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Home My WebLink About15587-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Date. .March 4,. 1987 THIS CERTIFIES th STORAGE SHED at the building ................................................ Location of Property 2345 Plum Island La~n.e Orient, New York House No. Street Ham/et County Tax Map No. 1000 Section 0 15 . .Block 05 .Lot 24 · 3 Subdivision..M./.o..O.r.i?.n.t..B.y..t.h.a..8??..S.e.c:..3..Filed Map No. 6160 .Lot No. 154 conforms substantially to the Application for Building Permit heretofore filed in ,,lifts office dated December 16, 1985 1558/] Z ...................... , pursuant to which Building Permit No ....... [. .............. dated December 23, 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 ......... STORAGE SHED The certificate is issued to R E I N E R & P A T R I C I A L 0 L L 0 T ..................... ?oYn'ot,'t~tr~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ............ .N/.A. .......................... UNDERWRITERS CERTIFICATE NO. N793207 PLUMBERS CERTIFICATION DATED: Building Inspector Rev. 1/81 FOB~ NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, H. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 15587, Z Permission is hereby granted to: ............. .... ~..~..,.~.:~.,..,..!./..~..~2 ................. at premises located at ..~, ,~.~.~ ....... .~). ................... ~ .......... County Tax Map No. 1000 Section ...... .0../..,,~,--~.. ..... Block ...... ..~.,.~.. ...... Lot No ..... ..~...~.,'..~ ....... pursuant ,o application dated ~.~ ...... [..~. ............ , 19..~"~., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall FEB I 3 1987 Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in 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 buildings, 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. Commercial buildings, Industrial buildings, Multiple Residences 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~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. C. Fees: 1. Certificate of occupancy $25.00 -- ~'JS[R[SS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.'00, ove~ 5 yea~s $]0.00 5.Upda~.od C.C. $ 50.00 Date ....... ~ ....~. ........... NewC°~s f'~uct±°~ ...... Cid or Pre-existing Building ............ Vacant Land ............. Location of Property - House No. /~ /~ Street I-lam~et Owner or Owners of Property .~../.~...~,..~..~.~-L.. ,/j,¢¢~..,, ~(.~/.~....~.. ..................... County Tax Map No. 1000 Section .. ~..~.~'. ........ Block /~.~.. .......... Lot..(~).~. ~ ~..~.~. Subdivisi°~' - · ~//~..N~. · · · ..... Filed Map No. ~.. ~.~..~...Lot No .... ,~...~'.~.... Permit No..,~.~'~... Date of Permit/..~.~/~App licant .... . .~../?0...~.. ................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ~,~ ................. Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building ar)~.~ ,m~,et:all ~~egu lations.. . Applicant . .~r.-~-rx~.~. ---.....~....... .................. Rev. 10-10-78 OUNDATION ( ~ s t) OUNDATION (2nd) OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: .g FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Examine~ ~..~.~., 19 ~.~. Approv~.Cv~j~..&.~..., 19 ~.~. Permit No..I..~.".~..~.7..~ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Recezved ........... ,19... Date ............ 19 . a. Tkis 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 until 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 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 in~ct, ion,s. /~ (Signature of applicant, or name, z~ a o p ................ r .......... . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or Name of owner of premises .~...q'....~.~..~'.~... · .'~./fi/,~. ~... .... i....' ' (as on the, tax rg!l or latest de~e~d). If applicant is a corporation, signature of duly authorized officer: '. ·; ~ ~ ;' (Name and title of corporate officer) Builder's License No...~.~./..~. .... .~../~.Z.~. 0. .... Plumber's License No ............. / ......... 1. Location of land on which proposed work will be done .................................................. .... ............................ ...................... House Number Street Hamlet County Tax Map No. 1000 Sectiou . .O../.~. ............ Block .~,,~ .............. Lot O~'*ctt' ~ Subdivision .~.~..-~-.. ..~..y.~ ..~¢..~.~.,~.. -%-"'e'~T~,.~ ....... Filed Map No..~./~.~. ...... Lot ].--)t-- ........ (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . l~..~.,,..t'Z ........................................................... b. lntended use and occupancy~~-~ · · .~~. ~~. · · · 3. 'Nature of work (check which applicable): New Building .--~../ Addition .......... Alteration .Repair ................ Removal .......... :... Demolition .............. Other Work ............... ~ (Description) 4. Estimated Cost ................................ Fee ...................................... : (to be paid on filing this application) 5. If dwelling, number of dwelling units...--. ........... Number of d-~,elling units on each floor ..'~. ............. If garage number of cars .'r:. '6. If buginess, commercial or mixed occupancy, specify nature and extent of each type of use ....'~.. ............... 7 D' ' sof ist'ngstructu~es 'fa F t Re Depth · lmenslon ex 1 . ,1 ny: rOB ............... ar ............................. Height ............... Number of Stories ........................................................ Dimensions of same structure With alterations or additions: Front ................. Rear .................. Depth ...................... Height ...................... Number of Stories ...................... 8. Dimensions of entire new cons~ruction: Front lO.'.~.". ......... Rear to, a-,' .. Depth ')* ~" Height ...... '~ ~.". .... Number of Stories ........................................................ 9. Size of lot: Front ...... /..t~..* ............ Rear ...................... De'pth ............ . .......... 10. DateofPurchase ...... I.~l'~.~ ................ .t~N..a. me of Former Owner ..t~..,.U.~4..~. ................... 1 1. Zone or use district in which premises are situated.. 1~-¢~ ........................................... 12. Does proposed construction vi01ate, any zoning law, ordinance or regulation: ................................. 13. Will lot be regraded ...... ,~ .:..~[/~..^ ............. Will excess fill be removed from premises: ,&//~ Yes No 14. Name of Owner of premises~tq'.q..t~.'~..*., .%l..~.1/?.. Address .{*.~..K..~"~KI...'~ ........ Phone No.$.~.~ .-..a~..~..a, ..... Name of Architect ~ Address Phone No Name of Contractor ..... "7.. .................. Address ................... Phone No .......... 15. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No'~..~ · If yes, Southold Town T~ustees Permit may be required. . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and bloc interior or corner lot. number or description according to deed, and show street names and indicate whether OCCUPANCY OR USE IS UNLAWFUL WITHOUT ,'CERTIFICATE OF OCCUPANCY STATE OF NEW YORK, COUNTY OF .,~'u~q~/&. : S.S ........ '.. !*-¢ .~. .... (n.... ~ · ..... J~'/'~ ~' ..... .. · ....... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the ......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application am true to the best of his knowledge and belief; and that the work will be performed in the man~er set forth in the application filed therewith. Sworn to before me this HELEN K. DE VOE .. N01~Y M, IBLIC, SIJ~ of I~W t~'~ (Signature of applicant) i No. 4T07878. Suffolk CeufltY~ Term Ex,res Much 36.19..--P-.! THE NEW YORK BOARD OF FIRE UNDERWRITERS ].00074~ BUREAU OF ELECTRICITy 83 JOHN STREET, NEW YORK, NEW YORK 10038 ~ P~bruaz~, 10, 1987 4~772/87 THIS CERTIFIES THAT Reine= Lollo~ PI~ [~ ~slan~ ~ane, FIXTURE OUTLETS 1413 ~ECEPTACtE$ SWITCHES 15 S FIXTURES FLUORESCENT ~2345, Orient, ~J~ 2nd FI. ~a~a~(~ Section Block Lot and found to be in compliance with the req re.~ent s qf this Board. RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS MULTI-OUTLET SYSTEMS NO. OF FEET )THER APPARATUS: i~G.F.C. 2[. i smok~ Detector E R V I 'C NO OF CC. COND A.W O NO, OF HI-LEO A,W.G pER ~' OF CC, COND OF HI-LEO E AWG, OF NEUTRAL Richard G. Relyer P. O. b~ 372 Laurel, N.Yl1948 Lio%2148E this certificate must not be altered 'in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BU!LDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT· ~BE ALTERED IN ANY MANNER. 76~.t802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [] FRAMING [C~INAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: ~ su~. co. ~,~^~vS, ~. ^ppeov^~. , I "' s. ~o. ~ ~C.~ ION ,.~ - ~-r ~o~mCK VAN ~u~:, T~'t/ O~~' ~O~JT'I~g~,L~, fl/' ~'~ ~IC.~ND~URV~YORS-~Rll~.N.Y. 2:D,4...~ 'I::'L..L.IM IGI../kMD L.A,I,~ 2:545 'PLtJI',4 15,LAI,4D LA, HE "OV-..t [~-4T ~ N4, y. / I ~ ~,'3' (.~1~.) LoLLOT' ~ ~F'rE "RLAW · 254S ?LU~4 ISL/~M'~ LAME'