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Home My WebLink About15488-zFORM NO. 4 TOWN OF 80UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17783 Date FEBRUARY 22~ 1989 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property 905- PRIVATE ROAD ~16 ORIENTr NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 15 Block 8 Lot 29 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Buildinq Permit heretofore filed in this office dated NOVEMBER l0w 1986 pursuant to which Building Permit No. 15488-Z dated NOVEMBER 12, 1986 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 GARAGE AS APPLIED FOR The certificate is issued to (owners) of the aforesaid building. SUFFOLK cOUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JESSE C. & MARJORIE C. BLACK N82164t-JULY 23, 1987 Rev. 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PEIU'41T (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLffTION OF THE WORK AUTHORIZED) Permsssson ~s hereby granted to: A ....'~...._.a....:...,..~....~.~ ................ ..... .~o..~._ ?....v.~...~ ...... /.~. ................... o, ,r.~.,..= located ot. ~e~'.. ~o~ .. ~.U / G.. ...O..~ .......................... Tax Map No I000 Section ~,1 ~ Block ....... .,~.,,'~.. ...... Lot No ...... ..~...c~ ...... . .j~ ~ ~. O. ....... , 19~.~, and approved by the pursuant to application dated Budding Inspector ~B'uilding Ir~ector Rev 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 1802 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NEW CONSTRUCTION ..~..OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ ........ ~ ~./ .................... ~ ...... HOUSE NO. STREET HAMLET Health Dept. Approval ........... ;.~ .... Planning Board Approval ~.~.../i~/~ .... Underwriters Approval.-~J.- ...... Request for Temporary Certificate ....... Final Fee Submitted: $ ................ Certificate ..... ~ ....... APPLICANT ~ .~ ....... rev. lO/14/88 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) ?654823 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD Town Hall, 53095 Man Road PO Box 1179 Southold, New York 11971 DATE: NAME: JESSE & MARJORIE BLACK ADDRESS: 905PVT. RD. #16 ORIENT, N.Y. 11957 RE: BUILDING PERMIT $ ]5488Z SEC. 15 BLOCK FEBRUARY 8, 1989 ACCY. GARAGE 08 LOT 29 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 k OUNDAT!ON (1t~/) OUNDATION {2nd) OUGH FRAME & PLUMBING NSULATION PER N. Y. STATE ENERGY CODE FINAL lOOi~75 THE Da~e J~ty THIS CERTIFIES THAT NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY EE JOHN STREET, NEW YORK, NEW YORK 10038 ~pplwat.on ;~o onfd~ Jesse Black, Main Rd. O~'Jent, N.Y. OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS TIME CLOCKS UNIT HEATERS MUlTI-OUTLET SYSTEMS SERVICE D~SCONNECT S E R V I C E DIMMERS OTHER APPARATUS P.~nc.ls: 1-3, i00amp$ 2 GFCI~- DenDis Cla~re,3r. P.O. Box 284 ILaurel,N.Y. 11948 Per Tht$ certshcate must not be altered tn any manner, return to the off~ce of the Board ~f incorrect Inspectors may be identified by their credenhals COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER 765-1802 BUILDING DEPT. INSPECTION [ ]~FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING FINAL DATE i NSP£CTOR 7~--~/ ~/ -'-/ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~'i~AL DATE /s-y/'/> 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION FRAMING REMARKS: DATE INSPECTOR FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y, 11971 TEL.: 765-1802 Approved ~,)~l .~., 19Y.~ Permit No. J i}"~ 'l~.~C; D~sapproved a/c ...... (Budding Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Apphcatmn No ...... Date. /]/~"5 "'19~ff' a. Tins apphcation must be completely filled m by typewnter or in ink and submitted to the Budding Inspector, w~th S sets of plans, accurate plot plan to scale. Fee according to schedule b. Plot plan showmg location of lot and of bmldmgs on premises, relatmnsinp 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 tlus apph- cation e. The work covered by tins apphcatlon may not be commenced before issuance of Building Permit. d. Upon approval of this apphcatmn, the Bmldlng Inspector will issued a Budding Permit to the apphcant Such permit shall be kept on the premises avadable for mspectmn throughout the work· · No budding shall be occupmd 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 Buildmg Department for the issuance of a Btalding 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 alteratmns, or for removal or demolition, as hereto described The applicant agrees to comply with all applicable laws, ordinances, building code, housmg code, and regulations, and to admit authorized inspectors on premises and m building for necessary inspections, f.~) ~ff,/f ~/ ........... /~.~&gnature of apphdant, or name, if a corporatton) · ' :l~Iml,~g ;~dre's; ;f apphcant) " State whether apphcant ts owner, lessee, agent, arclutect, engineer, general contractor, electncmn, plumber or builder. Nameofownerofpremises .~3.~. ~.., 5t' /~c,,.C./c..'w'.r~ C.,, . (as on,he tax roll or latest deed) If apphcant ~s a corporation, s~gnature of duly authorized officer (Name and btle of corporate officer) Builder's Lmense No.~t~-~.'. Plumber's L~cense No. .. Electrician's License No Other Trade s Lmense No 1 2 Location of land on which proposed work will be done .... House Number Street Hamlet County Tax Map No 1000 Sectmn ~ Block .. ~ . Lot. Subdivision. 22-P]/ ~Ca Vded nap No .... Lot (Nam e) State existing use and occupancy of premises and intended use and occupancy of proposed construction a Exlstmg use and occupancy ...?/~/~(~.AfcS . /'~,ee--..,;ff,/~ O'/&., c /x/ ,, ~L/q ............ b. intended use and occupancy 'q'~""~O '/~'' "Y~'~'~/'' .~>{(..Cr-~'/'Z~? 3 Nature of work (check which applicable) New Building _l/L~e ~,o~ ~, Addition . A/teratlon ........ Repair ...... Removal ..... Demolih6n ........ Other Work ........ (Description) 4 Estunated Cost .~/~ o.o~ o O. 5 If dwelhng, number of dwelling units If garage, number of ca~s . ~.. (to be paid on filing this application) ·. Number of dwelling units on each floor ........ 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ............. 7. Dmaensmns of existing structures, if any. Front ~.O . Rear ...... Depth ,2~/-~. ....... Height Number of Stones ....................... Dimensions of same structure with alterations or additions Front ..... Rear .... Depth ......... Height .... Number of Stones ...... 8. Dtmenslons ofent)re new constrnctlon Front ~. ~ . . i Rear . .~.~ ~.,. .... Depth . ~.~. /. ....' ' . ' Height ./.~f ..... Number of Stones ........................... 9 Size of lot Front ....... Rear ......... Depth .......... 10. Date of Purchase ...... Name of Former Owner ...... 1 I. Zone or use district in which premises are situated *~ ¢ ~, e4te ~ ~/t & / ............ 12. Does proposed construction violate any zomng law, ordinance or regulatmn jgo ............. 13 Will lot be regraded . .~'o ....... Will excess fill be r~empved from premises' Yes No 14. Name of Owner of premlses c)-a~.ra,.C..~c,.~;. Address .t~,,;~2c. ..PhoneNo ~.7~4~-:~,~5~' Name of Architect Name of Contractor i~-~r~r. 7~a~-J~u:a¢ ..Address .... Phone No ...... · . . Address ~.¢co~.;. ~ .. Phone No.. 57~r ~.,g -~. PLOT DIAGRAM Locate clearly and distinctly all buddings, whether existing or proposed, and, indicate all set-back dunenslons from property hnes. 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. .. (Name of individual signing contract) above named being duly sworn, deposes and says that he is the applicant He is the ............. (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 rifle this application; that all statements contamed in this application are true to the best of his knowledge and belief; and that the work will be performed m the manner set forth m the application filed therewith. Sworn to before me thas .......... (o... .day of . ....... Notary Pubhc .... .~ ~.'...~.e'.~... Count , · o~/~~' ~ ~ ~ ~ // (Signature of apphcant) '/ N %t APR 0 5 ~ # 12 So ~ha sewe.~e disposal and water supply facilities for this location have been inspected by tht~__~depa~tment and found ~iof o~ Oeneral ~t~eeri~ Se~Xo~s ............................... ROD~ICKyAN TUY~P C. LAND SURVEYORS GREEN~RT NEW YORK SUFFOLK ~..0 HEALTH DEPT APPRO*~ H S NO -. 50.- .... STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DISr SYSTEMS FOR THIS RESIDENCE cONFORM TO THE STANDARDS OF SUFFOLK CO DEPT OF HEALTH SER' ,~PPLICANT '~UFFOLK COUNTY DEPT OF FIE SERVICES -- FOR APPROVAL CONSTRUCTION ONLY DATE H.S. REF NO.._. APPROVED SUFFOLK CO. TAX MAP DESIGNATIC DIST SECT BLOCK )WNERS ADDRESS ED L TEST HOLE STAMP SEAL t P[odT OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY N. r94340 0 SUFFOLK ~O. HEALTH DEPT APPRO~ 'H.S. No, -SO- STATEMENT OF INTENT THE WATER SUPPLY AND SEWAGE DIS[ CONFORM TO THE STANDARDS OF SUFFOLK CO. DEPT. OF HEALTH SER~ COUNTY DEPT. OF HE SERVICES -- FOR APPROVAL CONSTRUCTION ONLY DATE: APPROVED: SUFFOLK CO, TAX MAP DESIGNATI¢ DIST. SECT. BLOCK 'F~L 32~ ~B58B TEST HOLE STAMP SEAL