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Home My WebLink About15794-zFORM NO. 4 TO,IN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17431 Date OCTOBER 28~ 1988 THIS CERTIFIES that the building Location of Property 6615 MAIN ROAD House No. County T~xMap No. 1000 Section 108 Subdivision ACCESSORY LAUREL, NEW YORK Street Hamlet Block 04 Lot 7.5 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1987 pursuant to which Building Permit No. 15794-Z dated MARCH 27~ 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 STORAGE BUILDING AS APPLIED FOR The certificate is issued to JOSEPH P. SHIPMAN (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A N 821158 - JDLY 22, 1987 UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Building Inspector Rev. 1/81 ~'~RM NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Yo BUILDING PERJvtlT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15794 Z Permission is hereby granted to: County Tax Map No. 1000 Section .... /...0,..,.~, ......... Block ....... ,,~,..,~, ...... Lot No...'7..;.,.~,..,..~ ....... ~u.~o~, ,o op,,,ca,,on do,~ .... ..Tg~......Z.~. ............. :.., ,,~.~.., on~ o~ro~ by ,~e Building Inspector. Fee $..~: ......... ............. Building Inspector Rev. 6/30/80 FORM NO, 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 Instructions A, This application must be filled in typewriter OR ink, and submitted I~ 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,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~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 1. Certificate of occupancy New Dwelling~$25.00, Accessory ,$I0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.C. $ 20.00 ~./~./~;. /.~. 5.Updated C.C. $ 50.00 Date ..... .3. .?:'. ...... NewC°nstruction ...... OIdorPre-existingBuildi.ng ..~ ........ Vacant Land ............. Location of Property . ~7.~/.~J .... Cf;x: . . . ;.¥.?. ........................... House No. Street Hamlet Owner or Owners of Property ...~. ¢..$.~. E?.Z-/....~...~..~../.~?../~./~'..../~'..: .................... Count/Tax Map No. 1000 Section .../. '.~L..5.'~. ...... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. . '... Date of Permit .......................................... 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 [ermit meets all appli~cTle codes and regulations. Apphcant ........................ Rev. 10-10-78 oi?: THE NEW YORK BOARD OF FIRE UND 1000771 BUREAU OF ELECTRICITY kh SS JOHN STREET, HEW YORK, NEW YORK 1003E O.,, July 22, 1987 Appfi~.tio,;vo.o.fit~ 476414/87 THISCERTIFIES THAT Joseph Shipman, N/S Route 25, Mattilock~ wasexatninedotl July 2, 1987 FIXTURE OUTLETS 12 DRYERS RECEPTACLES 21 SWITCHES FIXTURES RANGES OVERS ~" EXHAUST FANS DIMMERS WATTS OTHER APPARATUS: S E R 1-2.0kw., 2-1.0kw. Ruland Electric Co. PoOo Box 143 Mattituck, N.Y. 11952 lic.~242E j~ Th,$ cerhhcate musl not be altered in any manner; return to the office of the Board if incorrect. Inspecto~ ~av~'Ide'n~jfi~,gv, ~h, ~J c~'de~, als OUNDATION OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL · ADDITIONAL COMMENTS: 76S-~802 BUILDING DEPT. , NSPECTION ["~ FOUNDATION xST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND []INSULATION [ ] FRAMING []FINA~L REMARKS: ~'~'~' .,... DATE INSPE~'OR SANFORD TRU SS''~ R = 2145# 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y, 11971 TEL,: 765-180:3 Examined..~.~...~.'~., 19 .~."[ Approved ...~..oM,..~.....~..-]., 19~. .7. Permit No../..~.'. 0. ?.~. ?-' Disapproved a/c ..................................... ................................ (Building Inspector). APPLIGATION FOFI BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. NOTIFY CALL ................ MAIL TO: INSTRUCTIONS a. Th~s 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 promises 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 heroin described. The applicant agrees to comply with ail applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections._ ^ , · ........... .... OtSi~n.ature of applicant, or name, if a corp t'o ) ress of applicant) State whether applicant is('gwne~ lessee, agent, architect, engineer(generaI~ electrician, plumber or builder. z% Name of owner of premises If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR'S MUST 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 which proposed work will be done .................................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... /.O. ~. ........ Block .... F~ ............. Lot 7 ~ 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 .... .,~..T..O.I%B./a .[~. ................................................... b. Intended use and occupancy ................................................................... 3. Nature of work (check which applicable): New Building Addition. Alteration Repair Removal Demolition Other Work (Description) 4 Estimated Cost ~, '.~. ~ ~ ' ~ Fee *'~ ' " (tQ be palid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units 0n each floor ................ If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type iof use . .O-.~..%..rix..¢.e:..t .~./-]..L.. 7. Dimensions of existing strUctures, if any: Front...~P.' ......... Rear ... ¢', .......... Depth.. A~.: Height ..... .~1.~ i .......Number of Stories ... } ...................... >...! ......................... D~rnenslons'of same structure with alterations or ad&hgns: Front ............. ~... Rear ........ ; ......... Depth ... ?..O. ~ ..~ ........... Height ....O..o.~..~;.: ........... Number of S~ofies .............. , ....... -8. Dimensions of entire new construction: Front ....~P ..... ' ..... Rear ....~..o.'....: ..... Depth ...~.~'..: ....... Height t.~' Number of Stories ~. ' 9. S~zeoflot: Front ...................... Rear ...................... Dgpth ...................... 10. Date of Purchase ............................. Name of Former Owner i-[09D1~23..~ ' ! 1 Zone or use district in which premises are situated '-2. Does proposed construction viom[e any zoning law, ordinance or regulation:'' .... l~J.O ........................ ~3. Will lot be regraded ............................ ~"~ Will excess fill be removed from premises: Yes No~ _4. Name of Owner of premises .,St~.t~X¢,~ ............ Address . .~.$b: ~.L.,',.5 tO.v/¢.tk~.. Phone No...~,.c[.q..: .~.g.. [~..... Name of Architect ........................... Address ................. '.. Phone No ................ Name of Contractor .... ~ .~. I .~ ............... Address .. ~ .q-.~5..~~-' ........ i. · Phone No..~-.~.~: .q.~. t.~..... [5. Is this property located within 300 feet of a [-ldal wetlands? ~Yes, ..... No . ~ · If yes, Southold Town Trustees Permit maybe 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, and show ~treet names and indicate whether nterior or corner lot, ;TATE OF NEW YORK, S.S .~OUNTY OF ................. ........................... ~ ..................... being duly sworn, deposes and (Name of individual signing contract) [bore named. says that he is the applicant Ie is the .................................................................................. ....... (Contractor, agent, corporate officer, etc.) ! ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tiffs pplication; that all statements contained in this application are true to the best of his knowledge and belief;'and that the york will be performed in the manner set forth in the application filed therewith. ;worn to before me this ........................ day of ..................... ,19 ... ,~otary Public, . ................................ County applicant) IDATE '~/) ~L~_BP 7654802 9 AM TO 4 PM FOR FOLLOWING INSPECTIONS: DESIGN OR CONSTRUCT~Ofq ERRORS, I[ Copper tUbing is used for Water distributing' sysleml piping shall be o~ types K or £ only RECEIVED ~,y lIAR 231984___ ~ f REC,,EIVED By i