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Home My WebLink About23475-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25084 Date JUNE 13, 1997 THIS CERTIFIES that the building ALTERATION Location of Property 1545 WOODCLIFF DR. PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 6 Lot 17.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated . MAY 9, 1996 pursuant to which Building Permit No. 23475-Z dated JUKE 3, 1996 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 ALTERATION TO THE EXISTING FRONT STEPS OF EXISTNG ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD McDONALD (owner) of the aforesaid building. F� SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B `ldi g Inspector Rev. 1/81 FORK NO. I 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) N? 23475 Z Date ............... . .................................... 19.... Permission is hereby granted to: ... .. ............ ...... . ...: ... i...... ................ ... ........ .. ..... .. .... ......... Cr� 9... . ..... ........ .... .. . . ... .. .........011� ................................. atpremises located at ......./Si- .. .. ...... ...... .... -.7............................................ ............................................... -W- 4�-�- --�......................................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section .7... Block ......0��........... Lot No. ../z..Y.... pursuant to application dated ............... 46el... .............. 194.&�. , and approved by the Building Inspector. Fee .. � ............ . . ............................. .......... ...... Building Inspector Rev. 6/30/80 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 - .25)�. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date A�.`.,�10) J P7 . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . . V . . . . . . . . . . . . II�� / Location of Property.�sh�S. . . . . . . . . . . . . . .Woo-Joh f;,f�:. . . . . . . . . . /?�jr�;7TJ, Ck. . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . dw '�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . . /Y.7 . . . . .Block. . . . : .4. . . . . . . . .Lot. . ./.�.Z /-/* . . . . . . . ... . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot .n.o-.1. . . .�.I. . .f. . . . . . . . . . . Permit No. �:�. . .Date Of Permit. k_i_i tz.�f�"16. .Applicant. Q :! . . .✓ f�:1'I: �' • . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . t//'_ . . . . Fee Submitted:, $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . APPLICANT 0 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ �INAL [ ] FIREPLACE & CHIMNEY REMARKS: L DATE lO � INSPECTOR at I Mf U U I I D ATI M I ROUGH oll . ......... STA I 11-, 1;11 I�it I;y COOIF . ........ .......... ................ .............. .......... FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUTHOLD SURVEY, . . , . . . . . . . . . BUILDING DEPARTMENT CIIECK , . .": . . . . .., . . . TOWN HALL SEPTIC FORN . . . . . . . . . . SOUTHOLD, N.Y. 11971 TEL.! 765-1802 110T I FY ` r CALL : . . . . . 1. . . . Examined , 4. . �. . . 19 �`=� MAIL "TO : . . . . Approved ,'. . ., 194W. Permit No. 1-S : i • j . : . . + • . . r . . . . + . . . . . . . . . . . . . . . . . Disapprove([ a/c . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . • ti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , (Building Inspector) A ICATION FOR BUILDING PER � 19 Date �. . . . ., .41 i INSTRUCTIONS a. "Plus 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 oil premises, relationship to adjoining premises or public streets or areas-,' and givhig a detailed description of layout of property must be drawn on the diagram which 1s 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 oil 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 sliall 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 ' sp - z , 4 II . . . . . . < <. . . ; . . . . . . . . . . . . ...... (Signature of/applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. . . . . . . . . : . . . . : . . . . . . • . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ II Name of owner of premises . .E-4.t° °t. . . . . . . . ,� �� . , . . . . . . . . . . . . . . . . . . . . . . . . . as on tl;e tax roll or latest deed If applicant is a corporation, signature of duty authorized officer. DCdCOd � `" ' � (Name and title of corporate officer) Builder's License No. . . l'1C). 7�z! ' . .- . . . . ., I E_ MAY - 9 1996 1 �a i Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . TOWN DG. DEPHOLD l OF' Electrician's License No. Other Trade's License No. 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . jSy : . . . . . . . . . . . ��.�. e6 . .�r.. . . . . . . . . . . . . . � � C; . . . . . Mouse Number Street Hamlet i-) County Tax Map No. 1000 Section �� .7. . . . . . . . . . Block .. . . . . . ; , , . ; Lot . . .l A . • . . . . Subdivision . . . . . . . . . . . . . . . . . . Filed Ma' No. . , Lot•. : . . . 2. State existing use and occupancy of premises and intended use and //occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ; . . . . , . . . . . . . , . . . . . . . . . . . . 3,. Nature of work (check which applicable): New 13uilding . . . . . . , Addition . . . . . . . . , . Alteration X. , Repair . Removal . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . . . . . . . . 540 (Description) 4. Estimated Cost . . . . , . . . . . . �� ;� . . . . . . . . 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 type,of use . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . Depth . Height , , , Number of Stories . . . . . . . . Dimensions of same stricture with alterations or additions: Front • Rear Depth . . . . . . . . . . : . . . . . . . . . . Height . . . . . . . . . t Number of Stories 8, .Dimensions of entire new construction: Front . . . . . . . . . . . . . . . Rear Depth Height .. . . . . . . . . . . . . . Number of Stories " ' 9. Size of lot: Front . . . , . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . Depth 10. Date of Purchase , . , . , . . Name of Former Owner 11. "Lone or use district in which premises are situated 12, Does proposed construction violate any zoning law, ordinance or regulation :- 13. Will lot be regraded Will excess fill be removed fron emises: Yes • . .�. 14. Name of Owner of premises , ,�=cjw,urc� �S r�, • , Address 457, '.U,,1Olo �f` {�l� 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. � *If yes, Southold Town Trustees Permit may be required. • • ' PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,in 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. 1 DATE OF NEW YORK, S.S :OUNTY OF 1 . . . . . . . (� • • • • • • • • • • . . . . . . . . . being duly sworn, deposes and says that lie is the applicant (Name of individual signing contract) .hove named.. [cis the (Contractor, agent, corporate officer, etc.) if said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplication; that all statements contained in this application are true to the best of his knowledge and belief;and that the vork will be performed in the manner set forth in the application filed therewith. ;worn to before me this �C. . ... . . . . , . .day of, :`�'?,cw �.. ., 19 . 6 d' Jotary Public, . . . . . . . . County t lNDi J.COOPER i+lntar)�Public,Staateeofof N�lewYo . . . . . . . . . . . . , , , , , , , • , , , , • , No.4822563,Suffolk Coun: Term Expires December 31,1 (Signature of applicant) �' - SUFFOLK CO.HEALTH DEFT.APPROVAL I H.S. NO. -L4-57'16Ej C 1` MAPr - , `t- tU12VEYE:;: t JrL P LIOEHL i P- L D Vi✓/ L v� �: • STATEMENT OF INTENT _. �S.D`f.tCEV I THE WATER SUPPLY AND SEWAGE DISPOSAL ' A, _ SYSTEMS" FOR.. THIS RESIDENCE• WILL , .��_y •- � - -;?✓�_. :;:lot:' i � - .-�".:�-_. _ �. l zir= _N71" •.IZ.A _ � :: ATT.i-i:/�1L _. .�a.:�:. :`� CONFORM TO THE STANDARDS flF.T - - : !At b9°27 '"., ■ ��; --f T -'�'^`?'3a-'""`�'- ^=3Y_ SUFFOLK CO.DEFT. HEA&i4 SERY 1•. -: _ � _. r:r{.`•'F• .:r_ flu=f�t.:'D I 1 ti.Jt�L� � o_- - "_" "•_-�•`= t.'. S•as.._. •.:i-`_S +•jS'!o•i�=-i?�Y- -- aA �► 4�_ �S .. t J -PLI - 1 r. a�`... es• =� a: - tt - -t FO •K--COUNTY-' DEP1'�_ G. .. } QSER V tCfS•'�-,F'OR,. _J►�TftOYR _ CONSTRUCTION ONLY. N . . ... LL e T�1 - �' p� d" D _ : -. p, : _ �' H.S REF.140.: •� =�:- -"• m z t^L+'-� - J - - APPROVED- SUFFOLK CO.TAX MI1P DESI _ Gti�A JO Q _. G= DIST: SECT' - ��.: y) _ __ -x:c_ .,•- '._ __ _ .8133G1C'�-ems..:f --- ..• ----- ki _ -- OWNERS ADDRESS': •:f--' _ \ _ - � _ _•.may _•�M J_. .ill /.l-.. 84 7_ _32 - -•�T�ATTiI:CI�'.3.' ." - _ - - 0 l'. AL�, . M - - r r�,�r•([:1 `�C T=�._•'.-y.:�.= '.�- DEED:L�2��.:. _.LS�••':.•vy-.^_ -TEST HOLE STAMP.,, may. •.;� - - -tom 1.8 2 _- - - - •�'- "FWD _ _ _ s�'aara.ea.wr.rr t :?o_• -: _ - 3Tp' _ AV - i. - _ •*Ise t0 �r - ._ •IT• -Z — _ - - LEI C� Q4 ts��I.Kr�t�lrl�lif r _ _ _ .. _ ES!Oi=�E� '- � ` • A�-•SEt1s.; ALA_ ';1 ,.•..� - __ Q 984_ S41DY CUl twwt.�+r�o�w� '~�- tndh rorl,ee.t:.r trl.�r - _ _ - __ Cir:- 3( l�jC LT•GYAV`: lose rafpwndwr bosh Mi• •tlro.ploalorertua+i�4 k !__ _ Jam• I I SAUD. SEAL Z;Ai U?-! nE _ .✓ A - --• '- t'`'• ®o .�' Ai -, t �r I `�c r, � KEY Mav --•• — •- - -- - ' '"r.r�s�,,,�,,. RODERICK VAN TUYL.P_C. 8bC• - ? s)• w- t " LIiG. ✓i, -t... III ~�'` CENSED LAND SURVEYORS I - < � `_` ... GREENPORT NEW YORK !'`� PFRO ED AS NOTED 4Ley',r s f B.P.# =' r G?, «_ I DATE: E ` BY: • ,'r r��7 � ��' . ., � '�,. �� FEE: NOTIFY BUILDING OE A NT t765-1802 9 AM TO 4 THE RT167-IOA n FOLLOWING INSPECTIONS: FOUNDATION - TWO REQUIRED 7Trcy FOR POURED CONCRETE 4o r 4i ri 2. ROUGH - TAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. NSTRUCTION SHALL MEET j THE REQUI EMLNTS OF THE N.Y. TA STRUCTION & ENERGY C ES. N T RESPONSIBLE FOR � . CONSTRUCTION ERRORS Pro vg o_Se d 3 _qxy CCA PosfS a,,6 CC A /6'lox i G rode o j a Tr:ecJs MAY 91996 r Fro,4 s+o-ir �erc.�-1<-1 ��IP; 8`�a f , BLDG. ,DEFT TOWN OF SOlJTH�1LEy �.s