The URL can be used to link to this page

Home My WebLink About13407-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20596 Date MARCH 18, 1992 THIS CERTIFIES that the buildin~ Location of Property 1560 BRIDGE LANE House No. Street County Tax Map No. 1000 Section 85 Block 2 Subdivision Filed Map No. ACCESSORY CUTCHOGUE, N.Y. Lot Lot No. Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 27r 1984 pursuant to which Building Permit No. 13407-Z dated SEPTEMBER 4, 1984 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 GARAGE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-784858 - DECEMBER 18, PLUMBERS CERTIFICATION DATED N/A KEVIN J. & CHERYL A. LYNCH 1986 Rev. 1/81 /'i/ldi~n~nspector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREk41SES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 13407 Z Permission is hereby granted to; / . ~ .... ~..~, -~'-: c~ ~, ~ .......~...o.,~ ~..o. ~ ..................... .... ~...~ ........... ~ ......... ..~..~ ....... ..:. ..... ... "~ ............ ~.'""'":"; ............ ~:p ............... x'~"~ ............................... at premises I~ated at ...!..~7.~...O.. ........ ~d,~..~.......~;).[.~ ........ ~~~ .......... County Tax Map No. 1000 Section .... ..C~... ............... Block ~' Lot No. J pursuant to application dated .~..~....~..........~....~ ................. , 19..~...~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and '!pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Cormnercial $15.00 / Date .... New Construction .... ?...... Old Or Pre-existing Building ................. Location of Property.. ~6"-~0 ................. House No. Street Hamlet Onwer or Owners of P roperty...~..'~, f.~...-~.~'... ~.~..k~...C~-'.~.. ~ ........~.~.~7.?~.~. ~.%...L. yd.'7~.o.~. ............ County 1000, Subdivision ...................... Filed Map. . . Lot ............ Permit No..l~.~0.'? ~ ..Date Of Perm't . .... 1 ............ App can .............. w .............. Health Dept Approval --...... .Underwriters Approval...~. .... 2.~.~.~.~--.~ Planning Board Approval ........................ / Request for: Temporary Certificate ........... Final Certicate ......... ..~... z w ........... .................... THE NEW YORK BOARD OF FIRE UNDERWRITERS THIS CERTI~IES THAT only the electrical equipment ~ ~scribed below and intmduced by t~ applicant ~med on ~he a~e application number in the pr~mhes of ~v~ Lynch, ~/s ~id~Je hane~ ~600' ~/o Rt~.25~ Cutch~ue, ~.~ t~s examined on and found to be in compliance ~'ith the ~eqttlreN~en ts ~ this Board. 7 7 3 7 SERVICE DISCONNECT S E R Ruland Elect. Co. .P.O. Bo x143 Matti~uck, N.¥11952 L/~%242E This certificate must not be altered in any manner; returh to the office of the Board if inco['rect. GENERAL MANAGER 's,may be identified by their credentiuls. COPY FpR BUILDING DEPARTMENT. THIS COPY OF C~EETII IN,NY ~lEnD ~NSI~CTION COM~ENTS FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY C~ODE o FINAL TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ItALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 This is to advise you that the job under building permit no. 13407_~ issued to ..Kevin Lynch on ._.qd 4/84 ..... for .... Ac__c. esso~y is eomple~e~ and ;2 final inspection has ( ) has not ( x ) been done. In order to complete thla file, it is necessary that a Certificate of Occupancy be issued. Please fill out the enclosed form, return same to the above offlee with a check for $10.00 payable to the Town of Southold. Please indicate to Whom the Certificate of Occupancy ia to be mailed, and arrange with this office for an inspection date Occupancy or use i.q unlawft, l without a Certificate of Occupancy. Pleatte. help as to clear np th~a matter ~o that legal action does not have to be taken. Thank yon for yo.r prompt attention. Very truly Victor Lessard Executive Administrator VI,. La r cncl . 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INS/ULATION FRAMING [ ~FINAL DATE INSPEC~'OR~ 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1805 Examined Ps,it No .J. qO Approved ......................... Disapproved a/c ..................................... Received ........... ,19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tins 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 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 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 code, housing code~ and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ,, /~ /J (Signature of applicant~r'~ -' ' ' --e. ifacornafiae, if a co poration) ............ .......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, en~neer, general contractor, electrician, plumber or builder. ... O~...~..c..-fi...: ............................................................................... Name of owner of premises .~.~..,~c.} ~ /~..,~ ....... - ~.~.'.,~..'.~..: ...... ~ ................ ~. ~,~¢~... d. .... .7.' (as on the {ax roll 9r latest deed) II' applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ...... q/ ................. Plumber's License No ......................... Other Trade's License No ...................... 1. Location ofland en which proposed work will be done. . . .~. .O-~. ~ /.. /.,~'~/~'~ ..~...~.~ ....... ........ .c?. ....................... ltouse Number Street County Tax Map No. 1000 Section ....(~..~.~. · ....... Block ..... .O.. ;'.~. ........ Lot ..... / ............ Subdivision ~'.~r~ ~ . ~/~..c~..L.-:X--9... Filed Map No. '~-g~ 7,., Lot / ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . I...~.~O.... '.F.I..~.. ............. ~'lS~{l~'~'llt~t~ ................... 3. Nature of work (check which applicable): New Building Addition .......... Alteration .......... Repair .............. RemOVal .............. Demolition .............. Other Work ............... 4. Estimated Cost Fee ~" (to be paid on filing this application) 5. If dwelling, number of dweliing hnits ............... Number o f dwelling units on each floor ................ If garage, number of cars ..... [ .7,~ ......................................... ~ ....................... 6. If business' c°mmercial °r mixea °ccupancy' specffy naturte and extent °f each tvDe °f use ........... : ' t ....... 7. Dimensions of e. xistingstructur~s, ifany: Front .... /-Y.~". ..... Rear ...5/.~'~... Depth . .7~...&. Dimensions of sam~ structure with alterations or additions: Front .. i..q.'~W. ~. .... i.. Rear i,.~ .t../.~..x ......... r)epth ..... ~2,.(4,.~ ............. Height ..... /.(o.' .............. Number of Stories .... -. ~t~.'~_~ ............ 8. Dimensions of entire new construction: Front ..... .Z..~ ...... Rear ..... ~..t-/. ......Depth ...... ~ ........ l-ie]ght .../. ~ ......... Num. bet of Stones ....................................... _. .....~ ......... 10. Date of Purchase ...... /.~/.I g .%m.. ............. Name of Former Owner .--~'7. ¢. /. &~ .fi'... ~./~./<t..P,5/.(~... 11. Zone or use district in which remises are situated ~.6-,5t c36'~-.7~1 ~ 12. Does proposed construction violate any zoning law, ordinance or regulation: ...bm?.c-? ......................... 13. Will lot be regraded ..... ~..Q .............. ~ .... Will excess fill be removed from premises: Name of Architect .......... ; ................. Address ............ (5~r..~g,~5..'. Phone No ................ Name of Contractor ......... ................. Address ................... Phone No ................ PLOT DIAGRAM Locate clearly and distinctly all! buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and blocklnumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW~/OI~, COUNTY OF ~ ...................... · ~..' ........ [ ........ being duly sworn, deposes and says that he is the applicant (Name of individual sigqing contract) above named. ' He is the (2D .6~..t-P~-r"~ - (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du!y authorized to perform or have performed the said work and to make and file this application; that all statements cont~tined in this application are true to the best of his knowledge and belief; and that the work will be performed in the mann0r set forth in the application filed therewith. Sworn to before~_m~ this ....... ~ ?....~q. ......... da~ .......... 19 ~..~/