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HomeMy WebLinkAbout13555-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17309 Date SEPTEMBER 15, i988 THIS CERTIFIES that the building Location of Propert~ AGRICULTURAL 1645 PLATT ROAD 24670 MAIN ROAD ORIENT County Tax Map No. 1000 Section 18 Block 6 House No. Street Hamlet Lot 4.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1984 pursuant to which Building Permit No. 13555Z dated NOVEMBER 20, 1984 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is AN AGRICULTURAL SHED. The certificate is issued to ~. RITCHIE LATHA~ JR. & JAMES P. LATHAM (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N595535 ~B~ing Inspector Rev. 1/81 FO]B,~r NO. Il TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No 13555 Z Date Permission is hereby granted to: , _ . /~ ~.~::...~..?../...~.-.. ....................................... · ~.,..11~- ^ ,_ ~ ......... ~. ........... ~.......2 ................ .,..~.~: .T~.. ~ ' ~, ' at premises located at ...... __~..,~.. ......... .~..3,.~....~ .......... .,..~. ....... .~~ .... County Tax Map No 1000 Sect on 0 ! .~. Bock /- .... 'a~-L~ / ................................ ~ ......... LOT INO ...... ,%'~R ~%..9..(. .... pursuant to application dated ...~.~.....,~...~. ................ , 10~..~..., and approved by the Building Inspector. Fee $&......: .............. Building Inspector Rev. 6/30/80 'BLDG, b£PTi" TOWN OF SOUTHO,LD .... FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter O R ink, and submitted m ~ 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 disposal-(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, e 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. 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 condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $25.00 -- BUSINgS$ $50.00 ACCgSSOR¥ $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewC°ns t'ruct i°n.. .... Old or Pre-existing Building ............ Vacant Land ...... Location of Pro-ert' /~A' ][P~"~ /~P ~ ~.7.~. ~/~ ~O/~'~ ..~.~../.~..~..~' House No. Street Ham/et Owner or Owners of Property .............. ~... ! ............... ~ ..... ~-~ . County Tax Map No. 1000 Section ....~./..~. ....... Block .... ~. .......... Lot ................ Subdivision ....................... ;~..,...Filed Map No... ;. ...... ..Lot No .............. Permit No.[.~..~'.E"..(..'~.. Date of Permit ./.~.~..~..Applicant..~.". Health Dept Approval Labor Dept Approval ' Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ..................... l.¢ --- Fee Submitted S ..................... - Construction on above described building and~permit meets ~ll applic, cC)le codes and regulations. ......................... 1000773 THE NEW YORK BOARD OF FIRE UNDERWRITERS ~ BUREAU OF ELECTRICITY ~- 85 JOHN *STREET, NEW YORK, NEW YORK '10038 Oate March 10, 1983 ~.p.~.~o. ~o. on~ 205718-83 N 595 THIS CERTIFIES THAT only the ~{ect~a3 e~uip~ne~ ~ ~rlbed kel~ and i~r~uc~ ~.~ appli~nt named on the able application number in the premises of ~. ~cne ~ ar.. ~r~aCe ~. oz~ ~ ~v~ ~,, Orl~c, N.Y. in H, e followlng location; ~ Basement ~ 1st Fl. ~ 2nd Fl. ~ Section Block Lot ' was examit~d on ~1 7, ~.~3 and /ound to be in compliance with the requirements of this Board. FIXTURE OUTLETS EECSPTACLES SWITCHES 6 2 DRYERS FURNACE FIXTURES RANGES =OOKING DECKS OVENS DISH WASHERS FLUORESCENT FUTURE APPLIANCE FEEDER~ TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO. OF FEET SERVICE DISCONNECT OTHER APPARATUS= S E R V I C E NO OF CC, COND. PER ,~' 1 A W, G, NO OF HI-LEG OF CC. COND, A.W G FNO OFNEUTRAI OF HI-LEG O~- NEUTRAL E-ectric Roan Heaters: 1- 2.5 K. W. 1-GAF.1. Arthur Ruroede Main Road Orient, N.Y. ~ 11957 Lic. #2334 GENERAL MANAGER This certificate must not be altered in any manner; return to the office of the Board if inco~'rect. Inspectors may be their credentials. COPY F CERTIF ( MANNER. FIELD INSFECTION COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECI'OR P.O. BOX 728 TOWN HALL SOUTHOLD, N,Y. 11971 TEI. 765-1802 This is to advise you that the job under building permit no. 13555Z issued to G. RichieLatham on 11/20/84 for Agricultural building is completed and a final inspection Was ( ) has not ( X) been done. In order to complete this file, it is necessary ~hat a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.OOpayable to the Town of Southold. Please indicate to Whom the Certificate of Occnpancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupancy. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very trul Victor Lessard Executive Admln{strator VL:gar encl. TOWN OF SOUTItOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. i 1971 TEl,. 765q 802 This is to advise you that the job under building permit no, 13555Z issued to G~ Richie Latham on 11/20/84 for Agricultural buildinq is completed a final inspection has ( ) has not ( x) been done. and In order to complete this file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above office with a check for $10.00payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy is to be mailed, and arrange with this office for an inspection date Occupancy or use is unlawful without a Certificate of Occupanc~y. Please help us to clear up this matter so that legal action does not have to be taken. Thank you for your prompt attention. Very truly ~, Victor Lessard Executive Administrator YL:gar encl. 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING REMARKS: ROUGH PLBG. INSULATION [ ~FINAL DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved ~....~J~'~.. ~..~.o.., 19 ~. !. Permit No. J. ~.~.~.~.-.ff..~. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .................. 19.~. INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted 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 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 issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throu~out 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 co, de, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary in~l~ectio~a~., .~ ( .,~ [/ ....... (Signature of applicant, or name, if a corporation) i?Z. .... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises ..~-.'~..~. !' .0~.. ~. [.~....~../c./.~.~,.~... ~..-..../~..~.....~.....ff~.... ?.:. ~ (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 ...................... 1. Location of land on which proposed work will be done... · .~.~..~?... ?./?.~....~.L../~...~....?..~... ~ ........ ....................... O. House Num bet Stree~ ..................... I~I&~n'l;i) ........ County Tax Map No. 1000 Section .... /..~. ........... Block ..... ~.. ........... Lot...~....~.Z/( ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .... ~..~..l..~.td .&..~'~...~-. .............................................. b, Intended use and occupancy .................................................................... Repair .............. Removal ... Estimated Cost .. 5. If dwelling, number of dwelling units.. of k ( ppli ) ' ' ' ' : Nature wor check which a cable: New .Building ..... Addlhon .......... Alteration . ~ .... ~ .... ......... Demolition ........... ... Other Work ............... ~ (DesCription) ............... Fee ......... ,, ................... ; ........ '" (to be ipaid on filing this application) ......... 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 i Depth Height ............... Number of Stories .................... : Dimensions of same structure with' al~erh~ons or additions,: .Front ........ ... Rear ......... : ...... Depth ...................... Height ....... ~' · 't ........... Number 95 Stories ............. r. ........ 8. Dimensions of entire new construction Front ~ o . ~-r F~o : r~,,,h Height ...Uo .......... Nur~ber of Stories ............. t .............. .............. ~ .............. 9. Size of lot: Front ..... 2.~ Rear . ..~.~.2....' !Depth /ff2,~ .. /. . 10. Date of Purchase ...~/~-~.... l .~.~. ........... Name of Fo'r~e'r 6~v~;;' i--~' ~..~]. ~2~'~o/~/ I 1. Zone or use distriqt in which premises are situated ~t~r~t. 1~O 6~.TiJ..~.. '~ ....................... 12. Does proposed coii~trucQon violate any zoning law, ordinance or reoulation' 7~/0 13. Will lot be regraded .... ~.,...~.q..,; .... ..: ..... _. ~ill excess ill! be removeld from premises: Y~s 14. Name of Owner of premises ~....~.l.~..~./. q'~ 3~.~.. 3~'dress .. tg~ l~.. .... ' ....Phone No. ,-~ 2~..-'..~.~ [.~. Name of Architect ~-' Address Phone No Name of Contractor ~ · .............. Address .................. Phone No ....... ; ........ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. ir dieate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. '~, ' -- 5 STATE OF NEW YORK, COUNTY OF .......... ....... S.S ................................................. being duly sworn, dep6ses and says that he is the applicant (Name of individual signing contrac above named. He is the (Ct tractor, agent, corporate officer, etc.i of said owner or owners, and is duly authoriz{d to perform or have performed the shid work and to make and file this application;that all statements contained in th!~ application are true to the best of hii knowledge and belief; sad that the work will be performed in the manner set forth i~ the application filed therewith. Sworn to before me this [ ........................ day of ..................... 19 .~. ... '.~ ...... ~ , ~ ~ ~- Notary Public, . ....... ~.c. g-. ~/~ County ,, !i~/,:" HEI.['N K bE ¥OE '" ...... '~ PUBL,¢, Stat~ of Ne',', ','ink ,~ ,'~llllt''ll~l~'a;ure NOIARY of' applicant) No. 4707878, ~flot~ Count~j~ ' ' lerm Expires M~,rch 30, 19~- , i ,: N.37o2~', Iq 57~6'20"E. ~° 5z' 4°" v/ -DC. ALE ,~' lr2o'4 PIPE AFZ E'A I ? NOTED ~, ~,. ~.. ~_ FEE:_~. ' '""' BY: NOTIFY, BUILDING E~EPARTMENT A1z 765-18~2 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR pQURFD CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULAJION 4. FINAL - CONETF?.?'FION MUST BE CmMPI.FTE rz~R C. O ALL CONSTRUCTION SI{ALL MEET THE REOLJIRnMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS.