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Home My WebLink About16502-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. z16412 Date November 17, 1987 THIS CERTIFIES that the building Addition Location of Property 540 Rocky Point Road, East Marion h3 sb hie; ....................... ....................... County Tax Map No. 1000 Section .... .3.1 ...... Block . 2 .Lot 22. I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... .O.c.t....2.,..1.9.8.7 ...... pursuant to which Building Permit No.. 1.6.5.0.2.Z. .............. dated O.c.C....7,.. 1.9.8.7 ................. 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 ......... A greenhouse addition to existing agricultural storage building. The certificate is issued to WALTER & LINELL GAIPA ..................... ..................... of the aforesaid building. Suffolk County Department of Health Approval ...... ~/.A. ................................. UNDERWRITERS'CERTIFICATE NO N/A PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev. 1/81 FORM NO, ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT CI'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 16502 Permission is hereby gronted to: .... ~...'- .~....- ' ~ z. ..................................... · . ~x~x~. ,.~...~......~....z/....r.,....~ _ ...... i~"5'; ' , County Tox Map No. 1000 Section ...... ..':-~..LS.. ......... Block ....... ?~.... ........ Lot No....~....~..:../.. ........ pursuont to opplicotion doted .............. ~.~ ......................, 19~.~..., ond opproved by the Building Inspector. fee ~......~..4~. / ~ilding Inspector Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall BLDG. DEPT. $[outho d, N.Y. 11971 TOWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions - in duplicate This application must be filled in typewriter OR ink, and submitted . ,',V ~, ,?o'zhe Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, 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 electrical installation from Board of Fire Underwriters. 4, Commerciat buildings, Industrial buildings. Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building, 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957}. Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occuPancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling $15.0 0 . 3. Copy of certificate of occupancy $1.00 4.woant o.o. $ .00 ,.-.....: Date ............. New Building .... ~'. ..... Old or Pre-existing Building ............ Vacant Land ............. Location of Property...~..~/jt~,.. ,L."~...~,.. ~..~(~., ....... ~.../~.. ?~V[. ~..~..~/.~?,~. ~/;r~/; ' Owner or Owners of prH~rtN;'.... ~..~.. :-. ,~.~..~..:.. ~...'/./~..~. ....................... :: County Tax Map No. 1000Section ...~./ ....... Block ...~:~ ......... Lot...C~.,.,/ ..... Subdivision .... : ................... . .~/~/~.,...Filed Map No~/,~ ......... Lot No .............. PermitNo /~5~)"~ Dat ofPermit .~.~ ~'.~.2Applicant ~~ ......... .... .. Health Dept. Approval ~7~./ ................ LaborDept. Approval ...(~ ~ .............. Unde~r,ters Approval ~.:~ . Plann,ng Board Approva ~ f~ . / Request for Temporary Certificate ..................... Final Certificate .... ~ ................. ..... Construction on above described buildin~ and p codos and ro~uladons. Apphcant ~~ ~ .~ .w ....................... 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION /ND [ ] I~ULATION / FRAMING ~' FINAL REMARKS: DATE UNDATION (1st) UNDATION ( 2nd ) UGH FRAME & PLUMBING SULATION PER N. Y. STATE ENERGY CODE FI~AL · ADDITIONA'L COMMENTS Examined .. ZO../7. ........ 198.7 Approved .../...g)/7 ......... 19 .~..~Permit No./~. ff..O..~....~ BOARD OF HEALTH · 3 SETS OF PLANS ~7:~..'. ' FORM NO. 1 SURVEY . TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL NOTIFY P~)UTHOLD, N.Y. 11971 TEL.: 765-1802 CALL ................ ~ MAIL TO: Disapproved a/c ..................................... ~Buildint~'Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This application must be completely filled in by WPewriter 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 erin 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 Yo~, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or f9~ removal or de~lition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, build~fig code, housin~'/ffode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspe~fi)tS~n~. .............../~F//~L "~.'." '(~'.2" ......... 'c' ~"" ;t'd~'' "' (Signature of applicant, or name, if a o per, ti ) (Mailing address of applicant) State whether applicant is_owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .............. ..................................................................... Name of owner of premises .......................................................................... (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 ...................... 1. Location of land on which proposed work will be done~ ........... , ..................................... House Number Street Hamlet County Tax Map No. i000 Section .... '~./ ......... Block ..... ~ .......... Lot....~. ~ ~ '/ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of prej;nises and intended use and occupancy of proposed Construction: b. Intended use and occupancy ................ ~..~..~..ff. .......................................... : 3. Nature of work (check which ap.plicable): New Building ' Addition .......... Alteration .......... Repair .............. Rem6vaI .............. Demolition .............. Other Work ............... I ~Descrip,tion) 4. Estimated Cost ' Fee .................... i ' (to be paid on filing this application) 5. If dwelling, number of dwelling ~nits ............... Number of dwelling units on each floor ................ If garage number of cars · .-,---~-:..f 6. If business commercial or mixed occupancy, specify nature~and extent of each type of ~tse ................ ; ,.... 7. D~mens~ons 9f e~stmg structures, ~f any: Front .... ~,,~'-,r,J. ?. .... Rear ...~./J....d .... Depth . ~ ~).,. ?. ...... Height .. f?./.r. ........ Number of Stories..../{. ...................... ~ ................ t ..... ~. ...... Dimension!sol ~a~<structure with alterations or ac~ditions: Front ~'.~../...6_/. ....... Rear . .~.~..... q ......... Depth . .F_,.~. ,~.. ~..,~ ........... . . Height . ./~..~. ............... Number of Stories . . .f .......... ~. ,/ .... .... 8. Dimensions of entire new construction: Front..~. '. ~ .~.(. .... Rear ./3 f, JT..~ ...... Depth ./tF./..~. ~.. .... ~./.. Number of Stories Height .................................................................. 9. Size of lot: Front . ./.(.J~..~....i ........... Rear ...... .2'~. ............. De~th ./.~..~ ............... 10. Dateofeurchase .~'~..~.o~..~..' .................. ffamc/ofFormerOwner .~.~.(-q~rT..~.~..~.~.4~. ....... 11. Zone or use district in which prgmises are situated..~/.tC~.~.~d"*~. ............... .~ ./~ .................... 12. r)oes proposed construct~9~3 ~vio!ate any zoning law, ordin~ince or regulation: ...... ~(. LZ. (.J ................ 13. Will lot be regraded .. ~.~).. ................... Will e~cess fill be removed from premises:__ Yes 14. Name of Owner of premises~.~/..T~..~..(/~.~.q .~..~(./.'~Addres~)~: .~..~.7...~, ,,...r~¢~..,..c~Phone No. <j~].Tr(/g~.g .-:~. .... Name of Architect .......... .... ~ ........... Address ................... Phone Nok. .............. Name of Contractor ...... ~5w..~..~.~ ............ Address .... :-.~... ~.~-. .......Phone No. ~ ............ 15. Is this property located iw±thin 300 feet of a t±dal wetland*. ~Yes ..... No ~.\... · If yes, Southold Town Trustees Permit maybe required. , PLO'F DIAGPokM Locate clearly and distinctly all' buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual sigging contract) above named. He is the ..................... ~ ................................................................... of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this l~Erm ~ ~)£ rOE NOTARY PUBLIC, State of New Yod~ ~ ......................... fl0, 47078'/8 Suffolk CoudlY ~ (Signature of applicant)i i Term £xp res M~rch 30,19~ DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ~ T~ ~ ~ST I~V~ SEC TI~ ~ ~K ~L rOT 022 J SURVEY FOI~ W4, L. TER GAIPA & LINE'L.L. GAIPA AT EA3I' MARION TOWN OF SOUTHOLD ', 'SUFFOLK COUNTYr NEW' DEC, i3.1986 DATE: JAN.2 7)1986 SCALE: I" = ,50' NO. 86 ' 59 GUARANTEED TO; WALTER GA AMERICI IELL GAJPA ANCE CO. "" I"", YOUNG A YOUNG ~os'~,,O~.AV~ NOTE, AREAz15614 S. ALDEN W, YOUNG, P~OFESSIONAL ENGINEER , ~ AND LAND SURVEYOR H.Y.S.~CENSE NO. , ~ ~ HOWARD W. YOUNG, LANG SURVEYOR