The URL can be used to link to this page

Home My WebLink About14879-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N,Y. Certificate Of Occupancy No...~465~ ......... Date July 17~ .., ............................... 19 86 THIS CERTIFIES that the building ...A. qq .e.s.s. qr. y..s.h.e..d ............................. 12960 Main Road, East Marion, New York Location of Property ........................................... House No. Street ............... County Tax Map No. 1000 Section , .0, 3, ,1 ....... Block . .1.4. ........... Lot 01 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... Qc..tg.b.e.r...2j ..... 19.8.5. pursuant to which Building Permit No. 14879Z dated ....M.a.y..1.3., ................. 19 .8.6., 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 shed in front/side yard as okayed by ZBA #3423 The certificate is issued to Edward & Norraa Burton (owner, i~t:~lftY4~ of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO. N/A Rev. 1/81 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? ~4579 Z Permission is hereby granted to: ....e..~.~...~.~...~..~ ...... ../.~..~.~..~....~.~....~ .................. .~....~...~..~.~.~....~:..~:. ...................... ,o .~....x:...... ~......~..~ ~...~... ~....~.~,~.v./~,....~ .~,,~ ....... ............................................... ..................... at premises located at ...~.'~ .~.~..~..o.........~...~..~......~..~.....~.~ ...................... County Tax Map No. 1000 Section ..... (~...~..~ ........Block ........ I..dl. ......... Lot No ..... .~)..?. .......... pursuant to application doted ....... '...~.....~.~. ............................ , 19.~.,~..,--- and approved by the Building 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 This application must be filled in typewriter OR ink, and submitted ~ 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 featu res. 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 Resi~Jences 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. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz~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 any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1, Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling 3. Copy of certificate of occupancy $1.00 4.Vacant Land C.O. $5.00 5. Updated C.O. $15.00 NewConstruction $15.00 Date...~ .~./././/~.' .'~. ............ ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ./.~ ?.' ?.~.,. Y~. ~./../~..., .'~.~. .................... -~.,¢.~.~... ,~./~.?.~..-~Z... House No, Street Hamlet Owner or Owners of Property .Z.~. A'.,~.~. ~...L,,~.....~../)/.qZa. ~./to..../(. ;..,~..Z././~. 7',~./~'. ............ County Tax Map No. 1000 Section ..... ~?../ ...... Block ..... /'..~.7~. ......Lot ~/ ¢ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No././-/.~. ~. f~. Date of Permit/?P?, Health Dept, Approval ........................ Labor Dept. Approval .................. , ..... Underwriters Approva~ ........................ Planning Board Approval ...................... Request for Temporary Certificate ..., ................... Final Certificate ...... .,z-~. ~-i ............ Fee Submitted $ .... -~.;..~:~? .... Construction on above described building and permit meets all applicable codes and regulations. Applicant... ~... ~'.~',/~.~ ................... Rev. 10-10-78 OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 To Whom This May Concern, Please complete the enclosed application for Certificate of Occupancy and enclose a check for $5.00 (the fee for the C.O.)'and I will be able to complete the Certificate of Occupancy. Thank you so much for your cooperation in this matter. F~ELD INSFECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & ?LUMBING INSULATION PER N. Y. STATE ENERGY CODE FINA~ COMME~TS ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [~MING FOUNDATION 1ST []ROUGH PLBG. FOUNDATION 2ND []INSULATION []FINAL REMARKS: ..... DATE, INSPECTORr/'~ ~ £App Southold Town Board o eals MAIN ROAD- STATE ROAD ~5 SOUTHnLD, L.I., N.Y. llCJ?l TELEPHONE !516) 765-1809 APPEA~S BOARD MEMBERS GERARD P. GOEHRINGER, CHAIRMAN CHARLES GRIGONISl JR. SERGE DOYEN, JR. ROBERT J. DOUGLASS JOSEPH H. SAWICKI January 13, 1986 .Mr. and Mrs. Edward Burton P,O, Box 148 East Marion, NY 11939 Re: Appeal No. 3423 Dear Sir or Madam: Attached herewith is a copy of the formal findings and deter- mination recently rendered and filed this date with the Office of the Town Clerk concerning your application. In the event your application has been approved, please be sure to return to the Building Department for approval of any new construc- tion in writing, or for other documents as may ~? app!~icable. If you have any questions, please do not hesitate to call either our office {~65-1809) or that of t~e building inspector (765-1802 .Yours very truly, Enclosure Copy of Decision to BuildingDepartment Suffolk Counts Plannin§ Commission GERARD P. GOEHRINGER CHAIRMAN ~_~ / , Secretary FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL . ( .a..~..kC..../,~ .o,~...g .o,~ .......... · .~..~.,r.....'~... ~ .,.. ~,~.. ....... PLEASE TAKE NOTICE that your application dated ...~ ~.. ~ ......... 19 .~ ~. for pe~it to ~~ · .~ ~~~~. .................. at Location of Property ,~.~.~o~.O .... -~~ ~~ -- ~~ County Tax Map No. 1000 Section ...~ ~ ~ ...... Block ..... I.~ ....... Lot ...0. ~ .Q ...... Subdivision ........ - ......... Filed Map No ................. Lot No .................. is returned herewith and disapproved on the following grounds .~~..~. ~.~....~,~. ~~,..~.~..~. ~. ~...D ~.m .......... ................... Bu~ldin~ Inspector RV 1/80 Examined. · .~..~\.~.. · · Approved · · .~..%.~..;~. · ~ ~r ~'~ ~ 'FORM NO 1 ,~ ~.q.~l'OWFq OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~.OUTHOLD. N.Y. 11971 TEL,: 765-180:3 ., 197 ., 19~.~.. Permit No. ).~. Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ~19... BLDG, DEPT. TOWN OF SOUTHOLD INSTRUCTIONS a. This 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.lqcation of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and givingly. {¢tailed description of lay~out of property must be drawn on the diagram which is part of this appli- cation. c. The work cov~r~d by this application m~h~(~[eb~156m,menced before ~ssuance of Buildmg Permit. d. Upon apprdval 6f this application, the~.~t[i~t~*l~dsi~¢ator will issued a Building Permit to the applicant. Such permit shall be kept on the ~)rehli~es available for in~pec~iO~}~lwoughout the work. e. No building sh~ll' be occupied or u,ge~l:i~h~o~e or in part for any purpose whatever until ~ Certificate of Occupancy shall have been granted by the Building lI!sp¢c~tp!;. APPLICATION IS HEREBY MAD to !t~]~uilding Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southotd, Suffolk County, New York, and other applicable Laws, Ordinances ox 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 inspec~,ons. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (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 ......................... Electrician's License No ....................... 1. Location of land on which proposed work will be done .................................................. I,), ~f 6,0 ,M ~+ t t't l~ ~ ~'~+,r T House Number Street Hamlet County Tax Map No. 1000 Section .... .~.~ .~ ........ Block ...... I..~ ......... 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 ......... .d?~'. ~. Ze.4 ~..~....,St~.~..Z:>. ...................................... 10. 11. 12, 13. 14. Nature of work (check which applicable): New Building t/ 'Addition Alteration Repair .............. Removal .............. Demolition .............. Other Work ............... ~' ~ , (Description) ~ ~ ~ Fee Estimated Cost ......... ./. .....: ......................................................... (to b!e paid on filing this application) If dwelling, number of dwelling units ............. Number of dwelling units on each floor ................ If garage number of cars : If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... Dimensions of existing structures, if any: Front Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front .......... ; ...... Rear .................. Depth ...................... Height ...................... Number of Stories ...................... Dimensions of entire new construction: Front ...~. ..... ~ :~t. ....... ...... Rear . .~P~.; .~ ...... Depth .. l-l~ioht .......... Numher of ,qtnrle~ .......... , .... Size of lot: Front ...................... Rear ..................... + Depth ...................... Date of Purchase Name of Former Owner' /.¢~,~'~.4~. ~. Zone or use district in which premises are situated Does proposed construction violate any zoning law, ordinance or regulation: ..; ............................. Will lot be regraded ............................ Will excess fill be removed from premises: Yes ,. No Name of Owner of premises .................. Address ............. ~ ..... Phone No..~.gfl.: __ Name of Architect ........................... Address ............. ~ ..... Phone No ................ Name of Contractor Address ' Phone No PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and st/ow street names and indicate whether interior or corner lot. i OC;CL ?ANCY OR USE IS UNLAWFUL WITHOUT C RTIFICATE OF OCCUPANCY APPROVE AS IOTED NOTIFY ~L.~ILDING DEPARTM~T AT 765-1B02 9 AM TO 4 PM flOR THE FOLt.OWiNG ~NsPECTIO~, ~' STATE OF NEW YORK, S.S COUNTY OF ................. ................................................. being duly sworn, deposes and says that he is the applicant ' (Name of individual signing ntract) above named. He is th (Con t r actor , agent , torpor ate officer, etb. ) ~= ~ of said owner or owners, and is duly authorized to perform or have performed tM said work and to make and file this application;,that all statements contained in this application are true to the best oCds knowledge and belief;, and that the work will be performed in the manner set forth in the lipplication filed therewith. Sworn to before me this .................. aye ............... , Notary. Public, . ....... ......... County