The URL can be used to link to this page

Home My WebLink About10078-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy N Z13683 D July .30 ]985 o .................. ate ............. , THIS CERTIFIES that the building...A, ccessor.g........ ...s.he.d. ..... ..................... ... Location of Property ..... 7.9.5.5. .M.A..I.N.R.O.AD E.AST MAR. ION .......... House No. Street Hamlet County Tax Map No. 1000 Section . .0.~.1 ........ Block ....0.2 .......... Lot . ...0.2.9. .......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Dec. 6 1978. pursuant to which Building Permit No. 10078Z dated ...... ?.e.c.....~ .2 .............. 19 ~ 8., 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 ......... Accessory storage shed in rear yard. The certificate is issued to Steve Morai. tis ..................... ..................... o£ the afotesatd building. N/A Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, hi.. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES' UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / N? 10078 Z Do~ "/"Z .... Building Inspector. Fee SZ..~-. ............. FORM NO. 6 TOWN OF SOUTHOLD Eiuiiding Dapertmen~ Town H~II Sautho{d, ' AP, ,.lC,=, ,O,J FOR "~- ' - ..F-RT,FICAT,,- OF OCCUPANCY ~nstruc~ions A. This aoalicadon must be filled in typewriter OR ink, and submitted in duplicate to the Build[ne Inspec- tor win [ne following; for ne',v~buHd]ngs or new use: 1. F~nal :u:,'e,/ o[ property with accuraze location of ali buildings, property lines, streets, and unu~aJ 2. FmaJ 2Dsrcval of Health Oeo~. ~ o, wa~., nudely aha sewerage d sposal--{s-g form or equal}. 3. Ar)~ro','a[ of e~ectrical installation from Boded'of Fire Undemvriters. 4. Commercial buildings, industrial buiidines, Multiple Residences and similar build[ng~ and installa- c~rd,~ca,e of Code compliance f~om the Archite'dt 'or Engineer responsible for the bui~dina. 5. ~u,,.,,~, Ln,,mg Board approval of compieted site plan requirements where B. For exist[ng buildings {pr~or to April 1957), Non-conforming uses, or bu[ldJncs and "pre-ex[sting" 1. Accurate [d~ey of peoperty showing all prooerty lines, ~reets, buildings and unusual natural or tomographic features. 2. Sworn statement of owner or previous owner as to usa, oceuoanc,/ and condition of buildings. 3. D~e o~ any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a ce~ificate. / C. F~es: 1. Ce~JfJc3~e of occupancy $5.00 2. Car,[f:c3.~ of occupancy on pre-existing dwelling or land usa $5.00 3. Copy of certificate of occupancy Ne'.,/ Building ........... Old or Pre-exist[nc Su[ld[ng(X) /~-~:f,/ /Vacant Land - s'ou~ ~vo. ' ........... ~ ........... ~ .... ' ..... ' ....... Owner or Owners of Property .. _ ... Count'/Tax Nlao No. 1000 Section ............... Block I ~* Suo~ivson ................................. Filed Map No. ..; ....... Lot No ..... HesRh OepL Approval ' ........................ Labor Dept. Approval .............. , ........ ~.. UndeP. vritors ~Xpprovat ............... , ......... Planning Board Approval .................. Request for Temporary Certificate ..................... Final Certificat~ ........ - ......... Fee Submitted ~ Construction on above described building and per~i~m~ aH apPHca~odss and regulations. ...... .......................... FO~M NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL ...... :z.,~,~.~,,,,,z~..~.~.~ ............... ..:~.F.2.~,...~'-..~.,..:.~....,.~,~ Map .......... 3~TT~. ............... Block .... Lot - -- is r~,.~.~d ~w,,~ ~.~ ,,s~oved o~ ~h~ ,o,,ow~.~ ~o.,,~ ~.~~.~/~~ ~,~...,~~.. ~..~.~.=.~.~~ ..... ~...~.~.;..,~.~~__ ..,.~.~.~~~.~.~ .... , TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ..... ~...~s ............. , 19. v, ~ ulcllng p Co ~ Application No./....~.,..~,, Y..d~. APPLICATION FOR BUILDING PERMIT ......................... , INSTRUCTIONS a. This application must be completely filled in by typewriter o~ 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 or areas, and giving o 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 MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of $outhold, 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 i~ buildings for necessary inspections. (Signature of applicant, or name, if o dorporation) (Address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ........................................................................................... If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) Builder'S License No ..................................................... Plumber's,License No ....... ~.~L~...~.. ...................... Electrician s License No ..... .~. ...................................... Other Trade's License No ............................................... 1. Location of land on which proposed work will be done. Map No_: ........................................ Lot No ......................... Street and Number ...~/],.~1./..~ ....... .~..~...~../~. ........................................................................................................... Municipality 2. State existing use and occupancy of premises and in~ended use and occupancy of proposed construction: a. Exisiting use and occupancy '"~'"'~"t~'"'"'.""~.~"~/'-~'~]j~//~O ,j~., ..................}'"'~Z: ........... ~' ............................... b. Intended use and occupancy ............................................................................................. .../.. ........................... / 3. Nature of work (check which applicable): New Building .... ~, ..................... Addition ,.... ..... Alteration ................. Repair .................. Removal .................. Demolition .................... Other Work ~ (Description) , ............................................ ' .............................. 4. Estimated Cost ............................................................ rea (to be paid on filing this application) 5, If dwelling, number of dwelling unitsz~. ...................... Number of dwelling units on each floor ..... , ...................... If garage, number of c~rs ............................................................................................................................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............................ 7. Dimensions of existing structures, if any: Front ,/.~..-m:, ..................... Rear ]....OM.. ...................... : .... Depth Z.f?,~. ............ Height ~..C.~.'~.. ............. Number of Storiesl ............................................................................................................... Dimensions of same structure with alterations or additions: Front .................................... Rear Z'.....~ .................... Depth ................................ Height ~.......~'...'~... ............ Number of Stories ./... ............................ 8. Dimensions of entire new construction: Front .................................... Rear ~/...c~ .................... Depth/..~ ................ Height .................... Number of Stories ..................................................................................................................... 9. Size of lot: Front J.[./2. ................................................. P. eor ..~.i~.. ................................. Depth ................................ 10. Dote of Purchase ........................................................ Nome of Former Owner ........................................................ ]1. Zone or use district in which premises ore situated ...................................... i ............................................ 12. Does proposed construction violate any zoning Iow, ordinance or regulation: ]~..~. ............................................... 13. Will lot be regraded'~..(...C'~ .................... Will excess fill be removed from premises: ( ) Yes (//)'~No /8 ' 14. Nome of Owner of premises ...~....~,.~, .IC,..O=,.......~..;~....~L..*~...4~('.. Address ................................ Phone No ....................... Name of Architect ,~ ~L- .~.. ~ ~ ~ ~.N. ~5 Address Phone No. Name of Contractor ..~...~...L...~. ....... ~.......~....~...A._!~.z..~.. ........ Address ................................ Phone No ....................... ' / ,/"i'p~L~OT 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. STATE OF NEW_YORK, -- I S S COUNTY OF c. ........ f ' ............ ..~..~, .~..~'r4~....../.~...(..~,.~/:/..~,~. .................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is 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 oil statements contained in this application are true to the best of his knowledge and bellef; and thor the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this / day of [.2.. Nota,¥ Public.. ....... .~....¢(...z~....~..~....~../(.( .................. County ............. ~..:~ · · - · · .(...~. · --~ .................................... Quallfied.lf~ ~otfolk County No. 52-0508300 Commission ~plres March 30.