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Home My WebLink About11343-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18623 Date DECEMBER 7r 1989 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Propert~ 550 CkRRINGTON ROAD CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 07 Lot 10 NASSAU POINT Subdivision CLUB PROP. Filed Map No. 806 Lot No. 382 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 18t 1981 pursuant to which Building Permit No. 11343Z dated AUG. 19~ 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 ADDITION TO EXISTING ACCESSORY GREENHOUSE. The certificate is issued to NANCY HARRINGTON (owner, XXXXXXXXXXXXXXXX) of the aforesaid buiid~ng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/~. ~uilding Inspector Rev. 1/81 FOI~I~ NO. ~ TOWN OF SOUTHOL~ BUILDING DgPARTME~'/ TOWN HALL ,SOUTHOLD, N,. Y. N9 11343 25 Permission is hereby gronted to: BUILDING P'ERMIT~ (THIS PERMIT MUST BE KEPT ON THE PRE~IS~S UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Oote ...:~ ~..,~ ....... ~...f.. ........... 6130/80 ~O~M NO. 8 TOWN OF $©UTHOLD Building Depar~mep,~ Town Hall SouthoJd, ~'" TOWN zSOUIHOL~r~ ~.~. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions ' A. This aopl[c~tion must be filled in typewriter OR ink, and subr~itted in duplicate to the Building Inspec- tor,.v~tn the followin§; for new buildings or new use: 1. Final sur,'ey of property with accurate location of ali buildings, property lines, streets, and unusual na~uraI or tooograohic features 2.Fma~ aparovat of Health Dept. of water supply and sewerage disposal--(S.9 form or equai). 3.Approval oF electrical installation from Board of Fire Under~vriters. 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 ex~stmg buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peopertv showing all property lines, streets, buildings and unusual natural or topograohic 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. / C. Fees: 1. Cartd~cate of occupancy $5.00 2, Certificate of occupancy on pre-existing dwerling or land use $5.00 3. Copy of certificate of occupancy $1,00 New 13uddm9 ............. Old or Pre-existing Building(}¢) , ~ ..... ~/Vacant Land -. ........... Owner or Owners of Property Subd;wslon ................................. Piled Map No ........... Lot No .............. Health ~e~t. ~Oroval ........................ kabor Deot. A~roval ...................... ,.. Bequest for Temooraw Ceruficate ..................... Final Certificate ........ - ......... Construction on above described building and perr~it'meets all app~cable~codes and regulations. Applicant. ,~, ~4~.~ . -. FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY q,ODE FINAL ADDITIONAL COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.= 765-1802 Disat, proved a/c ....... ' ....... i ...... :' .... ........ / (/ . - (Bflildbfg Inspector) ~ APPLICATION FOR BUILDING PERMIT Application No..Z'.~..~.~ .~.3~'~ ...... INSTRUCTIONS a. Th~s application must be completely filled in by typewriter or in ink and submitted in triplicate to the Build, Inspector, w~th 3 sets of plans, accurate plot plan to scale. Fee according te schedule. b. Plot plan <hewing location of lot and ef buildings on premises, relationship to adSoining premises or public stre~ or areas, and g~vmg a detailed description of layout of property must be drawn on the diagram which is part of this apF cation. c. The work covered by this application may not be commenced before issuance of Building Pem~it. d. Upon apprc, al of this apphcation, the Buildmg Inspector will issue a Building Penmt to the applicant. Such pern shall be kept on the premtses avadable for inspection throughout the work. e. No braiding shall be occupmd or used m whole or in part for any purpose whatever until a Certificate of Occupan sb~l have been granted by the Bnddmg Inspector. APPLICATION IS ttEREBY blADE to the Building Department for the issuance of a Building Permit pnrsuant to t Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructmo of boildings, 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, ~d admit authorized inspectors ou p~ennscs and in buildings for necessaw inspections. ..... ........ (Signature of a/plicant, or name,iff a corporation) (Mailing address of applicant) ~ State whether applicant is,, oxy~, lessee, agent, architect, engineer, general contractor, electdcian, plumber or build, Name of owner of preniises ........................................................................ (as on the tax roil or latest deed) If applicant is a corporation, slguature of duly authorized officer, (Name and title of corporate officer) Builder's License No ........ ff...~7.~7.~. .......... Plumber's Licenss No ........................ Electrician's License No. Other Trade's License No ...................... I. Location of land on which proposed work will be done...~.GG .... .~..~.~...z}. .... .d~..7'....0?.2.. ............... House Nu,nber Street Handet County Tax Map No. 1000 Section ...... . .'~..~.T ..... Block . c<), '/ Lot .............. ' ' Subdivision //.//q~;_s%O-~./ .?,~..~..Z-...~ ..... '. ' Filed Map No .............. Lot ... ;..~ ......... (Name) 2. State existing use and occupancy of prenuses and intended use anti occupancy of proposed construction: a. Existing use and occupancy .... /-Jo b. Intended use and occupancy ~'re~.'/~o~/y¢ .eS~.~.~H~/q+2' R~p~ir .............. ~emovn] ............. ~e~oHfion .............. Other Wor~ ' (D ipti ) ~/~ ~ ~ escr on Estm~ated Cost 0~, ~ ~ .................................... Fge ..................... ~ .......... (to be paid on filing this application) ;. If dwelling, nomber of dwelling' units ............... Number of dwelling units on each floor ................ If garage number of cars.' If business, commercial or mixejd occupancy, specify ~ature and extent of each type of use ..................... Dm~ensmns of eMstmg structures, ~f any. Front ..... ~.~. ~ .... Rear . ~..~ ...... Depth . ./.~. ....... ltm~ht .... November ct Stoues q ~ .............. Dimensions of same structure With alterations or additions: Front . q~ ' ~* Rear ~ .'.~ Depth ~y, n ; , ..... ~ ...... ... Hel~lt ..... ~. ............... Number of Stories .... ~ ............. Dm~ensJons of entire new construction: Front .... / ....~4 .... Rear .. / .... v ....... Depth . . .~.(E ~.. Height ..... ~. ~ ....... Nombe~ of Stories .......... ~T ......................................... ). Size o~lot: Front . ~.., ............ Rear ....... ~.o.. Depth .. ). Date oTPurchas0 ...... K~ ................... Name of Fore, er Owner . . .~.~ ................. [. Zone o~ use d]str~t Jn which pr~mises are situated ..... ~.0~:~ ~.~ .............. ' .................. ). Does proposed construction violate any zoning law, ordinance or re~ula,on. ~. Wall lot be regraded ...... ~ ................... Will excess fill be xemoved from premises: Yes Name of Architect ......................... '.. Address ................... Phone No ............... Name of Contractor ~ Address Phone No PLOT DIAGRAM Locate clearly and distinctly alJ buildings, whether existing or proposed, and. indicate ~1 set-back dimensions fi'on roperty lines. Give street and block number or description according to deed, and show street names and indicate whethe terior or corner lot. , ,/ TATE OF NEW YORK,.., OUNTY OF ........ .-~..F..~q.t.~. 'S.S . ~ .... rom .............. being duly sworn, deposes and says that he is the applicmv (N~me of indMdual sig~i ng co m*act) )ove named, ' e is the ............ ~ ............................................................. (Contractor, agent, corpmate o£ficcr, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi.. )plication; that all statements contaioed, in this application are t~ue to the best of his knowledge and belief; and that th( ork will be performed in the manner set forth in the application filed therewith. worn to bqfore me this i otary u blic,~_gJ~....,-,~. ~..... JUDITH T. TERRY d/ Notary Public, State of New York ~,1o. 52-0344963 Suffo(k CountT~//~ Commission Expires Marci[l 30~ County (Sigq4ature of applicant)