The URL can be used to link to this page

Home My WebLink About12708-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Buildin§ Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z. 123,7 6 .......... Date ..... .J.~"(3'AI%¥. 3 ................. 19.8 4 ADD'r T'r ON THIS CERTIFIES that tile building ................................................ Location of Property .... 3 9.5..B..A,Yy...~.E..W..A..V~.: ......ARSHMOMAQU~ House No. Street Ham/et County Tax Map No. 1000 Section .... 05~1 .....Block ...... 5 ........ Lot ..... 2.4. ..... :..~-- Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .. OC. TQI~t!IP~ .3 ........ 19 B.3. pursuant to which Building Permit No .... .1.2.7.0..8.Z ........... dated q3~TO~EIR. '2{~ ............... 19 8.3, 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 ......... For a ffarage addition to an existing one f~m.ily dwelling The certificate is issued to ...... lVlg, lgG,~l~,ti~r~. D.g,I/~I.T.T.I. ................................. (owner, lo,see or tenant) of the aforesaid building. Suffolk County Department of Health Approval .......................................... N/A UNDERWRITERS CERTIFICATE NO .................................................. Building Inspector Rev. 1/81 FO~ NO, ~ TOWN OF $OUTHOLD BJJILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 12708 Z is hereby ....(~ l~ /~ ~t~ ._.............,...._...~......_..~....~.___ ........... Permission granted to: ~ /'"% /'~. _ ~. .~.:....~.......~.2.~~-'~ .......................................... ......................... .~~... ~.......c~~..i~.~ ~ ~.~ at premises located at ...~),..~..~.......J..~.~.~.,M~,,,.2 ....... .~.~...~.~~,/~.L,~-~ ......................... r'T.'"O'-'Z'~"'-'"' <z ~- , ~ ,or ~o .~ County Tax Map No. lO00 Section ........................ Bock ............................. ~ ............ --c~1~,~),, · ..eg... ~ . 19.~.~., and approved by the pursuant to application dated ..... .k~.....~....~..s.~ ........................ , Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in wpewriter OR [nE, and submitted 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 topographic features. 2. Fina~ approva~ of Health Dept. of water supply and sewerage disposa~--(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-existingt!_ 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 / land use ~/$5.00 2. Certificate of occupancy on pre-existing dwelling ~r 3. Copy of certificate of occupancy $1.00 Date ........................ New Building ............. Old or Pre-existing Building ............ Vacant Land ............. House No. Street Ha~nlet Owner or Owners of Property ..................................... County Tax Map No. 1000 Section ..... .5'~.o~- ..... Block ....... .~. ...... Lot... ~,. ~. ........ Health Dept Approval '- Labor Dept Approval Underwriters Approval ................ Plannin oard royal ....... '~ .............. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .... ~.~ ....................... Construction on above described building and per[~t meets all applica/bt.e~cqd,~, a~regulations. Applicant ....... .~.;' .~'..~.~.~ ............... Rev. 10-10-78 HE~ YORK STATE DEPART~E~!T OF £~!VIRO~F!E~!TAL CO~SERVATIO~ Regulatory Affairs Unit Building 40, SUNY Stony Brook, NY 11794 Henry G. )'Hlliams Commissioner Dear A review has been made of .your proposal to: 0_~-~ o~ It has been determinerl that no permit is necessary ~nder Article {lidal ~etlands). Hov~ever, any additional work or modifications to the project may require a pernit. It is you~ responsibility to notify this office in writing if such additional ~ork or modifications are contemplated. Assr ming you have obtained any other a~pl icahle permits, you may nroceed with your project. V~ truly yours,/ ' Reginal Permit Administrator n.J_:R~!T:l 1 FIELD INS?ECTION COMMENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY -- CODE FINAL ADDITIONAL COMMENTS: TEL. 765-1801 MEMORANDUM SUBJECT: Building Permit Applications Building Permit applications for all new buildings and additions to existing um±aln~s shall include The followihg::= ACCURATE PLOT SURVEY SHOI'/ZNG: Eb:isting or proposed structure D~,=vnslons of set backs from all bo~undries SETS 07 BUf-LDiNG PL&NS TO iNCLUDE: Foundation plan Floor plans Elevations Cross Section showing: Foundation Floor joist Ceiling joist Insulation Rafters Ail construction detailing, shall ~ ~ - m.e~ New York State Building Construction Code and conform to New York State Ener~ Conservatio~ Construction Code. DATED: April 6, !979 I f I I ¢