The URL can be used to link to this page

Home My WebLink About16272-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-~7025 Date June 23, 1988 THIS CERTIFIES that the building AC CE S SORY Location of Property 23815 Main Road Orient, New York House No. Street Ham/et County Tax Map No. 1000 Section ] 8 .Block 2 . .Lot 26 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 16272 Z Ju 1 y 2 I , I 987 pursuant to which Building Permit No ...................... dated ..... J..u.I.y.. 2. .7 .,.. 1.9..8.7 ........ was issued, and conforms to all of the requirements of tile applicable provisions of tile law. Tile occupancy for which this certificate is issued is ......... ACCESSORY BUILDING IN REAR YARD The certificate is issued to ARTHUR & HELEN RUROEDE ..................... ................... of the aforesaid building. Suffolk County Department of Health Approval ...... ~/.A. ................................. UNDERWRITERS CERTIFICATE NO ............. ~/..A ................................. PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 ~0~ NO. O 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_ 16272 Z Permission is hereby gront.~Lto: . ~ . ............... at premises located at .....~.....~...~.1.~.~.....~-~..O..g:~3...~; ........ ~)~ ..................................... County Tax Mop No. 1000 Section ....... ,,~.,,!.,,~. ...... Block ....... ,,O,,.,,;~,, ...... Lot No ......,~,..,.~, .......... pursuont to application doted ....... ...~....~...~-} ..................... , lO..~....~., end Building Inspector. Fee $ .....:....' .......... approved by the Building Inspector Rev. 6/30/80 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 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 natu raj or topographic featu res. 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzZ)perty showing all property lines, streets, buildings and unusual natural or topographic features. 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- don requ ired to prepare a certificate. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.Q0, Accessory ,$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 ]fears $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ....J.u.n.e..2J.,..1.9.8.8 .......... NewConstpuction......x Old or Pre-existing Building ........ . ... VacantLand 23865 i i Location of Property ......... .Ma n Road Or ent, N.Y. House No, Street /'/am/et ART~{UR & HELEN RUROEDE Owner or Owners of Property ........................................................... . County Tax Map No. 1000 Section ],8 Block 2 26 ............................. Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. 1627,2Z Date of Permit 7,/,2.7./,8.7. .Applicant Arthur Ruroede N/A Health Dept Approval ... N/A Labor Dept Approval ................ N/A Underwriters Approval .... N/A .Planning Board Approval ........... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ 10.00 Construction on above described building an/~Arm~;~s al~plicable codes and regulations. Applicant . &../.v...~,fLZ/,%":: .I J~ ................. Rev, 10-10-78 UNDATION ( 1 s t) UNDATION (2nd) UGH FRAME & PLUMBING SULATION FERN. Y. STATE ENERGY CODE FINAL ~ ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION ZND FRAMING REMARKS: /~, [~', [ ] ROUGH PLBG. [ ] INSULATION [/~1 NAL 5al~; Box 8' Barn 10 Barn qutting Instructi~ ..... 'Material Lists. BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTIFY 8OUTHOLD, N.Y. 11971 TEL.: 765-1803 CALL ................ Examined 5~. a,~'~ .... 199.'7. Approved./.~. ~ · ~..~ .... 19 ~.~. Permit No. ).~..~..~.~..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT MAIL TO: 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 applicatio~ d. Upon approval of tins application,{ shall be kept on the premises availabJ~ e. No building shall be oct shall have been granted by Building Zone Ordin~M~J~ ~n Regulations, for the c~ The applicant agrees to~ ~ ~al admit authorized inspecto[~] ay not be commenced before issuance of Building Permit. ~ildi,r~ Inspector will issued a Building Permit to the applicant. Such permit c.t3e~'~ugh, gfft the work. ~l~fh'~e~e'~r ~"~* for any purpose whatever until a Certificate of Occupancy ~'~_ g Depaxtment for the issuance of a B~lding Permit pursuant to the [l~31a~ffolk County, New York, and other applicable Laws~ Ordinances or i~d~Ji~s or alterations, or for removal or demolition, as herein described. ~lSg'l~dws, ordinances, building code, housing code, and regulations, and to ~ffilding for necessary inspections. .. ~..r. Oa~v.~.:+. ................. (Signature of applicant, or name, if a corporation) ~.~,. ~o~3. Or)~. ~>.l ........... (Mailing address of applicant) (Name and title of corporate officer) . ALL CONTRACTOR'S MUST ~BE~SIJFFOLK COUNTY LICENSED Builder's License No ....... .,5'?~... (~. ............ Plumber's License No ......................... Electrician s License No ....................... Other Trade's License No ...................... State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. O.t~..~..~.~- .b.~.[ IJ~- ,. , .................................................. '~b~;~' ~,~ 'i46~b ...... Name of owner of premises .~ ~7~ ~MOe~ ' ' If applicant is a corporation, signature of duly authorized officer. F~: ~¢" ~ B~. ~ NOTIFY ~IL[)ING OEPAg'rM~T AT 'FOlLOWiNG i~ISP~CTIONS, 1. Location o f land on which proposed work will be done .................. .... .g¢.C ......... ................... r ....... ......... House Number Street Hamlet co~ T~ ~p ~o. ~000 S~c~io~ ..... O. 1 g ....... mo~k ..... ~ ........... ~ot ..... ~ ~ .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State ex/sting use and occupancy of premises and intended nsc and occupancy of proposed construction: a. Existing use and occupancy ..... 5~. .~ ~ J..~r.....~.~...1~. J. ! ...... y 0..M/..~..[ .[.[ .t3..~ .................... b. Intended use and occupancy ....... S .~...~. g (lueo.tidde jo o.tnl~u~!s) oql l~ql puu '.Jo!Ioq puu o~polaXOU s!tB Ol~ puu o~tu ol puu ~tso~a