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Home My WebLink About12631-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy "No...zl. 5.46.5. Date pece~.er ~ ., 19 86 Accessory THIS CERTIFIES that the building ................................................ ttitu k ~ofProp ty 5..5..0.5. W..i.c.k.h..a.m .A.v..e: Ma c Locatio er .. ............................................ tmose NO. ' Street Hamlet County Tax Map No. 1000 Section .... 10.7. ....Block .... ~ .......... Lot .... 2...1.. :' ...... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Pemdt heretofore filed in this office dated · .qep~,..1.9 ....... , 1.9.8.3 pnrsuant to which Building Permit No. 1..2.6.3.1. Z. .............. dated . .S.e~p.t.. 22 19 .83. d c 11 of th ........................ , was issued, an onforms to a e requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Accessory horse shed. The certificate is issued to .... DAVID SALAND (owner, of the aforesaid building. Suffolk County Department of Health Approval ........ I,J./..A ............................... UNDERWRITERS CERTIFICATE NO ................ N./..A ............................... Rev. 1/81 FORM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) County Tax Map No. 1000 Section ...... I.....0.....-). ..... Block......................L'J Lot No.....~.,..J .......... pursuant to application dated .... ..**~..~......L..,CJ'. ..................... , 19~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORI~ NO. 6 TOWN OF $OUTHOLD Bu ilding Department Town Hall ,~,~outhoid, N,Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted~~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 topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(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. 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 sefew inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 / 2. Certificate of occupancy on pre-existing dwelling J land use 3. Copy of certificate of occupancy $1.00 ~ --Fre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 Date ..... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property..'~..~..~...~....~/,d_~.~./~../~.. ~/ ............. ~.. ~.:..~. ...... Hou~ No. ~et ~ Hamlet Owner or Owners of Property ..~. :~:.~~. ~ ' CounW Tax Map No. 1000 Section ... L~ .Z. ..... Block O ~ Lot Subdivision ........ .:~:~: .................... Filed Map No .... ~ ..... Lot No. ~ .......... Permit No./..~.~.~./...~. Date of Permit~Z~/.4.~..~. ...... Applicant...~..C...j~.f~ .~.~...~ .~.~...~..Z?.7-./../,~.9. ..... ..... Labor Dept Approval Health Dept. Approval ................................................. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate . .2~.. ................... Fee Submitted $ ............................. Construction on above described building and permit meets all appli~ble codes and regulations. e,v. ~o4o-7a ~/o/,~ ¢_~/z FI~LD-{NSPECTION FOUNDATION (~st) FOUNDATION ( 2nd ) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~pDE FINAL DATE II COMMENTS ~ ~ ~ ~~ .... -- COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined .... .~. 77.~.., 19 .~.~. .~..~?:-.., 19~.$. Permit No./. .~..~ ~...~.. Approved Disapproved a/c ..................................... Application No .................. (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date a. This application must be completely filled in by Wpewriter 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 fids 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/~ousing code, and regulations, and to admit authorized inspectors on premises and in building for neces?~7.i.n~ti~i~..~' .~ ................ (Signature of applicant, or name, if a~cgrp,,e'rat.,i~n)A ~ (Mailin,, address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises. ~ .~. :i ~.: .~. '..~ ............................................. (as on the tax roll or latest deed) If a~ica~, is ~/~ora~, sign_~ of duly authorized officer. (Name and title of corporate office/ Builder's License No ..... .~k..C.~. .............. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... / 1. Locationoflandonwhichproposeaworkwfilbedone.../~..~./~~ .~....~.~. .......... .... House Number Street Hamlet co . y 000 ..... l.*.7 ........ mo k .......... H ...... Lot... ~ .t ........... Subdivision ................ (~'a]~) .......... ' ...... Filed Map No ............... Lot ............... 2. State existing ps~ and occupanc~.o f.~z~;n~'s; ~;~;o f proposed construction: a. Existing...use and occupancy. ......................................... b. Intended use and occupancy . .~... ~..~ ..... ' ............................ 3. Nature of work (check which applicable): New Building ....x~... Addition .......... Alteration .......... Repair .............. Remgval .............. Demolition ........... Other Work ............... 4. l:st~mated ost ....... .~ ........ Fee ................................. (to be paid on filing this application) 5. If dweiling, number of dwelling!units ............... Number of dwelling units on each floor ................ If garage, number of cars .... ; .................................... ............................... 6. If business, commercial or mixed occupancy, specify nature ~nd extent of each twe of use .......... ~.. ~ f. ...... 7. Dimensions of existing structures, if any Front ...... .~... Rear ......5~.. ! .... Depth . Height .... Number of Stones ..... ~ ............................................. Dimensions of same structure with alterations or additions' Front ..... Rear Depth ................... ! .. Height ............. r ....... Number of Stories ........ ~'.'(~i ? ....... 8. Dimensions of entire new construction Front ~.~0 Rear ... '~. ~.. . Depth. i ..... 10. Date of Purchase . ~.~.. / .......... Name of Former Owner . ... ¢'~.~.3~e).a~.......... ..... 11. Zone or use district in which Premises are situated ..................................................... 12. Does proposed construction vioJate any zoning law, ordinance or regulation: ..~/..O. .......................... 13. Will lot be regraded ...... ~l* .....~., ............. Will ex.c_ess,fill be rqmo¥.~d./og~premises: _~ ~Yes~ 14. Name of Owner of premises .~.: .~.: ..... ~ ..... ,ddress .. . ..... .... .~Pfione No. .... ....... Name of Architect .......... i ................ Address ....... ,. ,,~.., ,,. Phone No ...... PLOT DIAGRAM Locate clearly and distinctly al! buildings, whether exi:~ting 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 .... ~.('.~.~.~..~..~. f~.~ ............. being duly~sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. Heis the .... ........................................ ~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is du)y authorized to perform or have performed the said work and to m~e and file ~is application; that all statements contained h this application are true to the best of his knowledge and belief; and that the work w~l be performed in t~e m~n6r set forth in the appIication filed therewith. Sworn to before me this : · -4~74 [signature oiappiic~l) ~Ualff~ in Suffolk C~n~ J t~ ~ U '" L E RIS ACRES OWNER DR. JERRY AND IRIS SEMER R.F,D,1. BOX 114 M MATTITUOK, NY 11952 (516) 298-8239 IRISACRES OWNERDR. JERRYANDIRISSEMER R.F.D.1. BOXll4M MATTITUCK, NY11952 (516) 298-8239 IRIS ACRES OWNER DR. JERRY AND IRIS SEMER R.F.D.1. BOX 114 M MATTITUCK, N'Y 11952 (516) 298--8239 7GS-'~802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING REMARKS: ]FINAL DATE Memorandum £rom . . . BUILDING INSPECTORS OFFICE TOWN OF SOUTHOLD TO,~VN HALL, BOX 728, SOUTHOLD, N.Y. 1 !971 765-1802 WOLF PIT ASSOCIATES P. O. DRAWER A JAMESPORT, NY 11947 December 3, 1986 Southold Town Building Department Main Road Southold, NY 11971 Dear Sirs: As per our conversation of Monday, December 1, 1986, please find enclosed our check no. 138 in the amount of $35 for the certificate of occupancy for the horse barn and fencing for the Wolf Pit Associates property at Mill Road, Mattituck, New York. Sincerel~ ~ /~ General Partner Wolf Pit Associates DJS:ml Enco check /hV,,4/:'. OF /v/,~ TTtTUdI.< ,. N. J J