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Home My WebLink About12948-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ~.1.3.~6 ~3 .......... Date .... .&lq.X?..~.1..q.~ ................... 198.~. THIS CERTIFIES that the building ..... Shed Add±t±on Location of Property .... .~ 9.0.. K..e?.w.~..n. ]3.?.¢ ....................... 9.v.e.e.n. pp.V.t. ....... House No. Street Nam/et County Tax Map No. 1000 Section .... .0~.3 ..... Block ...0.2, .......... Lot . .0.2. 1. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · 0 c t . .q .0 ........... 19.83. pursuant to which Building Permit No.. ~. 2, .9.6.8. Z. ............. dated .... .N ?.v.:. ! ................. 19 .8.3., was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlfis certificate is issued is ......... ... 5.~.e.~. m~.d:~..~ ~.o.n..'.icg..e.x..t.s.~.~.n. ¢..b.q ±. &d.~.n. ¢: ................................... The certificate is issued to ....... .L.7. r~o..F.... ~.c.i. qv. g ................................... {owner, ~c~ X Xx of the aforesaid building. Suffolk County Department of Health Approval ............... N./..A ........................ UNDERWRITERS CERTIFICATE NO ....................... ix!./. ~ ........................ Rev. 1/81 Building Inspector FO~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1294~ Z Permission is hereby granted to: ~", ............ ~.~.~;~. ........ ~.~..~...~..:. ....... ............. ~..~..~..~..~ ....... ~.~...~.~. ............. ~o ....... ~.~..~..z~ ~.~/.--........~..~/~.~ ~... ..... .~.~ ~./;.~.~.~.......~......~?.~.~..~ ? ......... ........ ,.~.~.~..-. ...... ~...~.~....~..: ...... ~.;;;~.~,~.u. ~~ ................. ~,.¢~.. ~ .... /, ~ ........... ~ . County Tax Map No. 1000 Section ..... ~...~.'.'...~..~ ..... Block (~ O~ Lot No....~.~2~.~.. ........ pursuant ,o application dated .... ~.~..4~...../..C).. ........... , ]9~..~,, and approved by the Building Inspector. 'Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 ! APR t 5 t985 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in Wpewriter OR ink,, and submitted in duplicate 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. Fina~ approva~ of Hea~th 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, 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~"operty 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 $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 $15.00 Date .......................... New Building ............. Old or Pre-existing Building ............ Vacant Land ............. Location of Property ............................ t ............................. House No, Street Ham/et Owner or Owners of Property .... Z. ,.~,~y. .... ~'..~.'/..~..~.~. ................................... County Tax Map No. 1000 Section . .d.~,~.~ ........ Block ...~,. ~ ........ Lot...~. ,~./, ........ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ! ~ ~ ~/~' ~ Date of Permit"~¢<~ ~/~ .~..Applicant .~. ,:~., . .~. ?.4,..~..-. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fae Submitted .................. Construction on above described building and permit meets all applicable codes and regulations. Applicant..., .~./~"..~'~.....~.... z~......~...~...-'~..-~. ...... COMMENTS FIELD INSPECTION _--~_---~-.-- 1. FOUNDATION (1st) FOUNDATION (2nd) 2. ~OUGN FRAME & PLUMBING INSULATION PER N. STATE ENERG~ ~ODE FINAL ADDITIONAL COMMENTS: HENRY E. RAYNOR, Jr., Chairman JAMES WALL BENNETT ORLOWSIG, Jr. GEORGE KITCHIE LATHAM, Jr. WILI~AM F. MULLEN, Jr. / / Southold, N.Y. 11971 TELEPHONE 765-1938 December 7, 1983 Mr. Victor Lessard Building Administrator Southold Town Hall Southold, New York 11971 Re: Richard Gassner Site Plan Dear Mr. Lessard: The following action was taken by the Southold Town Planning Board, Monday, December 5, 1983. RESOLVED that the Southold Town Planning Board approve the site plan "Richard Gassner" to construct a fiberglass roof, 12 feet by the width of the existing building, for the purpose of a shelter to repair boats, thus amending existing site plan. Very truly yours, HENRY E. RAYNOR, JR. , CHAIRMAN SOUTHOLD TOWN PLANNING BOARD By Susan E. Long, Secretary cc: Richard Gassner BLDG. D£PT. TOWN OF SOUTHOLO FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ · , . .(_.;~: .q.-~ ....... To PLEASE TAKE NOTICE that your application dated .., .~...c. ,~..,~..-~A?.../..0 ....... 19.2 .~. for permit to construct . .(4~..r~.. ?T?.',,?..~.. ~ .~-.~.~.-::..:--.~ .............. at Location of Property . .].c].Q... !.~...~;V.~.A4' '.~...l~..~..~.: ....... .~....-~..-&. ~...~X~..~. ..... :. House No. Street ~ Hamlet County Tax Map No. 1000 Section .... .~ .... Block .............. Lot ............ Subdivision~.~.~ ,.~.'..'q~.\...Tq~.h-.,.. Filed Map No ................. Lot No .................. ..... the ~s returned herewith and d~sapproved on followm~rounds .. .... .~-~..~f~x~o Building Inspector 1180 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 ./,. Examined ['( ............... 19'ff~ff~.." Approved ............... 19~.'.Z~:'Permit No ............ Disapproved a/c t.t/:/.,y.. 3...~,~.~k~. ~.. .~...~ ~, o.o~-~: ..... · ' ;6t'~ . (Bu~dm~ Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received 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 regulation_s, and to admit authorized inspectors on premises and in building for necessary insl~ections. .... ............ )2e./,7~a'_- 7~3-~ /b- aloe*/ (Signatt~e~f applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... .¢.-r: .'Y.-C~..L~ .... c..°.~'.T.~ ~..~ F.o..,7. .............................................................. Name of owner of premises /-~/A//'/ /~' (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 ..... .27..7.5'. /5-7 -- .......... (??. ........ /. .... t. .o. ................. :?. . . .r. ?.r.. ............... tlouse Number Street Hamlet County Tax Map No. I000 Section ...... )~.3.. ......... Block ..... .~ ............ Lot. · ?/ ............... Subdivision .../.~.~c.o..~t.(c....~.~. ?'../7-~¢.77, .............Filed Map No .... / ./.-~?. ......Lot . ./.~.7..%. (?.~... (Name) 2. State existing use and occupancy of premises and intended us~ and occupancy of proposed construction: a. Existing use and occupancy /t~/vd/'q 3"~e/o b. Intended use and occupancy ...... ~?.'?. .... 5.'.//. :Z'.Q .................... ~ .......................... 3. Nature of work (check which applicable): New Building .......... Addition ....~'~. '. .... Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... i (Description) 4. Estimated Cost i (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... 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 ...(,e~..~....5:~...~?. ..... 7. Dimensions of existing structuies, if any: Front ...... 7.4: ...... Rear .... ?.a.t ....... Depth...~'..~.' ......... HeJght .. ,/,2 ........... Number of Stones .../. .................................................... Dimensions of,same stnJcture with alterations or additions: Front ..... .~. · ......... Rear ....2.c: ............ Depth....74 .............. I... Height ...................... Number of Stories ................... 8. Dimensions of entire new consiruction Front . :~(r ~ t Rear .... Z ......... Depth ./~ Height ..... /¢ ......... Number of Stories ....... /. ............................................... 9. Size of lot: Front ....... .,(.~.-~'. .. ............ Rear ......... Z'..~772.. .........Depth ..... /..~. C. ............. 10. Date of Purchase ....... /.~ .~? .................. Name of Former Owner ..../('..~ ?. '.....C:d.c../.~ .......... 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vl01ate any zoning law, ordinance or regulation: ...,P¥, ........................... 13. Will lot be regraded ....... ~q .................. Will excess fill be removed from premises: Yes No 14. 'Name of Owner of premises i .5.¥./q .~.,~ ..... Address Phone No. Name of Architect ~ ~- Address Phone No Name of Contractor . .~.?.~....9,?.~.cf.~. ............ 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 block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW(q~RK.,~ ~' i,~ ,, .... r--~-~,.~: ~. ~..m~,... ;. '(7 ~.' · ~ .... ~ x (~ame oI lnalvloual signing con[ract) above named. He is the ..................... of said owner or owners, and is du application; that all statements con work will be performed in the manner set Sworn to before me this ........... / .day o! ....... 19 ~' [LIZABI~H RNN NEVJ/LI~ NOTARY PUblIC, StYe N~. 52-~25850, Surfak ],tm ~xpires March 80, being duly sworn, deposes and says that he is the applicant '(~, a~ent, corporate officer, et~.) y auth~aq,zed to perform or have performed the said work and to make and file this ained in this application are true to the best of his knowledge and belief; and that the forth in the application filed therewith. ........ (Signature of applicant) / Lo~ /