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Home My WebLink About16439-z TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17813 Date MARCH 3~.~989 . THIS CERTIFIES that the building Location of Property 4000 MAIN ROAD House No. County Tax Map No. 1000 Section t25 Block 03 Subdivision Filed Map No. AGRICULTURAL BUILDING LAUREL· NEW YORK Street Hamlet Lot Lot No. 11 conforms substantially to the Application for Building Permit heretofore f~led In this office dated SEPTEMBER 4~ 1987 pursuant to which Building Permit No. 16439-Z dated SEPTEmbER 7, 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 AGRICULTURAL BUILDING AS APPLIED FOR UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED The certificate is issued to JEANETTE HOMMEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ~/A H007667 - JANUARY 27r N/A 1989 u~ildi~nglnspector Rev. 1/81 lvOl~M NO. · TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING I'ERMIT fTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 16439 z Permiss,on is hereby granted to: ................................. ....... ~.**.~..,....~L~...¢**~ .............. County Tax Map No 1000 ~ction . ./..c~..~.. ..... Block ....... ..~..~ .... Lot No....~.1 ............ pursuant ~ oppllcation dat~ ...~~...~ ........... , ,9~]., and app,OV~ by Building Insp~tar. Fee $..~'~.. :......~...... Building Inspector Rev 6/30/80 TOWN OF SOUTBOLD BDILDING DEPARTMENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 ll97l APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LANU ........ Location of Property 4000 Main Road Laurel, New York ROUSE NO. STREET HAMLET JEANETTE HO~L Owner or Owners of Property .............................. County Tax Map No. I000 Section . ]25 Block 3 Lot {] Subdivision ....................... Filed Map ........ Lot .......... - 16439Z 9/7/87 DAVID HOMMEL Permit ~o ........... Date of Permit .......... Applicant ................... Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Final Certificate ................ Fee Submitted: $ 10.90 DAVID HOMMEL APPLICANT .................................... rev. 10/14/88 FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ,~ , ADDITIO~AL COMMENTS: ~65-'t802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ]ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION FRAMING [ ]FINAL DATE I N SPECTOR~///~ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1000307 "'U~'~AU 0~' "" ..cTmcrrY ~ kh BS JOHN STREET, NEW YOlk. NEW YORK 10038 b,. ~'r,,..~a. ~, ~..? ...~,.,.,,,o.~o.o./,,. ~/'"/./ao N 833936 THIS Gl~lqTIPllf~ THAT I 3 I [] 2nd FI. .~ction Block and found to be in compliance with the requirements of this ~rd. $ E R ¢ 2/0 l~Utbold, I~.Y, This certificate mu, it not be cdte~d in mcmner; return to the office of the Board if incorrect. Inspectors HOT i P#r , ~' ' be identified , their credentials. 1.4 THE NEW YORK BOARD OF FIRE UNDERWRITERS $0~9~'1.~ BUREAU OF ELECTRICITY ~- ES JOHN STREET, NEW YORK, NEW YORK 1003~ /~ ~IANU~Y ~'J ~ ~ ~ /tpplic~tlon No. on~ile ~}/~ ~ C~IFIES THAT {Ei)GEW~ED FARMS~ 4000 MAIN RO,, Y,RUR[[,, in {~ ~lowin~ ~ation; ~ ~.~ ~ :~ FI. ~ ~ Fl. BARN ,~tion Bilk w exami~ on ,TANUARY ~4+r [~8~ s~fo.nd ~ be in compliance with the requiremenl, of th~ ~. FIXTUII! EXTU~IS RANGES OVINS IXHAUST FANS MOTORS IqJTURE AI'~LIANC~ NI0111S SIIIVICl DISCONNECT S E I~ V I C ODmR MTU~. DAVID I~OMHKh I,RlIRRI,., NY~ 11948 their c,,ede.#el~ This certificate must not be altered in any manner; return to the office of tbe Board if incorrect. Inspectors may be identified HOT BE ALTERED I. ~R. Ill/liN ~..o F .I iI TEL.: 765-1803 Approved~B~q.- . ? .... 19~.7 Permit No ].~.~..~ .~ 3 SETS OF PL FORNI NO. I SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SE?TIC FOKM ............. TOWN HALL NOTIFY $,OUTHOLD, N,Y. 11971 CALL ....... Disapproved a/c ................... (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. Tlus apphcatton must be completely filled tn by typewriter or m ink and suhmttted to the Budding Inspector, ~ sets of plans, accurate plot plan to scale. Fee according to schedule· b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premmes or pubhc s, or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this: cation. c. The work covered by tins application may not be commenced before issuance of Budding Permit d. Upon approval of this apphcahon, the Building Inspector will issued a Bufldmg Permit to the apphcant. Such p. shall be kept on the premises available for inspection throughout the work e. No braiding shall be occupied or used ~n whole or in part for any purpose whatever until a Certificate of Occup shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Bmldlng Permit pursuant t, Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordmanc Regulations, for the construction of bmldmgs, additions or alterations, or for removal or demohhon~,~ hereto desex The apphcant agrees to comply with all applicable laws, ordinances, bufldmg code, housmg code,)rfid regulations, ai admit authorized mspectors on premises and m bulldmg for necessary~/ ~/,~ (S~gn. Cture of apphcant, r~r name, ,f a' corporation) . (Mailing address of apph6rant) State whether apphcant ss_ owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or bm If apphcant is a corporatton, s~gnature of duly authorized officer (Name and t~tle of corporate officer) ALL CONTRACTOR'S MUS~.~SUFFOLK Builder's License No Plumber's License No ....... COUNTY LICENSED Electrician's License No .. Other Trade's License No ...... Location of land on winch proposed work will be done. House Number Street County Tax Map No 1000 Secnon /~-~ . Block Hamlet 2 Subdivision (Name)' Fded Map No Lot . . State ex~stmg use and occupancy of premmes and intended use and occupancy of proposed construction a. Ex~stmg use and occupancy b. Intended use and occupancy ~-'~' . ..................... 3. Nature of work (check which applicable) New Bufldmg --. .. Add~norl,, [.~.: ~f~q:. ~t~/ttl6n[,: ~ ~. Repmr ...... Removal ...... Demohtmn . ..: ~ Other Worla.-~ . ;~2 ..... 4 EsUmatedCost . ~.~'..~.~.<~ ......... -..Fee~..~..~.;..,~O~,~.,~ .......~4g .... tto [e pal~ O.r~Ohng Ibis apphcahSn) 5 If dwelling, number of dwelhng units .......... Number of dwelling un~~oor ........... If garage, number of cars ................................... 6 If business, commercial or mixed occupancy, spec£y nature and extent of each type of use ... 7. Dimenmons of existing structures, if any Front ....... Rear ...... Depth Height .. Number of Stones .................................. Dnnenmons of same structure with alterations or additions Front ........ Rear ........ Depth ..... Height ............... Number of Stones ........ 8. Dlmenmons of entire new construction Front ...... Rear ............. Depth ..... Height ...... Number of Stones ....................................... 9 S~ze of lot Front .......... Rear .............. Depth . 10 Date of Purchase ................. Name of Former Owner ............ 1 1 Zone or use d~stnct in which premises are situated 12 Does proposed construction violate any zoning law, ordinance or regulahon ................. 13 Will lot be regraded ............. Will excess flll be removed from premises' Yes Nc 14. Name of Owner of premises ........ Address .............. Phone No ............ Name of Architect ............... Address ............ Phone No ...... Name of Contractor .................. Address ........... Phone No ........... 15. Is th~s property located within 300 feet of a tidal wetland? *Yes ..... No ..... *If yes, Southold Town Trustees Permzt maybe requzred. PLOT DIAGRAM Locate clearly and d~shnctly all buildings, whether existing or proposed, and xndicate all set-back dn'nenmons from property hnes. Give street and block number or descnption accordmg to deed, and show street names and mdmate whethex lntenor or corner lot. STATE OF NEW ~D~E,. ~ _ (Name of individual mgmng contract) above named ·. being duly sworn, deposes and says that he is the applican: 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 ttu: application, that all statements contained m this application are true to the best ofhm knowledge and belief, and that th. work will be performed in the manner set forth m the application filed therewith. Sworn to before me this .... ¢.. ~.~.. dayof.~ .... : .. ,19.~.7 ~t~ ~ oe ~0t (St~ature of apphcant