The URL can be used to link to this page

Home My WebLink About9219-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18189 THIS CERTIFIES that the building Location of Property 600 HIGHWOOD RD. House No. County Tax Map No. 1000 Section 78 Subdivision Date JULY 17r 1989 ACCESSORY SOUTHOLDr N.Y. Street Block Filed Map No. 9 Lot Lot No. Hem]et 46 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2~ 1977 pursuant to which Building Permit No. 9219-Z dated MAY 2r 1977 was issued, and conforms to all of the requirements of the applicable provlszons of the law. The occupancy for which this certificate is issued is ACCESSORY HORSE The certificate zs issued to (owners) of the aforesaid building. SUFFOLK COUNTYDEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GEORGE & JUDITH TERRY N/A ~nsp~ecto~ Rev. 1/81 TOWN OY $OUTHOLO ~UZLDING BEPART3[ENT TOWN HALL SOUT~OLD, NEW YORK 765 - 1802 11971 L ~uw~ OF SO-Or, OLD ~'' ' APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CO;~STKUCTION ....~...OLD OR PRE-EXISTING BUILDING .~....VACANT LAND ........ HOUSE STREET HABILE Subdivi~iom . Filed Map Planning Board Approval Request .[or Temporary Cert££icate ....... Final Cer~i££care ................ APPLICANT..~~-: .......... fOUNDATION {1st) fOUNDATION tOUGH FRAME & PLUMBING [2nd) 3. ~NSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: INSPECTION FOUNDATION 1ST I ] ROUGH PLBG. FOUNDATION :'ND L ] INSULATION FRAMING REMARKS: ~r~FINAL DATE INSPECTOR ~0~ NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. .......... /~oproved .................... f.! ........ ~ ..... , 19../~.... Permit No .......~.....'~..../......~...~.. Disapproved a/c .... ~ ........................................... ~.... APPLICATION FOR BUILDING PERMIT Date ........ .................................... INSTRUCTIONS Application No....~....~...C/. ............ o. Th,s application must be completely f, lled in by typewriter or, in ink and submitted in triplicate to the Buildin 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 ~ areas, and giving a detailed description of layout ofproperty must be drawn on the diagram which is part of th~s applicotJor c. The work covered by th~s apphcation may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector wdl issue a Building Permit to the applicant Such perm. shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in port for any purpose whatever until a Certificate of Occuponc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe, The applicant agrees to comply with oil applicable laws, ordinances, building code, housing code, and regulations, and t. admit authorized inspectors on premises and in buildings for necessary inspections. (Signatu~ of applicant, or name, ~f-a corporation) ................. ~J (Addre~ of applicant) -- State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ....... ~....~...~...~..~. ...................................................................................................................................................................... Name of owner of premises .... ..~...~,.~,.T..'~.~, ......... .~...~,-.~.~.~ ............................................................................................ If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No .................................................... Plumber's License No ................................................. Electrician's License No ............................................. Other Trode's License No ............................................... 1. Location of land on which proposed work will be done. Map No .................................. Lot No ...... ..~ ............. Street and Number ....(~...q.~.....~.~..~..%~.~.~.~..¢J- ...... ]~.~..~. ............................. ..~...~,~..~,~.¢J.,....~-~.,..~..~ ............... Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Exisiting use and occupancy .... .~.'?.~.m~..%.¢- ..... ~ .~. Z ~..~...-k.?..~ ................................................................... b. Intended use and occupancy ...... .~.~.~.¥..~..~.......S....~,..~.~ ....................................................................................... 3. Nature of work (check which apphcable). New Building ................. Addition .................. Alteration ............... , Repair ................ Removal ................. Demolmor. .................. Other Work .................................................. '~ o-O (Description) _ . ...................................................................... ....~..~....~. .............................................Fee 4 Estimated Cast ~ -~ ' (to be pa~d on filing th~s apphcat~on) 5. If dwelling, number of dwelhng umts ....... I .................... Number of dwelhng units on each floor /./., i- t , If garage, number of cars ....................................................................................................................................... 6 If business, commercial or m~xed occupancy, specify nature and extent of each type of use ........................... 7 Dimens,ons of ex,st,ng structures, if any' Front ..... .?.'~ .'~.~'.....'~. ......... Rear ..._~.. ....... ~. .............. Depth - Height -- Number of Stones .......................... ~ .................................................................................. D~mens~ons of same structure with alterations or addmons Front .................................... Rear ........................ Depth ~ Height ......................... Number of Stones ............................... 8. Dimensions of entire new construction: Front .................................... Rear ............................ Depth .................... Height .................. Number of Stones ......................................... ~ ................................................ , ...................... 9 S~ze of lot Front . ~ 'q ' R r }'~'~ ~ ' .................................................... ea ......................................... Depth ...... .z ....................... 10. Date of Purchase ...................................................... Name of Former Owner ....................................................... 11. Zone or use distnct in which premises are s~tuated ....... ~ ...................................................................................... 12 Does proposed construction wolate any zoning law, ordinance or regulation ........................................................ 13. Wdl lot be regraded .~.t....~ ..................... Will excess fill be removed from premises: ( ) Yes ~ ) No ,~. ~. ~ ~ ...¥..t.?...L.~. Address£ ~, ~. ~ ~ , ~ c ' 1~,. ', q ,; 14 Name of Owner of premises ............ , ....... ~ {. ......................................... :. Phone No ...................... Name of Architect" ~ ~ ' , %-' '~ ~' ~" ............................................... Address .............. ~. ..... :.L..; ..... Phone No ...................... Name of Contractor ~> ~ "' ~ Address Phone No. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~sting or proposed, and red,cate all set-back dimensions fron property hnes G~ve street and block number or descnpt~on according to deed, and show street names and indicat~ whether rater,or or corner lot STATE OF NEW YORK, COUNTY OF .............................. i-S S ............................................................................................. being duly sworn, deposes and says that he is the applicon (Nome of ind~wdual signing controcl0 above named. He ~s the .......................................................................................................................................................................... (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and ~s duly authorized to perform or have performed the sa~d work and to make and ill, this applicahon; that all statements contained ~n th~s application are true to the best of his knowledge and belief; an, thor the work w~ll be performed~n the manner set forth in the apphcation filed therewith Sworn to before me th~s ~// , NotarynPublic, . ...... ~ .................... County ............ :.~.:~. · · .~. · .~..~,> ..... ~...~. ....... -...---~ ........................... ./7~/,~,~,,/~ ~,~~ ' (Signature of opphc~" ' hr) DEED: o,S6 700E. I I -r< CE,., ..... '"'ID LOT' AI' TO'~N OF CCU THOLD, I'>I.%/. ~,7, Z "% . HOT'E' ELEVATIONS APE EF.,SED ELEVAF;Or,I OF 38 0 A'r' 'COF 12..OAD O~'F',GS,T'E N E.COE. QF ./ / ~ 5E~L I I t ,1' I COPIES OF TPt$ I,'AP NOT BIAI. I~