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Home My WebLink About10335-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18152 Date JUNE 28~ 1989 THIS CERTIFIES that the building Location of Property 2305 ELIJAHS LANE House No. County Tax Map No. 1G0O Section 108 Block · Subdivision ELIJAHS LA_NE ESTS. Filed Map No. 6065 ACCESSORY SHED MATTITI/CK~ NEW YORK Street Hamlet Lot 7.13 Lot No. 10 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31~ 1979 pursuant to which Building Permit No. 10335-Z dated JULY 31~ 1979 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 SHED AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A JAMES A. RELYEA 7/Bispect°r Rev. 1/81 FORI~ NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 10335 Z Permission is hereby granted to: .......... ~,~.~.~.5 ......... ~. ...... at premises located at ......................... -.~,.~..?.,..~.. .......... ,~....L..I...J.....~..../~.....~ .......... .L.....~.. ........................... pursuant to application dated ................................ ~....~.~.., 1~.., and approved by the Building Inspector. O~ Fee *......(.~.~ ....... 7. lB Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197 TOWN OF 'SOUT:~IOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE . . ~/~X~.'~/~.~?',~. ...... NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ · -. HOUSE NO. / STREET HAMLET ~o=~, ~ ,~ ,o. ,000 ,~o~ .~ ~o~ .~ ... ~o~-..7,/3.. Subdivision - -- Filed Map - ~-'~...Lot ........ Approval ............. Planning ~oard Approval Request for Temporary Certificate ....... Fee Submitted: $. ' .. Final Certificate ........ rev. 10/14/88 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 ~, ' TEL.: 765-1802 Approved ...... 1;. ¢ ermit No. Disap~mveda/c ~...~-: .... ~............. ~----.. (Building Inspector) APPLICATION FOR BUILDING PERMIT Application No. / c/~ '~35 INSTRUCTIONS a This apphcation 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 descnphon 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 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. ~7' (Signature of applicant, or harrY, if a corporation) ~. , .~. . .,~.,:?. .r. .... ¥. ,'~ . . . .~. .~ ~ v.~. .e'. r. o l~. . .~. ,. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . ~. ~ pr/..~'.W. .... t~:./~.~.-.1,-.~. ~A ........................................... (as on the tax roll or latest deed) If applicant is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's LicenseNo...~.~..~.~7.~ ............... Plumber's LicenseNo ........................ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .& .?.o..~ ................... ~-./. ~..~c.... A .~/..eS ........... .A~..r3./.-XS. ~ .~.~.~./(. ............. House Number Street Hamlet County Tax Map No. 1000 Section /..~>..~. ............ Block ..... 7. .......... Lot..~.~ Subdivision. ~ .t-..t 9.,5..~..~../~ ~g~. 6...~..,~..~.r.-Tff. ~ .... Fited Map No. ~ .O..~...5' ...... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . ./~.~.~.g .~..T~.~. ...... o...,~. ~.. ...... .t5'7~., .~')..~ .z.~. ............................ b. Intended use and occupancy ...................................... .' ............................. 3. Nature of work (check which appliqable): New Bttilding ., .t.-~. ...... Addition .......... Alteration .......... Repair .............. Rem .............. Demolition .............. Other Work ............... ' / 0 (Description) 4. Estimated Cost~..t'i/~..O.. ~..o.. ~ ........................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwelling~ units ............... Number of dwelling units on each floor ................ number of c~s ' If g~age,. ............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. D~ens~ons of ex~stmg structures, ~f any Front...~ ~'. R ...... Rear . ~.~: .O ...... Depth ~.~ P. ......... HeiSt . ~ ~. ~O ........ Number of Stories .. ~ P. ................................................ D~ensions of same structure wi~ alterations or additions: Front ................. Rear .................. Depth ................... ~... Height .. ( ................... Number of Stories ...................... 8. Dimensions of entire new construction: Front . .~Y.~ ........ Rear . ./~. ~ ~ ....... Depth .. ~ g ~ ¢. ....... ~eight .. ~z ~ ..... ~.~ Number of Stones ............ ~ ............................ ; ..... 9. Size of lot: Eront ./~ ~n~.. ~ ............ Rear../~.~ o ............ Depth .. ~.~.-.4~ ........ 10. Date 0fPurchase .......... , ................... Name of Fo~er Owner ............................. 11. Zone or use district in which premises are situated ..... ~, ............................................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~ ............................. 13. Will lot be regraded ....... ' .................... Will e~ess fill be removed from premises Yes ~o 14. N~eofOwnerofpremisesd~.~. ~.~.g¢~.Address ~,~ ~ PhoneNo ~ ...... Name of Architect ......... ' .................. Address ................... Phone No ................ Nme of Contractor ........ : .................. Address ................... Phone No ................ PLOT DIAG~M Locate cle~ly ~d distinctly ~ build~gs, whether existing or proposed, ~d, indicate ~1 set-back d~ensigns from property lines. Give street and bloc~ number or desc~ption according to deed, ~d show street nines and indicate whether ~tefior or corner lot. , ~ ,' Jt~ ~o7 Cuu~N~z ~v~' ~ .. ......... du,y above nam~ He is the . .~ ............ t~: ................................................................... ! i ~ (Contractor, agent, corporate officer, etc.) of said ow.her or owners, and is d~ly authorized to perform or have performed the said work and to make and file this applicatiog'; that all statements con.iained in this application are true to the best of his knowledge and belief; and that the work will ~oe performed in the manqer set forth in the application filed therewith. Sworn to before me this I NOTARY PU6tlC, State r ae ! No 52.812585s Suffolk Ce~tnt~ ' i Term Expires March 30, lgr~_..c~' (Signattlre of apphcant)