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Home My WebLink About16451-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N Y, Certificate Of Occupancy No zl6352 I)atc October 29, 1987 7 Ills CERTIFII'S that thc bmldulg Accessoyy.bu~ldlng, Location of Property 740 Longv~-ew Lane County Tax Map No I000 Section 088 Block 04 Southold 50 Lot Subd~wslon Terrywaters Fried Map No. 2.90!.. Lot No ... Homier 69 conforms substantmlly to the Apphcation fm Bmldulg Permtt heretofore filed In ttns otfice dated · S e.p t. 9:, .I 987 pursuant to Much Building Permit No 1 .645. 1. Z. .... dated .8, e p.t.. 9, . 19.87 ..... was tssued, and conforms to all of the requirement s of the apphcable provisions of the law 'l lie occupancy for which this ccrhficate is issued AccesaQry garage o~ a, pp~.zec] The certificate is issued to C HARL E S E.,. of the aforesaid braiding Suffolk County Department of tlealth Approval . UNBERWRITERS CERTIFICATE NO . for . & CATHERINE V. ROWAN · to~J,,or. &.tre~a'&ttrDi~'Xxk' ' N/A PLUMBERS CERTIFICATION DATED: N/A Budding Inspector Rev 1f81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PEI~MIT MUST BE KEPT ON THE PI~,EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORJZED) N~ 1645t z Perm:ssion is hereby granted to: ..~~.~....~....v.:.....u..~.~...t.. County Tax Map No. I000 Section ....... ~..~.~ ..... Block ....... .(~..~ ....... Lot No..o..~... ...... ,~,,,..,,:,., ,,:, o,,:,,,~,,,,o,., ,~o,.:, .... ;~,~~....~ ............... . ,~.~... ,:,.d ,:,,~p~o..~ ,~,, ,he Building Inspector. Rev. 6/30/80 FOUNDATION (1 COMMENTS FOUNDATION 2. ROUGH FRAME & ?LUMBING (2nd) INSULATION FERN. Y. STATE ENERGY CODE 4. ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD BUdding Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewmter OR ink, and submitted -, ~ to the Building Inspec- tor w~th the followmg, for new bulldogs or new use: 1. Fma[ survey of property w~th accurate location of all buddings, 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 electrmal ,nstallat~on from Board of Fire Underwmters, 4. Commercml bulldogs, Industrla~ buddings, Multiple Residences and similar buildings and installa- t~ons, a certificate of Code compliance from the Architect or Engineer responmble for the bulldog. B. Submit Planmng Board approval of completed she plan requirements where applicable B. For existing buddmgs (prior to April 1957}, Non-conformmg uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz:Operty showmg all property hoes, streets, buddmgs 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 housmg code or safety mspectlon of buildmgs or premises, or other pertinent reforma- tion required to prepare a certificate. C. Fees' Addztions $25.00 ~ New Dwelling $25,00, (~cessory ,$t0.0~j Business $50.00 1. Certificate of occupancy 2 Certificate of occupancy on pre-existing dwelling $ 50'. ~ 3. Copy of cert~ficate of occupancv $ 5 00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date../:~/.f.-cYb/~..-~./. ....... NewCons t~ruc t~on ..... Old or Pre-exmtingAgudd~ng ........... Vacant Land ....f¢~.. ....... Locat o ofPrope ......... :7.?../.. ........... Hou~ No. u Street Ham/et Owner or Owners of Property .~.~..f~/...~ .~.~..t~.:...'~.O. ~, ./~., .M~. ........... County Tax Map No. 1000 Section . ~'~ ......... Block ....~ ........ Lot ~ ............ Subd,v,s,on .... . .,od?: ......... Perm,t No /. (¢.¥~../.~Date of Perm,t .~./. ¢/f.?Apphcant . C.-~/j .... .~.~ .... Health Dept. Approval ................... Labor Dept. Approval ........................ Underwmters Approval ...................... Planmng Board Approval ...................... Request for Temporary Certificate ............... F~nal Certificate ....................... Fee Submitted $ .~.~..',~. ................. Construction on above descrlbedApphcant~'/~-~- :~' '~ '' · ~' ''~' 'buddmg and,4a~rmlt meets all apphcable codes ind ................. regu[attons. Rev 10-10-78 0.0. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] I~SULATION / FRAMING ~FINAL DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION UNDATION 1ST [ ]ROUGH PLBG. FOUNDATION ZND ~ ]INSULATION FRAMING [ ]FINAL DATE Approved~5~. c~ Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1802 ,19~7 Pemnt No. ) ¢ t~'l ~ (Building Inspector) APPI. ICATION FOIl BUILDING PERMIT Recexved ........... ,19... Date , 19. INSTRUCTIONS a Tlms application must be completely filled in by typewriter or,n ink and submitted to the Bmldmg Inspector, with - sets of plans, accurate plot plan to scale Fee according to schedule b. Plot plan showing location of lot and of braidings on premises, relationship to adjoining premises or pubhc street or areas, and giving a detmled description of layout of property must be drawn on the diagram which is part of this apph cation c. The work covered by ttus apphcatmn may not be commenced before issuance of Budding Permit ,d. Upon approval of this application, the Building Inspector w,i1 ,ssued a Budding Permit to the apphcant Such penni shall be kept on the premises available for inspection throughout the work e. No bmldmg shall be occupied or used in whole or in part for any purpose whatever untJ-a Certificate of Occupanc: shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bmldmg Permit pursuant to th, Bml&ng Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances o Regulations, for the construction of buddings, ad&ttons or alterahons, or for removal or demolition, as herein described The applicant agrees to comply with all apphcable laws, ordinances, budding code, housing code, and regulations, and t{ admit authorized inspectors on premises and m budding for necessary_~o s.~ ~ ]~o-,,r-~-,~ (Signature of apphcant~ or name, if a corporation) ..... ........ State whether applicant l~/owner.] lessee, agent, arch,tect, enDneer, general contractor, electncmn, plumber or builder (as on the tax roll or latest deed) If apphcant is a corporation, signature of duly author,zed officer (Name and title of corporate officer) Builder's License No Plumber s License No Electr,cian's License No Other Trade's License No 1. Location of land on which proposed work will be done 7 .~.o ~ . House Hamlet County Tax Map No 1000 Sect,on wc~ ~ Block ~/' . . Lot..-.~?. Subdtv,slon r"~°'w~, ~(Name) Filed Map No "~ O 2 State existing use and occupancy of premises and ,ntended use and occupancy of proposed construction b Intended use and occupancy 3. Nature of work (check which applicable) New Bufldlng .... Addition . . Alterat~o~Lt . . . .. Repmr ..... Removal .... Demohtmn .. Other Work ~,a,.~r. ~.,.. (Descn~rfion) 4 Estmaated Cost ..................... Fee ............................... (to be paid on fihng th~s application) 5. If dwelhng, number of dwelbng umts .... Number of dwelhng umts on each floor ........... If garage, number of ca~ . . ~ ..... 6. If bus~ness, commercml or m~xed occupancy, specify nature and extent of each type of use ........... 7. D~mens~ons of ex~st~ng structures, ~f any Front . .. Rear ..... Depth . .. Height Number of Stones ....................... D~ens~ons of same structure w~th alterations or addmons Front .......... Rear .. Depth .......... He~t ..... Number of Stones ............ 8. D~ensmnsofent~renewconstmctmn Front.~ ~.~..Rear ~. ff~. ..... Depth ~.~.. He~t ........ Number of Stones 9 8~zeoflot Front /~:g ............ Re~. ~.~..~' .~'.'~e~ '2~ ....... 10 Date of Purchase ................. Nme of Fomer Owner ..................... 1 1 Zone or use d~stnct m which premises are s~tuated ............................ 12 Does proposed construction vmlate any zomng law, ordinance or regulatmn. ~ ..................... 13 WflI lot be regraded ..... ~ ...... W~ll excess ~l be removed from~re~ Yes No 0 ~ m~ses~ ~A~ddress 14 N~eof wnerof~ae ,"~ ,--~o ~ ............ ~-P~ ........ N~e of ~chltect/~P N~e of Contractor .. ~ ..... ~ .~. . X~ss ........... ~oneN~... 77 .... 15. Is th~s property ~ocated wxth~n~00 feet o~ a t~da~ web,and? * Yes ..... No ~... · If yes, Sou~hold To~ T~ustees Permit may be PLOT DIAG~ Locate cle~ly ~d d~stmctly ~1 buddings, whe~er ex~stxng or proposed, and ~ndmate ~1 set-back d~ensxons from prope~ hnes. G~ve street ~d block number or descnptmn according to deed, ~d show street n~es and md~cate whether interior or corner lot. STATE OF NEW YORK, COUNTY OF... S.S ........................ beang duly sworn, deposes and saya that he ~s the apphcant (Name of ~nd~wdual signing contract) above named He as the ...... (Contractor, agent, corporate officer, etc ) of said owner or owners, and is duly authorized to perform or have performed the smd work and to make and file th~s apphcatlon, that all statements contained m this apphcatmn are true to the best of his knowledge and behef, and that the work will be performed m the manner set forth m the apphcatlon filed therewith. Sworn to before me th~s 19 .~.Z7 (S~gnature of apphcant[ %., 7'0 , RODE,~ICK VAN~YL. P LICENSED LAND SURVEYORS GREENPORT NEW STATEMENT OF' INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDAROS OF THE SUffOLK CO DEPT- OF HEALTH SERVICES iS} APPLICAI~r ....... SUFFOLK SERVICES -- FOR CONSTRUCTION ONLY DATE , H S REF NO APPROVED COUNTY DEPT OF HEALTH APPROVAL OF SUFFOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL OWNERS ADDRESS' DEED L TEST HOLE J ....... STAMP SEAL j approximately 20'% RING LINES SLOPE TOWARD DOOR FOR DRAINAGE , TO 6*' BELOW rROST LINE, IF REQUIRRD TOP 2x4 ADDED 2x4 FRAMING AFTER WALL IS IN PLACE DIAGONAL BRACE 2 CAR ( klRAGE Hr OCCUPANCY OR USE IS UNLAWFUL WffHOUT CERTIFICATE OF OCCUPANCy MATERIAL LIST FOR DESIGN 2184 Material Supplied By 84 Lumber Quantity Siz~ ~escription 16d Co~ n Nails Casing Nails Insulating Sheathing Galvanized Sheathing Nails Note: Tbs Following Materialm Not S~pplied By 84 Lumber. Limged For Convemience Only. 22 1/2Dia x12" Anchor Bolt~ W/Nuts & S~EET TAL 5 FOUNDATION PLAN Iform concrete) 0 [ 2A TI-ii pLy~ooo oo~ LO,F, FOUNDATION PLAN (turned down slab) RIGHT SIDE ELEVATION ~/°o" TI-II ?lN~oooP REAR ELE'VATION L__ )E ELEVATION FRONT ELEVATION [ SHEET 2 2 I 8 4 TOTAL 5