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Home My WebLink About16593-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17573 Date DECEMBER 8~ 1988 THIS CERTIFIES that the building Location of Property 1450 TRUMAN'S PATH House No. County Tax Map No. 1000 Section 031 Subdivision ACCESSORY EAST F~RION, N.Y. Street Block 0t2 Lot Filed Map No. Lot No. Hamlet 013 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 1987 pursuant to which Building Permit No. 16593-Z dated NOVEMBER 5~ 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 ACCESSORY SHED ~ FENCING AS APPLIED FOR The certificate is issued to JOHN J. GORGA (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildinq Inspector Rev. 1/81 FOEM NO. 2 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Ne 165c)3 z Permission is hereby granted to: .... ...... ................. ....~....~..~...~ ~...~.:~.:...L/..~...~...~. ,o ...~.~..~....~.~..~,~....,~.....~..~....*......~~. at premises located at ....... .~..~. ........ .~.~~......~..~.....~...~ ........ ....~- .~ ..... County Tax Map No. 1000 Section ...... ...(~....~.) ........ Block ..... ..~.l...'~.. ...... Lot No ...... ~J..~ ........ pursuant to application dated ........ J~.~....~. ........... , 19.'~...~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y, 11971 765- 1802 TOWN OF ~OUT~OLD , APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted .=~ to the 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. Commercial 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" " land uses: .. 1. Accurate survey of p~3perty showing all property lines, streets, buildings 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 housing code or safety inspection of buildings or premises, or other pertinent informa- tion requ ired to prepare a certificate, C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory ~$]0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .... /{/.~.~,. L .~.~, ......... NewConstruction ...... Old or Pre-existing Building ............ Vacant Land.. ........ . .. Location of Property ~ .../..~. House No. Street Ham/et Owner or Owners of Property .............................................., , . County Tax Map No, 1000 Section . .~,. ,~J ......... Block , .Q/. ,~. ........ Lot,, ,d~,/, ,~, ......... Subdivision ................................. Filed Map No ........... Lot No .............. Health Dept, Approval ........................ Labor Dept, Approval ..... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codes and regulations. Rev. 10-10-78 Examined .~0 r~A:-~..~.., 19~..7. Approved .~..~ ..~.., 19~..7. Permit No. I..~.~.~.~ .~..~. 'FORM NO. I SURVEY TOWN OF SOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALL MAIL Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM ............. : Date ................... 19... 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 ~ving 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 tins 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 inspections. i · ......................... (~__~ignaffure of ~pp, lCant, or name, if a corporation) ~ g State whether applicant is lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .................................................. ., ............................... Name of owner of premises ...'~..~.././.M...~...~. '.~..~.~'~.. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of co,orate 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. Lpcation ofland on which propo'sed work wiil be done. ~ ~.~.~./'f.J~..~.//.z.~./~//~ House Number Street Hamlet County TaxMap No. 1000 Section . .~.~./ .......... Block .~]/..~. .......... Lot. Subdivision ..................................... Filed Map No..~w-: .......... Lot . ~ .......... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy...&~..,~..t~.~..~..t~-~ .~.~..//~. f... ~ . .k~_7~' .~'..~......~.~. ~. ........ .. b. Intended use and occupancy ...... ~-~./~../~..~'72.*..~'~ '/' .:. ' 3. Nature of work (check which apphca~le). New Building .......... A~td~t]~n .......... Altq~on .......... Repair .............. Removal /[.£~4d4/~.. ~ Demolition .... ' .~ ...~,Other Wor~)~ ~ .......... 4. gsnBateo uost ~;w ~:.~¢..., .......................... ~ee . .' ........ ; ;-.~ .:,q ~..~¢.. ;~ ............ i ' (to be prod:on fihn'g this a~phcatmn) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars .... : ......~'. ~ .:-:x ....................................................... 6. If business, commercial or mixbd occupancy, specffy nature and extent of each tvpe or uSe .~. ............... 7. Dimension~qf existing stmctuies if any: Front../~5 .......... Rear ..~( ........ De~th . .~4f .......... Hmght. ~ .~.. ~ ......... Number of Stones ..... ~ ........ ~ .......... D~ensions'of same structure With alterations or additions: Front ................. Rear .................. Depth ................... 2. · · Height ...................... Number of Stories ...................... ~,8. Dimensions,of ent~ new construction: Front .......... . ..... Rear ......... Depth ............... Height . .~'.. ~. ....... Number of Stones ....... ~ ............ ~ ................... , ............. . f , / , , [ ' r 9. S~zeo lot: Front .~.~.~ .... , .....~ ....... Rear ..... ~:~ .............. Depth . .~O~ ............... 10. Date of Purchase ..... ~!~ ~...fff/.Tf ........... Name of Fo~er Owner ~o'. ~ 1. Zone or use district in whic~ premises are situated .......................... 12. Does proposed construction vi61ate any zoning law, ordinance or regulation: ...~.0 ........................ 13. W~I lot be regraded ... ~ ~ .~ .................... Will exces~ fill be removed from premises: Yes No 14. Nme of Owner of premises . ~6bt~. 9.. ~*~.~. Address ~ ~.~'.~q~Phone No. q.~'.~5[.6 ..... Nme of Architect ......... ~ .................. Address ................... Phone No ................ Nme of Contractor ........ ~ .................. Address .... : .............. Phone No ................ 15. Is th~s property located w~th~n 300 feet of a t~dal wetland? *Yes ..... ~If yes~ Southold Tom Trustees Perm~g may be'requSred. ' PLOW DIAG~ Locate clearly ~d distinctly ~1 bulldogs, whether existing or proposed, and, indicate fll set-back d~ensions from property ~nes. Give street and block number or description accord~g to deed, ~d show street nines and indicate thether inte~or or corner lot. ~ ]/ ~/I/ ,,~ STATE OF NEW YORK, S.S COUNTY OF .................. ............................ , ..................... being duly sworn', deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ..................... i .................................................................... ~ (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 this application; that ail 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 NOTARY PUBI.IC, State of New York ~,' ~5"'~'~ .......... · . No._470787.8.,Suffol.k~untyC;;.c7 / / . ~ti 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [] FRAMING [ F~INAL ~.~~ FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: