HomeMy WebLinkAbout15531-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPAN~f
No Z-17916 Date MARCH 31, 1989
THIS CERTIFIES that the buildin~
ACCESSORY
Location of Property 480 NORTH OAKWOOD ROAD
House No. Street
County Tax Map No. 1000 Section 127 Block 8
Subdivision Filed Map No.
LAUREL~ NEW YORK
Hamlet
Lot 8.1
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOIFEMBER 26, 1986 pursuant to which
Buildinq Permit No. 15531-Z dated NOVEMBER 28, 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 BUILDING 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
Rev. 1/81
WILLIAM & FLORINIA EGAN
yBu~ng Inspector
FO~ NO. ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NO
Z
Permission is hereby granted to:
..~..o.~.~......~.......~.. ..P.~ ...............
~.~~....~:.!..:......~.,.~..:....:
......
......... : ........................... '~' ....... ;Si .................................... T~' "~ ....................................
at ,rem,ses located at ...~..~... ...................... ~:~..~ .......... .1~, ...... ~~ ................
County Tax Map No. 1000 Section ..,/....~.....~ ......... Block ..... ,,,~:~,..~.. ........ Lot No ...... ~...'...I ..........
pursuant to application dated ../~,..~....~..~.. ........... , 19,.~...~., and approved by the
Building Inspector.
Fee $..~....~...:...~
Building I~spector
Rev. 6/30/80
!TOWN OF SOUTHOLD
IUILDING DEPARTHENT
TOWN HALL
;OUTROLD, NEW YORK
765 - 1802
11971
APPLICATION FOR CERTIFICATE OF OCCUPANCY
~ .... .~./.~. ¥~ ....
.... :.:.
:o~,o. o: ~o~:~,..~::.. ~.~<~.~.: ...... ..<: ...... .Z.: ....
HOUSE NO. STREET HAHLET
0.~ o~ o,.~=, o~ ~o~,..~c.t~t~...~d/~t~..~,.~ ...............
Subdivision ....................... Filed Hap ........ Lot ..........
Permit No .......... Hate of Permit .......... Applicant ...................
Health Dept. Approval ..................
Planning Board Approval ................
Request for Temporary Certificate .......
Fee Submltted: $
Underwriters Approval ..............
Final Certificate ................
rev. 10/ 14/88
TOg~N OF SOUTtlOLD
OFFICE OF BUILDING INSPECTOR
ILO. BOX 1179
TOWN HALL
$OUTIIOLD, N.Y. 11971
TEL. '~ 0'~
,65-18 ,.
MARCH 6, 1989
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy because .of the following reasons.
~/ An application for Certificate of Occupancy
is not on file. ENCLOSED
/_--/ No Underwriters Certificate on file.
~..~X/ '['lie check i:;(outdated/not on file.) $10.00
/~/ No }lealth Dept. Approval on file.
/~/ No final inspection has been made.
on this tnatter.
Please contact our office
Thank you for your cooperation.
lh~Ll(linq Perm.it t~ 11 5 5 3 I Z
/3ui ld inq Dept.
**~/~/ Uo Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April 1,1984
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765-1802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
DATE: January 24, 1989
NAME: WILLIAM & FLORINIA EGAN
480 NORTH OAKWOOD ROAD
ADDRESS:
LAUREL , N.Y. ]1948
RE: BUILDING PERMIT ~ 15531Z Shed **
SEC. 127 BLOCK 08 LOT 8.001
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.
Yours truly,
!:
¥ictor G. Lessard
Principal Inspector
** Requires au inspection and a Certificate of
Occupancy.
OUNDATION
OUNDATION
OUGH FRAME &
(1st)
(2nd)
PLUMBING
~NSULATION PER N.
STATE ENERGY
CODE
FINAL
. ADDITIONA'L COMMENTS:
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
DATE
////~~INSPECTOR
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
A~O¥~D AS NOTED
POLLOw~NG
ROUG~ F~A~ING ~ PLUE~ING
~ C~PLETE FO~ C,O.
ALL CONSTRUCTION SHALL
rHF REQUIREmeNTS ~ ~HE
CODES ~S~S~E FOR
q~N OR CC-~,'~ST~CT)O~ ~RORS,
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL,: 765-180:3
Examined /~.~..'~.~.., 19~.~
Approved .~.~..i~.~..., 19~.~.. Permit No. I..I~..8,T .~)..~.
Received ........... ,19..
Disapproved a/c .....................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date ................... 19..
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 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 building shall be occupied or used in whole or in part for any purpose whatever unti~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 construcQon 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 inspections.
(Signature of applicant, or name, if a corporation)
(mailing address of applzcant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises (,olL£1111H~ /.o/gl,Jla g'~/g'lt[
(as on the tax roll or latest deed)
I[ 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 .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
~/r~..~.,i .q.~,~..~o.~ r.~.., o.,a.~..w.~.o)....~. ?. ~... ,..x..a~ .~.z. .............. ¥./¢ .....................
House Number Street Hamlet
County Tax Map No. 1000Section ...... t(.~'7,, CO Block 0~'00 Lot..~...~...O..O./.
Subdivision....~.././/. ~...'°.//- ~t~- -/.<5 ............. Filed Map No .... c~./.~,~ ..... Lot ..... .~..~. ......
(Name)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
...~ ¢..~. ?..~....q ~..: .o. ~...~..~.~z..~ ~ .... ~ 9....~,:.,.o..~./ ....
a. Existing use and occupancy .
b. lntended use and occupancy .......... ~ .~-?-.O..~.~. ff.t.'~... ?/..R.~..~.~.~.g.~. .................................
13.Nature of work (check which applicable): New Building .......... Addition .. ~ ....... Alteration ........ I..
I Repair .............. Removal .............. Demolition ........... Other Work... ~fi~o~ ......
~ (Description)
4 Estimated Cost , oo Fee
(to be paid on filing this application)
15. If dwelling, number of dwelling units /J/~ .. Number of dwelling tmit~ on each floor..
i6. If business, commercial or mixed~occu~ancy, specify r~a!ture and extent of each typ~ of use .../~/../~ ...........
17. Dimensions of existing structures, if any' Front q:~ Rear .. ¢ ~ ! ~,,*h .ga / '
Height .... /.0 .......... Num bet of Stories ........ /. .............. : .........................
Dimensions of same structure with alterations or additions: Front ' Rear
Depth ...................... Height ........ .~ ........... Number of Stories ..........
8. Dimensions of entire new construction: Front 8. Rear .. ~.~. i Depth . /
Height 7 t
,~ . .... ' .......... Number of Stories I ........ :. ~ .
9. Size of lot: Front .... /ggO.t .............. Rear .... /'.da>./ ....'i' 'i" 'D'e~i~ .... ~°'? ...........
[ 1. Zone or use district in which premises are situated ....... .~. ~ .~. ! D ~ ~T[...~(7_~_., . ; . '
Does proposed construction.vjplate any zoning law, ordinance or regulation: ..../~..0. ..................
13. Will lot be regraded ..... /?.q ...... :.;. ......... ..... Will excess fill be removed from premises: Yes" '¢ ~o~
14. NameofOwnerofpremises t~t~a~t~o~r/a~z~*C~VAddress aJ~'57/&tz,ty2,~t¢ PhoneNo '$7~.J
Name of Architect ........................... Address ............ ' .... '... Phone No ........ , .......
Name of Contractor .......................... Address ................ ,'... Phone No ..........
15. Is this property located withinl:00 feet of a tidal wetland? * Yes ..... No'~..:
I * If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRA~
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 show, street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, S.S
COUNTY OF .................
· : .......... ' ...................................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named.
He~s the .........................................................................................
(Contractor, agent, corporate officer, etc.)
of said owner or owneis, 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 of his knowledge and belief; and that the
work will be performed in the manner set forth in the application filed therewith.
Sworn to before me this
d~....~,. 7-.....day of ..... . .~.. ......... ,19.
Notary Public,.· ~...~.'..~.~. ~//.~_, . . . County
........... :. ......
~1.1~ ~nV~ ' ' ' i~gnature of applicant)
NO, 4707878, Suffolk Countl~,-~
Tern Expires March 30,