The URL can be used to link to this page

Home My WebLink About16476-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17889 Date MARCH 27~ 1989 . THIS CERTIFIES that the building Location of Property 50 INDIAN NECK LANE House No. County Tax Map No. 1000 Section 86 Block 4 subdivision PECONIC BAY COVE Filed Map No. 7159 ADDITION PECONIC, NEW YORK Street Hamlet Lot 1.3 Lot No. 1 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21~ 1987 pursuant to which Building Permit No. 16476-Z dated SEPTEMBER 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 GEORGE &MARGAi{ET TINTLE PENDING - MARCH 27~ 1989 N/A Building Inspector TOWN OF SOU33~JOLD B~ILDING D£PAR?M£NT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PP, EMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~_ 16476 Z Permission is hereby granted to: '~ ~, ~~.~...~.:~..~ ...... ~.!..'/.~.~ ................ v.__.. ........................ 7~' ....... [ ............ :" ................................. .~ ................... _~ ............. ........... at premises located at ,...~.~.....~.....~.....~-~...(~.~ ............. ~ ................ County Tax Map No. 1OO0 Section ..... ..O...~..~.. ....... Block ...... .~.....~ ......... Lot No ..... .~.;...~ ........... pursuant to application dated ..~..~.......~...,..~,....J ............ , 19..~...~.., and approved by the Building Inspector. Fee $..~....:..~ .... Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN BALL SOUTHOLD, NEW YORK 765 - 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY NEW CONSTRUCTION ..~...OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Property.. HOHSE NO. STREET HAMLET County Tax Map NO. '000 Section ..~.~..~:~. Block .."~' .... Lot J,~."~..d"~ Permit No./.~.~..~.~..~...Uate of Permit Y-~-~//~...Applicant .... ~.. Health Dept. Approval .................. Underwriters Approval .............. Planning Board Approval ................ Request for Temporary Certificate ....... Fee Submitted: $ ................... Final Certificate ................ rev. 10/14/88 TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR ILO. BOX 1179 TOWN IIALL SOU'I'IIOLD, N.Y. 11971 2% TEL. 765-1802 Whom This May Concern, We are unable to complete your Certificate of Occupancy because .of the following reasons. /~/ An application for Certificate of Occupancy is 1lot on file. ~ /~/ .No Underwriters Certificate on file. /~_ The check i.'; (~tJ-d~a~/not ou file. ) 3;~,Fx) /_-/ No Health Dept. Approval on file. /-_'/ No final inspection has been made. PJease contact ()ur office on uhls matter. Thank you for your cooperation. Building Dept. **~/--/ rio Plumber Solder ~ t' ' _ ~er .%f~cate on file. ( all permits involving plumbing being issued after April 1,1984 ) FOUNDATION (1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL.' 765-180;2 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION [ ] FRAMING [ ~I~NAL DATE //'z/~/~/~/INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [~/~RAMING [ ] FINAL REMARKS: ~_ ~'~/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [/~1NAL DATE 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ?,-OUTHOLO, N,Y, 11971 TEL.: 765-1802 BOARD OF HEALTH $~]~-~77~t~ 3 SETS OF PLANS ....... SURVEY .......... CHECK .......... SEPTIC FORM ............. : NOTIFY CALL ~ 3~ X ~ 2.?,-~ ...... MAIL TO: Examined-~qttf.~...-a~x~.....~."1., 19/~7. Approv~..5~J~.....~x.~., 19~.. Permit No. l..~.~ .~..~ .~. Disapproved' a/c · ' (Building Inspector) APPLICATION FOR BUILDING PERMIT Date.. f/.~.. ( ......... 197: INSTRUCTIONS a. This 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 premises 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 herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection)(. .~-~. ........ f.... ........ (Si~ture of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ..... ........ . .......................................... Name of owner of premises .. ~.~-~>~..~.~.'...~.' ~...,:~/~.~.~.4~.~.~..~-- ,,4~, . .'~.../,~,../~..Z...~=. ..................... (as on the tax roll or latest deed) 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. I. Location of land on which proposed work will be done[ ................................................. House Number Street . Hamlet County Tax Map No. 1000 Section ..... ~(O. .......... Block ..... .,qL ........... Lot ..... I?.~. ........... Subdivision .... .~..~-..tiff..,~,.fi.~...x~..-~f., . ~ ~..- ...... Filed Map No.. 7/¢77 ........ not ................ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: ~E~/~ ~ ~ ~- a. Existing use and occupancy .................................... ' ........................... ~ ..... b. Intended use and occupancy ....... ~ ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Repair .............. Remioval .............. Demolition .............. Other Work ...... ',' ~ ~ (Description) 4. Estimated Cost ' Fee . i! ' (to be paid on filing this application) 5. ;If dwelling, number of dwelling units, r ........... Number of dwelling units on each floor ........... ~; .... If garage, number of cars . . .I ................................................. : ............... 6. If business; commercigl.o?.nt,i.,~td,o~pancy, specify nature and extent of each type of'use . 2..."7':,':~2 ..... .... ..... 7. Dimensions of e>~'isting:s~t{~[/l~i~y: Front. ' ~./?f; . Rear . V.~.; .O. 'i.. Depth ..-'~.. ~Iteight ........... ::':. ~!a'~. }f Stories ........ :..'. ¢~. ...... ~: . .' .'...'.. ].. '... Dimensions'of sali~)~trul~gl[~ithi~lt~rations or additions: Front ,,~.~..'~> . Rear ...~..~..". ~.~. ........ e th 17,'~t ~ .~, ?.,,~.., ~ " ~ · D. P . ~ . "i' ';I~.~l~rt .... ~' ,~,i;':' ;,' ........ Number, of~,t, ones .... Z..;~.~, --. B. Dimensions oI enl~r~;,n~w..¢..o~sl}rlJ~Clh~g: Front . . .5..°. . P... ..... Rear ... e?.o..~ ...... Depth/.~.~. ........... Height ...~[~.'.t"~../~.z-,~;'I~ul~}er o~ Stories ........ iA.., ............................................. 9. Sizeoflot' F~'ont .z?$$.~,,~ R ~5/~ Ut-nth ......... ~ ............ ear .............. , ......... ~ ......................... 10. Date of Purchase ......... ,~ .............. Name of Former Owner .2'.,~..~?..~. ............ 1 1. Zone or use district in which premises are situated ............................ ~ ....................... .12. Does proposed construction vi~late any zoning law, ordinance or regulation: ........................ ~_[.~ .... 13. Will lot be regraded ........ i..' ..~4~.,~.~ Will excess fill be removed from premises /cli?e~/ No] 14. Name of Owner of premises .~..d..?..././,~..~.~.a.-~. .... Address ~..o./.,,<~./~o ............ ~ ~; Phone No. 2'.~. 1~.~.~..~.~.. Name of Architect ... t.,! .....t, t, , .... .................. Address ................... Phone No. " ' ' Name of Contractor ~ ~ ,t " ' " ~' Phone No.._." " ........ i .................. Address ............................... 15. I~ this property locatedi within 300 feet of a tidal wetland? *Yes ..... No '.~. · If yes, Southold Town Trustees Permit maybe required. ' PLOT DIAGKAM Locate clearly and distinctly alt buildings, whether existing or proposed, and. indicate all set-back dimensions ,from :number or description according to deed, and show street names and indicate whether property lines. Give street and blocl interior or corner lot. STATE OF NEW YORK, : COUNTY OF ,. ~'~..,~.,~..~-.. i S.S ............. .~.~'.o~...~...~..~.~.Z,..~.. ........... being duly sworn, deposes and says that he is the applicant (Name of individual siglning contract) above named. ~ . ~ : He is the.... ~("~:~, .~~. ~ , (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~tly authorized to perform or have performed the said work and to make and file this: application; that ail statements conltained in this application are true to the best of his knowledge and belief; and that the' work will be performed in the manher set forth in the application filed therewith. Sworn to befdre me this ...:..J?..~-..~.. ........ da;:f..~., .~... .... :'... .... 19~. ' ' ' [ / ~ ~Jblic,.State of New Y0. ' - ' --~' ' ~ ' '~' ~' ..... [./ }}~. 52-3644965, Suffolk CobH, t, , ,/ (Signature of applicant) g ~, ' ' SUFFOLK CO. HEALTH DEPT. APPROVAL "' '- - ~ ~. ..... T~ WATER S~Y AND SEW~E DI~AL ,~ ~ . ~ ~, ~ . ~ r 4 ' [ ..... ~FF~K CouNTY D~. ~ HEALTH ' ,'~ ~ ~ ' ~ ' / S~FOLK CO. TAX MAP ~IGNATI~: N ' ~' ~_, . D~ , ~ /' ~ '.'~' ~ ~ ~ ~ .... :~- ~ ~;~ ~ .,~, ... . ~ ~ .. . _. ~; ,, [J~E IS UNLAWFUL , ~,!!ri rHOUT CERTIFICATE ........ '~ OF OCCUPANCY ,¢o o'