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Home My WebLink About15708-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ..... .dg. qk., 9.d.d. 5:..~.k.o.n., .t.o..e.x..k.s.~.5: .n?..~.w.? .3.~.L.n.?.., Location of Property 115 Highland Drive Cutchogue County Tax Map No. 1000 Section ... ~.0.2. ..... Block ....... 8. .......Lot ........ J:. ........ Subdivision..H£qklancl..~t.~.e.s. .......... Filed Map No....6.5.3.7. .Lot No .... 4. ......... conforms substantially to the Application for Building Permit heretofore flied in this office dated February 18, 1987 pursuant to which Building Permit No. 15708Z dated ...... .F.e.b~n..a.~y..2..5 :..1.9..8.7.. 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 an existing one-family dwelling. The certificate is issued to LINDA & GARY LONG of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO.. ' N/A PLUMBERS CERTIFICATION DATED: Rev. 1/81 FORM NO. ~1 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 15708 Z ~te ..~..~~......~ ........... , Permission is hereby granted tg~ ............. ~~ ....... ..~.... ......... .~...~.~... ,o ...~..~........~..~....~.....~ '.~..~..........~.......~ .......... ...... ....................................... ot premises I~ot~ ot ....~.f..~....~.~ ....... ~,~ ...... ~~ .... CounW Tox Mop No. 1000 Section ..... L...o......o~.. ...... Block ....... .(~..~. ..... Lot No ....... .(~..~. ......... pursuont to opplicotion doted ...~.~...L..~. ............ , 19..~..."~.., ond opproved by the Building Inspector. Fee · Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall ~'r Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERT, FICATE OF OCCUPANCY //,~' This application must be filled in typewriter OR ink, and submitted i~ to the Building Inspec- tor with the fol{owing; for new buildings or new use: 1. FJnaJ survey of property with accurate {ocation of all buildings, property lines, streets, and unusual natural or topograph[c features. 2. FinaJ approval of Health Dept. of water supply and sewerage disposal-iS-9 form or equa0. 3. Approva{ of electricaJ instagation 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 buJJdJng. 5. Submit Planning Board approval of compJeted site plan requirements where applicable. 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, 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 prepare a certificate. Fees: {. CertJficate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10.00 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.g. $ 50.00 Date ..... New C OhS tr uc t i on ...... Old or Pre-existing Building ............ Vacant Land ............. of Property . .J.'.~.'- .... .~..t.0~¢. [.' .O¢¢~.'....~..4 ..... ~ ~ ~ ................... Location Hou~ No. ~ Street ~ Ham/et Owner or Owners of Propertv ~ m ~ ~,~ m- County Tax ~8p No. ~000 Section ...... /g.~ ..... Block ~ Lot ~~..~ ~ ...... Filed ~ap No..~.~..Lot No .... ~ ........ Subdivision.. PermitNo. JS~O~ gate of Permit ~?.~pplicant ....~ Health ~eOt. Approval ........................ kaBor De~t. A~roval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted S.. ,~, ~..-~....'/.~, .I..~. ,~,~ ........ Construction on above described building and permit meets al{ applicable codes and regulations. ^¢p,cant ......................... Rev. 10-10-78 OUNDATtO.~; ( 1 s t ) OU~DATIO,U ( 2nd ) OUGH FRAME & PLUMBING X';SULATIO~; PER N. Y. STATE ENERGY CODE FE~AL · ~DDITIO~.;~'L COMMENTS: TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O, BOX 728 TOWN IIALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This May Concern, We are unable to complete your Certificate of Occupancy because.of the following reasons. /_~ An application for Certif{cate of Occupancy is not on file. /--/ No Underwriters Certificate on file. /~ The check is (outdated/not on file.)~D-.00 /~/ No Health Dept. Approval on file. /Z/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. _Building Permit ~ ./ S 7 ~ ~ Z ~ Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) --ilI FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHC)LD, N.Y. 11971 TEE.: 765-1802 Approved 3~%~., 19%7. Permit No. I.,b~.-/·°. .~. ~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERIVllT Date .................. , 19... 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, a)~d regulations, and to admit authorized inspectors on premises and in building for necessary inspectjthns. ., ./' ...... (Sigllature j6)Vapplic~/nt, of/nam~rif a corporation) · ................... .. de. ./T.-....(4.2..3. (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ................~. · .~- · -~- -.~.-...~. · .~..6(as on the ..... tax rollg~/'~''' 'or latest~'Z/'~'ff~-' 'deed) ' ' '~' ' "' ~..~...~..~>D..... If applicaut is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of la.~_nd on which proposed work will be done .................................................. ..... ................................... .v. .., ................ House Number Street Hamlet-- County Tax Map No. L000 Section .... [i~..~.. ..... Block ........ ~. ....... Lot ....... ( .......... Subdivision...Z~t4.~.ifa~;~. '~' ' .~.~.... Filed Map No.. ~..~.~..~..~.. Lot... ~ ......... 2. State existing use and occupancy of premises and intended us_e and occupancy of proposed construction: · 1oI .tatuoo .to .m.uolu! .~oqlotIn~ oleo!pm, pue soumu looilts n~oqs ptm 'poop ol ~m. pzooa~ uo!ld~asap Jo ~oqtunu >Iooiq pm~ loozls o^!D 'sou.q Xl~odo.~d tuo.~j suo!suatu!,p >lo,q-los II* ol*o!pu! 'ptm 'pasodozd .~o ~u!ls!xo .~oqlOtln~ 's~m. plJ. nq II* Xllam. ls!P ptre .,ii~oIa olteao"I · /A!V'dDVld ..... ~ ¥ Lpu?Ilo~ I?p~l ? Jo 1~ O0'IuJ~lJ~x p~1¢3oI Klaodozd sJ~1 ~I