The URL can be used to link to this page

Home My WebLink About11290-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPAiRTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17560 Date DECE14BER 1, 1988 THIS CERTIFIES that the building. ACCESSORY Location of Property 290 SUN LANE House No. County Tax Map No. 1000 Section 076 Block 01 Subdivision M/o WEST CREEK DEV Filed Map No. 1236 SOUTHOLD~ NEW YORK Street Hamlet Lot 812 Lot No. I0~11~12 conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 20~ 1981 pursuant to which Building Permit No. 11290-Z dated JULY 20, 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 BUILDING AS APPLIED FOR The certificate is issued to GEORGE J. BALLARD (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 ng Inspector N°. FORM NO. ~ TOWN OF S~OuTH~D BUILDING DtPART~!N' TOWN HALL SOUTHOLD, N~ Y. BUILDING P,ER~iT (THIS PERMIT MUST BE KEPT ON THE PRE,~I-c ~S UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) ~ Z~ .... ~ 2 9 0 Z Date ..... ~'"F ................................. Pefmisslon is hereby granted to: .......... ~......~.~.~ ......... ~ .... ...... ::~. ...... ./.~,~:.....~ ...... .~:...~~.~..../...~..;~ ~o ................ ~ .~,~.7....x¢~....~. ....... ,~'~.~.~"'i ....... ~'~" , i .......................................... :..-:; .......... ~ .............................. ~ ................ ~ ........... ~ ......... ;; ............ o, premises ,oco,ed o, ~..~.~...~.~:.~4.~..:¥..~..:~....:.~.~.....,~.'-~..~.~.::'... ....................................................... ~.. ........................ ...~..~.~.~. ~_.-...~...~..: ........... ........ ........... ............. County Tax Map No. 1000 Section ...~).~. ....... Blocki...~./.. ........... ' Lot No.(,,~.~...-..~../..-.~D'/~ pursuant to application dated ~.. ~ ~ 1 and approved by the Building Inspector. ~ ,.../..~.~ ..... Building Inspector Rev. 6~30~80 FORM NO. 6 TOWN OF 8OUTHOLD 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 ms.mama to the Building Inspec- tor w~th the followmg; for new buildmgs or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildmgs, 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 exist;ng 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 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 pertment informa- tion required to prepare a certihcate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, ~A>~c~s$ory ,$1,~.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 $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°nstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location ofProperW..........~.¢.(~. .. Sun. ...Lane,.... Southold, New Y..o.r.k. House No, Street ~lamlet Owner or Owners of Property George J. Ballard County Tax Map No. 1000 Section , 076 Block 01 Lot .... .01.2, Subdivision ............................... Filed Map No .... ~2. 3.6...Lot No... ,1.0. ........ Permit No. ..].129.0. . . Date of Permit .Applicant George J. Ballard 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 perfnj~u~ets all al~plir2,~6~codes and regulations Rev. 10-10-78 ¢0 i 7560 765-180Z BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND []/INSULATION / FRAMING [//] FINAL REMARKS: FIELD I N S P F~ 1. COMMENTS ~-.. ~ FOUNDATION (2nd) ROUGH FRAME PLUMBING INSULATION PER N. STATE ENERGY C,ODE FINAL 1DDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765~1803 Examined ~/~/.. ~.~). ..... 19~. Ap p roved ~.~./'.~...2C...fl ....,1 ~9/. Permit Nod//~. ~...qQ....~ Disapproved a/c ................................... , APPLICATION FOR BUILDING PERMIT /- ..~,g-,~/~ r~_x ~. F' ii--f-fi INSTRUCTIONS Application No././~...~.~. ....... Date ............. , 19 a. This application must be completely filled in by typewriter or in ink and submitted in triplicate to the Buildi Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according tc schedule. b. Plot plan qhowmg locatton of lot and of buildings on premises, relationship to adjoining promises or public stre,' or areas, and giving a detailed description of layout of property must be drawn oil the diagram which is part of this apF cation. c. The work covered by this ~pplication may not be commenced before issuance of Building Permit. d. Upou apprc.'al of tins applicatmn, the Building Inspector will issue a Building Permit to the applicant. Such peru shall be kept on the premises avadable for inspection throughout the work. e. No budding shall be occupmd or used in whole or m part for any pnrpose whatever until a Certificate of Occupan shall have been granted by the Building Inspector. APPLICATION 1S ItEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to t Budd,ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buddings, additions or alterations, or, A'ipr removal or demolition, as herein describe The applicant agrees to comply wid~ all applicable laws, ordinances, bu, i,Ydkfig code, housing code, and regulations, and admit autborlzed inspectors on premises and in buildings for necessary ~sy"~c~ons. .......... (Signatu~6<~l~plicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is rasher, lessee, agent, architec~t., engineer, general contractor, electrician, plumber or bmld, .... . ?..e , .... Name of owner of prenllscs ........................................................ , (a~6n tile tax roll or latest deed) " ' If applicant is a corporation, s~gnature of duly authorized officer. (Name and title of corporate officer) Builder's License No .... ff..~-~-..rT...~. ............. Plumber's Licensa No ......................... Electrician's Licanse No ....................... Other Tr: dc s License No ...................... 1 Location of and o~v~ House Number Ha~ 7Z County Tax MapNo. 1000 Section ~.<= .... CY Block ..,?.( .......... ' ' - // . . LOt . . ~. ............. (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed conctruction: ~........' ' ~ . ........ Nature of work (check whict, a'pplicable): New Building .......... Addition .......... Alteration Repair .............. Ren!oval .............. Demolition .............. Other Work ............... '4Z2. i /o (. escriptio ) i Fee '"--' ' Estimated Cost ................................................................ : (to be paid on filing this application) If dwelli~, number of dwelling milts ............... Number of dwelling units on each'flo0~..~ .~.. If garage,~umber of cars ...................................................................... ' ' re hied ~xtent of each type of use If business, commercial or m/xed occupancy, specify g~'tu .............. · '~ ~ ~ ~ , . . ~ . Rear ~5 _Depth Dimension~f existing structures, if any: Front ............................. Hm~ht . .~ ............ Number ot Stones ............................................ Dimensions of same structure With alterations or additions: Front ................. Rear ................ D pth ................... .... He~t ....... Dimensions of entire new construction: Front... ~ .,~ ........... ~2 ...... Rear"" Number~of/Stories .......... Depth . .77 ......... ' ht ~/ He:g Nnmber of Stofiesx ................. ~ ............ ., . L~ ~ ...... ?y~ ............. S:ze of lot: Front .................... Rear .................. Depth ................ Date df Purchase .......... ~ ................... Name of Former Owner ............................ Zone or use district in which premises are situated ..... ~ ................... ~ ......... '. ................ ~,~es proposed construcC?ony~iate any zoning law, ordinance or regulation: ff~ .......................... ~M[I lot be regraded ..... ~ ................... Will exc~s fill be removed from premises: Yes No Name of Owner of pre:roses ~e~.~/~. Address ~f.~Phone No. ~. Name of Arclntect ......... : .................. Address ...... '...; ......... Phone No ................ Name of Contractor .......................... Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly ali buildings, whether existing or proposed, and, indicate all set-back dimensions from roperty lines. Give street and block nmnber or description according to deed, and show street names and indicate whether terior or corner lot. I'ATE OF NEW Y~"~K,-- -,,~ i OUNT¥'Of,7,~. is.s · . E-/ZT-_-'[~' .... ,;~ , ~ . . ,.~ , .... e.~~ .... c-'Ir ..... being duly sworn, deposes and says that (Name of~divi~g~Img contract) )ore named. he is the applicant e is the .......................... (Contractdr, agent, corporate officer, etc.) f said owner or owners, and is duly authorized to perform or have pei:fonned the said work and to make and file this >plication; that all statements contaiued in this application are true to the best of his knowledge and belief; and that thc ork will be performed in the manner set forth h~ the application filed tl;erewith. worn to before me this ~ ~P~ublic, ........... ~ ~...~. County