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Home My WebLink About16242-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Buildinq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17184 Date AUGUST 10~ 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 1230 CLEARVIEW AVE. House No. Street County Tax Map No. 1000 Section 070 Block 89 Subdivision Filed Map No. SOUTHOLD~ N.Y. Hamlet Lot 56 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY i3, 1987 pursuant to which Building Permit No. 16242-Z dated JULY 19, 1987 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 SHED AS APPLIED FOR The certificate is issued to BIME & MARIJA BENIC (owner, X~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 · OE~[ NO. /~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAIL SOUTHOLD, H~ Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date Permission is hereby granted to: /a.~.......~....~.....~~ ............... . ....... ,o ...... County Tax Map No. 1000 Section ...,~,,-~-.~ ......... Block ...... ,,~,,,~, ....... Lot No ....... ~xb,--~ .......... pursuant to application dated ...... ..~...~...L..~ ..................... , ,19.~..~.., and approved by the Building Inspector. Fee $ ..~....:...~. .... Building Inspector Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD 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 ~ ~ 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 natura~ 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, 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. CFor 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. C, Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of oecupancy New Dwelling $25.00, Accessory ,$I0.00 Business $50.00 Certificate of occupancy on pre-existing dwelling $ 50. 00 Copy of certificate of occupancv $ 5.00, o~e~ars $]0.00 4.Vacant Land C.C. $ 20.00 5.Updated C.C. $ 50.00 Date .......................... Ne.~v C o~.~s t ~uc.~t ~on ...... Old or Pre-existing Building ............ Vacant Land ............ Location of Property o [ ~ ~/ ..... k<.. f..q';. ·. ~.~.¥.. ~.~ ................. House No. Street I/am/et County Tax Map No. 1000 Section .... 1~. ....... Block ....~. .......... Lot ................~.~-~ Subdivision .... ,~)~,J.~J,'J~.(¢.~2...F/MI.~ .... . ,ed o.47.7a...Lot No....,~. ........ No .... Date of Permit Permit J..~.~..~. .'~//. ?/f..App licant , ~. ,/.~..~.¢¢~..~.~. ~¥Z~, , , ./(.~'. ~/~/. ~. , 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 permit meets all applica.ble codes and regulations. Applicant ..................................... Rev. 10-10-78 UNDATION (lst) UNDATION ( 2nd ) UGH FRAME & PLUMBING ADDITIONAL COMMENTS: SULATION PER N. Y. STATE ENERGY CODE FINAL 7G5-~.802 BUILDING DEPT. INSPECTION FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION ;ZND [ ] INS~ULATION FRAMING [//~INAL REMARKS: DATE INSPECTOR Examined .... 1 .~ ....19 ~ .3 .Approved. ~ .~..l..~.., 19*~'J. ............ Permit No. ' (~'~q"~ , Disapproved a/c ..................................... ~ (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... · FORM NO. 1 SURVEY ......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ MAIL TO: Date ...7:.1: ......... , 19 I~}.~ 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 9f buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of,'iayout of property mflst be drawn on ~14e diagram which is part of this appli- c'ation. 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 shill 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 6f 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, a/nd regulations, and to admit authorized inspectors on premises and in building for necessary inspections. /27 (),,fl ~. ~ ,~ ,, · , /.¢ (Signature of applicant, or name, if a corporation) · o., ti 1.7 (Mailiifg address of applicant). State whether applicanf is owner, lessee, agent, architect, engineer, general contract'oi',.electrician, plumber or b.uilder. Name of owner ofpre,nises..' ...... MAlZ. !.'!..."h. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S I~IIIST BE SUFFOLK COUNTY LICENSED Builder's License No ........... '. ........... ' .... ': Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on winch proposed work will be done .................................................. House Number Street t Hamlet County TaxMapNo. 1000 Section . .~.-7..~. Block .... .(?. Lot. · .'~i-..5..~'';... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... /IZ)IEklC2 ................................. b. Intended use and occupancy .. { .~ ~. 1~..~.. ~. ~ ~ [~}.C~. ..................... 3. Nature of work (check which applicable): New Building ..:..': ..... Addition .! ..... ..... Alteration .......... Repair ............ tlRem°val . .'.' ........ 7.. Demolit!on .......... , i ....Other Work.. :~..~.~.,~.... (Description) 4. Estimated Cost ........................ Fee ......... , ............................. (to b~ paid on filing this application) 5. If dwelling, number of dwellilag units.;..~...,'.~. ...... Number of dwelling units on each floor.... ............. If garage number of cars 6. If business, commermal or m~xed occupancy, specify nature anti extent of each type oftuse ................ ~ .... 7. D~menmons of. exis..l~g structures, ~f any: Front .... ,. ~ .I... Rear ....... Depth ,..'~..~.i.~... Height .... [.. ~... .... Number o.f Stories ...... [ .~T'O~ ........... [ ............................ Dimensions'o~'same structure with alterations or additions: Front ........... ! ...... Rear ................ (~f St ~ Depth ...................... Height ...... Number eries ...................... ~--8 Dimensions of entire new construction: Front ......... ' ..... Rear . : Depth Height ............... Number of Stories ........................... ! .............................. 9. Size of lot: Front ..... IOO.1. ._. .......... Rear ..... '~.~[! ............. [ Depth .I.(o7.' ................. 10. Date of Purchase ........ [ .~. ~.1 ................ Name of Fq .rll!er_Owner i..'['l'[1~O~5~-~.. [,,IJ 1~ 11. Zoue or use district in which premises are situated...~.$ ~.~l'~Pfi ...... i ............................. 12. Does proposed construction, violate any zoninglaw, ordinance or regulation: ...i ........ ~O. .............. 13. Will lot be regraded .... BO ..................... Will excess fill be removled from premises: _ Yes 14. Name of Owner of premises ~IM~...~.~.~IC. Address~[[].~.~..~. ~.~i.~l~.l~Phone No..~.~. Nmne of Architect ........................... Address .............. . .....Phone No ................ Nmne of Contractor .......................... Address .... : ......... : .....Phone No ................ 15. Is this property located within 300 feet of a tidal wetland? *Wes ..... No ..... *If yes, Southold Town Trustees Permit may_ be required. 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, hnd shgw street names and indicate whether interior or corner lot. ~~'~IF' ~11~'Vtd A~Ve~ 140~ STATE OF NEW YOR~, ..... '7 $'['O*~ ~ ' " S.S COUNTY OF .......... ~., ..... ....... ~, ~ ,~, .~. ,~, .~.d .[,~ ................... being duly sworn, de~os~and says that he is the applicant (Name °f individual signing c°ntract) ~~~'~ above named. He is the .............. ~.~ ~~ ................... ~ ~. ~,~.~;~,~X~,. ............ (Contractor, agent, c~r~ e~~,~ of said owner or owners~ ~d is duly authorized to perform or ~o~ ~ ~eja~ to m~e and file this application; that,all stateCents contained ~ this application are ~e ~e ~ ~ k~~d belief; and that the work will be performed i~ the m~ner set forth in the application fil~swom to before me this · ..: ........ ~.¢ :...}...day o ...... ~ .......... 19r~ No. ~ , ou~q i (Signature of applicant) T~A hplm M~oh ~, 1~/