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Home My WebLink About11224-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17473 Date OCTOBER 31, 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 7405 ALVAH'S LANE CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 101 Block 1 Lot 16.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed 'in this office dated JUNE 17e 1981 pursuant to which Building Permit No, 11224Z dated JUNE 30e 1981 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 STORAGE SHED . The certificate is issued to DA¥ID M. ~ NANCY J. GRIGONIS (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 Building Inspector FO~I~ ~0~ BUILDING (TH S PER~IT ~UST BE KEP~ O~ COMPLETION OF THE WOR~ AUTHb~IZED) · ~1!9 11224 :Z ' Permission; is hereby granted to: o(~ P~ ... raise§ .. 1 COUnty Ta~ Map No. 1000 ,~Section ... ,/,,~,~,.; · p~rs~ant tO application dated ~ ' ~ I~s_ector. - , NO: :(-~'/-~'""' d .... end opproved by the Inspecto~ · 6Z30~80 ~ ~, FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I~ 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.Final approval of Health Dept. of water supply and sewerage d sposal-(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 Arch tect 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), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic featu res. 2.Sworn statement of owner or previous owner as to use, occupancy and cond t on 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. C. Fees: Additions $25,00 POOLS $25 . 00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ I00.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.C. $ 20.00 5.Updated C.O.~/ $ 50.00 Date ...J.D.I:~!I.~.~ ........ NewC°nstpuctl°n.. Y... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~..~,~,~ ..... / .~t ..... .~-; ................... House No. Street "~ '~' ~ ' '-'-k~ .......... Ham/et Owner or Owners of Property ............ County Tax Map No. 1000 Section ......... .L~.~. B lock ...... I. ........ Lot .... ! .(R.:. ~ .... Subdivision ................................. Filed Map No ........... Lot No .......... Permit No. ,\~.~..LJ. ,~ Date of Permit '~t~')'~'l'Applicant ........................... . .. ... . Health Dept, Approval ..................... .., Labor Dept. Approval ......................, , Underwriters Approval ........................ Planning Board Approval ....................... Request for Temporary Certificate ..................... Final Certificate ..................... Fee Submitted Construction on above described building and permit meets all applicable codes and regulations. ~vR0c.' ~~LO~/) ~-- 3(o"0(,0 Applicant .... Nancy J. Grigonis FIELD INSFECTION ~ % 1. FOUNDATION (1st) FOUNDATION (2nd) 2. COMMENTS ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY pDE FINAL ADDITIONAL COMMENTS: APpROVeD AS NGTED, '-2 F~: [~_. .. · ^T ~LLOW N~ INSPECTIONS: ED ~UN[~A~F/~N '~ TWO REQUIR FOR POURED CONCRETE ~OUGH ~"-FRAMING & PLUMBING INSULA~ ON FINAL'- CONSTRUCTION MUST : BE CO/,,4PLETE FOR C. O. ..~LL CONSTRUCT-ION SHALL MEET THE REOU!REMENTS OF THE N.Y. sTATE coNSTRUCTION & ENERGY ~ODES NOT RESPONSIBLE FOR ~SIG~ OR:CONSTRUCTION ERRORS, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according t? schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining promises or public stret or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this ap[ 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 wil! issue a Building Permit to the applicant. Such peru 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 Occupan 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 t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in buildings for necessary inspections. ..... ........ '.. (Signature of apphcant, or nffme, if a corporation) c. <, : : ..... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buildt Name of owner of premises . .4?d.z././~....ag.4~.. A/. <~.//./q:7....~..~:'~,~..~;).5. ................................. (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 ...... ~. ..... .~.~-~..~. ...... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ~-" Location of land on which proposed work will be done ................................................ House Number Street Hamlet County Tax Map No. 1000 Section .../..~. ( ........... Block ....O../~. ........... Lot .... ~ .......... Subdivision ..................................... Filed Map No ............... Lot .............. (Name) 2. State existing use and ~ccupancy ~f premises and intended use and ~~~upancy ~f pr~p~sed c~nstructi~n: a. Existing use and occupancy .................................................................. b. Intended use and occupancy ..... 72.~-..r~../~.~'. .. .................................................. Nature of work (check which ap¢licable): New Building .......... Addition .... Repair Remoyal ' Demolition Estimated Cost. ' ...... ..... Alteration .......... Other Work ............. (Description) (to be paid on filing this application) If dwelling number of dwelling ~nits ~ Number of dwelling nnits on each floor If garage, number of cars ..... ~ .................................................................. If business, commercial or mixedl, occupancy, specify nature and extent of each type of use ...'77. 7~2 ........... Dimensions of exijting structurefl, if any: Front .... ~...~ ....... Rear ... ~· ..~.: ...... Depth . . ;2:. ~. f. ..... Height .... ~- ........ Number of Stories . . .,.~.-.. ............................................ - Dimensions of same structure with alterations or additions: Front Rear . .'-77~ Depth ...... · ."77.~. ..........,. Height ...................... Number qf Stones .................... · . /o, 20 /.g Dimensions of entire new construction. Front ............... Rear ............... Depth ......... Height ...~. .......... Number of Stories ....................................................... Size of lot: Front ... /."?.r,9.... i .......... Rear ..... /. 2~. ........... Depth .. ~..~..~. ............. Date of Purchase ' Name of Fenner Owner Zone or use district in which preraises are situated ..................................................... Does proposed construction violate any zoning law, ordinance or regulation: ... d~..~ ....... ............... Will lot be regraded .... ~' '~" i ................... Will excess fill be removed from premlses:' Yes (.~_o~) Name of Owner of premises Address Phone No Name of Architect ~ Address Phone No ' Phone No Name of Contractor ~ Address PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-hack dimensions from · operty lines. Give street and block humber or description according to deed, and show street names and indicate whether tefior or corner lot. being duly sworn, deposes and says that he is the applicant is tile ..................... ~~..qrz.. ~...' .......... .. ....................... said owner or owners, and is duly. a~u.th~o .'..~.p. efform or have performed the said work and to make and file this )plication; that all statements contained m this application are true to the best of his knowledge and belief; and that the ark will be performed in the manner set forth in the application filed therewith. ~orn to before me this ........ i .... J. ~day o~. ~ .(~....~ 1.9c~. otapdP, ubhc, .... .~.r~-~x ..... >,-~~. County ~ _