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Home My WebLink About16349-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-16133 September 3, 1987 No .................. Date ................................. THIS CERTIFIES that the building ACCESSORY SHED Location of Property 730 Brown Street Greenport, New York House No. Street Hamlet County Tax Map No. 1000 Section 48 ..... Block 3 ...Lot 27 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · .~.u.g.u.s.~. }.2:. J .9.8.7 ...... pursuant to which Building Permit No. 16349z dated August 20, 1987 ................. :-"t ........... 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 PETER KRASNOW The certificate is issued to ........................................................... (owner, ~b~gsYo~ Yo~FaY~X X of the aforesaid building. Suffolk County Department of Health Approval ............ N./.A. ........................... UNDERWRITERS CERTIFICATE NO .................... bi../.A ........................... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 ~RM' NO. B TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 16349 z Permission is hereby granted to: ........................ .... 7..~....o.....~z~.....~~ ......... _ _ ...C~z~~...~.~.~.~ ...... ././~././ at premises located at ...... Z.~.~.. ........ ~.~ ...... ~..~ .......................................... .................... ...................................................................................... County Tax Map No. 1000 Section ........... .~'..~.. .... Block .......... ~ ...... Lot No ........... ~,~..~'...... pursuant to application dated ....... ~.g...Z~ ........................ , 19.~...Z and approved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted u ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final suwey of property with accurate location of all buildings, property lines, streets, and unusual natural 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~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- tion required to prepare a certificate. C. Fees: Additions $25.00 1. Ca=ificate of occupancy New DweZ ing ¢25.O0, j¢ccessory ¢ 10.00! Business $so. O0 2. Ce~ificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 0.oo 5.Updated C.O. $ 50.00 Date ............ New C ~.~ ~r ~ %~o~ ..... Old or Pre-existing Bu Hding ............ Vacant Land ............. Location o~ ProperW ................................................................... Hou~ No. Street Owner or Owners of Property ............................................................ CounW Tax Map No. 1000 Secdon ............... Block ............... Lot ................ ............................... 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 .................... Final Certificate . .~.... ~ ~..~. {,-q~{'{' ..... Fee Submitted $ .......... ' ...... Construction on above described building and permit meet~ ~11 applicable codes and regulations. Rev. 10-10-78 Applicant...e~.~..~~. ............................. UNDATION (1st) UNDATION (2nd) UGH FRAME & FLUMBING SULATION FERN. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] I/NSULATION / FRAMING [,/] FINAL 0~'~ do DATE Examined .............. , 1 . Approve~t ..... .a~.% ..,~ ...... 19 .~7. Permit No./~.~..4g ~ BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC PORM ............. : TOWN HALL NOTIFY $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Disapproved a/c ..................................... ~ TO: APPLICATION FOR BUi~DING'PERMI~ -~ Date ..... ...... 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 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 HBREB'~ MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of thb 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, buildiag'codb, housing code, and regulations, and to admit authorized inspectors on premises and ~n building for necessary ~nspect~ons.. (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 pre~nises .......................................................................... (as on the t~x roll'o~ la~'est deed) If applicant is a corporation, signature of duly ahthorized offider. (Name and title of corporate officer) . ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... ........................ Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. I000 Section . .47..~ ........... 7.. Block....~ ..... . ......... Lot. ~7. ..... . .......... Subdivision MPr~ ffF(~gI~OfI-WPI~RJI~/~F,~- Filed Map No. ~c} Lot .............. (Name) 2. State existing use and occupancy of premises and intended use and o~cupancy of proposed construction: a. Existing use and occupancy 0CCJ3~I~P h%bU~[ Of'J ~IMI~E~q b. Intended use and occupancy ~p~Ol>t3$~A9 ,~W/:v~4:? ,B-fTzlJ~ Cc~xtb'Tl[U C{lOk] 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .. Repair .............. Removal .............. Demolition .............. Other Work ............... I .. - ~ (Description) 4. Estimated Cost . -'- .........,............ Fee ...................................... , (to be paid on filing this application) 5. If dwelling, number of dwelling u~its ............... Number of dwelling units on each floor ................ If garage, number of cars ........................................................................ 6. If business commercial or mixed ~ccupancy specify nat, pre and extent of each type of use 7. Dmmnsmns of existing structures, !f any Front..~.~...O ......... Rear ¢~.-..O ............................ Height .'5~: .t ~?,. Number of Stories Dimensions of same structure with] alterations or additions: Front ................. Rear .................. Depth ..... ! Height ....... Num bet of Stories 8. Dlmensmns of entire new construction: Front...0..O...: ..... Rear .~..0. ..... Depth .~...~. ..... Height °1. '-O" . ' Numbdr of Stories ON'IZ ,Srb.~ Silgo P~q'~Ptv. e*~ ~loq$1~ 9. ~, of lot. Front ... ~. ................. Rear ........... . ........... Depth ...................... 10. Date of Purchase . .., .~.. ?'. ?..~.~. ............... Name of Former Owner ............................. 11. Zone or use dis[rict in which premises are situated...g~. !0..F-~..TI?,. ¢ ........................................ 12: Does proposed:construction violat~ any zoning law, ordinance or regulation: [tO. ............................. 13. Will lot be regraded . .N'..O ....... i...: .... ~).l~/' .....Will excess fill be removed from premises: .Yaes No 14. Name of Owner of premises . ~~ .... ,... Address .~.~.g ~0J~..l'/..~'T;..; .... Phone No..'~.77..'~.q.7~7. ~If yes, Soufihold Town Trust;ecs Perm±t maybe requ±red. PLOT DIAGRAM Locate clearly and distinctly all bbildings, whether existing or proposed, and. indicate all set-back dimensions from >roperty lines. Give street and block nu~mber or description according to deed, and show street names and indicate whether nterior or corner lot. ~TATE OF NEW YORK,, 30UNT¥ OF..0.~.. ¥?: .~. .... S.S ............. ?.. ............... being duly sworn, deposes and says that he is the applicant (Name of mdlwduaI s~gmng contract) tbove named. OWt0~.. , -Ie is the ' (Contractor, agent corporate officer, etc.) )f said owner or ownersl and is duly outhorized to perform or have performed the said work and to make and file this ~pplication; that all statements containled in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in'the manner s~t forth in the application filed therewith. ¢worn to before me this ...................'~'/-'-~~day'°f'. 4otary Public~ ............ '.. County (/ JOAN"~. JUDGE, v Notary I~.l~lit:, State of New York No 3[~697387 ' ..................... Quall~t~J :trl:Ntw,York County L ' ' ' , (Signature ofapplicant) , Commis,~lon f~liir~s, March 30, 1989