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Home My WebLink About14398-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15569 April 2, 1987 No .................. Date ................................. THIS CERTIFIES that the building ACCESSORY SHED 1240 Gold Spur Road Cutchogue, N.Y. Location of Property ............................................................... House No. Street Ham/et County Tax Map No. 1000 Section ...9.5. ....... Block ....6 ........... Lot 18. 1 I Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated October 21, 1985 1/4398Z ......................... pursuant to which Building Permit No ...................... dated October 25, 1985 wasissued, 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 JOSEPH & ALICE SMALLEY The certificate is issued to ..................... [o~n'o'r, 7~s~'~,px ..................... of the aforesaid building. Suffolk County Department of Health Approval Iq /A Iq/A UNDERWRITERS CERTIFICATE NO .................................................. Iq/A PLUI~IBERS CERTIFICATION DATED: / Building Inspector Rev. 1/81 1~o~ NO. ~ TO~'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOI.D, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ ~4398 Z Permission is hereby granted to: ......... ~.~:~.~..~. ....... ~.~.~!~. ..................... ........ !..~:~.....~.~J......s..~.~ ...... .~..C: ........ ......... ...c...~.!~.~.~: ........ ~:..Y.... ...................... ,o ............ ..q.~.e~..+.~.?.~..+.. ........... .~.~.~.-..~...~: ......... .~...k~.~ .......................................................... ot premises located u, ....................................................... ?. ................... : ............................... ~ ............ Ceun~/Tex ~ep No. lOee Sectien ........................Bloc~ ...................... Lot No ....................... pursuont to epplicotion doted ....................................................... , 1~ ........ ond epproYed by the Building Inspector. Building Inspector Rev. 6/30/80 Ag FORM NO. O TOWN OF SOUTHOLD I]uilding Deportment Town Hell Southold, N.Y. 11971 76.5 ,- 1802 APPLICATION FOR CERTt FICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~ ~ to the Building Inmec- tor with the following: for new buildings or new use: 1. Final survey of property with accurate Iocntion of all buildings, property lines, streets, and unu~al natural or topographic features. 2. Final approval of Heal.th Dopt: of .water_supply a.n..d, se.w. er?ge d!sposel-(S.9 form or equal). 3. Approval of electrical installation trom uoard eT r ~re unaerwmters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and in~talla- tlons, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements whore applicable· For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1, Accurate ~ur~e¥ of p~3perty 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 ottmr pertinent informa- tion required to prepare a certificate. C. Fees: , ' ' 1. Certificate oi occupancy New Dwellxng,$25.00, Accus.~ory ,.$10.00 L~u~z.es.'~ $50.00 2, Certificate 6f occupancy on pre-exmt'ng dwelling $ .50.00 3. Copy of certificate of occupancy $ 5.'00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 3/19/87 5.Uodatod c.g. $ 50.00 gate .......................... 6. hlteration $25.00 NewtOns bruc bion...... Old or Pre-existing Building ............ Vacant Land ............. Leoatio~ of Property 1240 Gold Spur 'Rd. Cutchogue, New York. House No. Street Ham/et Joseph & .A.l.i..c.e Smalley..... Owner or Owners of Property 95 4 18.ll County Tax Map No. lO00 Section ............... Block ............... Lot ................ ' · ' Filed Map No Lot No Subdivision ...... ,. ......... . ...... .. .......... . ........ ' ............ .9.8z. O fP [I 10/21/85 Appii Joseph Smalley ' it N 14 3 cant .................................. Perm o ........ ate o ermlt. ........ ~.... Health Dept Approval tabor Oept Approval · . · Approval Planning Board Approval Underwr,turs .............................................. Request for Temporary Certificate ' Final Certificate Fee Submitted $..r.7..,~.~. ..... .~. (.~ ............. d p athens. Construction on above described building an er me apph odes and regul cant.,. ; ....................... co~. :" NEW YORK: BOARD OF FIRE UNDERWRITERS : [~000121 I '~ "1: ,, BUREAU OF ELECTRICITY ' '~h' ~'", ,im!i i :i,~ , :' B5 JOHN STREET.. NEW YORK. NEW YORK 10038 THIS CERTIFIES THAT ~, o~y the electrical ~ipme~t ~ ~scrlbed below and ~ng~dt*ced by t~ applicant ~med on ghe abo~e application number tn ~he premises of Joseph~Sma~ley, ~ld Spur Street~ HorseShoe Drive, Cutchogue, N.Y. in the foil{ wing I ,~at on: ~ Basement ~ , lst FL ~J 2nd FI.' Section Block Lot 'SWITCHES F-~¥URES NCANDE$CEN! FtUO~e$CENT RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS A. WO Paul Burns 275 Town Harbor La. ~hold,' N..Y. 11971 Lic#282E G~ANAGER Sou . , , Per___~ .... 11 --~ - lhis certificate must not b~ allered in any manner/return ~o the office of tho Board if incorrect. Inspectors may be identlfidd' by their credentials. TOWN OF S0UTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765 -1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ~of the following reasons. /~/An application for Certif~ate of Occupancy No Underwriters Certificate on file. -- ' The check is~%u~/not on file.)~/O'OO /~/ No Health Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. · . Building Dept. ***/~/ No Plumber Solder Certlflcat on file. { all permits involving plumbing being issued after April 1,1984 ) FIELD INSFECTION FOUNDATION {1st) FOUNDATION 2. (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL COMMENTS ADDITIONAL COMMENTS: 1 ~r*al:~q'OW I~['O F SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BLDG, DEPT. L__Tow. oF soumq~,, Received ........... ,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 i 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 g 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 inspect~ns. ......... ..... i ',; .... (Signat~fr_~Jcan.t,~r n~am~j-]t"ii' co~porat' o ) ........... '.-/. ................ (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 ..................................... . ............. .... .................... ........... ....................... House Number Street Hamlet County Tax Map No. 1000 Section .~¢ ...... Block ~ Lot / <~'~l ..................................... Subdivision .(~.~..~... · · . (Nain~) ................ Filed Map No ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed constructi°n: a. Existing use alld occupancy . .~..L~.O~..~..~..x~. · .~..¥'tx~fi. ~ .................................. b. Intended use and occupancy ."*~..q~.......~..~ ..... ~ .~.~.-'~'~. ........................ o 10. 11. 12. 13. 14. Nature of wot check which a cable: New Bufldin on. ............... Repair .............. Removal .............. Demolition .............. Other Work ............... · qo. (Description) Estimated Cost '~ ~ Fee ............................ (to b~ paid on filing this application) If dwelling, number of dwelling units ............... Number of dwelling u9its on each floor ................ If garage, humber 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 .......... Depth ...................... Height ...................... Number Dimensions o~f entire new construction: Front .... 1C~t' ......... Rear ... ~) I-lc ght '5~ , , N mhar of ~qtr~r~e~ ,. , Size of lot: Front ...................... Rear ..................... Date of Purchase ............................. Name of Former Owner~ Zone or use district in which premises are situated ....................... Does proposed construction violate any zoning law, ordinance or regulation: .. 4 ............................. Will lot be regraded ............................ Will eKcess fill be removed from premises: . Yes.~fNo Name of Owner of premises~....~...~X.~...~J~..Address 0X.q%. . Phone No.q Name of Architect ............. 'T... Address ............. i ..... Phone No ................ Name of Contractor .......................... Address ............. i ..... Phone No ................ ...... Rear .................. ~f Stories ...................... ........ Depth . .\.~J .......... Depth ...................... PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existh~g or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description accoy sh!ow street names and indicate whether interior or corner lot. ~g to deed, STATE OF NEW(~OgK, COUNTY OF..~..c.~ .~...~.c.~ ..... S.S .... ~.~5.~.. ]~(~] ~//C.~ .................... being duly sworn, deposes ~d says that he is the applicant ~ (Name of individual signing contract) above named. : (Contractor, agent, corporate officer, et~.) of said owner or ownem, ~d is duly authorized to perform or have performed the said work and to m~e and file ~is application; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the work will be perfo~ed in the m~ner set forth in the application filed therewith. Sworn to before me this