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HomeMy WebLinkAbout14039-zFORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Sou/hold, N.Y. Certificate Of Occupancy No.. Z13699 Date Aug. 2 ,1985 THIS CERTIFIES that the building.. .... ~.dditigp...... ................................. Location of Property 36400..~.T.Y.... $ .#.~.8. ....... ?ECONIC County Tax Map No. 1000 Section .0.~.~ ........ Block . 9.4 ............ Lot. 99.7. ............ Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated · ~..u .n.c.. ~. ! ............ ,19 .8.5. pursuant to which Building Permit No. 14039.Z dated ....... ~.u..n .e..1. ~. .............19.8.5., was issued, and conforms to all o f the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Addition to existing greenhouse The certificate is issued to JAY & JEAN GUILD (owner, ~YOX of the aforesaid building. Suffolk County Department of Health Approval N / a UNDERWRITERS CERTIFICATE NO. N 70270 Building Inspector Rev. 1/81 1~01~ NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 14039 Z Permission is hereby granted to: ...... ....... .... .~.- L.,z.~.....~,~,:~,........~... ........................ ..~....~~...~...... ...................... ~.....~ ................... ~ .................. ... ............................ at premises located Ot ....~,-~..~..~....O~. ......... .~].......~...~....., ......... ,~..T-~...~.~e. ....................... County Tax Map No. 1000 Section .... ..~..~...~ ....... Block ....... .~..L~ ....... Lot No ....... .CL.~...-]. ...... pursuant to application dated ..... ...~....~.....~[ .................... , 19..~...~.., and approved by the Building Inspector. Fee $ ........................ Building Inspector Rev. 6/30/80 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL,: 765-1803 Examined i ]~..~*" I~..., 19.~h'' Approved ....... I .{.., 19 ~ .~. Permit No ............ Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BI.DG. DEPT. TOWN OF SOUTHOLD 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 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 c~de~, tlpusing code, and regulations, and to admit authorized inspectors on premises and in building for necesspgy inspect[qi~'s. /j ! ///(~ignature of applicant, or ~ame, if~a corE~>r tion) (Mailing address of applicant) ,//~_~'~2r~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. // ~/ (y (as on the tax roll or rarest decal -- z fi If applicant is a corporation, signature of duly authoti ed of cer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done .................................................. . .F. .x. . . . . .......................... .................... House Number Street Hamlet County Tax Map No. 1000 Section . ...~£.~ .......... Block .... P..~ .......... Lot...0.O.q ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premis6~ and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy · ~. · · · · ).q. .......................... a~oV~l~*~4e. -"'-~' '. ',';% ...... Date ......... 3. Nature of work (check which a ~plicable): New Building ' 'Addition ~ Alteration Repair .............. Rerr oval ............. Demolition .............. Other Work. '. ............. I ' O ~72"~2 (Description) 4. Estimated Cost .... ~. · / ........................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number of dwellin units ............... Number of dwelling units on each floor ................ If garage, number Of cars .... ~ ............................................. . ....................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmctur~es, ifany: Front ............... Rear .. ......... '.. Depth ............... Height ............... Number of Stories ............................................... . Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .... .. Height ...................... Number of Stories ..... 8. Dimensions of entire new construction: Front ............... Rear ............. Depth ............... Height ..... ,..~ .... ,.. Number of Stories .................... i... i .......................... - 9 Size of lot: Front ' Rear Depth 10. Date of Purchase .......... ................... Name of Former Owne~/..~..// ........................ la. Zone or use district in which p~emises are situated.·..~ .... .................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ./4 .~. ........................ Name of Architect ......... r/r ................... Address ................... Phone No ................ Name of Contractor" Address Phone No .. i PLOT DIAGRAM Locate clearly and distinctly ~1 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 comer lot. APPR©¥~I AS NOTED NOTIFY Bt JIf.DING DEPARTMENT AT 7~5-1802 9 AM~TO 4 PM FOR THE FOE[ OWING I~J?~C-FIONS: 1. FOUNr~4TION - TWO REQUIRED FOR PQUR~-~ CONCR[TE 2. ROUGH - FRAMING g~ PLUMBING 4. F~N,~L - C~¢-%Tml'':V~N MUST ALL COb'c,' p''C~ION qHAL[ M[ET STAT~ COI,4cTR(/CTI~N & ENFRGY CODES. NOT~ RESPONSIBLE FOR D~GN OR CONSTRUCtiON ERRORS;. STATE OF~qEW YORK, COUNTY~F ....... n./..~//... S.S ...... //~' '~ '~/'~'/' .... i ..................... being duly sworn, deposes and says that he is the applicant // ~ame of individual si lning contract) above/~med(. m is the .................... .rff. :,, ............................. (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d'=dy authorized t6 perform or have performed the said work and to make and file this application; that all statements cot tamed in this application are true to the best of his knowledge and belief; and that th6 work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ...... /./~ .......... day ~f..~%~4.. ............ 19 X~ , Notary Public, ............ ~ ...... County NOTARY PUBLIC, 8t,,~ of New Ym,k No. 4822Bea. Suffolk Term Explrea March 30, 1~/~ FIEL~ INS[~ECTION FOUNDATION (1st) COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ia ~ 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. For existing buildings (prior to April 1957}, Non-conforming uses, or buildings and "pre-existing" 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, 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 New Building .... .~ ....... Old or Pre-existing Building $15.00 Date. ~ .k~. '~;:~.,. '!~.~.,'*.~. ....... ............ Vacant Land ............. Location of Property , ~¢~..~.~.O. ,~. ..... .C...~.,, ,~ .............................. ~ .(..(.¥~,\g ...... House No. G. .k~. .~¢.~ (~. ~ , ,~ ~ Street Hamlet Owner or Owners of Property . 4..'~'?,¥..~'. (,-~-*~ ............................... County Tax Map No. 1000 Section .. ©~¢~ Block (~>~ Lot C> C} r~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No .....].~. 0~.~. ~.. Date of Permit ............... ~o1.~,... Applicant ....................... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approve .h"~'. ...................... Planning Board Approval ...................... FeeSub ,tted$ ................... .y ~7~.. /~.,~ / .- Construction on above described building ~l'nd, App,,ca4 .'. .......... d o. z 13¢ THE NEW YORK BOARD OF FIRE UNDERWRITERs ' ~00~s~ BU.~AU OF E-ECTRI¢,TY SS JOHN STREET, NEW YORK. NEW YORK 1OO~ ..,. ~u~y 3o,~98s ...,,ca.o,,~o.~.~.~ ~/~ N 702705 THIS CERTIFIES THAT Jay Guild, Southside County Rd. 48, Peconic Lane/Ackerly Pond Lane, ..... Pecon~, N.Y. FIXTURE OUTLETS DRYERS SWITCHES -- 2 FIXTURES RANGES OVENS EXHAUST FANS SERVICE DISCONNECT R V I C A W.G. NO OF HI.LEG A OF CC COND OF HI-LEG E Motors- 2-F H.P. Panelboards; 1-10(cir.) 200amps. T H. s ~