HomeMy WebLinkAbout12428-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17981
Date APRIL .28., .~989 .....
THIS CERTIFIES that the buildin~
Location of Propert~ 480 LESLIE RD.
House No. Street
County Tax Map No. 1000 Section 97 Block 09
SubdivisionBAY HOMES AT PECONIC Filed Map No. 5723
ACCESSORY
CUTCHOGUE
Hamlet
Lot 06
Lot No. 03
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 1% 1983 pursuant to which
Building Permit No. 12428Z dated JULY 18, 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 METAL SHED.
The certificate is issued to MARIANNE FONTANA.& WALTER HENNESSEY
(owner,)~)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
UNDERWRITERS CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED--
Rev. 1/81
N/~
· .,. / Bui~ingvInspect°r
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT'
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 12428 Z
Permission is hereby granted to:
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Building Inspector.
Fee $../d ...................
Building Inspecl:oi'
Rev. 6130/80
TOWN OF SOHTHOLD
BUILDING DEPART}~ENT
TOWN HALL
SOUTHOLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
NEW CONSTRUCTION .-.~....OLD OR PRE-EX(ISTIN~ BUILDING ...... VACANT LAND . . .
couu~¥ Ta~ '~ap No. ,000 Se~tio~ ...f..Z ~lock ...?... Lot ..~. ...... 0'
Subdivision ....................... Filed Map ........ Lot ..........
Permit No /~.~.. Date of Permit 7/~- .. cant
Health Dept, Approval .................. Underwriters Approval ..............
Planning Board Approval ................
Request for Temporary Certificate ....... Final Certificate ................
Fee Submitted:
go
~1,1~
FIELD INSF,EG$~N DATE ,___ COMMENTS
FOUNDATION (1st)
FOUNDATION (2nd)
2.
ROUGH FRAME &
PLUMBING .... ._
3'
PER N. Yo
INSULATION
STATE ENERGY
FINAL _
ADDITIONAL COMMENTS:
Free all Steel Floor
· 14. gauge steel floor reinforced with 21 gauge ribs.
· Ribbed reinforcement keeps floor 11/2'~ off ground.
· No concrete or footings necessary.
· 5 x 7 floor weight is approx. 150 lbs.
MAN'S All Steel floor is capable of bearing tremendous weight. It will
hold lawn mowers, patio furniture, refuse cans, outboard motors and
small boats all at the same time.
Large models are actually made up of smaller standard units )oined
together end to end or side by side (as the case may be). The inter-
vening walls are eliminated and slicing channels, joint cover strips
For example: The #55 model (size 5 x 14') consists of two regular
#52 units (size 5 x 7') each joined together end to end. (See Dia-
gram A) Other Combinations are as follows:
FOR STORAGE · FOR SERVICE · FOR SHELTER
So versatile it fills hundreds of needs for either temporary or permanent locations.
Can be dismantled--relocated--re-erected with no loss in materiall
NAt SAU
gUEERS
347-4482
BROOKLYN
347-4462
TOLL FREE LINES
ST~EN iSLAND CONNECTICUT MASSACFIUSETCS NEW YORK NEW JERSEY
347-4482 (800) 640-6362 {017) 709-7750 (800) 327-0348 {880) 645-6382
BRORX~U,Y.C. SO. NEW JERSEY FLORIDA FLORIO& CONN.
347-4462 (800) 045-63~Z (305) 79t-9560 1-800-645-6362 {800) 645-6362
WESTCNESTEN CO. NO. NEW JERSEY PENRA. MASSACHUSETTS
(800) 327-8348 {800) 645-83§2 (800) 645-$362 (800) 645-6363
flOCKLANO--N,Y.S, PENNA.
ALL OTHER STATES
(808) 327-034B (215) 279-4788 (800) 645-6362
VICTOR LE$$ARD
PRINCIPAL BUILDING INSPECTOR
(516) 76~ ~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
ADDreSS: c190 L~SC~C:
RE:
DATE
LOT (~
This Building Permit has expired. You are now
violation of the Town of $outhold Zoning Code.
Please contact our office, this matter must be
corrected.
Victor G. Lessard
Principal Inspector
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN itALL
SOU'FtlOLD, N.Y. 11971
TEL. 765-1802
This is to advise you that the job under building
permit no.12428Z issued to M. Fontana
on 2~/83 for AccessorM is completed
a final inspection hem ( ) has not ( X--X~been done.
and
Is order to complete thio file, it is necessary that
a Certificate of Occupancy be issued. Please fill out the
enclosed form, return some to the above office with a check
for $10.00 payable to the Town of Southold. Please indicate
to Whom the Certificate of Occnpancy ia to be mailed, and
arrange with this office for an inspection date
Occupancy or use is unlawful without a
Occ.pancy. Please help us to clear up this
legal action does not have to be taken.
Certificate of
matter so that
Thank you for your prompt attention.
Very trul
Victor Lessard
Executive Administrator
VL:gar
encl,
FORM NO. 1
TOW. oF SOUT. OLD
BUILDINGTOWN DEPA"T~ENT HALL
SOUTHOLD, N,Y. 11971
TEL.: 765-180~
D~approved a/c .... r-:~..~ .... ~. ........ ~ .......
............... , ................
~ (Bufld~g Inspector)
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
Date .... ~
a. This application must be completely filled in by typewriter or in ink and submitted to the BuildinL~lnspector, 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 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 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 building for neees~_~.~mspectio~ns../~
(Signature of applic/ant, or name, if a corporation)
. .....
ClViailing address of ~plicant)
~7~ ~ - ~ ~ '~el ct caan lumber or builder
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, e e ri ' , p ' .
.... .................................................................................
(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 ofland on which proposed work will be done. . /"~.~t0 /--~'""ff/-/~? ~t'~,~ ....~/..
7' ¢ ./-/ 0 u
House Number Street Hamlet
County Tax Map No. 1000 Section .... .~. ~..7 ....... Block ....~ ............. Lot..g .........
Subdivision .... ~. ~t. ~... ~..t)..A{..~,. ,~.....~O~.. ....... Filed Map No .... .~..9...~..~.. Lot..~ ..........
(Name) ('~
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ·~v~',. .... ' '~ ',-",~ ................................
b. Intended use and occupancy. ~ · .~..~~!;'?~..~. ........................
p~li
3. Nature of work (check which a cable): New Buildin ...... Addition .......... Alteration ..........
Repair .............. Removal ............ Demolition .............. Other Work ...............
~ . ~. (.~..~ ~ (Description)
(to be paid on filing this application)
5. If dwelling, number of dwelling qnits ............... 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 type of use .......... ;. ..........
7. Dimensions of existing structurei, ifany: Front ..... 7.0. t . . Rear ... ~.' t.. . Depth .~.~.
Height ............... Number of Stories.. ~. ....... ~ ~ ..................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................... i. · Height ...................... Number of Stories ......................
8. Dimensions of entire new construction: Front /'.~' Rear ..
Hetght ............ Number of Stones ~ ..............................................
9. Sizeoflot Front /.'~.~'~ . .... Rear
10. Date of Purchase ..... /~..- ~) ............ Nam0 of Former Owner . .~,~4~ .,f(..~..tg. ...............
11. Zone or use district in which premises are situated... ' . .. ' ...................
12. Does proposed construct~on viol~te any zoning law, ordinance or regulation: ..~.0 ..........................
13. Will lot be regraded ......... I ................... Will excess fill be removed from premises: Yes No
14. Name of Owner of premises ...; ................. Address ................... Phone No ................
Name of Architect .......... ................. Address ................... Phone No ................
Name of Contractor ......... ................. Address ................... Phone No ................
PLOT DIAGRAM
Locate Clearly and distinctly ali 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 Y~R~./. ~ ~
COUNT~ OF..~.(,
c~'~ ~. ~ .... being dul~'sworn, deposes and says that he is the applicant
~ (Name of individual sighing contract)
abov~ nhmed.
He is the . ~ .... ~ ....................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, ~d is du'ly authorized to perform or have perfo~ed the said work and to m~e and file ~is
application; that all statements coniained ~ this application are true to the best of his knowledge and belief; ~d that the
work will be perfomed in the m~n~r set forth in the application filed therewith.
Sworn to before me this
...... '..~ re ........ ../).day o:f....~ ........ 19
Nota~
Pub~,
.... 5C* ............ ................ : ....
/~ ~ ) ~ ~,1~ I~~g. / / (Signature of apphc~t)
,
?.0
J
NOTE
· ~ MONUMENT
OF THE CLERtqOFSUFFO£~( COLZ~ITY ON
dUNE 2, 1972 AS~7££NO 5723
YOUNG & YOUNG
40U OS[RANDER A~[-~NUE, RIVERtH~AD, N~W YORK
ALDEN W YOUNg.; I-tOWARD W YOUNG
SURVEY FOR:
MARIANNE A, FONTANA 8 WALTER R HENNE~.,,~._Y '
LOT NO. 5," BAY HOMES"
buLJTHuLD / - t ~ "~i,;~'=* / I