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Home My WebLink About15608-zFORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No z-156] ] Date April 9, 1987 THIS CERTIFlES that the buriding Addition to existing Greenhouse 5.37.3 · Locatmn of Property . .M.a.zn Road Peconzc , New York ~ou~e ~vo Street Ham/et County Tax Map No ]000 Section . . .0 7. 5 ...Block 0.] ........ Lot . .] 7. .......... Subdlvimon .................... Fried Map No ...... Lot No ........... conforms substantially to the Apphcatlon for Building Permit heretofore filed in thas office dated D e.c. e m b.e.r..2 9.,. ,l .9 8.6. pursuant to wlfich Building Permit No.. 1.5. 6.0 .8.z ......... dated D.e. c e mb. e. r..3. [, .I.9.8 6 was issued, and conforms to all of the requirements of the apphcable provimons of the law. The occupancy for wtuch t!ms certificate is msued is ... .......... Av.p .Z qN z.o .Xr. SZ.. Np ................. The certificate m issued to FRANK C ICHANOWICZ ............. ?o¥.b;,'~g$r~c ............... of the aforesmd building Suffolk County Department of Health Approval ......... ?./A. ..................... UNDERWRITERS CERTIFICATE NO N /A PLUMBERS CERTIFICATION DATED: N/t, Rev 1/81 FO~V.t' NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERJ~IT CT'HIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N9 15608~ Z Perm~ss:on ~s hereby granted to: ........................................... .......................... :.H. ...... 1}.~..~..~ ............ at premises Io~ated at .....~....~...~.....~....~.. ......... .~..Q'~"~......~..~., ...~--~.~...~..~ ..................... County Tax Map No 1000 Sect,on . . ..~.-)......~.. .... Block ....... ..~..~ ........ Lot No ..... ~...~ ........ pursua,t to application dated ..."~....,~.~....~.~. ..., 19.~.~., and approved by the Budding Inspector. Building Inspector Rev 6/30/80 FORM NO 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled ~n typewriter OR ~nk, and submitted m~ to the Building Inspec- tor with the following, for new buildings or new use. 1. F~nal survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographm features. 2. F~nal 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 buddings and instaila- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed rote plan requirements where applicable. B. For exmting buddings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~Coperty showing all property hnes, streets, buildings and unusual natural or topographm features. 2. Sworn statement of owner or previous owner as to use, occupancy and condit~on 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. Certlf~cate of occupancy New Dwellzng $25.Q0, Accessory,Si0.00 Business $50.00 2 Certificate of occupancy on pre-existing dwelhng $ 50.00 3- Copy of certiflcatel of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land U.O. $ 20.00 5.Upda%ed C.O. $ 50.00 Date ......................... NewConstruction ...... Old or Pre-existing Building ......... Vacant Land ............. Location of Property ........... ~..~.~ .-~ .-~.... ,~Z..~'/~-'~......~ ....... .~..~ ............ House No. Street Hamlet Owner or Owners of Property .../~,~,. ~ .......................... ?s- Z County Tax Map No. 1000Section .............. Block ... J Lot... Subd~wmon ..................... Filed Map No ....... Lot No .............. Perm,t No../.~. ¢'.~. ~.~-. Date of Permit ./.~./~.. Apphcant ................................. Health Dept Approval ................. Labor Dept. Approval ..................... Underwriters Approval ................... Planning Board Approval ..................... Request for Temporary Certificate ................ F~nal Certificate .................... Fee Submitted $ ...................... Construction on above described building and permit meets all applicable codes and regulations. Apphcant ............................................... Rev 10-10 78 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P O. BOX 728 TOWN HALL SOUTHOLD, N.Y 11971 To Whom This biay Concern, TEL. 765-1802 I',IAR 2 3 198T We are unable to complete your Certificate of ~c~6p~hdy~b~au~- ----~ of the following reasons. ( )An application for Certificate of Occupancy is not on file. ( )No Underwriters Certificate on file. ( ~/)The check is (*~/not on file.) ( )No Health Department Approval on file. ( )No final inspection has been made. .Please contact our office on this matter. Thank you for your cooperation. Building Permit # I .~ la _O__ ~ Z )No Plumbe'r Solder Certificate on file. (all permits involving plumbing being issued after April 1, 1984) TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 To Whom This May Concern, TEL. 765-1802 We are unable to complete your Certificate of Occupancy because of the following reasons. ( )An application for Certificate of Occupancy is not on file. ( )No Underwriters Certificate on file. ( //)The check is (8~/not on file.) ( )No Health Department Approval on file. ( )No final inspection has been made. Please contact our off~ce on this matter. Thank you for your cooperation. Building Permit # [ ~ ~ ~ ~ Z )No Plumber Solder Certificate on file. (all per~its ~nvolving plumbing being issued after April 1,'1984) BUILDING DEPT. INSPECTION []FOUNDATION 1ST []FOUNDATION 2ND []FRAMING [ ] ROUGH PU3G. [ ] INSULATION ~----]~AL OUNDATION ~ 1st) OUNDATION (2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIO~AL COMMENTS: Approv~ D~sapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y 11971 TEL.: 765-1802 ~. , 19~¢ .'~ , 19~)(~.Penmt No ! ~'~./~Og'~- (Bmld,ng Inspector) APPLICATION FOR BUILDING PERMIT Recea. ved ........... ,19. INSTRUCTIONS a. Tins apphcatlon must be completely filled in by Wpewnter or ~n ank and submitted to the Budding Inspector, wltl sets of plans, accurate plot plan to scale. Fee according to schedule. b Plot plan showing locatmn of lot and of buddings on premises, retatmnsh~p to adjmnmg premises or pubhc stre or areas, and g~vmg a detmled descnptmn of layout of pmpe~ must be drown on the dmgmm which ~s pa~ of t~s ap catlon c. The work covered by t~s apphcataon may not be commenced before ~ssu~ce of Bu~dmg Permit d Upon approval of ~is apphcatlon, the Bmldmg Inspector will msued a Building Pe~t to the apphc~t Such pen shall be kept on the premises available for mspectmn ~rou~out the work e. No bufld~g shall be occupied or ~ed m whole or ~n p~t for any purpose whatever until a Ce~fficate of Occupm shall have been granted by the Building Inspector APPLICATION IS HEREB~ M~E to the Bmldmg Dep~ment for the ~ssu~ce of a Bmldmg Pemit pu~uant to Bmld~ng Zone Ordinance of the~ Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordm~ce~ Regulabons, for the constmchon of buildings, add,tram or ~teratmns, or for remov~ or demolibon, as hereto descfib The apphcant agrees to comply w~th aH apphcable laws, ordinances, bufldhg code, housing code, and regulatmns, and admit autho~zed mspecto~ on premises ~d m building for necessa~ ~nspections ,' (S~gnatu~e of apphcant, or name, ~ corpor~tmn) ' ...... owner, lessee, agent, ~cintect, en~neer, general contractor, electnman, plumber or bmld State whether ap?~cant ~s tmazzzng address or appzic~nt) / ............ Nameofownerofprem~ses ~(*[~ ~,C~"o~'k4 ~ ........... (as on the tax roll or latest deed) Braider's L~cense No Plumber's L~cense No Electrlc,an's L~cense No Other Trade's L~cense No If apphcant ~s a corporation, s~ghature of duly authorized officer (Name and t~tle of corprl~ate officer) .0.~*-r','*~ (,~../ · Locatmn of land on whmh proposed work wdl be done. House Number Street County Tax Map No 1000 Sect,on ~5, ~ Block Hamlet a Existing use and occupancy b. Intended use and occupancy Subd~v~smn Fded Map No Lot ...... (Name) State ex,sting use and occupancy of premises and ~ntended use and occupancy of proposed construction Nature of work (check winch applicable) New Bufldmg ....... Addition .. ~f-.. .. Alteration ...... Repmr .......... Removal ........ Demohhon ............. Other Work ........... ~1[8 ~ ~ 1~. (Description) Estnuated Cost : ............... Fee ~,m ~.: ~ ................... (to be prod on filing th~s application) 5. If dwelling, number of dwelling units.. ~k~ .... Number ofdwelhng units on each floor .... ~ ..... If garage, number of cars .... 6. If business, commercial or mixed occupancy spec~y nature,and extent of eec!3 type of use .,~.? f~../~..~ :-.~f.. 7. Dnnenslons of existing structures, ff any Front. ;~ (' .... Rear .. ~ ........ Depth .~.6 ..... Height ... t~l ~ .... Number of Stones Dzmenmons of same structure w~th alterations or addltmns' Front ~-~o~,.=L .... Rear .......... Depth .......... Height .............. Number of Stories ............... 8. Dm~ens~ons of entire new constmctton Front ......... Rear ............. Depth ......... 9. Slzeoflot Front. . ~.,. ~ .I. '1. Rear .............. Depjth .............. 10. Date of Purchase . ] q¢~ ............. Name of Former Owner . /,/'(.v','~l.4. e: m .... i 1. Zone or use d~stnct m winch premises are situated ~../~, ..r-cC.. l ~ < .<~. ...... ,~. ............ 12. Does proposed constructioh vlo!a}e any zoning law, ordln"ance or regulation .... /'~ ................... 13. Will lot be regraded ' ' '1' .t~'~: ,r/~ ...... Will excess fill be removed from premises. Yes 14 Name of Owner of premises ~. .. Address ........... Phone No Name of Arcintect .. Address ............. Phone No .... Name of Contractor 2 i~ i1~i271'00'~'2i Address ............. PhoneNo. 15. Is this property 1 ca i of a tidal wetland~ * Yes ..... No ~.~: ..... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dmtmctly all buddings, whether existing or proposed, and indicate all set-back dnuens~ons property hnes Gxve street and block number or description according to deed, and show street names and intimate whetl interior or corner lot. S,A= OF , C~jI~NTY OF S~,.~ x~ ~-~ ~., a a (Name of ~nd~wdual s~ng contract) above named being duly sworn, deposes and says that he is the apphc~ He is the ~)c..J~. ~ ~ ........................ (Contractor, agent, corporate officer, etc,) of smd owner or owners, and is duly authorized to perform or have performed the smd work and to make and file apphcat~on; that all statements contained m this apphcat~on are true to the best of Ins knowledge and belief, and that work wfli be performed in the manner set forth in the apphcatlon filed therewath. Sworn to before me thru ~..~c~.. .... dayof /,./-r-/,--e..J~ .... 19.~. --'8! '0~ ~s~t~t ~ ~ NOTARY PIJBLIC, State of New Y~ ~ ~ ,0 ~!e,S '~ll~Ad A~ION of apphca No 4787~24 Sulf01h l,rm Exp,,es March 30, MAP OF LAND qJ ........ o,.~... ............. .0,,~ ~rv6~je~ NoV. 19,[9~9 '~ ~' ~o. II OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY