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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,