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Home My WebLink About14195-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~B877 Date September 26 1985 THIS CERTIFIES that the building .... l~.v.r~, l~,3_.ckg ................................. Pvt. Rd. S/S Soundview Ave. Southold Location of Property ........................................... ~ ...... - ' -' 'i,~'- House No. Street /e~ County Tax Map No. 1000 Section 5 9 . .Block 9 .Lot 7 Subdivision X X X ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore Fried in this office dated August 9 85 14195Z 19... pursuant to which Building Permit No. dated ........... S..e .p.~.e.m. ? .e.~.. 9. .... 19s. 5.., 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 ......... Building for nursery maintenance operation. The certificate is issued to THOMAS G. BYRNES ..................... .................... of the aforesaid building. Suffolk County Department of Health Approval ................... N .//t .................... UNDERWRITERS CERTIFICATE NO ........................... ~ L b .................... Building Inspector Rev. 1/81 ~o~.~ NO. ~ TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 14~L95 Z Permission is hereby granted to: ........ ......... .....~...~.~......=.~:.h~;. ....................... County Tax Map No. 1000 Section ..~...~....c~.. ....... Block ....~...~... ........ Lot No. :~.Z...¢~..~.ov'' ~,,,~, ,o ~..,,~.,o. ~,~ .~ ...... z ........................... , ,~ ~,~ ~,o~ ~ ,~ Building Inspector. Fee $..~~ .. Building I~ector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 BLDG. DEPT. TOWN OF $OUTHOLD.., APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted ~- ~ 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" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic featu res. 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $15 o 00 3. Copy of certificate of occupancy $1.00 Date ............... New Building . ...~.. ....... Old or Pre-existing Building ............ Vacant Land .... Location of Property . /ve'~ .~ ~ 0 C · ' ' Hou~ No. Street Hamlet Owner or Owners of Property .............................. , ............................... County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed. Map No ........... Lot No ......... , .. Health Dept. Approval ........................ Labor DePt. Approval ........................ Underwriters Approval ........................ Planning Board Approval .... ..).. ............... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitte .......................... Construc~n on above described building and permi~meets 911 ~pplicable codes and regulations· '-- ~.g.X~ '/~ ,'""[4_~, ~"-~ -'/L..) <~ Applicant.....'J.'.'.'.-... ,.,. ';;...~ '.";' . . ........... ; ............... Rev. 10-10-78 FIELD INSPECTION COMMENTS FOUNDATION (1st) NDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY q~DE FINAL ADDITIONAL COMMEN,TS: ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N.Y. 11971 TEL.: 765-1803 ~xamined..7.~. · ·~. ....... ,19.~. ?'-'~ kpproved "?'/7 ........ , 1 '9~' ' Permit N°' f' '~'~7 '~'--f )isapproved a/c ..... 7'... 7.~. ............... ~ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT Received ........... ,19·.. INSTRUCTIONS Date...O?/?. ........... 19~. ?. a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s~ets of plans, accurate plot plan to scale. Fee according to schedule. i b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets ~ 6~r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- qation. ~ [ c. The work covered by this application may not be commenced before issuance of Building Permit. i d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit s)all 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 hall 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 "l~egulations, for the construction of buildings, additions or alterations, or fo,,r/re,novel or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, buildig'g..c,o'de, housing code, and regulations, and to ~dmit authorized inspectors on premises and in building for necessa~ns. ~/~ . ..................... (Signature of applicant, or name, if a corporation) ........ Y'' iI~l'aili~ ~l~l;e's; ;~'aCplicant) ' · ~tate whethe/r applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builderI ·Nameofownerofpremises . ...... rn,rX... ....... . ........ ..... ......... ..... ...... .. ...... ... ........... i (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. /)'~/) ~-FO~; /~oa/d~.~.. r Plumber's License No ....................... Electrician's License No ....................... Other Trade's License No ...................... ,-~ · ~. Location ofland on which proposed work will be done. . f~'.g<~.~. .~.~. . f?q/. House Number Street Hamlet ~: County Tax Map No. 1000 Section ...... .~.~. ?. ....... Block .... ~. ............. Lot.. ~ .qr. '.~. .......... Subdivision .............................. ' ....... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...... ~)~..~k~.-~.[ .................................................... .... Ad . c ...... b. Intended use and occupancy .. tq:.,V.O, gc.,~,/..,: ............. . ~./? , :.:~: ~ .... ..... ~ ............ . .... 3~ iNature'ofwork (check which pplicable): New Building .......... '/.ddition Alteration ;Rep~' .... Removal .............. Demolition .............. Other Work ............... ~ ~ ~>~ ~ (Description) application) $?~I'~dWell'{ng, number of dweilmg umts ....... /. ....... Number of d ~elling nnits on each floor ................ If garage number of cars 6. If business, commercial or mixled occupancy, specify nature and extent ~f each type of use ..................... 7. Dimensions of existing structu[es, if any: Front ............... Rea .............. Depth ............... Height ............... Number of Stories .................................................... '- Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth ............... ! Height t Jmber~ o( Stories ..... 8, Dimensions of entire new consiruction: Front ...... ~0 ...... Rear .... ~/) ....... Depth ...~..o ......... Height ./,'7! ....... Number of Sto~es ...... / ............................ ,, .................... 10, Date of Purchase .... ~ .//.~/¥J ................. Name of Forme ~ Owner .... ,,~. ~/~.2... ,4 t~..~N. ....... 1 1, Zone or use district in which p. remises are situated ..................................................... 12, Does proposed construction wblate any zoning law, ordinance or regula :ion: .... .~..~ ............... 13, Will 10t be regraded ....... i ...... Will excess fill be removed from premises: Yes 14. Nam~ of Owner of premises . ~ .................. Address ................... Phone No ................ Name of Architect ........ 4 ............... ,.. Address Name of Contractor .... ~. ~'.T.~ ~...I.~ .O~t~ .gP.. Address PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or propos property lines. Give street and bloc: number or description according to dee interior or comer lot. STATE OF NEW YORK, COUNTY OF ........... ..... S.S ........ i~../.~..m.~... ..... !/..~./..'~ ............. being duly s (Name of individual signing contract) above named. He is the ' (Contractor, agent, corporate o of said owner or owners, and is duly authorized to perform or have perfo application; that all statements contained in this application are true to the work will be perfomaed in the manner set forth in the application filed there' Sworn to before me this ............. ~. ...... day Of..../~..~.~??. ?. ......... , 19 Notary Public, . ..... ~.~.~...~).t:/'..~...O~..... Coun y ~.~ t. ...... No, 4~ 8dloNc ............. Phone No ................ ~',//J."~.~.5~../w~.. Phone No. ~9/:.z/4'.",/.'. ~.~.~.0. / ~d, and, indicate all set-back dimensions from and show street names and indicate whether ~orn, deposes and says that he is the applicant ~ficer, etc.) reed the said work and to make and fliP-this- best of his knowledge and belief; and that the vith. (Signature of applicant)