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Home My WebLink About11974-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Soutbold, N.Y. Certificate Of Occupancy No. Zl1409 Date January 4 1983 THIS CERTIFIES that the building ................................................ 495 Hobart Road Location of Property .45 Korn Road Southold House NO, ' ......... 'S't/e~( ....... Hamlet County Tax Map No. 1000 Section 062 .Block 03 .Lot 0q0 Subdivision .... .X .......................... Filed Map No. × .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... 0¢.t.q~r, ,q,q ,.,,,, 1962.. pursuant to which Building Permit No.. ! J.9.7.~...z ............ dated .... 0. q ~ 9)!q~.. 7.0 ............. 19.8.2., 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 ......... ... an ~cosuory .g.a.r.a. ge.. The certificate isissuedto Charles Beyer ..................... ioWn'~g~-S~Fh~ ................ · of the aforesaid building. Suffolk County Department of Health Approval ... Bp.t, . .r.e.q.u.i..r.e.d ......................... UNDERWRITERS CERTIFICATE NO ........... B/.r. ................................... · e /c . Building Inspector Rev. 1/81 TOWN OP $OUTHO[D ~ BUILDING DEPARTM! NT Town HAL[ ; SOUTH'OLD, N~ Y. (THIS PERMIT MUST BE KEPT ON THE P~EMIstS UNTIL , COMPLETION OF THE WORK AUTHORIZED) N? 11974 Z ULL Permission is hereby granted ~:~.~ ...... : ........ ~ ............. ~.~~... .:..~~.... ...... ~....~ ................ ,~, ............. ~ ~o~,~,~ ,o~ ~ ...~..~r~.~.~...~z~..~, ........... . .~ ............ ..~ .~.,~ ......... pursuont ~o ~pplicotion datod ...~. ..}........., 19. ond 9pprovod by the BUilglng I~spector. ......... Rer. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Buiiding Department Town Hall $outhold, N.Y. 11971 APPLIOATION FOR CERTIFICATE OF OCCUPANCY i\ Instructions A. This application must be filled in typewriter OR ink, and subn~ tted in duplicate 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 topograohic features. 2.Final approval of Health Dept, of water supply and sewerage dispoeal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 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 features. 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: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00 3. Copy of certificate of occupancy $1.00 New Building ............. Old or Pre-ex st ng Building(X) - /Vacant Lan ' Owner or Owners of Property County Tax Map No .1000 Section .... ~?, .~.. ..... Block .... ~-,3 ........ Lot /~)Z . Health Dept. Approval ..... ./~~ ................ Labor Dept. Approval ...................... ,.. Unde~riters Approval ....... ~J~ .............. Planning Board Approval Request for Temporary Cert ficate ....... ,Final Certificate FeeSubm ttedS .~ . ~ ~ ' Construction on above described building a~meets all apP~cabl~odes and regulations FIELD IN,SPECTION CO,MENTS FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: -~--~.~- ~ 765-5772 ~:-' RONNIE'S ~-,~. HOME IMPROVEMENT$~.~, OLD & NEW CONSTRUCTION ~ CUSTOM HOMES R.J MORIZZO SOUTHOLD, N.Y. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 APPLICATION FOR BUILDING PERMIT Application No .......... INSTRUCTIONS a. This application nmst bc completely filled'in by typewriter or in ink and submitted in triplicate to the Buildi 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 stre~ or areas, and giving a detailed description of layout of property must be drawn on thc diagram which is part of this apl: 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 issue a Building Permit to the applicant. Such peru 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Buildh~g Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of b~uildings, additions or a~terations, or .for removal or demolition, as herein describ~ The applicant agrees to comply with all applicable laws, ordinances, building code, housing'code,: ad regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. (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 build~ .-/c£O.C'-/:. o. .,< ........... Name of owner of premises . ).~ (~. ~.'~.. ...... ' ................................................. (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 ..... ?..~.'..~. .............. Plumber's License No Electrician's License No.. ~ ............. Other Trade's License No ...................... 1. Location of land on which proposed work will be done ................................................ County Tax Map No. 1000 Section . .~..~..-- ........... Block . .~-- ............ Lot ./...f-):/. .......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and occupancy of pre~nises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ~ ~'~. ~.~C~ -. . ........ b Intended use and occupancy ~.~ ' -L Nature of work (check wtncb apphcabl )' New Building Addition .... Alteration .... Repair .............. Removal .... '., ........ Demolition .............. Other Work ............... . ~ (Description) ~ Estimated Cost ' Fee (to be paid on filing this application) L Ii dwelhng, nu,mher of dwelling ~mts ............... Number of dwelling umts on each floor ................ If garage, hum ocr of cars ~.-~.'6~..~. 5. If business, commercial or mixed oc~-upancy, specify nature and extent of each type of use .................... ?. Dimensions of existing structure~, if any: Front ........... .... Rear .............. Depth .............. Height ............... Numlber of Stories ...................................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................ Depth .................. '.. Height ...................... Number of Stories ............ ~ .. ...... L Dimensions.of. entj.re new constmchon: Front . .~..~. ......... Rear .~,-~?..z~.. ........ Depth .,~-Q~.~.. ....... Height! ~'..~. '~.'~, ..... Number of Stones . . ~?..~.. .......... ' ................................. ~. Size of lot: Front . X ./(~.~../.~. ............ Rear.../.%/..'/r .~'~. ~ ........... Depth ~.~.~'.~..~.~ ............. ~. Date of Purchase ........... i .................. Name of Former Owner ...... ~ ...................... 1. Zone or use district in which pr~mises are situated ..................................................... L Does proposed construction violate any zoning law, ordinance or regulation: ................................. ;. Will lot be regraded ......... i ................... Will excess fill be remoyed from premises: Yes No I. Name of Owner of premises ...: ............ ..... Address ................... Phone No ................ Name of Architect . w ....... i ............ ~ .... Address ................... Phone No ................ Nmne of Contractor ./F~.Q~.O./ ~...,/9~)..Q .r/.~.~'.~ .... Address ~.~.~...~.'~.~.~.O~C[~.... Phone No. ;9~'.~. 7.,-~'~? PLOT DIAGRAM Locate ~le~rly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from :operty fines. Give street m~d block r~umber or description according to deed, and show street names and indicate whether ~terior or corner lot. TATE OF.NEW(q~3R~ ---/ .S .. ' Ou TY s ........ ,.t.N~d~vic~t~.si~Ji~~~ ~-~ ......... being duly sworn, depdses and says that he is the applicant bore named. ' ' ',~~ ..~..~.,_~Con ent, eorp ate office · ~a t~ rm f said owner or ownem, ~d ~s duty ~' to~n or have performed ire s~id work and to m~e and file ~is pplication~ that all statements cont¢ined ~ this application are true to thb best of his Bmwledge and belief; ~d that the ,ork will be performed in the m~ner set forth in the application filed therewith. worn to before me this, ' ........ /.~e...TZTday or. .~. ~;~;.., 19~ rota~ Public. ........ ~ ............ ~. Count,/~7 _ ~