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Home My WebLink About15241-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No...Z15..4.81 Date December 9 .... 19 8.6 THIS CERTIFIES that the building ..... %q~.e.s.~c?.ry..l~uil,d. in.g.... . ................ .. ... Location of Property 1.8.95 Minnehaha 131vd. Southold ft[~ ~o~ ..................... .... Hamlet ............. 'St~e~i ............. County Tax Map No. 1000 Section 8 7 ·Block .3. . , .Lot 5 3. Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Applicahon for Building Permit heretofore Filed in this office dated Setqt...5 ....... 19 .86pursuant to which Bmlding Permit No. 15.2.41.Z. dated ...$ .ep.t.:..5 ................. 19 8..6., was issued, and conforms to all of the requtrements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... ·. ~.la..a, qg:~s.s.Q .ry..b.u..il.d%n.g: ................................................ The certificate is issued to OT.TO & :ELIZABETH A. YARO (owner, 61~OK}~11~I~ of the aforesaid building Suffolk County Department of Health Approval ........ .N./.A. .............................. UNDERWRITERS CERTIFICATE NO .N./.A. .................. Rev. 1181 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P E P-J~ IT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Perm~ssmn ~s hereby granted to' .... ~~.... ~.**%...!..,...~.~..~ ........ County Tax Map No 1000 Sec~.~ (~"~ .'~. Block pursuont to apphcohon dated ~~.~' .'~..~J Building Inspector .... , 19.~..~, ond approved by the Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall $outhold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewmter OR ink, and submitted t ~ to the Building Inspec- tor w~th the following; for new buildings or new use' 1. Final survey of property with accurate location of all buddings, property hnes, 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 F~re Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Remdences and simdar buildings and installa- tions, a cemficate of Code compliance from the Architect or Engineer responmble for the budding. 5. Submit Planning Board approval of completed rote plan reqmrements where applicable. B. For existing buddings (pmor to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topograph ~c features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buddings or premises, or other pemnent informa- t~on required to prepare a certificate. C. Fees: 1. Cemfmate of occupancy $5.00 2. Cemhcate of occupancy on pre-exmt~ng dwelhng $15.0 0 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 Date . .~..~ .177...'~3 .~'- ~ · ./.c~.~f.~. ..... NewConstpuctzon. .... . Old or Pre-e×~sting Building ............ Vacant Land ............. Locatmn of Property ................... o k .L ~ House No. Street Hamlet Owner or Owners of Property . d>'~TO <~. .~.~.~..?.?.?.?.?.?.?.?.?~.~.~.T..~ .... ~..~."l/. ..... CounW Tax Map No. 1000 Section ............. Block ............... Lot .............. Subdivision ............................ Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ......... Apphcant ............................. Health Dept. Approval ....................... Labor Dept. Approval ........................ Underwriters Approval ...................... Planmng Board Approval ..................... Request for Temporary Certificate .................... Final Certificate ....................... Fee Subm,tted $ .,~,0'~ ... ~. -I.~'. ....... Construction on above descrtbed budding and permit meets all applicable codes and regulations. Apphcant - -~. Rev 10-10 78 ~IELD INS~JECTION DATE COMMENTS FOUNDATION-~ ( lst) ,.. FOUNDATION PLUMBING 3. INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION []FOUNDATION []FOUNDATION 2ND []FRAMING REMARKS: ROUGH PLBG. INSULATION FINAL DATE ~// / /~g INSPECTOR '//~~ WHOLESALE · RETAIL OPEN 7 DAYS 765-3090 Finest Quality · Custom Built · Discount Structures · storage · game room · boat house · cabana · play house · workshop · utd~ty · fire wood Dehvery Is FREE* ALL THE RIGHT REASONS FOR PURCHASING A NORTH FORK WOOD DESIGN STORAGE SHED Custom~zed designing to your speoficat~ons Completely constructed and assembled Ready for immediate use No middle man - all work done at our shop Many styles avadable - all s~zes All wood construction - stronger, longer hfe Fully painted and tnmmed Cabot stain paints, exclusively - choice of colors Foundation ~s 4X4 pressure treated timbers Floor: 5/8 or 1/2 inch AC exterior ply, Floor jo~st 16" on center Maintenance free 5/8" exterior grade texture T 1-11 s~dmg Aluminum jalousie window or wood w~ndow Screened vent Reinforced and framed double swinging doors Heavy gauge galvamzed hinges and door latch Roof trusses 2X6 and 2X4 double gussetted for maximum strength Max~mun head room 5/8 Exterior grade plywood roof Self-seahng 240 lb asphalt shingles All wood corner molding Weather ught Immediate dehvery from inventory. 3 to 4 weeks on custom orders "OUR" BARN "OUR" QUAKER · COMPARE BOTH OUR QUALITY AND PRICE · * Free dehvery w~th~n 20 miles 43305 MAIN ROAD, SOUTHOLD (1/4 mde east of Pecomc Lane) ALSO: GAZEBO5, DECKS, CUPOLA5 AND DOGHOUSES. HOW TO FIND US SOUTHOLD TOWN a r n Road FORM NO, 1 TOWN OF SOUTHOLD BUILDING DI~PARTM ENT TOWN HALL $OUTHOLD, N.Y, 11971. TEL.: 765-1802 ~sapproved a/c ............................... (Braiding Inspector) APPLICATION FOR BUILDING PERMIT Rece±ved ........... ,19. Date ................... 19.. INSTRUCTIONS a. This apphcahon must be completely filled m by typewriter or m ink and submitted to the Budding Inspector, with · -Seis of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing locatmn of tot and of buddirlgs on premises, relationship to adjoining premises or public stree areas, and giwng a detmled description of layout of property must be drawn on tile diagram which is part of this adp aeiiOn. c. The work covered by this apphcation may not be commenced before issuance of Building Permit. d Upon approval of this application, the Budding Inspector wdl ~ssued a Building Penmt to the apphcant. Such perm ali be kept on the tSremises available for inspection throughout the work. e. No building'shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupam all have bec~a granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaxtment for the issuance of a Braiding Pernfit pursuant to tl b~lldmg Zone Ordinance of the Town of Sonthold, Suffolk County, New York, and other applicable Laws, Ordinances, c.~gulations, for the constructmn of buddings, additions or alterations, or for removal or demolition, as herein describe, '~'ue applicant agrees to comply with all applicable laws, ordinances, bmldmg code, housing code, and regulations, and , ,~amt authorized respecters on premises and in building for necessary inspections. ..... ........... (S~gnature of applicant, or na'r~e, if a corporation) ~.o. ~,~... ~ ~. ~ .... ~o..q ~ .~.o..~ .o. ........ (Mailing address of applicant) S'tate whether applicant is owner, lessee, agent, arch,tect, engineer, general contractor, electrician, plumber or budde, ~an,e of owner ofpremises ...~).T.17~.. ~.0. ~.*~&~... ~' ~8.~O (as on the tax roll or latest deed) ~ apphcant ~s a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No ........................ Pltlnll~ur's License No ..................... Electrician's License No ................... Other Trade's L~cense No .................. Location of land on wh,ch proposed work will be done ...L. ~..O..e,-y{ ] .~..~.. ~ ~ .'C.O~..~. ..... JRq s' .l'-~!O.O.c~.~t¢.. C3..~Y:9 ......... .~.o.o.v:.H.~.,-p ............... ltouse Number Street Hamlet County Tax Map No. 1000 Section . .. ~..7 ..... Block ..................3 Lot....'~'~'~ Subdivision ............................. Filed Map No .............. Lot .. (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction' a. Existing use and occupancy .. .! ?.~'..~. t,.,/ .¢~.fi-S.~..l~.d.¢t~. ~0 2_.~..A ~ .q~q-~GJ~-. b Intended use and occupancy .htr. ua 8 t< .1~. .~'q.e~n. 6E. "~? ~ ' ~"'" 3 9 II 12 13 14 15. Is this property located within 300 feet of a tidal wetland? *Yes ..... *If yes, Southold Town Trustees Permitp¢~beLoT DIAGRAMrequired' / Nature of work (check which applicable): New Building . .Y',,, A~lflltlo~ ....... ,,, Alteration Repair ........... Removal .......... Demohtio .............. Other Wark .............. ~ (Description) Est,mated Cost J. i... [.,~.0~ ...................... Fee .................................... ' (to be paid on filing this application) If dwelbng, number of dwelhng units ............ Number of dwelling umts on each floor .............. If garage, nmnber of cars ........................................................... If business, commercial or mixed occupancy, specify nature and extent of each type of use ................... Dimensions of ex,sting structures, ,f any. Front ............. Rear ............. Depth ........... Height .......... Nmnber of Stories ................................................. Dimensions of same structure with alterations or additions: Front ................. Rear .............. Depth .................... Height ................. Number of Stories .................... Dimensions of entire new construction. Front .. ,~ .(.~.a.r'. ..... Rear . ~:. f.4,~.t7 ...... Depth . .i?..l~q~:~. r'. ! lmght ... I/..~ff. ....... Number of Stories .... O.~t ~- ............................. Size of lot Front .................. Rear .................. Depth ....... Date of Purchase ........................ Name of Fonner Owner ......................... Zone or use district m which premises are situated .............................................. Does proposed construction violate any zoning law, ordinance or regulation. ~ ....................... Will lot be rcgraded .. tqo ..................... Will excess fill be removed from prennses: ~o Yes Name of Owner of premmes ............... Address .................. Phone No ............. Name of Architect ......................... Address ................. Phone No ............. Name of Contractor .......................... Address ................... Phone No ........... No ~O.. Locate clearly and dist,nctly all buildmgs, whether existing or proposed, and. indicate all set-back dtmenmons ftc property hncs Give street and block number or description according to deed, and show street names and indicate wheth 'ntenor or corner lot. 4TATE OF NEW YORK, S.S 'OUNTY OF ................ (Name of individual mgmng contract) ti)ore lldnled. ....... being duly sworn, deposes and says that be is tim apphc: tem the ...................................................................................... (Contractor, agent, corporate officer, etc.) ff said owner or owners, and ,s duly authorized to perform or have performed the said work and to make and file t ~pphcation; that all statements contained in this application are true to the best of his knowledge and belief, and that york will be performed in the manner set forth ~n the application filed therewith. ,worn to before me this ......... .°3. ( ........ day of ...... ........ z6 ot .Publ,c, ...... County