HomeMy WebLinkAbout12390-zFORM NO. 4
TOWN OF SOUI~{OLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town H~ll
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17785
Date FEBRUARY 22, 1989
THIS CERTIFIES that the building
Location of Property 225 MAPLE STREET
House No. Street
County Tax Map No. 1000 Section 42 Block i
Subdivision Filed Map No.
ACCESSORY
GREENPORT, N.Y.
Lot
Lot No.
Hamlet
16
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 24, 1983 pursuant to which
Building Permit No. 12390-Z dated JUNE 28, 1983
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
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
HENRY & MILDRED CORAZZINI
/ ~ui lng Inspec or
FOF,~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PEP, MiT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 12390 Z
Permission is hereby granted to:
.......... ~.x.e......z~/~.......~.C.: .................
......... .
· ,o ......... P~-,~z-~,~.~...~..:.~.-~.....,~..-~. ~:~:.~7-....~------------------~.~.,~.~.~.~~ .......
at premises I~ated at "~'a' ....... ~Z~..~' --
County Tax Map No. 1000 Section ...~.....~..~.... Block ,..~.../.. .......... Lot No...~./..~ .........
pursuent to opplicotion doted ..... ,~,,f,~......J~., ..~.. ................. , ], .(~..~, nnd opproved by the
Building Inspector.
Fee $../.....~...~. ....
Building Inspector
Rev, 6~30/80
?
TOWN OF SOUTHOLD
BUILDINC DEPARTMENT
TOWN IIALL
SOUTIIOLD, NEW YORK
765 - 1802
11971
APPLICATION FOIl CERTIFICATE OF OCCUPANCY
DATE.(S~o..
NEW CO~$TRIICTION ~oOLD OR PRE-EXISTING BIIILDING ...... VAEANT LAIID
. ~oeat,on of Propert,...¢. ::IIODS~ NO. ........................ ~~: ~;~ ......
o~..: o~ o..~:~ o: ~o~.,.~.~~~ ...........
County Tax Hap No. I000 Section '~ ~lock
Subd~v~slon ....................... F~led ~ap ........ Lo~ ..........
..... Appl~
Health Dept. Approval .................. Under.fliers Approval
Plannlng Board Approval
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted: $.[..' ..............
APPLICANT .~.~. ~ ........
rev. 10/14/88
FIELD I~fSPE~TION
1.
FOUNDATION (l~t__)
COMMENTS
FOUNDATION
2.
ROUOH FRAME &
PLUMBING
(2nd)
.,
INSULATION PER N.
STATE ENERGY
qODE
FINAL
ADDITIONAL COMMENTS:
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P,O, BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL, 765-1802
This is to advise you that the job under building
permit no. 1239_0_~_ issned to H. Corizzini
on ~/~_8_~ _ for Accessory is completed and
a final inspection has ( ) has not ( X ) been done.
In order to complete this file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
enclosed form, return same to the above office with a check
for $10.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occupancy is to be mailed, and
arrange with this office for an inspection date
Occupancy or use is unlawful without a Certificate of
Occupancy. Please help us to clear up this matter so that
legal action does not have to be taken.
Thank you for your prompt attention.
Very truly your,
Victor Lessard
Executive Administrator
VL:gar
VICTOR LE$$ARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
DATE: F~'8 lq, /989
RE: BUILDING PERHIT # 123q0~
SEC. q~ BLOCK I LOT 16
This Building Permit has expired. You are now
violation of the Town of Southold Zoning Code.
Please contact our office, this matter must be
corrected.
Yours truly,
Victor C. Lessard
Principal Inspector
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1802
Approved .~*.....'~..., l~. Permit No../..~....~... -:
isapproved. ...... .... :....... .k .........
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
a. This 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 on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is 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 on the premises available for inspection throu~aout 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 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 ~reguiations, and to
admit authorized inspectors on premises and in building for necessa[l~ inspections. /~ ,
....
(Mai~hg address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises ..~. {~ ..............................................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 ..................................................
.............. ......................
House Number [ Street .JHamlet
County Tax Map No. 1000 Section ...... .O..~.~r. i ·~'. .... Block ...... ..~. ! ........ Lot....q}..I.G .........
Subdivision..~_L}."yl&¢.~..~.C {..<-~., .~--~ --~.¥..X iF ...... Filed Map No....~. ~ f. ..... Lot.. ~ .........
(Name)
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. Natureofwork(checkwhmhapphcable): New Braiding .... Addition .......... Alteration ..........
Repair .......... Removal ............ Demolition" ?" ........... Other Work ..........
q~ ~ (Description)
4. F. stimatedCost .... J.~.~.' 7.?. ................ ee ... /~ ................
, (to be paid on filing this application)
5. If dwelling, number of dwelling pnits ............... Number of dwelling units on each floor ................
If garage number of cam .'
6. If business, commercial or m~xed occupancy, specify natu? and extent of each type of use ....................
7. Dimensions of existing stmctur6s, if any: Front ........ -: ...... Rear .............. Depth ..............
Height ............... Number of Stohes .......................................................
D~ensions of same structure with alterations or additions: Front ................. Rear .................
I)?th .................... ~.. HeiSt ............ ~ ......... Number of S~ofies .....................
8. Ihmensions of entire new construction: Front ..... ( Q .... Rear ..... J.Q ...... Depth ...~. ~ ......
Height ............... Number of Stories .... ~...j .........................................
9. S~ze of lot: Front ...... , ........... Rear ....... Depth
10. Date of Purchase .......... ~ .................. Name of Fomer Owner .............................
11. Zone or use district in which premises are situated .....................................................
12. Does proposed construction violate, any zoning law, ordinance or regulation .... ~.O ........................
13. WflI lot be regraded ............................ Will excess fill be removed from premises: ~ Yes No
14, $~e of Owner of premises .. ~ ............. Address ................... Phone No .~7.~. 7 .l~. ~
Nme of Architect ......... ~ ................. Address ................... Phone No ................
Nme of Contractor .......................... Address ................... Phone No ................
PLOT DIAG~M
Locate cle~ly ~d distinctly M1 bufld~gs, whether existing or proposed, ~d. indicate M1 set-back d~ensions from
prope~y Hnes. Give street ~d block,number or desc~ption accord~g to deed, ~d show street nines and indicate whether
inte~or or corner lot.
(Name of ink'ual signing contract) .... being duly sworn, deposes and says that he is the applicant
above named.
He is the ........... ~ ...............................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
...... '.c:~~-....day of .... .,~...."'..~').4~,,/..,
...........
i NOT~l~:~,~e of New Yor,~ ~ ~ (Si~ature of applic~t)