....X.....33..5 .$..u~7.~~.~.......... ......%.......cG.........! T ....................f......%E.... fM~1~ . at premises located at......fP.7./.. J/ZT.?5f..~..../ 7~ 0 . ........r... ....2................................................. County Tax Map No. 1000 Section ~.1... Block 0-3....... Lot No....... . pursuant to application dated /eV.1/7 19... Q/.1....., and approved by the Building Inspector. Fee /!SUO 3~~rJ = /~O. e)v Chi 'S Building Inspector X7 . Rev. 6/30/80 f Form No. 6 TOWN OF SOUTHOLD . BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This 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. B. 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. C. 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 Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ~nn Date Z~2 el. .l. .3 New Construction.Q~.~J-~!~K Old Or Pre-existing Building.... Location of Property...... ...~f!~ 5.~.~ d 9 House No. Street Hamlet Q c Onwer or Owners of Property....l':.~~u.... Ir: ~i 1V~'~+rw`S . County Tax Map No 1000, Section . . . .....Block ................Lot.../ . :s.~. ~ ~ Subdivision ....................................Filed Map............ Lot...................... Permit No...?J0487Z...... Date Of Permit..DEC,.20,.7993.Applicant... RICH&F.D.A..W1WrERS........ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..:1cz Fee Submitted: ..25:00....... (3,-2,c.- t{ APPLICANT C C) Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This 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-° 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 17 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. B. 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessorv building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date 3 New Construction..~e.. Old Or Pre-existing Building.... Location of Property.. S...:E:~v... House No. Street Hamlet Onwer or Owners of Property ....rs cL County Tax Map No 1000, Section... 5 y Block....:_~ .........Lot.... ...r Subdivision ....................................Filed Map............ Lot...................... Permit No...2JS48-Z...... Date Of Permit..D8C..20..J993.Applicant... RICDARD.A..VINTERS........ Health Dept. Approval ..........................Underwriters Approval......................... Planning Board Approval Request for: Temporary Certificate........... Final Certicate..41 Fee Submitted: 7~ePP c ~0 APPLICANT BOARD OF HEALTH FORM NO.1 3 SETS OF PLANS TOWN OFSOUTHOLD SURVEY BUILDING DEPARTMENT CHECK TOWN HALL SEPTIC FORK SOUTHOLD, N.Y. 11971 763 = 5 its TEL.: 765-1802 t: OT I FY ; CALL Ixlc.l':*}......r... r`s . . Examined .../1//.?!....., MA I L TO: Lpj pp Po ~0 33r Approved ..~eZI~....... 19/j. Permit No. ?Zfe C.. _ . . e.j*0%-u(4,.U 7 Disapproved a/c 11Q1t ( Xtw- i ng Inspector) APPLICATION FOR BUILDING PERMIT (c~ r Date .....~L 19./3 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. 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 name, if a corporation) O0.0K ~.....5~`!~:t . 1.1.4?/ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D'ASNbt1w Name of owner of premises aS.... Y' .....................pA X~ 9.P.a1 (as on the tax roll or latesFEE- 00 If applicant is a corporation, signature of duly authorized officer. NOTIFY BUILDING DE ARTMENT AT 785-1802 8 AM TO A PM FOR THE FOLLOWING INSPECTIONS: (Name and title of corporate officer) 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Builder's License No . 2. ROUGH - FRAMING & PLUMBING 3. INSULATION Plumber's License No. a. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. Electrician's License No. . . . . . . . . . . . . . . . . ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS' OF THE N.Y. Other Trade's License No. L rpG STATE CONSTRUCTION & ENERGY . ' / CODES .p~N~O~T RESPONSIBLE FOR 1. Location of land on which proposed work will be done. 'r: IAd LQ, SIG ON ERRORS House Number Street Hamlet County Tax Map No. 1000 Section J Block . Lot Subdivision Filed Map No. Lot............... (Name) , 21 State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~t.!`Y ~•l~• • •ves b. Intended use and occupancy 3.01. ...............F:,: 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work . p_C Get~kl ad1MF+( `s"7 4~,l4,"y (Description) 4. Estimated Cost l Chi .07T& Fee . . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, numberof cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use 7. Dimensions of existing structures, if any: Front Rear Depth . Height Number ofStories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories . 8. Dimensions of entire new construction: Front Rear Depth . Height Number ofStories 9. Size of lot: Front Rear Depth 10. Date of Purchase (p7. Name of Former Owner ?f~f .P C-' 4 rr t c 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation: eV 13. Will lot b~ regraded Will excess fill be removed from premises: Yes Nc 14. Name of Owner of premises Address Phone No............... . Name of Architect Address Phone No............... . Name of Contractor Address Phone No............... . 15. Is this property within 300 feet of a tidal wetland? *Yes........ No.(K *If yes, Southold Town Trustees Permit may be 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 F•reet names and indicate whether interior or corner lot.2 ,S STATE OF NEW YORK, S.S COUNTY,,OF ..l...C :1....... - being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the t (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 contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this k.: , I9 . t . 4 , .......day of. . Votary Public, County JOYCE M. V41LKINS ) Notary Public, State of Now York (Signature ofa licant No. 4952246, Suffolk Cour~r Term Expires June 12, 195: ` •(i` 61p~~ y~~p~ _ , 3 i Pq~ f - ~ . - all ~ ~ r - t„R - F -w j= 1t Y a t 4 t'~ i'i~s AAl a a - mil 1 ' O " fit w1~c x 14 C.Y ~ TAW w : -YDV1 III V z:~ 1 A ~ o, J~ y 1 ~my C, .D~Cy j ~cF iI ~$b ' ,y, r. a m , oz F > C 2 n 6 4 g c= w A ao ~ c7 Li~i Qi• ti 3 "gV w a X11%` yyy i 2 r~ _ 10 N y a]s f i LlI r., 1 FIT, ,CxPtS LANE 416-00 TO AVE (n r . o c ~ { m ~ o z ~ ~ O r, rv v ,.,~r~ m c Q w ''_,t 4z'x I C. SS F. I N fit { i C I~ (Q~ C w se R 4 JU `N 3` t ~ 'T fit .1 IL lk ' iFlit 11 NEW `R (VOL TJ YILLAGE OF Gf2EENprjpT C, f h .n) ~ L V' i T y L 1 T t j g T i I - - --ter - Y rr I 1 n: IT= y- r- -=r - I T _ t- 1 - r y - - - - - - 00 - - - L- - - - I ~ i 4-1