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Home My WebLink About16027-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17872 Date MARCH 22e 1988 THIS CERTIFIES that the bulldin~ Location of Property 12370 OREGON ROAD House No. County Tax Map No. 1000 Section 83 SubdivisIon ACCESSORY CUTCIqOGUE{ NEW YOP~K Street Hamlet Block 3 Filed Map No. Lot 7.1 Lot No. conforms substantially to the Application for Bultdzng Pernult heretofore filed in this office dated MAY 11~ 1987 pursuant to which Building Permit No. 16027-Z dated MAY 29f 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which th~s certificate is lssued is ACCESSORY GARAGE AS APPLIED FOR The certificate is ~ssued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-060465- MARCH If 1989 PLUMBERS CERTIFICATION DATED N/A THOMAS J. & KAREN M. UHLINu~ Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT Cl"HIS PEI:~A~T MUST BE KEPT ON TH~ PREMISES UNTIL FULL COMPLE'rlON OF THE WORK AUTHORIZED) N~_ 16'027 Z Permission is hereby granted to: .~.~...t...~......u...~.~.~.. ....~..~...~.....L~.~.~. ......................................... ...~.~.~....~.:~.,...L:..~...~ ...... ~ County Tax Map No. 1000 Section ..... .O..~....~. ..... Block ....... ..~.....~ ..... Lot No....~.,.J ....... Building Inspector. .............. , 19..~.~J.., and approved by the Building Inspector Rev 6/30/80 FORM NC). 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions Thru apphcat~on must be fdled in typewriter OR ink, and submitted -. ~ to the Budding Inspec- tor w~th the following; for new buiidmgs or new use: 1. Fmal survey of property w~th accurate location of all buddmgs, property lines, streets, and unusual natural or topographic features. 2. F~nal approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approva~ of electrical mstallation from Board of Fire Underwriters. 4. Commercml buddmgs, Industrml buddmgs, Multiple Residences and mmilar buddmgs and installa- tions, a certificate of Code comphance from the Architect or Engmeer responsible for the buddmg. 5 Submtt Pianmng Board approval of completed rote plan requirements where apphcab[e. B. For existing buiidmgs (pmor to April 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, bullrings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condttlon of bullrings 3. Date of any housing code or safety mspection of buddmgs or premises, or other pertinent informa- tion required to prepare a certificate. C Fees' Addzt[ons $25.00 ?00%S $25.00A%?ERATION $25.00 New Dwelling $25.Q0,~Bus~ness S50.00 1. Certifmate of occupancy 2 Cert~hcate of occupancy on pre-exlstmg dwelling ~.00 3 Copy of cert~hcate of occupancy $ 5.00 over 5 years $]0 4.Vacant Land C.O. $ 20.00 ' '0,/~1~7.C,.,/ 5.Upctated C.O. $ 50.00 Date ... / ................ NewConstructIon. ..~... Old or Pre-existing Budding ............ Vacant Land ............. Hou ,ye. ' ............. '&lex .......... lo; Owner or Owners of PropertV .. '"~ M~r ~ .-~ County Tax Map No. 1000 Section Block Lot Subd~ws~on ................................ Fded Map No .......... Lot No .............. Permit No. l.~...(~. )..~Date of Permit ,~.//~.~/~.?..Apphcant .~..-~...~./¢. .~..'~..W....~..~..~'.~.~. . .~. (; .(~./~. ~" .~/r~ Health Dept Approval ........................ Labor Dept. Approval ..... Underwriters Approval ...................... Planning Board Approval ...................... Request for Temporary Certificate. ~z::~_' ............. Final Certificate ....................... Construction on above descr.bad bu.ldmg and perrq.~t meets all applicable codes and regulations. Apphcant . .~.././ ...... . .~ .-. Rev 10 10 78 8LDG iD, :F is inguis e ran s, inc. L__t~.?.~.,,so~--j~ 108 NEWTOWN ROAD · PLAINVIE~, NEW YORK · I~803 · 516-694-6268 fine printing Inked ribbons · custom packaged for you ....... TOWN OF 8OUTtlOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL $OUTIIOLD, N.Y. 11971 TEL. 765-18O2 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following r~asons. /5/ An applicatlon for Certificate of Occupancy is not on file. /3/ ~d~t e r S~,co ~t i fica t ~. ~ ~ ~] /~/ The check is(outdated/not ou file.) /~/ No Health Dept. Approval on file. No flnal ~nspectlon has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit tl / ~ ~ 2_ ~ Z Dullding Dept. ***/~/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 } ' HE NEW YORK BOARD OF FIRE UNDERWRITERS 102,~023 BUREAU OF ELECTRICITY ~ 85 JOHN STREET. NEW YORK. NEW YORK 10038 Date ~I~RC[~ 01~1989 ~pplicationNo. onfile 60064789/~9 ~ 060465 THIS CE~IFIES THAT VHbl~GE~, 1~70 O~EGOH ~VE., C~CHOGUE, in t~ fdlow~ng I~ation; ~ B~nt ~ Ist FI. ~ 2~ ~. G~ ,~tion Bilk ~ examin~ on F~BRU~Y 1~1989 and found to be in compllance wlth the r~uirements of thls ~rd. 5¸ 6 SIRVICE DISCONNECT S E R OTHER APPARATUS: PAI~ELBOARDS:I-4 CIR. 125 OF CC. COND. I C E HANK'$ ELECTRIC 121 SHEEP PAST[IRE RD SETAUKET, NY, 11733 LIC.{2675E 11 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by ~.~PY FOR BUILDING DEPARTMENT. THIS COPY OF BE ALTERED IN ANY MANNER. UNDATIO.U ( ~ s~ UNDATION (2nd) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ]FRAMING [~FINAL ,,~.^,,,~s= ~/~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION / ~XFOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL DATE INSPECTOR'~~~ 765-/.80Z BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL DATE INSPECTO/~~ ~ ~'""'"~ 765-1802 BUILDING DEPT. INSPECTION [/~//FOUNDATION ZST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ./~..~*~ /~/~' ~ ~ DATE INSPECTOR~ 765-1802 BUILDING DEPT. INSPECTION [,~OUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FINAL [ ] FRAMING REMARKS: 108 NEWTOWN ROAD · PLAINVIEW, NEW YORK · 11803 · 516-694-6268 INSTRUCTIONS a. Ttus apphcaUon must be completely filled m by typewriter or m ink and submxttexl to the Bmlding Inspector, with sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relatlonstup to adjoining premises or public streets or areas, and giving a detmled descnptmn of layout of property must be drawn on the diagram which is part of flus appli- cation. c. The work covered by ttus apphcatmn may not be commenced before issuance of Building Perrmt. d Upon approval of this apphcatmn, the Building Inspector will issued a Building Permit to the apphcant. Such permit shall be kept on the premises avadable for inspection throughout the work. e No building shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupancy shall'have been granted by the Building lmspeetor. , APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone 0rdmance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinanee~ or Regulations, for the constructmn of buildings, addiUons or alterations, or for removal or flemaohtton, as hereto described. The applicant agrees to comply w~th all apphcable laws, ordinances, building code, housing cqde, and regulatlons; and to admit authorized ~nspectors on premises and m burring for nece~r'~spectm, ns. 4(Signature ol~apphcant, or'name, ~fa corporahon) ' ....... .F: .... .q 'dC. ................. (u v-ex/o od, /d.c/ //92J- . State whether apphcant ~s owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or Name of owner of prem:ses ."'7"-.~ttr r~ g J-- -/-- I~'e~/e.J (as on the tax roll or latest deed) If apphcant m a corporation, s~gnature of duly authorized officer. (Name and t~tle of corporate officer) Builder's L~cense No ...................... Plmuber's L~cense No ........................ Electrl~mn's License No ................ Other Trade's License No ............. Location of land on winch proposed work will be done .................................................. House Number Street Hmlet County Tax Map No 1000 Sectton Block . .. State e~mtmg use and occap~ of p~m~ ~d ~M~ ~ ~ ~~[p~ ~n~c~on: a Ex~tmg use and occug~ ......... b, Intended u~ and occup~ Estimated Cost . ,4 ~. Fee ~,. . ..... ; ~ , . o be pm Is ~ lCatlo~ , ~. If dwelhng, number of dwelling umta ..... ]~..' .... tuber ofdwe unRa on ~a~h floor ....... ' ..... If garage, number ofc~ ...... ~ ............................................ 6 If b~smess, ¢ommercml or m~xed occupancy, speedy negro ~d ext~nt of ea~ type of u~ ...... 7. Dimensxons of exmtmg st~ctur~s, ~fany Front .... ~L~ .... R~ar ..... ~.~ . Dep~ ... ~.~, .. D~enstnns of ~ame at~ciure w~th alteratxons or additions: Front .... ~,/.~ ..... Rear ... ~ ...... Numar of Stones Depth ...... / ....... ....... ......... ....... l~ ....... 8. D~ens~ons o~ entire new construction' Fron~ ... ~ ~ .' ....... ~ear .,. ~ .$ .~ ....... D~pth .~ ....... ' Hexght .... N~mber of Stones ...... L ............................ '7~ ~-~ ........ 9 Szzeoflot Front . /7~' ~ .... Re~, ../~&~ ........ Depth 10. DateofPur~ha~e ...... (~Y/ ............... N~eofFomnerOwner . ..~.~N&~ ..... I 1. Zone or use dlstnct m which premises are situated... ] A ~'..~ r{5 ?¢Tff.~ ./~ ~cxd.~i ~q .... f ..... 12 Does proposed construction vtolate any zomg law, ordinance or regulation: ....... ~ ~ .................... 13. Will lot be regraded . ~ Q ..... ~ .......... Will exce~ ~l be removed from premises Yes N 14 NmneofOwnerofprem~ses~'~5 J.~g~,qqt~4erAddre~C~(f{C~qT.~9 Nme of Architect .............. Addre~ ................ ~. Phone No .............. Nme of Contractor .................... Addre~ ................. Phone No .............. i5. Is th~s property located withinl00 feet of a tidal wetland? ~ Yes ..... No ..~ ~ If yes, Southold To~m Trustees Pemit may be required. PLOT DIAG~ Locate cle~ly ~d dzs~ctly Mi building, whether exmtmg or proposed, ~d md~cate ~I ~t-back d~emtons fro~ prope~ hnes Gxve street ~d block number or descnpt:on acco~mg to deed, ~d show street nines ~d md:cate wheth. rate.or or cor~]er lot STA' COUNTS'OF (Name of ~nd~v:dual s~gmng contract) abo~ t. lldlned being duly sworn, deposes and says that he is the apphcan lie ~s the ............................................................. (Contractor, agent, corporate offioer, etc,) of sa~d owner or owners, and la duly authorized to perform or have performed the said work a.qd to make and file thl apphcatton, that alt statements contained tn this application am true to the best of his knowledge and belief; and that th~ work will be performed m the: manner set forth tn tho apphcatton filed therewith. Sworn to before me this . ........ ........... Notary Pubhc, . ......... .~..~.4~.. ...... Court ~nt~ ~ ~ ~0~ (Signature of applicant . He 4707878, SuffeSk Ceunty~q ferm Ex,mr, es Match 30,1~ '~,~ ~ PDJ ~:OMPONENTS, INC. PO Box 574 Che~ter, New York 10918 ~,- . -.,...,. ..... ........ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY ,R~OVED AS NOTED ~OTIFY ~ILDING DEPARTM~T AT ~7~ 1802 9 A~ TO ~ ~ ~R THE FOLLOW NG fN~PECT~ONS: