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Home My WebLink About21482-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUP~Y NO Z-23404 Date DECEMBER 13, 1994 THIS CERTIFIES that the building Location of Property. 5742 HORTON LANE House No. Street County Tax Map No. 1000 Section 54 Block 3 Subdivision Filed Map No. ADDITION SOU'£kIOLD NY Hamlet Lot 14.9 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 1993 ~pursuant to which Building Permit No. 21482-Z dated JUNE 14, 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 A DECK ADDITION WITH A HOT TUB TO AN EXISTING OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN & SUSAN NOBILE of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N292118 PLUMBERS CERTIFICATION DATED Rev. 1/81 (owner's) OCTOBER 12, 1993 N/A Building Inspector/ FORM NO.~, TOWN OF SOUTHOU) BUll. DING DEPARTMENT TOWN HALL SOUTHOLD, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) D~te ... '~.' .~.<.~. ............................................ 21482 Z / Permission Is hereby granted to: ~?~. ~........~....~ ./,.,. .................................. ..~ ~e...~.~/~."~'_./......~... ....................... ................................................. .J~:/..~'../: .................................................................................. County Tax Map No. 1000 Section.,~..~.... ............ Block .......... ~ ........... LotNo ....... ../..~..<:..~... ...... pursuant to application dated ........~..'.../..~.. ..................................... 1 9...~.,~.. ...... and approved bythe Building Inspeotor. Fee $....~.~. / / BuildJ'ng ,nspeotor Rev. 6/30/80 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ ~ [ 0 ~ [ 4 ~ 3 BUREAU OF ELECTRICITY ~'- 85 JOHN STREET. NEW YORK, NEW YORK 10038 D.~ OCTObeR 1~,t993 ~pplica~ionNo. onfll~ 05133193/93 N 292118 THiS CE~IFIES THAT ~y t~ e~t~ ~u~nt ~ ~ ~ a~ int~ by t~ ~t M~ ~ the a~ ~t~ numar ~ t~ ~s of MR. JOHN NOBILE, 5/40 HORTON LANE, ~OUTHOLD, N.Y, in the fotlo~ing l~atlon; ~ B~e~nt ~ I~t FI. ~ ~ Fl. OUT ,~tlon Bilk ~t ~examin~on OC~OB~ 07,1993 andfoundtobeincom~ncew~htheN~Elec~c~Co~. THOMAH J. BALL P.O. BOX 1708 HOUTHOLD, NY, 11971 LIC,{252O.E Per This certificate must not be ahered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Form No. 6 TOWN OF SOUTIIOLD BUILDING DEPARTMENT TOWN HALL 765-1802 BLDG. DEPT. TOWN OF$OUTHOLD LICATION 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 bugldings and , "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building a~d 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 o dwelling $25._~0~~ Alterations to dwelling $25.00, Swimming pool $25.00, Accessory gui~-di~g $25.00, Additions to accessory building $25.00. Businesses $50.00. 2.Certificate of Occupancy on Pre-existing Buildinz - $100.00 3.Copy of Certificate of Occupancy - $20.00 4.Updated Certificate of Occupancy - $50.00 5.Tempora'ry Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction....~. ...... Old Or Pre-existing Building ................. Location of Property...5.2.~.~ ........ L~ House No. Street Hamlet Onwer or Owners of Property .... County Tax Map No 1000, Section....~. Subdivision .............................. Filed Map ........... Lot ................. Permit No .............. Date Of Permit .Applicant.. Health Dept. Approval ...... .................... Underwriters Approval .... / .................... Planning Board Approw~l .............. Request for: Temporary j~ti~jlei.i ........ Final Ccrticate..f ........ Fee Submitted: $ .....~.~--, ~0 7GS-~,802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [/] IN~~ON/. FRAMING [9 FINAL REM~ 76~-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ].~ULATION FRAMING ['~ FINAL REMARKS: FOUNDATION 1st) FOUNDATION 2. 2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL : FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved ............ 19~. permit No. ~..~. ....... Disapproved a/c ' _ . .... ..... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLA~$ SURV£Y .................. CIIECK ................... SEPTIC FORH ............. HAlL TO: Date .J~l.~.~ ........... 1973 INSTRu6TIoNS 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 st?eets c4 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 auth°rized inspect°rs °n premises and in . .~j~ a~t ~7 .C.(,, , J/~ j(~/(_ ' building for necess~spootions:~ -, ~, . ' ~[~}gr re of applicant, or name, if a corporation) (Mailing address of app~cant) ' State whether aPplicant is owner, lessee,' agent, architect, engineer, generai contractor, electrician, plumber or builder. ,.'.. ;il ....................... '...: .......... ;", ................................. . .... ... Nam (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ....... .d~...~./..-~.. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be. done .................................................. .... ' ... ..'.: ............. · Itouse Number Street Hamlet County Tax Map No. IO00 Section... :.ff...¢ ......... Block ...... 3. ' Lot . .~..~).~. ........... Subdivision ........ . ............................. Filed Map No ............... Lot ............... (Name) 2: State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing usc and occupancy .. ~/~(fl/~_, giO, cc/g ~,/' 7 ............... ' b. Intended use and occupancy ..... 7'" .......... " ....... C f~ -3. Nature of work (check which applicable): New Building · .....Addition .......... Alteration .......... .. Repair .............. Removal ............ Demolition .... : ......... Other Work ............... · ..... . 4. Estimated Cos ~ ~.."-.tC (Description) ....... : ...... ' .................. Fee .... / ' -~ (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 ........................ ............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each t e 7. D~mensmnsofexistingstructures if a,,,. ~,^,~ 6/'~* ,, · ,;.,y,p of use ........ , ....... ' "~ ...... ' ........ : ·. Kear .. '~. ~. ........ Depth . ~ ~.- ' ' ' Height ............... ~umber of Stories ..... ~.... Dimensions of shme structur,~ with alterations or additions: ~'r~ ' i i i i iz~. ~.' i i i ...... l{~r'''' ~/~'.' ........... Depth .... : .5J.5~ ............ Height ....... i.,: ........ ,.. Numb,er of, Stories.. J. ...... 8. Dimensions of entire new construction: Front .............. Rear.. ~..: ~ ....... Depth ..... ).~.' ! Height ~ ~ Numb ~ ~ ,,. ' ....... ;-' ': 1' - , er oi ~tones q4. ~-ti ~: ~zeof~ot'Fronte~3~ot ~-~ '~.'' 'Y~-'i ................. 10. Date of Purchase ;,9/~,[,fa ...................... Depth f~..~..7- .... .... · ......... ~ ,lo.1...' ......... Name of Eormer Owner [}db(rJ.g?,A ~ b~c ~c~ ;J t: ' 11. Does proposed construction violate any zoning law, c~d]n'UtaO, 12. Zone or use district in which premises are situated ................................................ 13. Will lot be reeraded - nce or regulation: . ~q .................. ' .... ......... ~ ............ . ........ Wall excess fill be removed from premises: Yes 14. NameofOwnerofpremises ~.~3. /)~,~c.,b.~/~...Address 5..~..0 .~¥~ gt:~t~ PhoneNo Name of Architect ........... . ..... Address ................... Phone No. Name of Contractor .......... ~ i ........ . .... Address ................... Phone No ............ ' .... 15. ls this property within 300 feet of a tidal wetland? *Yes ........ No.~ · If yes, Southold Town Trustees Permit may be required. ' .... .... PLOT DIAGRAM Locate dearly 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. /c5-'0 / ~TATE OF NEkV'YORIf.;-/" / / 1'~-'' /,5-C ' · -OUNTOj OF. l" s.s ..... '-'-~(dcD~r2 ~. '- ZCf~).l/.~.. . beingdulysworn, deposesandsa thatheistheapplicant (Name of individual signing contract) ~bove named. is the .............. O..C..d .4Z. :. ............................ . ..... (Contractor, agent, corporate officer, etc.) f said owner or owners, and is duly a,~thorized to perform or have performed the said work nd to'make a pplication; that all statements contained in this a-~licatio- . , ....... ~ nd file this m, n are [rue ~o tne oest olms knowled~ and belief; and that the 'ork will be performed in the manner set forth in the application filed therewith. ' worn to before me this .~ .... ...... ~ ' ~ ....... \7~---~. Countv . - / ! · TRY ....... ....... 4 ................. ~mmi~ion ~ O~m~ 8, ~. (Signature of applic~t) TOWN OF SOUTHOLD PROPERTY RECORD CARD ''~} v' 1ooo- £4 -.~- t4 ..~ ,,- ~4'~ OWNER STREET ~--7 L,../'~,~_,.. VILLAGE r-- DIST. SUB. LOT 1 FOYER OWNER N . RES.~/O 5~S. VL. FARM ~O~. CB. ~I~S. Mkt. Value ~ND IMP. TOTAL DATE ~RKS Tillabl~ FRONTAG~ ON WATER W~land FRONTASE ON ROAD Totel / ~/ ~ II I1~. II I,, I· litI ~ III ~1' I~ ~; ~ I1'~. , ~: '~ III~- ~, III III ~_J I ~ ~'i~ ~ II ~, ii ' II Extension., /~'~ ~ x ~'-~.~.3 -'~'~,2 /c/ /.~Z ,~ z~.~ ~'~,7/z Ba~ment ~// Floors ~,~ .[:~ ~ / , Extensi~ ./z~ /; ~ /~z~ ~5 * Ext. Walls ~ ~, Interior Finish ~,~ E~n .~ ~ ~ ~q~ ~' ~,~'-- ~E~.~ Fire Place ~ - Heat //~f, ~/~ Deck ~JO ~ ~o (~/ ,~ /0~ Patio RoomslstFIoor ~ ~ 2 ~ f ~ ~1~ ~ ~ J~ Driv~ay Rooms2ndFIoor Ga[age O.B. -. joI OCCUPANCY OR USE iS UNLAWFUL WITHOUT CERTIFICATE OF OOC[J.PA~CY,. ~ 0 H.D. REF. NU. FAMILY; DEPARTMENT n, ONLY DATE THE Sk'"~AGE DISPOSAL LOC~t¥1ON HAVE BEEN FOUND TO BE / THIS Chief of Section CEPTIFIED TO. $OUTHOI. D SAVINGS BANK PECONIC N°= r~o5so557 JOHN A NOBILE SUSAN sealond, surve, ying 8 engineering pc. 40 west main street ri ver head, new york 11901 (516) 369 -1717 OCT, _6, 1984 JobN~85-347c 1000-054-03 P, OI4~. Scale: I"= 60'