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Home My WebLink About16317-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z16060 Date August 17, 1987 THIS CERTIFIES that the building ACCESSORY Location of Property 2235 SOUTH HARBOR ROAD SOUTHOLD h~ds~ hJol ....................... 's't/e~i ....................... h~r~iei County Tax Map No. 1000 Section .7.5. ......... Block 4 .Lot 23 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..A.u.g: 4,. 1987 ~ pursuant to which Building Permit No. 16317z dated . .A..ugu..st.. 5. ,.. !9.8.7. ............ 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 applJ_ed for. The certificate is issued to HADELYH M. BAKER ..................... .................. of the aforesaid building. Suffolk County Department of Health Approval ...... .R/.A ................................. UNDERWRITERS CERTIFICATE NO. H/A H/A PLUIV/BERS CERTIFICATION DATED: Building Inspector Rev. 1/81 ~OR~ NO. O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, No ¥, BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted to: ~.~...,~,.~ .................................................... .............. _. at premises located at ..'~....~...~..,.~.....~)/,~....~'~.~...~...'.........~...~.....-, ........... to application dated .... ~ ~.~..~'~..~.......~. .................. 19~...-J.., and approved by the pursuont Building Inspector. Fee $..~ .................. Building Inspector Rev. 6/30/80 TOWN of SOUTHOLD OFFICE OF BUILDING INSPECTOR Town Hall Receipt ll~'O. Southold, New York 11971 Date ......... ?./~./.. ~ ./..~..~.. .................... · _ · --~-'"~' ........ ~"7~';;"": ....... : .................................................................................... ................................... '//~-~' ' · '~' ......... '/"/' ................................................................................... /10o -~ 7. ~ pec- :or .... ~..,.~. ............ ~....~..¢.~. .......... ~ .............. .:~..~..~.:...,.~~ Fee for ....................... suni Fee for ............... ./.~.:...~.~.. ................... Fee for [] H.I.C. Fee for ' icate L~ Building Permit pilaf O~cupancy [~ Misc. ......... ........ Building Department :alla- fing. :lng" 1. Accurate survey of property silowlng all prup~y ,,,,~, ~ ...... , ........._ _ al 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- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Certificate of occupancy New Dwelling $25,00, Accessory ,$ ]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, ove~ 5 yea~s $]0.00 4.Vacant Land C.O. $ 20.00 5.~,~a~ c.o. $ ~0.00 Date ...-,~..~.L~..~..:..~../ ....... New C ohs truc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ~;~'-~ c~ House No. Street Ham/er Owner or Owners of Property ....................... ~, .~ .z'r...~: .~:'; ~; . .................. . County Tax Map No. 1000 Section ...'¢~..'~..z~. ....... Block .... ~. ......... Lot....c~.~. ......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit .......... Applicant .... ~/'~..~..~...... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ............ ' ..... Request for Temporary Certificate ..................... Einal Certificate ....................... Fee Submitted $/.~. '. ~ ................... Construction on above described building and permit meets all applicable codes and regulations. Applicant z~-~<~. . .:. .~, ................... Rev. 10-10-78 UNDATION (lstl UNDATION (2nd) UGH FRAME & ?LUMBING SULATION FERN. Y. STATE ENERGY CODE . ADDITIONAL COMMENTS: BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST REMARKS: FOUNDATION 2ND [ FRAMING [~INAL DATE ROUGH PLBG. INSULATION TEL.: 765-1802 Approved ...x~4~....~..NT. ~..,19~. Pemit No. l .~ .~.1~ Disapproved a/c ..................................... ................................ ....... (Building Inspector) BOARD OF HEALTH ...... 3 SETS OF PLANS ....... . TOWN OF SOUTHOLD CHECK ;: BUILDING DEPARTMENT SEFTTC ~0RM ............. TOWN HALL NOTIFY SOUTHOLD, N.Y. 11971 CALL - .~-~.~-4q · -~ APPLICATION FOR BUILDING PERMIT MAIL TO: 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 tlMs 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 ~ 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 necessaryc~slclections. ......... (Signature of 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. Name of owner of premises ... ~..~.~'.~L~.~....~'. '...~.~'./.c/.~./'~ ...................................... (as on the tax roil or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICEI~SED Builder's License No .......................... Plumber's LicenseNo ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ....... 7.~.~. ....... Block .... ~ ........... Lot..~.~./.~. ............ 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 .... ]...' .~..4~e .//Z'.....~...~.~. .......................................... b. Intended use and occupancy.../...~..~-- ..... ~..¢, ~5'..~. -,6o4JJC'/t,,.. ~.. j~-A~ ......... 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ........... Repmr .............. Removal .............. Demohtmn .............. Other Work...~.'../~..Q ..... ~/~ ~ --- cY'~ ~"~:"" "(Description) 4. Estimated Cost ...,...,...: . ..~ ............. Fee .~..~.,.,.-'T. ............ 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 .... i .................................................................... 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 .............. Depth ............... Height ............... Number of Stories ........ ~: ...................... ' ...... ~ .................. Dimensions'of same structure w~ith alterations or additions: Front ................. Rear .................. Depth ....................... Height ...................... Number of Stories ............. ' · · · e. ' Dlmenmons of enhre new constructton: Front .... ~. · ·. ..... Rear ............ t ...... Height .... ff. ......... Number of Stories .............. 9. Size of lot: Front ....7.,~.. f. Rear ",. 7..-~' ? ........... ~k~,;d" ')'~ff~" ............. 10. Date of Purchase /. ~. · ~'~. · 0~ t'c ~qa-x~ fi/. .. ................ l'~ame of Former Owner . ~.' .~/.. ~...~i .............. 1 1. Zone or use district in which p~emises are situated .... l~e.g ..x .~.'{;/Z*:¢~ .... ' ..... /,.. ....................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..... /7~,/<~ ........................ 13. Will lot be regraded ...... m~: .v ~../~);/~ ..~ ........ Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ~./f.0.~4kff(......fi:F/...]f, q4Z.. Addressff~-.~,~.~r~/P..~j~. Phone No..7.~..~f~..g-~..¢ . Name of Architect ......... i .... ' .............. Address . . .~;r,~.7..7~..~P. d2.,~.>)., Phone No ................ Name of Contractor ........ ! .................. Address .... : ......... .~.. Phone No.., ........... 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes ..... No ~.. · If yes, Southold Town Trastees Permit maybe required. ... i PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from number or description according to deed, and show street names and indicate whether property lines. Give street and bloc] interior or corner lot. STATE OF NEW YORK, COUNTY OF .................. (Name of individual sig~ above named. He is the ..................... S.S lng contract) being duty sworn, deposes and says. that he is the applicant (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contlained in this application are true to the best of his knowledge and belief; and that the work will be performed in the mannir set forth in the application ,filed therewith Sworn to before me this N07tk~t ~BLIC, ~t~te of ~w Y~ - (Signature of applicant) . No. 4707878, Suffolk Co_u nty~,o, lerm Expires ~srch 0