HomeMy WebLinkAbout15472-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Offlce of the Buildzng Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17881
Date MARCH 24~ 1989
THIS CERTIFIES that the bu~ldlng.
Location of Propert~ 2890 BRIDGE LANE
House No.
County Tax Map No. 1000 Section 085
Subdivision ISMAR ACRES
ACCESSORY
CUTCHOGUE
Street Hamlet
Block 02 Lot 22
Filed Map No. 5872 Lot No. 10
conforms substantially to the Appllcatzon for Buxldlng Permit heretofore
fxled in thms offzce dated NOV. 5r 1986 pursuant to whmch
Building Permmt No. 15472Z dated NOV. 8r 1986
was issued, and conforms to all of the requirements of the applicable
provlslons of the law. The occupancy for which this certmflcate ls
issued is ACCESSORY SHED AS APPLIED FOR.
The certificate is issued to ELIZABETH & THOMA~ THOMPSON
(owner,)Z~)
of the aforesamd bumldmng.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N056885 FEB. 6r 1989
PLUMBERS CERTIFICATION DATED N/A
Rev. 1/81
Building Inspector
TOWN OF $OUTNOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. *ff.
BUILDING PERi, IT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
CtDMPLETION OF THE WORK AUTHORIZED)
N~ 15472 Z
Permms~on ~s hereby granted to. ,~ --~ ~-n ~
at premises located at ................................. ,~ ....................................................................
County Tax Mop No I000 Sect,on O. '~ ~'' Block ...~...~:.. ...... Lot No. ~2..~;--
pursuant to applscahon doted ~...O"s~"~'~T~....., .CdI'~ ..?~'-' ....... , 19..~. ~., and approved by the
Budding Inspector.
Building Inspector
Rev 6/30/80
TOWN OF SOUTHOLD
BUILDING DEPARTHENT
TOWN HALL
SOUTHOLD, NEW YOHK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANC!
NEW CONSTRUCTION . ~....OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........
ROUSE NO. STREET HA~ET
County Tax Hap No. lO00 Section ..~.. Block ...~... Lot ..c~q~ ....
Subdivision ....................... Filed Map ........ Lot ..........
Health Dept. Approval ...... f~ .......... Underwriters Approval...~ ..........
Pla nine Bo d Appr al
Request for Temporary Certificate ....... Final Certificate
Fee Submitted: $ ....................
rev. 10/14/88
OUNDATION (1st)
OUNDATION (2nd)
OUGH FRAME &
PLUMBING
NSULATION PER N. Y.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
?~?~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION ZND [ ] INSULATION
[ ] FRAMING ~r"~J~INAL
REMARKS:~~KS~~
/ / '
INSPECTOR ~,~ .,~/'
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Mmn Road
PO Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
DATE: MARCH 6, 1989
NAME: THOMAS THOMPSON
ADDRESS: 2890 BRIDGE LANE, CUTCHOGUE
RE: BUILDING PERMIT ~ 15472Z Accy shed
SEC. 85 BLOCK 02 LOT 22
This Building Permit has expired. You are now in
violation of the Town of Southold Zoning Code.
Please contact our office, this matter must be
corrected.
Victor G. Lessard
Principal Inspector
Requires inspection and a Certificate of Occupancy.
Examined
Approved
FORM NO 1
TOWN OF SGUTHOLD
BUILDING DEPARTMENT
TOWN HALL
£OUTHOLD, N Y. 11971
TEL.: 765-180:1
,19'~o
, 19~[°. Permit No } 'g °C'/~"~-'.
Received ........... ,19
D~sapproved a/c
APPLICATION FOR BUILDING PERMIT
Date .......... 19 .
INSTRUCTIONS
a. Tins apphcat~on must be completely filled m by typewriter or in ink and submitted to the Buddmg Inspector, wxth 3
sets of plans, accurate plot plan to scale Fee accordmg to schedule·
b. Plot plan showmg location of lot and of bj~ll.dmgs on premises, relationship to adjoining premises or public streets
or areas, and glvmg a detmled description of layog,t~of [~roperty must be drawn on the dmgram whmh ~s pan of this apph-
c. The wo< covered by tNs apphcatmn m~ ~t~ co~t~o~ ~ssu=ce of Bufldmg Permit.
d Upon approv~ of th~s apphcatmn, the ~n~mr ~'~su~mldmg Pe~t to the apphcant Such pem~t
*hall be kept on the premises avmlable for msp~hr~o~t~q~k~l[
e. No bmldmg shall be occupxed or used[~¢~{~~pse whatever until a Certificate of Occup~cy
shall have been ranted by the Bmldmg Insp~
Bml&ng Zone Or&n~ce of the Town of Southold,~~~~ther apphcable ~ws, Ordm~ces or
Regulations, for the const~c~on of bufldm~, ad&~on~f~or fo~l or demoht~on, as hereto descnbefl.
the apphcant agrees to comply w~th all apphcable laws, ord~n~dmg code~ousmg code, and reg~atmns, and to
admat authorized mspectom on prennses ~d m bmld~g for necessa~ mspecbons
(Signature of applicant, or name, ff a corporation)
State whether applicant is owner, lessee, agent, architect, engmeer, general contractor, electrician, plumber or builder
Name of owner of premises . .~.' ~
If apphcant is a corporation, signature of duly authorized officer
(Name and title of co~orate officer)
Bmlder's Lmense No t/ta/~.t,~'~ .. .
Plumber's L~cense No ....
Electrician's License No.
Other Trade's L~cense No
Location of land on which proposed work will be done
2
Subdivision . ' ' (Na~ne)' .. F~Ied Map No .... Lot
State existing use and occupancy of premises and lntendecJ use and ~ccupancy 9f proposed construction
a Ex~stinguseandoccupaney / P~ ~Ol {.~ d(x./~ [[[J~ ~...
.. ........
b Intended use and occupancy
3 Nature of ~ork,~ck which applicable) New Building .... Addition ....... Alteration 2.~..~...
Repmr . .'...~1~ -h_ - Removal ........ Demolition .......... Other Work ..~'~ .....
900 (Desc.ption)
4. Estimated Cost ..~.' . ' ........ Fee ..........................
(to be pad on fling this application)
5. If dwelling, number o f dwelhng umts ............. Number of dwelhng units on each floor
If garage, number of cars ........................................................
6. If business, commercial or mixed occupancy, specify natur~ and extent of each type of use ....... ~ ........
7 Dmmnsions~exmUng structures, if any Front ~..~ .' ,. . Rear . ~ D t ..... Depth . ~ ........
~lteight . ~'. . . Number of Stones .... [ ............................
[ ~Dnnenslons of same structure with alterations or addltmns Front ............. Rear ..........
/ ~Depth ........ Height ......... Number of Stones ..................
8. uJlmensions of entire new construction Front ......... Rear ........ Depth .... : ....
Height .......... Number of Stones .............................
Size of lot Front. [, ~.~ . . Rear .............. Depth ..............
Date of Purchase ... [.~. I .~ .[ 0~ .... i ..... Name af Former Owner .......................
Zone or use d~stnct in which premises are situated. . ~. e-~.O ~.~-~. ....
Does proposed construction violate any zoning law, ordinance or regulation .
Will lot be regraded ...... ~ ~ .......... Will excess f'fll be removed from premises . Yes ~o
Name of Owner of premises ............ Address ......... Phone No.
Name of Architect ............ Address ............ Phone No ............
. . . Phone Ng.,-~ ........
* Yes .....~.
9
10.
11
12.
13
14.
Name of Contractor . . 'C~. 9.~ ."~ ..... Addrem ....
15. Is this property located wzth~nl00 feet of a tidal wetland?
* If yes, Southold To%m Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all bufldmgs, whether existing or proposed, and, indicate all set-back dunens~ons from
property hnes Give street and block number or description according to deed, and show street names and indicate whether
mtenor or corner lot.
STATE OF NEW YORK,
COU OF
above named
He ~s the ........
being duly sworn, deposes and says that he is the applicant
(Contractor, agent, corporate officer, etc )
of said owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file tins
ipphcatlon, that all statements contained m this application are true to the best of Ins knowledge and behef; and that the
~ork will be performed in the manner set forth m the application filed therewith.
Sworn to before me tins
day of .
........................
I~0~t ~dStl~, ~ ~'~ pphcant)
NO 4707878, S~I~ ~
~ ~re~ Ua=cb 30,