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Home My WebLink About31658-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31353 THIS CERTIFIES that the building ADDITION Date: 12/27/05 Location of Property: 1465 HOBART RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 2 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 2005 pursuant to which Building Permit No. 31658-Z dated DECEMBER 7, 2005 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 ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to ALFRED J TERP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED T thor zed Signature Rev. 1/81 �kaA-Q Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 1 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 23' This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 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 - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy- Residential $15.00, Cormnercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: .__j_�_ Sf S I� U I3✓�Y - lZ SOU 7 H O L House No. Street Hamlet Owner or Owners of Property: .4 )— -C Q C r- 2 Suffolk County Tax Map No 1000, Section �G LBlock Subdivisionr`�' i Filed Map. __ Lot: Permit No _ _5 �f__ Date of Petn t. /„l/ ` lfY__ Applicant:-___/ L � (L P J T G (Z 7 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 6.t,c. 4 V1 2y c -i,-- 31353 Underwriters Approval -- -- — -- Final Certificate: (check one) App cant Si lure 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 AUTHORIZED) PERMIT NO. 31658 Z Date DECEMBER 7, 2005 Permission is hereby granted to: ALFRED J TERP PO BOX 325 CUTCHOGUE,NY 11935 for : ADDITION TO EXISTING ACCY BUILDING AS APPLIED FOR. REPLACES 29917. ADDITIONAL CERTIFICATION MAY BE REQUIRED. at premises located at 1485 HOBART RD SOUTHOLD County Tax Map No. 473889 Section 064 Block 0002 Lot No. 012 pursuant to application dated DECEMBER 7, 2005 and approved by the Building Inspector to expire on JUNE 7, 2007. Fee $ 75.00 COPY Rev. 5/8/02 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 AUTHORIZED) V64 -au --el 3 I c, S-& PERMIT NO. 29917 Z Date DECEMBER 8, 2003 Permission is hereby granted to: ALFRED J TERP PO BOX 325 CUTCHOGUE,NY 11935 for ADDITION TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR. THIS PERMIT REPLACES EXPIRED PERMIT ## 8274Z. ADDITIONAL CERTIFICATION MAY BE REQUIRE at premises located at 1485 HOBART RD SOUTHOLD County Tax Map No. 473889 Section 064 Block 0002 Lot No. 012 pursuant to application dated DECEMBER 8, 2003 and approved by the Building Inspector to expire on JUNE 8, 2005. Fee $ 75.00 ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING/ STRAPPING[ FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE �� INSPECTOR r Examined ..CeZL ..`:'..`."..`TO, 19! � Approved........................................ 1 19....... TOWN OF SOUTHOLD �/ _ N �b BUILDING DEPARTMENT q,,,e TOWN CLERK'S OFFICE SOUTHOLD, N. Y. / 7!/ �� S application No. (.. T............ � Permit No ..................................... e Disapproveda/c......................................................................................... ........................................ I ................ ............................................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT Date......................1.0%2$.............., 19..7.5... Ilk N INSTRUCTIONS fks a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Building % Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. �1 b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or �1 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 issue a Building Permit to the applicant. Such permit C 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. 14, .,� APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to theme 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 buildings for necessW, m ections. (Signofure of a icant, or name, if a corporation` ..1.43.5..Uobart..Rd.• -Sou"o1d-,,...N..-Y .......... (Addss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde ....................................... asm a g................................................... . Name of owner of premises.......A.1fred..J....Terp.................. If applicant is a corporate, signature of duly authorized officer. ........................................ V A ........................................... (Name and title of corporate officer) Builder's License No........"I.f................................... Plumber's License No . ............... X.............................. Electrician's License No............X.............................. Other Trade's License No . ............. )r.............................. 1. Location of land on which proposed work will be done. Map No.: ....... 8.31 .......................... Lot No. ...1.7............. Street and Number ....... 1.435..Hob&rt..HA:~d,...Southold,..Now...York.................................................. Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: C. Exisiting use and occupancy .iib.r.age........................................................................................................... b. Intended use and occupancy .fr8rs„an¢„st.mg,g(1;1� .,- -, ........... 3. Nature of work (check which applicable): New Building .................. Addition ....✓....... Alteration ..... Repair .................. Removal .................. Demolitioc.................... Other Work ..................................................... (Description) 4. Estimated Cost .....�.lOpO,QO.........................: ..........Fee...rQ..:.'.f�....................................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............................Number of dwelling units on each floor ...-........................ If garage, number of cars ........ .. cw.......... .T..�Tgs4T....,.... :................................................................................. . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ...J,81 .................. Rear ........,18.F............... Depth .....22.1........ Height..................15d Number of Stories.......=&.................................................................................................. Dimensions of some structure with alterations or additions: Front......3tj....................... Rear .......... U.1............ Depth ............234 ............. Height .... 7 .... nl44............ Number of Stories ........ tMO................ 8. Dimensions of entire new construction: "Front ........32.1 ...................... Rear ........ 3.Qa... :......... Depth .....2.34............ .a> Height ........... 1... Number of Stories ...................................................................., 9. Size of lot: Front ...........7.5.1.......... I ............................. Rear..............7.5}..................... Depth ........... lsot .......... 10. Date of Purchase ...:;.:.:: )I,. W71; • .................Name of Former Owner ...j.* ph••P�"TAIfY""""""""" 11. Zone or use district in which premises are situated •.. RevidenttA-1 ......................................... I............................ 12. Does proposed construction violate any zoning law, ordinance or regulation:...Irp................................................ 13. Will lot be regraded .....Itp.................. Will excess fill be removed from premises: ( ) Yes (X ) No 14. Nomq of Owner of premises .. 3li.�.. �...TeT Addre .9 ... Phone NoP165,.36,d5..... �............... �Bts li4it!.9 Name of Architect..........,...w.,....;..... ......................... Address .................. I............. Phone No....................... Name of Contractor .:......-w,+ww.►w..+...w ......................... Address ,............................... Phone No....................... 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. 15-01 41i r1 t� -32 i i r i I I t 15' _ STATE OF NEW YORK, I NF--> 3� __CQUNTY OF................................f S.S ...............................A.?f::ed..J.t...TOTT............................... (Name of individual signing contract above named. AIf ISI "T LAT C So��o1c� being duly sworn, deposes and says that he is the applicant Heis 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 off 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 _ .....�. J.7 ........... day of ...................... 19.7 NotaryPublic . ..............lelazA.......... County ......... ......I.. ....... ...... ... ............ .... ...................... ` (Signat e f applic P1TER Bl, BONARD[ /d ° xa fjCTARY PUBLIC, State of NOW, t T.e.�-t 140, 52-0349575, Suffolk Couft Term [xpires Romh 30, I +r