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Home My WebLink About16038-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offlce of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17145 Date AUGUST 1r 1988 THIS CERTIFIES that the building. ACCESSORY Location of Propert~ 12555 NEW SUFFOLK A~E. House No. Street County Tax Map No. 1000 Section 116 Block 02 Subdivision Filed Map No. NEW SUFFOLK Hamlet Lot 13 Lot No. conforms substantially to the Application for Buildang Permit heretofore f~led in this office dated MAY 13, 1987 pursuant to which Building Permit No. 16038Z dated JUNE 9, 1987 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this cert~facate as issued 1s ACCESSORY GARAGE The certificate as mssued to RICHARD REILLY (owner, of the aforesaid buald~ng. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N843041 NOV. 13~ 1987 Bfl~l~g I~sp&ctor Rev. 1/81 ~u~ NO. ~ TOAVN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF TIlE WORK AUTHORIZED) No. t6'~ Z Perm,ssion is hereby granted to: -- .... ~.,..~...,...~.....)~.~ ......... ......~x.~.~ ............................................. ~.~-,-r~r.~/. ~J' . . . // ~... ...~.~~,..~...~. ......... .~. ........... ...... '; ................ ;'""71 ........ ';*'=";*:~ ...... ;~ ~'"'*~'~'"~':'"'"~'="~ ~ LO~c at premises oca~'eaat................................................. ~[ ........................................... ~' -- -- County Tox Mop No ]000 Sect,on .... [.1..~,. ..... Block ...... ..~....2~.. ....... Lot No ..~..~.. ........ purStlont to opplicotion doted .... ~.~..l..~ .............. 19.~..,,~. ., ond opproved by the Building Inspector. Building Inspector Rev 6/30/80 FORM NO 8 TOWN OF $OUTHOLD ~ulidlng Deparzmen~ To'.vn Hall S id APP,, CAT ON FOR CERTIFICATE OF OCCUPANCY Th~s apohcatlon must be fdled ~n typewriter OR ink, and submitted in duphcate to the Building lnso tar ,.vttn the following, for new buddings or new usa 1. Final sun.,e'/ of oroperty w~th accurate location of alt buddings, property hnes, streets, and unus natur3I or tooograch~c features 2. Final aoDroval of Hca;th Dept. of water suopty and sewerage d~soosat--(S-9 form or equal). 3. Approva~ of eiectrlc3I mstatlatlon from Board of F:re Underwriters. 4 Commermal buddings, tndustr:a] buddings, Multiple Residences and s:mdar buddings and insta tlons, a certlflc3ta of Code comphance from the Architect or Engineer respons:uIe for the Duildl 5 Suomlt Planmng Board approvat of completed s~ta plan raqmrements where applicable. B For exrst~ng buddings (prtor to Aprd 1957), Nonconforming uses, or buddings and "pre-existu land uses 1. Accurate sur,,'ey of peoperty showing all prooerW hnes, streets, buddings and unusual natural topographic features 2. Sworn statement of owner or previous owner as to use, occuoanc'/and cono:tlon of buildings. 3 Date of any hous:ng code or safety ~nspect~on of buddings or premises, or other pertinent mfor~ tlOfl required to predate a ce~lflc3te. / C 1 Csr~lf:cate of occupancy S5 00 2. Cartlf:cate of occupancv on pre-ex,sung dwelhng or Iand use 3 Cody of cart.fleece of occupancy SI.C0 $5 00 Ne v Budd'n .... Old V~cant _and ......... Owner or Owners of Property ....... County Tax Mad No. 1000 Section ............. B~oek ............. Lot ............ Suomwslon ........................... Filed N1ap No ......... Lot No. ~-~1 ........ IUoz r/o' - P~'m~t b~o D~teof°~m,t ~ /G ~ ~-~hcant ~ ~ Heaith Dept Approvat .~'.~ ........... Labor D~pt Approval ..................... Unaer,vr~ters Approval . . .~:.% ............. Planmng Board Approval ................. ~ Request for Temporary Cert~hcat3 ................ Final Certificate .............. Fee Submitted S ....................... Constructton on above described buddm*~rmt[ meets all a~!~t~able_j;/pjdes and regulations ~ ' . ],-mt,~T~['lE NEW YORK BOARD OF FIRE UNDERWRITERS I~UREAU OF ELECTRICITY November 13 [~OHN STREET, NEW YORK. NEW ~?~ THIS CEEIFIES THAT Richard Ri~ey,~ew Suffolk Avenue C/0 Bay Road,~utcho~e,New Yo~k ~ r~ ge DRYERS DIMMERS OTHE T S S E R V I C E NO OF CC CONI) [- / Electric ~oF 715 9outhold ~e~,' York L[971 GENERAL MANAGER P,~ . __ This cerhf,cate must not be altered in any manner, return to the off~ce of the Board d incorrect Inspectors may be idenhfmd by the,r credential- COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY OUNDATIO:; ( ~ OUNDATIO:~ { 2nd ) OUGH FRAME & PLUMBING NSULATION PER N. STATE ENERGY CODE FI~AL ADDITIONAL COMMENTS 765-1802 BUILDING DEPT. INSPECTION ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL REMARKS: DATE ? I NSPECTOR~-~ Memorandum from... · BUILDING INSPECTOR'S OFFICE TOWN OF SOUTHOLD TOWN HALL, Sou'r/~oL/). N Y 11971 765-1802 Nov. 20, ]987 I am returning your check #30472, the amount due is only $10.00 however we need an underwrzters certificate before we can do the C.O, Please send us a check for $10 and a copy of the underwriters. Thank you. *~.~'J'~' '* A RE;LLY & SONS, INC BUILDERS MATTITUCK, NY 91952 PAY , TO THE ORDER OF_ '~ ~ NOi=['rl'l_ FOi=~NI< 30472 50-791/214 ~[,., __DOLLARS Approved Disapproved a/c FORM NO. 1 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL gOUTHOLD, N,Y. 11971 TEL.; 765-1802 (Building Inspector) APPLICATION FOR BUILDING PERMIT IN STRUCTION S Received ........... ,19... Date 5~.///./3 ...... ]9 ~7 g Ttus application must be completely filled ~n by typewriter or ~n ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale Fee accord,rig to schedule. b Plot plan showmg location of lot and of buildings on premises, relatlonsh~p to adjoining premises or pubhc streets or areas, and giving a detmled description of layout of properW must be drawn on the diagram wtuch m part of this apph- cat, on. c. The work covered by ttus application may not be commenced before issuance of Buildmg Permit. d. Upon approval of this application, the Bmldmg Inspector will issued a Bmldmg Permit to the apphcant Such permit shall be kept on the premmes available for mspection throughout the work. e. No budding shall be occupied or used ~n whole or in part for any purpose whatever unti_l a Certificate of Occupancy shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Building Permit pursuant to the Bmldmg Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construcbon of buildings, additions or alterations, or for removal or demohtson, as hereto described. The apphcant agrees to comply w~th ail apphcable laws, ordinances, budding code, housing code, and regulataons, and to admit authorized mspectors on premises and m budding for necessary m.~pect,ons .... . ./. . (Signature of apphcafit, or name, if a corporation) .............. (mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electricmn, plumber or builder. · . . ~r~/~- .z~../<., .............................. Name of owner of premises ~/~ ~/~/~ /~=../Z ~/ ................... (as on the tax roi1 or latest deed) Bmlder's License No. '2. g ~ /-,(...:~-'. Plumber's License No Electrician's L~cense No .. Other Trade's L~cense No ....... Location of land on which proposed work will be done ~Ot~Aie~ House Number Street County Tax Map No 1000 Section ///~:~ Subdivision .. '(flame) //ye .. . /t/< ~ f u /.=,,~ o ~_?<. . Hamlet .Block .~ Lot Filed Map No ..... Lot . · State existing use and occupancy of premises and intended use and occupancy of proposed construction' a Exlstlnguseandoccupancy ~/ /z::::.~].O'l//-/ b Intended use and occupancy 3. Nature of work (check which applicable) New Bufl&ng f .. Ad&tlon ........ Alteration Repmr .. . Removal ...... Demohtmn ......... Other Work ...... fi/~ ,-.~'~]., ~ (Description: 4 Estnnated Cost ......... o. q .q.: .q .~ ..... vee ...-r .......................... (to be paid on filing this apphcat~on) $ If dwelling, number of dwellmg~s .......... Number of dwelling units on each floor .......... If garage, number of cars 6. If bus~ness, commercml or mixed occupancy, specify nature and extent of each type of use .............. ?. Dimensions of existing structures, if any Front ...... Rear ............ Depth .......... Height ......... Number of Stones ....................... Dimensions of same structure with alterations or additions Front ........... Rear ......... 9 10 11. 12. 13. 14 Depth ............ Height . Dimensions of entire new construction Front Height ...... Number of Stones Size of lot Front .... Date of Purchase ......... .... t. .... NumberofStones ............ ,... . .~-'~fP.... Rear...~O.- .... Depth . ~3 ..... Rear .......... Depth ............... .... Name of Former Owner ...... Zone or use district in which premises are situated .................... Does proposed construction violate any zomng law, ordinance or regulatmn- . ............. Will lot be regraded . . . Will excess fill be removed from premises Yes i Name of Owner of premlses Sl ~'.'/"'.~.'.~ Address ............. PhoneNo ........ Name of Architect . .~ .,, ..... ,., . . Address ........ Phone No. Name of Contractor ,z~ ./~el/-:..Z'~.f~f/~-Address~ ,,~,~..gf.~,)z~ .~. ~F:Phone N.o. ~'~')12"0p'~. 15. Is thzs property located w~t~nin 100 feet of a tiaa£ wetxand. ~es ..... ~o ~.. * If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~stmg or proposed, and. mdmate all set-back d~nens~ons frt property hnes G~ve street and block number or descnpt:on according to deed, and show street names and indicate whetl- mtenor or corner lot STATE OF NEW YORK, S S COUNTY OF. ./.~/Q.~..('~ .~'?'.. ~' . ,z~.~f.(-.&'~ [,~ ..... bemg duly sworn, deposes and says that he ls the apphca (Name of individual signing contract~ above named He is the ................................. (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 tl application, that all statements contained m th~s apphcatmn am true to the best oftus knowledge and behef, and that t work will be performed ~n the manner set forth m the apphcatmn filed therewith Sworn to before me this ..... NotaryPubhc: ... ~:~,..~r../0.; ...County ~ ,~olsTs, ~ .-~ (Signature o~ apphcm OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY A.~OVED AS NOTE~ NOTIFY ~ILDING O~PARTM~T AT 7~1~-1~2 9 A~) TO ~ PM FOR THE FO~.LOWING INS~CTIONS; ~ OK OG ~STRUCT~O~ ~RS. Phone 477-0400 GREENPORT, N.Y. 11944 Main Roa