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Home My WebLink About10731-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13883 Date September 26 .,19.85. THIS CERTIFIES that the building accy. greenhouse. 3950 Wells Rd. Location of Property 2575 Oaklawn Ave. Southold House No. Street Hamlet County Tax Map No, ] 000 Section .... 7. .0 ...... Block ........ .3. .....Lot ..... 2. .3 .......... Subdivision ...... X ...Filed Map No. x .Lot No. x conforms substantially to the Application for Building Permit heretofore filed in this office dated J.une 11 19.8.0 gp 10731Z .................... , . pursuant to which Buildin ermit No ...................... dated .......... .J.u.n.e.. ! .3 ..........19.8.0., 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 greenhouse in szdeyard area. The certificate is issued to ALICE C :. LESLIE (owner, of the aforesaid building. Suffolk County Department of Health Approval ............... N / a UNDERWRITERS CERTIFICATE NO ......................... ~ .7 9.9.7. 1. .6 ................. Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH'OLD, N. Y. BIJILDI~qG PERMtT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N°. 1O731 Z Permission is hereby granted to: ....... ~z~..~.....~.~.,~ ........... ........ ~~:.=~..~. , ...... ~o ....... ~.~?~.~ ~ ~cc.~.~..~.~......~.~r~.~...z~ . .~-.. ~...~z~...: .......... (~~...~.. x~.~.~.~z~ ........... : ....... at premises~ca~ed a~~ ~Z~/~ ~.~ ~.~"~ ~"r' ' .~. // 19~ dbyth pursuant to application dated .............................. , , and approve e Building Inspector. Fee $..L..~,,,.~ ..... Budding Inspector FORM NO. 6 TOWN OF $OUTHOLD Buiiding Department Town Hail 8outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s apphcat~on must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor w~tn the following; for new buddings or new use: 1. Final sup~ey of propertv with accurate location of all buildings, property lines, streets, and unusual natural or tooograohic features 2. Final approval of Health Dept. of water supplv and sewerage disposal--{B-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 ceruficate 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 Aprd 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. Data of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. / Co 1. Certificate of occupancy $5.00 2. Certff~cata of occupancy on pre-existing dwelling or ]and use 3. Copy of certificate of occupancy $1.00 $5.00 Date ,. New Building O d or Pre-existin ~u'lding(:~) ........... O* . 7 ...... = ZVacant Land -. ........... o, ................... , ................ IZ . House No. ~ Stree[ Ham/et Owner or Owners of Proparty .... /~\i ~ County Tax Map No. 1000 Section .............. Block ............... Lot ...... : >. ~. ..... Subdlwslon ........... ~ .................... Filed Map No ..... ,~, .... Lot No.., ~ ....... ................................ ~ee,,b O~p,. ^pprova, ...... ~/tPr ............. L~bor ~e~;. Ap~o~el ......................... .................. Request for Temporary Certificate ..................... Final Certificate ................. Fee Submated $.. (~ ............ I ..... Construction on above described building and permit~meets all appl-~cable~codas and regulations. %.-~. iqqflb Applicant., ~a. ,..' .................... Ro~, 10-10-78 FIELD INSPECTION FOUNOA~O~ (~st) FOUNDATION 2. ROUGH FRAME & PLUMBING INSULATION PER N.Y. STATE ENERGY COpE FINAL ADDITIONAL COMMENTS: TO~N OF SOU~OLD OFFICE OF BUfLDI ' ' NG INSPECTOR ' P.O BOX 728 TOWN HALL SOUTHOLD, N.Y. 1 t971 TEL. 765.1802 .~,,~s ab ,o acvase you that the ~ob been done, com~ .... this £i!e~ it is necessary that _v~ ~ncy be Issued. Please fall out the enclosed foPm(s} ~ return same to ~he above ~e, ~ wa check fop $5.00 payaDie to the Town o£ Southo!d. ?!e~se ineacate to whom the Certificate o£ Occupancy is to be mailed, and arrange Wath this office for an inspection date. Thank you for youP prompt attention. VL:ec Enclosures Very truly yours, Victor Lessard Adminis~r~ ~or FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 amined. I9 Approved (Building Inspector) ~P~klC~TIO~ Date.../. ............... ,19... INSTRUCTIONS a. This application must be completely filled ~n 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 tl/e 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 Southotd, 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 apphcant agrees to comply w~th all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in buildings for necessary inspections. ....... ............... (Signature of appIicant, or name, if a corporation) ~-r- ~/.~- .0.v.d.,-g.,-~,.. ~;.<m..... ~.~¥;~',~':,,~.... W ........ ~ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ............. .............................................................. Name of owner of premises .... ~.C(..~-..c., .(... ~ .~.;~.~.. ............................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Bmlder s L~cense No ............. Plumber s Lmense No ...... .// .......... Electrician's License No ..................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. . -z~rv~ , , ,, ~ .~ b.~. .\ :.; ~ ,,=~-:~.~/ .... .0. .~. ¢ ? .~. ~ ,~. . . . g~,,-. . ...... ~. /&~. ~:, . . ~ .... q~ ............................ House Number Street Hamlet County Tax Map No. 1000 Section ...... .~.O. ......... Block . *d~ ............... Lot 2...'3 Subdivision ................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exishnguse and occupancy b. Intended use and occupancy . . .~,./-A/-.~:.. ,k,/. ~tCZ~-~$~rC...:.~g~~ ............. 3. Nature of work (check which applicable): ...... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work ............... ~a ~ (Description) 4. Estimated Cost ]..2.0..O.'7. ............................ 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 structures, if any: Front ............... Rear .............. Depth ............... Height ................ Number 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 ............... Height ............... Number of Stories ........................................................ 9. Size of lot: Front ........... ( .......... Rear ...................... Depth ...................... 10. Date of Purchase ............................. Name of Former 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 ...... .~.., J ..................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .J~..'%~...~..~... Address .Q ~L/~..'..~<~n-.~...~..',~.. Phone No. 7. ~.6..~ ;7 ..3...~. ~.o~.. Name of Architect .......... i ................. Address ................... Phone No ................ Name of Contractor ......... . ................. Address ................... Phone No ................ ; PLOT DIAGRAM Locate clearly and distinctly all Ibuildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block ]tumber or description according to deed, and show street names and indicate whether interior or corner lot. ¥ STATE OF NEW YZ)RI~,./ ~ '~ S '-~. [I C ~ being duly sworn, deposes and says that he is ~e apphc~t (Name of[n~xvidual sigmng contract) above named. He is the ...................... : ................................................................... ~ (Contractor, agent, corporate officer, 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 mannei set forth in the application filed therewith. Swor. to beforec his .' (2 geetmy 1~4~e~ of New York (Signature of applicant)