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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,