HomeMy WebLinkAbout7378-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z15822 June 8, 1987
................. Date ................................
THIS CERTIFIES that the building accessory utilitY building.
Loca~on of Prope~y 14755 Soundview Avenue SOutko ld
Hou~ No. Street Hamlet
County Tax Map No~ 1000 Section 50 .Block 3 .... Lot 7,
Subdivision ........ X .......... '..Filed Map No. X . .Lot No. X
conforms substantially to the Application for Building Permit heretofore filled in this office dated
...... · J'~Y.'3.~..l~.7.4, , pursuant to which Building Permit No. . . 7378Z
dated ..... Jla.l, lg. 3.,. 3, 9 7.4 ......... 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 .........
AccessorI; utility building,
The certificate is issued to ........... WALTER A. WINTER, JR.
.......... ~o~;n~', ~ 'lll~k~ ......................
of the aforesaid building.
Suffolk County Department of Health Approval ............... .N./.R. .......................
UNDERWRITERS CERTIFICATE NO ......................... N./..A ......................
PLUMBERS CERTIFICATION DATED:
N/A
Rev. 1/81
Building Inspector
IUILDIHG NI~iT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
7378 Z
Permission IS hereby granted to:
..~[cl~t, MI.A.Z3Jl~...V~e3, ........................
......... .,~l~.3.&~..~ .....................................
to b2mS,,~...m ..~d;L.1.Lt,,T...~ m%e3m~:. ~Ims~e~'3:.:b3~14. .......... : ...........................................
pursuant to application dated ....................... ~T]l~m~ ......... ~ .......... , 19~t..., and approved by the
Building Impectm'.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN ~.,LERK'S OFFICE
......
......
APPLIGATION FOR BUILDING PERMIT
INSTRUCTIONS
o. This application must be completely filled in by typewriter oe in ink and submitted in triplicate 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 m
areas, and giving a detailed description of layout ofproperty 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
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/V~DE 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 buildings for necessary inspections.
re of applicant, or name, if a corporation)
(Address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of prem ses ~...~....~.....~..~..~1~ ~ ...~...(, .~...~...~.....~......~......~...~...!..~.. ......... ..~..?..~..~.....L... ....................
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's Li .q?nse No .....................................................
~icense No .................................................
Plumber's
Electrician's License No .............................................
Other Trade's License No ...............................................
1. Location of land on which proposed work will be done. Map No.: ...:.i .......................... ,. ...... Lot.No .......................
Street an~d Number ....~....~....~..,~.~.....~'...~.....~.._~:._.~..0........~... ...... ~....~...~...'../. ....
~ P~' , ~ U,~(J.~ O~- ~ Municipality
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Exisiting use and occupancy ................................................................................................................................
b. Intended use and occupancy .~....~.......~......~......0~.....~...--....~...~...~...
3. Nature of work (check which applicable): New Building.. ................. Addition .................. Alteration .................
Repair .................. Removal .................. Demolition .................... Other Work ................................................ . ....
4. Estimated Cost '~ ~'00 Fee (Description)
.............................................................. ................................................................
(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 h/pa of use ............................
7. Dimensions of existing structures, if any: Front ............................ Rear ................................ Depth ....................
Height ............ : ........... Number of Stories .................................................................................................................
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 of Stories ......................................................................................................................
9. Size of lot: Front ..... L-D:...O...'......~..?......'~. .................. Rear ..~ ......................... .'~..~..: Depth .'~...I...~.......'~.... .........
10. Date of Purchase ~.~ e/~- . ]~--M.~
..................................................... Name of Former Owner ..~ .........
11. Zone or use district in which premises are situated .....................................................................................................
12. Does proposed construction violate any zoning Iow, ordinance or regulation: ..~ ..........................................
13. Will lot be regroded ..... ~ ........... Will excess fill be removed from premises: ( ) Yes ( ) No
14. Name of Owner of premises ..~..~...'ff...~..T.~..~....~.. ...... ...~..(..C...~....L:T.... Address ................................ Phone No. ~...O.....~..'....)..~.f..0
Name of Architect .............................................................. Address ................................ Phone No .......................
Name of Contractor ............................................................ 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.
:~outhold, Count~ of ~urxoa aua .~ta~e os ao ~ b~dod ~d
~lo~i~d as follows:-
~ B~INN~G at a po~t m~k~ b~ a mon~o~ sot ~ tho
of Sound Vio~ A~onue, ~76.88 foot ~o~to~l~ along said no~ho~l~
f~m its ~to~sootton ~1~ tho ~oste~ly l~e of ~th~ao Road (said
l~e or S~d View Avenue, 8~th ~6 de~oe~ 35 m~toe.}O eoo~ae ~es=, applicam
said ~d ~ ~oues~ (said 1~o. ~o~ ais~ ~lo~ ?ne ~ ~_ ,~ .r
a ~ foot ~i~t of ~), No~h ~1 dog~oos ~o
~; .... ~-~o0 co foot~ ~8 thonoo alo~ oth0~ ~ or ~o. _ . ...............
~ O~S Eaet~ a di~oo of 2~ feot~ moro ov ~oeo, ~? s~ ~ ~- :e and file
BitaoS; ~n~ thonoo ~ a s~tho~l~ di~tion alo~
Bitsos, 2outh ~1 do~ooa ~6 minutes ~0 s~o~s Easts
1~2.~ foot to tho po~t ov p~oe ~ bo~Z. .
~ to a ~i~ht off ~y, fo~ uso ~ e~on.with o~ho~8~ ~ feet ...................
~ido a~os8 tho ~uth~osto~ portion of tho p~omisos, tho sou~oste~17
sos sa~ ~i~t off ~ay be~n~ fop ~no p p
said pr~i .'. ~ ....~ vd~ av~.~ d to ~d from o~h~
o~oss ~ ~a r~o~. -u~-- l~_~-i-~-~e ~v also ~ing for'tho
on tho s~faee~ able ~e s~faoe and below
of ~y ~ such ~e~ so as not to ~to~fa~o wi~ t~avel.ovov the
su~faco porti.a~ ·
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
~Jouthold, N.Y. 11971 ~
APPLICATION FOR CERTIFICATE OF OCCUPANCY
Instructions
--Pre-Existing ¢.O.
Vacant land C.O.
A. This application must be filled in typewriter OR ink, and submittecl~to the Building Inspec.
tor with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic feature~
2.Final approval of Health Dept. of water supply and sewerage disposal-(S.9 form or equal). *
3.Approval of electrical installation from Board of Fire Underwriter
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 building.
5.Submit Planning Board approval of completed site plan requirements where applicable.
B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or
topographic feature~ .
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.
C. Fees: I ~ ~
I~ C~ertificate of occupancy ~
~:ertiflcate of occupancy on pre-existing dwe ing
3. Copy of certificate of occupancy $1.00
$ 5.00
1987
Date ...... 4q~.~s .............
New Building ............. Old or Pre-existing Building . .~' ......... Vacant Land .............
Location of Property ..... 1 ~ ~ ~.~ ........... ~ Qu~4~ ~ .A~anua ............ ? ..... ~.o.u,~J~o.l.d.,..
House No. ~treer Ham/et
Owner or Owners of Property .... .~a, ], ~; ~ ~.. A...~.~ ~ ~; · 4;, ...................................
County Tax Map No. 1000 Section ... ~ .' ......... Block ....... 3. ....... Lot ..... 7. ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
,ermitNo..~..o~.~...~.. Oate of Permit . .~.~.~.~.~.~. Applicant
Health Dept. Approval ........................ Labor Oept. Approval ........................
Underwriters Approval Planning Board' Approval
Request for Temporary Certificate Final Certificate V// '
Fee Submitted $.1.o...o.0 .~..~ ~..~.
Construction on above described building and permit meets all applicable c*odes and regulation[
~c 7~V~o ~\c~LP Applicant .....
Rw. 10-10-78