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HomeMy WebLinkAbout12704-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26350 Date: 03/30/99 THIS CERTIFIES that the building ACCESSORY GABAGE Location of Property: MONTAUK AVENUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 9 Block 5 FISHERS ISLAND (HAMLET) Lot 3 subdivision Filed Map No. __ Lot No. conforms substaetially to the Application for Building Permit heretofore filed in this office dated OCTOBER 3, 1983 pursuant to which Building Permit No. 12704-Z dated OCTOBER 27, 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 GARAG~ AS APPLIED FOR. The certificate is issued to ROBERT & CLAUDETTE GENEREUX (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 03/26/99 PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 FO~ NO. 2 TOVV'N 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) N? 12~04 Z Permission is hereby granted to: ......... ........... ~.~..~/.......~.... ....... ~~ ...... ~ ............................. ,~ ......... ~ ............................ ~ ........-I /~ \ ~ ..~.~ .~),~..~. / ~ X~30 ~ ~ /~ ......... ,.....~ at premises located at ......... ~....~'c~5"'...~.. ....... ~..~ .......... .,..~...~...-..~....,~.. ......... County Tax Map No. 1000 Section ............ ~ ...... Block ~ Lot No. pursuant to application doted ........................................................ , 19 ........ , and approved by the Building Inspector. Fee $.....!..~..~. ..... Rev. 6/30/80 BLDG. DEPT. --- ~ ,ow~or~omH0m_ _.~ §1G-788§§19 ROBERT E WALL PAGE 01 TO~A~ OF ~OUTHOLD BUZLDIHC DEP~RTH~I~T TOt~t HALL 765-1802 tI~LICATIO~ I~0R C~RTIFICATE OF OCCUPANCY A. This appltcazion must be filled /n by typewriter OR ink and submitted co the inepecCer ~i~h ~h~ follo~ng: ~o~ n~ buildin~ or ney 1. Fiul ~u~ey el property ~h accurate location of all buildings, property streets, and unusual nacu~ or topographic ~eatu~es. 2. itn~ Approval {r~ Health Dept. o~ wa~er supply ~d se~ra~m-dlsposal(S-9 fc~) Swo~u s~ag~en~ frei pl~ber certify~g that the solde~ used ~ sysc~ coutatu~ less ch~ 2/10 o[ II lead. 5. C~erci~ build,g. ~dua~rlal ~lld~ ~l~tpl~ residences and s~ar build,ge and ~s~allittona. a certificate oi Code C~pttace fr~ ~chi~ect or engineer responsible for ~ butldi~. I. For ~ImC~8 b~tld~s (p~o~ ~o ~ril 9. 19~7)' non-con~o~ uses. or buildings Vpr~ist~g" laud uSeS: 1. &ccuraCe su~ey of pr~er~ ~ho~n~ ~1 p~op~y lin~. g~ee~s, ~dtng unuso~ ~ur~ or topographic 2. i properly c~le~ed lppllga~l~ and a co~ to ~specg si~ed by the applican~ ~easons therefor tn ~t~ ~o ~he applicon2. JC. Fees ~CeraCtous Co dve~ln~ $2~.00, S~g ?ool $2~.00. ~cessory hulldlng $25.00, Additions co accesso~ butld~ $25.00. ~us~esses $~0.00. 3. C~y ~ Cer~tficata o~ Occupancy - . .~.' ~pda~ed Certificate of Occupancy - ~0.00 T~ora~ Certificate of Occup~cy - ResidenCtll $~1f,00, C~erctal 115.00 ,,,. ...... ...................... Hey C~scruc~ion .......... ]~O01d~'Or Fre-~is~ing Budding. _ . ..... Couu~ T~ ~p ~o 1000, Seccion ...... ~ ...... ~lech ..... ~ ........ ~C ...................... ~ubdtv/slon .................................... Ft~ed ~p ......... ,..~oC ...................... z.k ........ Bealch Dept. ~prov~l .......................... Und~lcers ~?roval ......................... Yee Sub~lt~ed; Co ~: o~ (a~b-o Planning Board ~pproval ........................ Request £or.* Temporary Certi£icate ........... Final Certicate ........... ~PLXC~ Robert A. Doyen PO Box 892 7 De,Att Road Old Lyme, CT 06371 860 434-5838 E-mall: dudl~b~¥(~,juno.co~m March 21, 1999 Building Department Town of Southold PO Box 1179 53095 Main Road Southold, NY 11971 Dear Pat, Enclosed is the application and fee for a certificate of occupancy for Robert C. Genereux's garage on Fishers Island. The building permit was taken out on October 27, 1983, #12704. His property is identified as Section 9 Block 5 Lot 3. Thanks very much for your help with this. I know that my uncle is very appreciative. If you have any questions, please do not hesitate to call me at the above number Sincerely, 83/25/1999 12:39 516-7885519 ROBERT E WALL PAGE BUILDING DEPT. INSPECTION FOUNDATION SST [ ) NOUGH PI.Be. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [),']'~NAL REMARKSI __ , ... ~.k, F,~. FORM NO. 1~ ~" TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1803 Application No .................. Disapproved a/c ...~ ..... ...~. ~,~/ ~55;7/'. .......... ./. ....... (B(iilding Inspector) APPLICATION FOR BUILDING PERMIT Date ................... 19.,. INSTRUCTIONS a. This application must be completely filled in by typewriter or 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 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 i~uance 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 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 buildings for necessary inspections. (Sigfiature of applicant, or name, if a corporation) State whether applicant is owner, lessee, agent, architect, engineer, g~neral contractor, electrician, plumber or builder. ......... ............................ : .............................................. Name of owner of premises .... 6: l~'. tV. .[~.~. .t{.. [.~.~_. -.tA.. .~. . . /./~.. .Q.I~. P.~-. .~.T. . . .<27. . . . ~. . . .t~.'.~ ................. (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. ~ 'q~ --~' ' Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ............................. ............. LS .P. fA S. . Z. . House Number Street Hamlet County Tax Map No. 1000 Section ......... 7 ....... Block ....... ~ ...... Lot..~. ............... Subdivision ..................................... Fil6d Map No ............... Lot ............... (Name) .. 2. State existing use and occupancy of premises and intended use and o. ccupancy of proposed construction: a. Existing use and occupancy ........................... .'.. ........................................ b. Intended use and occupancy .... ( .~.-../4: ./(. :fi.. :~-: .~.~ ............. . ..................................... ; ' ~teration .......... 3. Nature of work (check winch applicable): New Building . .~ ...... Addition .......... Repair ............... Removal .............. Demolition .............. Other Work ............... [g...fl~.. (Description) 4. Estimated Cost ·Doe ~ Fee (to be paid on filing this application) 5. If dwelling, 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 and extent of each type of use ..................... 7. Dimensions of existing structurels, if any: Front... i:k ~z! ........ Rear ...0 ~t ........ Depth .. ~ 9. t ......... Height: ............... Number of Stories ...T.~//.q ................................................. Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth i ....................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new constrUction: Front .... .~.0~ ........ Rear ....~O! ........ Depth .2~.?! .......... Height .. [.q.' .......... Number of Stories .... .~r'////.c_) .............................................. 9. Size of lot: Front ...... ~.p.r> ........... Rear ..... FT.x~.( ........... Depth . ~..~. I ................ 10. Date of Purchase ........ t .q'.~. J ................ Name of Former Owner ~.5i~. ,..4.O.4~t0~.. DI ~.7:-.~¢, tc~7~ 11. Zone or use district in which pr~mises are situated ..................................................... 12. Does proposed construction viol'ate any zoning law, ordinance or regulation: . .2~.0 ........................... 13. Will lot be regraded ...... ~/./~ ................. Will excess fill be removed from premises: Yes 14. Name of Owner of premises i.,.-.0.' ~?.~.(~ .q~. f~Atp.~tr~ress . ~)&'f_7-.~.a/.Pr.. ~¢P/-Phone No..~..o .~: .'7.7. g. . Name Of Architect .......... i .............. Address ................... Phone No. Name of Contractor ...... ~...:~.. ~. ............ Address ~..[.5. Pfitt2.-~.? .~fl..t':~./~. Phone No. ~.'~i ~. PLOT DIAGRAM Locate clearly and distinctly all~ buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF... % ~..~.C-~..,¢.t<,.... ,:S'S ......... ~ .O f~.~/~ '1-7... ~_,~. ~A/,~:~/A ~/4-.5~. .... 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 owfier or owners, and is duly 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 knr>wledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this : Nora .ryrublic, . ........ x...,.. County NOTARY PUBLIC, Sta~e of ~lorlda af Large J//~'~',~l~"-~ Bonded through AblERIGAN FIRE & CASUALTY , (Signature of applicant)