The URL can be used to link to this page

Home My WebLink About15239-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the BuBding Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15573 April 2, 1987 NO ............. Date ........................ ACCESSORY GARAGE THIS CERTIFIES that the bmlding ...................................... tocatlonofPropertYHou~510 Navy Street Orient, New York County Tax Map No 1000 Section 026 .Block 0 I .Lot 9 Subdivision .................... Fried Map No ....... Lot No ........... conforms substantially to the Application for Building Permit heretofore fried in tls office dated Au g u s t 2 0, 1 9 8 6 pursuant to wtuch Buddtng Permit No. 1 5 2 3 9 Z dated . . .S .e p t. em.b.e.r .5 :..1.9 .8 .6 .. was issued, and conforms to all of the requirements of the apphcable provtmons of the law. The occupancy for wluch flus certtficate m msued is ......... ACCESSORY GARAGE (Non-habitable upstaxrs) The certificate lslssued to . EDWARD J. & CLAIRE A. WRIGHT ........ × ............. of the aforesmd building. Suffolk County Department of Health Approval N /A N793212 UNDERWRITERS CERTIFICATE NO ..................................... PLUMBERS CERTIFICATION DATED: N/A Rev. 1/81 FOF,~ NO. 0 TOW~ OF $ou'rHOLD BUtLDtHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 15239 Z County Tax Map No 1000 Sec~j~ ~:~ '~.J~. Block ...... .(~.J. ...... Lot No ..... ~ ....... pursuant to application doted ~ .G+~,'~'- .~ ~:) ...... , 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 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A This apphcat~on must be filled m 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 buddings, 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. Commermal buildings, Industrial buddings, Multiple Residences and similar buildings and installa- tions, a certificate of Code comphance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed s~te plan requirements where apphcable. For existing buddings (prior to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of property showing all property hnes, streets, buddings and unusual natural or topographm features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety ~nspection of buildings or premises, or other pertinent mforma- tion required to prepare a certificate. C. Fees: 1. Cert~ficate of occupancy t~e~ B~elli~ $25.(~0, Accessory,SrO.00 Business $50.00 2. Certificate of-occupancy on pre-existing dwelling $ 50.00 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $]0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ......................... NewConst~'uct:on ...... O~d or Pre-exmtmg Budding ............ Vacant Land ............. Location of Property .... 5.[..0 ~.a..¥y...S.~..~.e.e.~ ....... .O~.J:.e,~ ..................... Owner or Owners of Property ...~..~.~ .J.:..~.~ .d..C.~.~..z.~?..A.... ~.~ .g.h.~. ..................... County Tax Map No. 1000 Section .. 2S .......... Block ........ ], ...... Lot... ,9 ............ Subdlws~on ........................... Fded Map No ........... Lot No .............. PermitNo. 15239Z Date of Permlt Sept 5,?Afpphcant .$¢.~.a.~.~..~.. Wrzqht . Health Dept. Approval ...................... Labor Dept. Approval ..................... Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certffmate ................. Final Certificate ....................... Fee Submitted $ .......................... Construct~o~ on above described budding and permit meets all apphcable codes and regular/ohs. Appl,cant..~.~.~~y~~.,. Rev 10 10-78 FIELD INSFECTIO COMMENTS FOUNDATION--~ . _(ulst) FOUNDATION (2nd) ROUGH FRAME & PLUMBING ' ' INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDiTiONAL COMMENTS: ~J ? '%, 57' i (ri IqOTr ~L h'IAP OF' Pt2OPE IR'T",' ~,U~V[~ y EL., F'OF~. THE NEW YORK BOARD OF FIRE UNDERWRITERS · J.00~.07~. BUREAU OF: ELECTRICITY ~q~ E~S JOHN STREET, NEW YORK, NEW YORK 10038 THIS CERTIFIES THAT Edwazd Wrzgh~s, 510 t~a~ Street, Orient, N.Y. DRYERS FIXTURES RANGES =OOKING DECKS I GVEN~. ~SH WASHERS EXHAU$? FANS OT APP TU ~an~c~zds. 1-4c~., 100amps 1 G.F..CT. ~ ~mo~e Detector I C E G & -q Llec~rlc Box 215 &ourt~o ld, N.¥11971 Lic~578E Th~s ¢erhf~cote must not be o)tered ~n any manner, return to the offtce of the Board ~f incorrect Inspectors may be ~denhfled by their credentials COPY FOR BUILDING DEPARTMENT THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY/v~NNER D~sapproved a/c ~,.r~ ~'l~,~l TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 8OUTHOLD, N.Y. 11971 TEL.. 765-180~ ,19~~' (Bufldin= Inspector) APPLICATION FOR BUILDING PERMIT TOV,U'~ OF S[hUTHOLD, ReceLved ........... ~ 1 Date INSTRUCTIONS a. Tlus apphcatmn must be completely filled m by typewriter or m ~nk and submltted to the Budding Inspector, w sets of plans, accurate plot plan to scale Fee according to sckedule, b Plot plan showing location of lot and of bmldmgs on premises, relationship to adjoining premises or pubhc st or areas, and giving a detmled descnphon of layout of property must be drawn on the diagram winch is part of tins a cation c The work covered by tins application may not be commenced before issuance of Budding Permit d Upon approval of thru apphcahon, the Building Inspector will issued a Budding Permit to the applicant Such pe shall be kept on the premises avadable for inspection throughout the work e No building shall be occupied or used ~n whole or m part for any purpose whatever until a Certificate of Occup~ shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinance Regulations, for the constrtlctlon of buddings, addmons or alterations, or for removal or demohtlon, as herein descnl The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, an, -ad.a,:. authorized mspecforq on prem~ses and m bmldmg for necessary~ .-. ' ~(Slgnature of a~Id~COrl~oratlon') ,5'/ov. O,e,o, (Mailing address of apphcant) State whether applicant ~s owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bmk Nmne of owner of prem,ses ~/t~ /~ ~ ,~-'~]yyl/-COZ~.l~ ~ 5¢~ ~/.~z'e (as on the tax roi1 or latest deed) If applicant is a corporation, signature of duly authorized officer 2 (Name and title of corporate officer) Builder's License No ~ ~ Plumber's License No Electrician's License No ~/ Other Trade's License No ~41g.q-cqm- Location of land on which proposed woJ~k will be done ,5- / O /Va/,/ cY/, e.e ltouse Number Street County Tax Map No 1000 Section Hamlet Block / .Lot q Subdivision Filed Map No Lot (Name) State extstmg use and occupancy of prennses and intended use and occupancy of proposed construction b Intended use and occupancy . . /~loo--?l,t~ ?...~. ~ . .. / 3. Nature of work (check which applicable) New Budding ~ Repmr . Removal ..... Demolition Addition . . . Alteration .... (Description) 4. Estimated Cost ~/.~-~d.(~l~,'---- ~ ........ Fee ..................... (to be paid on filing this apphcation) 5. If dwelling, number of dwelhng units .... Number of dwelling units on each floor .... If garage, number of cars . .'7--14/'O ................................ 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ........... 7 Dm~enslons of existing structures, if any Front .... Rear ......... Depth .... Height .. Number of Stones .................. Dimensions of same structure with alterations or additions Front ....... Rear ....... Depth ...... Height .;~0r ~, . . . Number of Stones ................. 8. Dimensions of enhre new construction Front .......... Rear .~:: O ~] ...... Depth o~ .q.'.: .O.'~ ..... Height ........ Number of Stories ....................................... 10 Date of Purchase ]. ~70-" .. . . Name of Former Owner -~.~'~. ~'g>/d~.~q~.~q .... 11 Zone or use district in which premises are s~tuated ...................... 12 Does proposed construct)%n vl,olate any zoning law, ordinance or regulation ..................... 13 Will lot be regraded . ~r~.,~ ......... Will excess ~l be removed from premises ~ No 14 Name ~f ~wner ~f premises ~p.~V~/9~`~V~/~g/~Address``~/~ ~Pt~/`~ ~`/.P-~. Ph~ne N~.`-~`~?~, Name of Architect .... ' .............. Address ...... Phone No .... Name of ContractorPP"~/7~ ,f~-,~.,d-r=.,~ .. Address ......... Phone No .... PLOT DIAGRAM Locate clearly and d~stmctly all buildings, whether ex~stlng or proposed, and~ indicate all set-back dtmens~ons 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 YO]C~ OOUNTY OF SS (Name of individual signing contract) at)ore named being duly sworn, deposes and says that lie ,s the apphcant 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 file this application, that all statements contmned m this application are true to the best of his knowledge and belief; and that the work wall be performed in the manner set forth m the application filed therewith. Notary Public, Sworn to before me this 'Term Expires March · County i '2 5 91 ~ W fE ,L,~L t83 ~6 ~ TITLE I N 5U/,L/,TT,~E ~,~- ....... ~6D.~RI~:K VAN TUYL, LICENSED LAND SURVEYORS GREENPORT NEW YORK STATEMENT Of INTENT THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL CONFORM TO THE STANDARDS OF THE SUFFOLK CO DEPT OF HEALTH SERVICES APPLICANT SUFFOLK COUNTY DEPT OF HEALTH I SERVICES - FOR APPROVAL OF I CONSTRUCTION ONLY i DATE H S REF NO 5 5~ - APPROVED SUFFOLK CO TAX MAP DESIGNATION DIST SECT BLOCK PCL OWNERS ADDRESS DEED l 'I'bST HOLE ? H LOCATE STAMP SEAL I I D.tOTIFY ~UILDING DEPARTU~d~IT AY Y,.'~ '~O~ .~ AU TO 4 N FOR *I'H~ P~D O~NG IN.~P~CTION~: f:OUi,JOAYION T~NO REQUIRED~ ~.~OES NOT ~ES[~ONSI~.E FOR ~ OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFI~TE OF OCCUPANCY * tl ,[