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Home My WebLink About15419-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No %17558 Date NOVEMBER 30, 1988 THIS CERTIFIES that the building_ ACCESSORY Location of Property 345 WILLOW POND LANE House No. Street County Tax Map No. 1000 Section 070 Block 09 Subdivision Filed Map No. SOUTHOLD Hamlet Lot 065.1 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCT. 22, 1986 pursuant to which Building Permit No. 15419Z dated OCT. 22, 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 2 CAR ACCESSORY GARAGE. The certificate is issued to GEORGE & SANDRABERRY (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11/23/88 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ~'0~.,.~ NO. 1~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. I~UILDit4G PERMIT (THIS PERMIT MUST BE KEFT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK A. UTHORIZED) Z Permission is hereby gronted t../~.'~--~~' ~'" ~'~ , o remlses ocoted of ............... ~,~ ..... .......................................... ........................................ County Tax Map No. 1000 Section ..... ~.....~.. ......... Block .... ~ ............. Lot No...~.....~....'~..~.... pursuon, to ¢~pplicotion doted .....~....~ ........ ~....~,~ ..... 19..~.~., ond opproved by the Building Inspector. Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions This application must be filled in typewriter OR ink, and submitted m~ 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~operty 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 anv housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, ~ Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $i0.00 4.Vacant Land C.C. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truc %ion ...... Old or Pre-existing Building ............ Vacant Land ............. House No. ,Street / Owner or Owners o* Property ..................... County Tax Map No. 1000 Sect on ... ~..0 ...... Block ....~. ...... :... Lot ,,~/.J.,'~'. / ........ Subdivision ................................. Filed Map Nb ........... Lot No .............. Permit No, [~. ~). ?~ Date of Permit .......... Applicant...~.~ Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. d p~it appl,~le codes and regulations, Construction on above described building an m~ets all Applicant ,~/~..~. k.~.~ ........................ 227 ,/ c.6, z WU ARE IN TH.E PROCESS Orr ISSUING A CERTIFICATE OV COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS, COVi'iREI} IN AN APPLICATION FILED WITH OUR THV NFW YOf~; BOARD OF FIRE dNDERWR1TERS J FIELD INSPECTI,0N COMMENTS FOUNDATION (3st) FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE 4, FINAL ADDITIONAL 'COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST J' ] ROUGH PLBG. £ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ,r?]/'FINAL REMARKS: ~'C), ~/'~, J~;~c--' C' ~), , DATE 765-1802 BUILDING DEPT~ INSPECTION INSPECTO~ FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL N 75 ~ o/'-to'v/~ .~ FA/R VIC W PA?~ ~ ~ ~ ~. ON NILLOW ?ONO LANE b S&ALE ,"~60w~ ~c.~. CoNe. ~o~. LICENSED ~U~VEYO~ NOV. I, FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL,: 765-1803 Approved&-~.. ~.~.., 19~. ~. Permit No. l~../'~../.~¢.~ Disapproved a/c ..................................... Received ............ 19... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS 0. Tins 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 giving 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 this 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 buildh~g 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 in~_._tions.~o_ ff~ (Signj~rure~oz-appic , _ ,' . p ' ) ..... .............. 7./. ...... (mailing oddress of app c State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of pre~nises .. ~,.~./._~.. ......... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No../~. ............... Plumber's License No .... .D~.°?4. ~ ............. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done...~..~/~.~.~...~..W.~..~.~../~7../~.f..: .~.'. ................... .. f ~.~. . ......... ~,/Z/o ~,~,. ~ ~. ~. ¥~. ~. ¢-. ............. .~Co. ~ .77./.%z. ~. ................... House Number Street Hamlet County Tax Map No. 1000 Section ..... '.~..~.--~. ........ Block ..... F. .......... Lot Subdivision ..................................... Filed Map No..~.?.~'. ~ ....... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ............... '. ......... b. Intended use and occupancy .... . .~..~../?..,~..~,o .................. 3, Nature of work (check which applicable): New Building .... ~ ~..~. Addition , ......... Alteration .......... Repair .............. Removal ............ Demolition ......... i .... Other Work ............... Fee .~..,~¢ ~.' (Des~ripti~) 4. Estimated Cost ...... .~om, ...................................................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ................ If garage, number of cars ......... ~, ............................... I ............................ 6. If business, commercial or mixed occupancy, specify nature and extent of each ~ype of use ..................... 7. Dimensions of existing structures, if any: Front ..... 5'.0.,.~' ..... Reay .. ~.-a '~ ~'. Depth. Height ............... Number of Stories.../.-/ff. ............... i: ii(ill..'" Dimensions of same structure with alterations or additions: Front ~ Rear Depth ...................... Height ...................... Numberiof Stories ............ ' .......... 8. Dimensions of entire new construction: Front ..... ~Z..~ ...... Rear ..... ~.?:.~'/. Depth .. X~f. Height Number of Stories 9. Size of lot:Front ....... .- ....... .. ... Rear ....... ,. · ....... i. De .. . . . .......... 10 ha gff~.~ N fF rO · Date of Pure se ........................ amc o orme wne ............................. 11, Zone or use district in which premises are situated ............... . ........ : .............................. 12. Does proposed construction violate any zoning law, ordinance or regulation: . ~& ........................... 13. Will lot be regraded .. .~4/O. . Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~'t'~,~?.~,.~/g~--~. .... Address ~'o~, ~o/~ot. ~.. Phone No. ?~.~.~.~2 ..... Name of Architect ...... 5~,-~e~ ............... Address ... ~?;~. .... 1 ...... Phone No..~,~2~e ......... Name of Contractor ..... ~:A~/~.e~ ............... Address ... F~/r~. · · .i ..... Phone No.. F/;?/~'-, ....... 15. Is this property located withinli00 feet of a tidal wetland? i* Yes ~.. No /~.O.. · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andl indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and ~ow street names and indicate whether interior or corner lot. NEW YORK, S.S : : CO.~F' a~e'~.~ ' ~'-~- .............. · ...,' '--,'~ '~-~~- ,,~ ~',,--,,'~ ~---.~ ~.,.~)~ ,,.¢~~,~ i~,., .c.~.~.+,~.~., ~ ........ being dul: !eposes and says that he is the applicant above named· (Contractor, agent, corporate officer, ~:tc.) 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 all statements contained in this~application are true to the best .'f his knowledge and belief; and that the work will be performed in the manner set forth in lhe application filed therewith· Sworn to before me this , ' ~.'.~.day ofd~..~..~. 19 .~.6~ Pub ic .... . . . .. County /y~ i (Signature of applicant) NO3;IFY ~i~[~DING D~PARTMEJ~T~AT 1. FOUN~AmlON - TWO ~OR PqU~D CONCRETE 2. ROU~ - ~RAMING & PLUMBIN~ 4, FIN,~L - ~''~ :;eUCT[ON ALL CcNct''' ,rr~Ohl SHALL THE RE¢'':~'' ''hiTS OF THE STAT~ C~I"~"~JCTION & CODES NCr RESPONSIBLE DESigN OR CONSTR~I~ ~ 1177/