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Home My WebLink About12198-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..~.3;. 2..9.3.5. ......... Date Oc~cobe~: 25 198..4. THIS CERTIFIES that the building .... .A.ct,ct.~..ig.n. .................................. Location of Property .. ~.0.5. ............... .h.o.¥ .e..~?.~..e ............... ~.a..~.'c.5..~..~. ?.~. ..... House No. Street Hamlet County Tax Map No, 1000 Section ...1.4.1 ....... Block ... 9.4 .......... Lot 031 Subdivision ....... X. ....................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. Q.q~.: ..... .2.2 ....... , 19.8..2pursuant to which Building Permit No....1.2.~..9.8.g ............ dated ...... ~..a~.c.h.....2.2. .......... 19.8.4., 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 ......... .O.~.e. 9.n.h. qu. 99. ?.d..c).J.?.!o..n..T.q..~.x.~.s..~.~.n.q. Florist Shop The certificate is issued to ............. B. g.U.C.E...NQ.R.R.~. $ ................................ (owner,~see. ec-tena~-t) of the aforesaid building. Suffolk County Department of Health Approval ............ . .............................. UNDERWRITERS CERTIFICATE NO .................................................. Rev. 1/81 Building Inspector 12195 ~issiorl is hereby granted BUILDING D~pARTMI iN~ TOWN?HALL at premise~s CoUl~t7 Tax Map No. 1000 Se;~.~ ...... ~:. .!:.,.~:.....~t No. ........................ portent to ~pplicotlon doted . ............. :.?..:: ....... ~: ............ [ ..... }.., 1~.....}.., ~nd ~ppmv~ by the B~il~lng I~spector. R~. {6/30/~80 ~ Ii / FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL PLEASE TAKE NOTICE that your app/Jjcation dated ~...~..7-~7~ , 19~ for pe~it to constn~ct .... ~~~ ~~~ .... ~ Location of Property O~6s~ ~(~ ~ ...... ~'~i ......... ~~ County Tax Map No. 1000 Section .. (.~('. ...... Block .~.~ ........ Lot ~Z ........ Subdivision ........ .~. ....... Filed Map No ................. Lot No. is returned herewith and dis.approved on the following .grounds .~a~..4~. ~.... Building Inspector RV 1/80 Model I w/Fixed Glass #560 Model I w/Fixed Gla~s #560 I $598 12' 11' 1418 225 . : 14' 11%" 1549 263 ,2268 875 21' 2" . 1943 376 · 11 23'23~'' 2074 414 23'2~~' 2849 1246 : 14 29' 5" 2468 526 · 14 29' 5" 3312 1519 15 31 53~ 2599 564 : ',:*,~,:: ' , !15 ,~31 5~i .,,?,3420 :;1614 ~ "Add or Deduct $265 for Door; Deduct $83 for ;':~i *Add ~ DeduC~ $265 fo; DOer; Deduct $110 for Plain Gable; Deduct $430 for Door Gable .. : ~ ~, : .:j' ::> ~: :,:?: Plain Gable; Deduct $460 for D~r Gable ~GGLG~ ~ 50] ~ ~ ~* ~ { '{ ~rou,d 6 i~ ~1 , 1628 225 ~' ["'- ~/',."-A ,'-Ground 6 1~ 11 ~-2455 780 7 ]4 li~ ?]741 ~;'263 : f ~,~ ...-.".";;.~ [ ~ ~,"::7 i4 11A':~,~2667 ; 875 : ,:, <,,10 21 2' ~ 2018 376 ~::~, :: : . : ~.,:', ; ~ lO 21 2 ?-~3148 1151 - ~, 11 23 2~A -2108 414 :: : :, ?' ;':?:>: ~ il 2d 2A ::~";~33~0 1z46 '. i4 Z~ b ZblO 526 "~, ':''~¥.~' '--,~ 14 29'5" .~.3867 . 1519 Add or Deduct $265 fo~ D~r; Deduct $85 for : ~:. ~ 'Add or Deduct $265 ,Or ~U Deduct $170 for ~::/~ :: :?? Plain Gable Deduct $432 fm D~, Gable ~::~' r :':: :,; ,: : :~: :~ : p a n Gab e Deduct $516 for ~, Gab e 486 7 14'11~" 1663 , 540 ' Model ,:6. ;;!2' l!'t: ~.2358 818 : ': ~?-t7.14' 11A":~72521 922 21'2" , 1973 717 21'2" ~., 2958 1209 11 23'23~'' 2109 772 23'2~" 3122 1314 : 14 29' 5" 2519 935 15 31'5%" 2655 I004 31'5~" :3816 1771 . :"Add or Deduct $265 for Door; Deduct $89 for :=,; ,~:~. :~,,, :~ ';Add Or Deduct $265 for Door Deduct $164 for Plain Gable; Deduct $435 for Door Gable :: * , : :. ;::~ ~ ,* '? Plain Gable; Deduct $511 for Door Gable ~ ,~ ~,-- ~ :: Ground 6 12' 11",, 1764 486 : Ground 6 12' 11' :'~ 2687 818 .'.~' " 7 14'I13A ~895 ~40 :: ~ 14'11~" ~:2875 ~-~~ 10 23'~" -2172 )'17 11 23'23J'' 2321 772 ~ Z ;f2,5 3~ ~:2471 ~802 ~13 ~2:~ AT4~2619 ~867~ 922 1651 14 29' 5" 2769 935 : : : , :.~;,14 29' 15 31' 531'' 2918 1004 : : ,::: ';~?:'~.: :L:: 15 31'5~:'.:~: 4234 1771 *Add or Deduct $265 for Door; Deduct $105 for "Add or Deduct $265 for Door, Deduct $256 fo~ Plain Gable; Deduct $453 for Door Gable . :~ ; Plain Gable; Deduct $605 for Door Gable ' 2nd Row of Vents $55.00/section DO NOT INSTALL FOUNDATION WALLS FOR GREENHOUSES FROM DIMENSIONS GIVEN -- WAIT FOR OUR PLANS. ' FIELD INSFECTIOI~ FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & FLUMBING INSULATION FER N. STATE ENERGY qODE FINAL COMMEN~TS ADDITIONAL COMMEN'TS: FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall · ~Jouthold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitte~p!~c;tcto the BuiJding Inspec- tor with the following; for new buildings or new use: I. 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 disposel-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwrfters. 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. B. For existing buildings (prior to April 1957), Nomconforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buiJdings 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. Ce~ificate of occupancy $5.00 ~ 2. Certificate of occupancy on pre-existing dwelling / land Use 3, Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.O. $ 5.00 New Building ............. Old or Pre-existing Building .......... Vacant Land .......... Location of Property ................................... House No, Street ........... Owner or Owners of Property County Tax Map,o. ,000 ~.,,on .... /.~ I .... . oc~...0. ~ ~ PermitNo ~J~ Date of Permi, ~2dApp cant ~J']~ ~ 2~'~ ,.,,, ...... .......... ... ................. ~,,~=,,,~,~ ~r~, ...... ~ .............. ,,~,,,n~ ~0~," ~,ov~,..~. ............ .... Request for Temporaw Cerdficam ..................... Final Ce~ificate ,..~ .................. Fee Submitted $ ,~ ...................., Constructiononabovedescribedbui,dingand~r~t~eo~l;¢~b~%a~dregulations.~ ~¢q ~ ~ t"~ Applicant...~~~~ ~ ~ ~ ....................... R~, 10-10.78 %- ?\ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT . TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 .... ,19 Approved ~...2. ~ 19 0~..~Permit No. ~.~./. ~/~.f Disapproved a/c .~.~g:~....c~.(~...~.,...~....c~.....~.... (Bufld/ng Inspector) ' APPLICATION FOR BUILDING PERMIT Application No..4 .~..~..~...~. ..... 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 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 necessary~a~ec~o.~d~.,. ~ 1~,. ~. _..* f ·.. g~.,4.,~?, y~...,~..,./~.....c.~...~. ~.: ...... (Signature of applicant, or name, if a co~orafion) 6..'/2 .... Y.:.//?. (Mailing address of applicant), State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. eo ownero p mises ... :. :.. ..... .. (as on the tax toll or latest deed) It' applicant is a co~omtion, signature of du~y 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 Hamlet County Tax Map No. 1000 Section ..... [...~.. ( ....... Block... Subdivision ..... ~'~ .............................. Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...~./.D.,C. (.~.'~....~. b. 0 .~. .............................................. b. Intended use and occupancy G.r-..~..~..~..~. 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration Repair Rembval Demolition Other Work o o~k,_~ (Description) 4. Estimated Cost .... ~'~ :~G'~./.,~.~,..~/ ......................... Fee ..... ~>~.. ............................ ,~ (to be paid on Filing this application) 5. If dwelling, number of dwelling iunits ............... Number of dwelling units on each floor ................ If garage, number of cars ..... i ................................................................ 6. ' ' ' ' ' J~ .~.' ,' ~.~.'... If business, commercial or mixed occupancy, specify nature and extent of each type of use . .~.'~...-?. 7 .... ' if any: Front Rear Depth · Dnnenslons of existing structures, ............................................ Height ............... Nun}bet of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ................... ~.. Height ...................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... ight nib f St ' He ............... Nu er o ones ................................................ 9. Size of lot: Front ........... i ........... Rear ...................... Depth ...................... 10 Date of Purchase ' Name of Former Owner 11. Zone or use district in which pr~mises are situated ..................................................... 12; Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ......... : ................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ; Add No · · .. ................. tess ................... Phone ................ Name of Architect .......... : ................. Address ................... Phone No ................ Name of Contractor ......... : ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly alli buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block inumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NE~'O~I(/, z ,/ 'S S COUNTY OF~X ...,,a above named· ' He is the ................ ~ i~~ge~~icer, etc.)' ' '' ' ' ' ............................................... of said owner 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 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 ....... ~ ...... day o~. {~..~ .... ,19~... N_o /P?lic ....... ...... County . . ..