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HomeMy WebLinkAbout14274-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy THIS CERTIFIES that the building ....s.~.o..r.ag.e...s.hg.d...a.d.d.~.t. ~..o.n... .................. Location of Property ...~ $ ~2.5. ........... C.o..u.n?~. R..o.a.d.. g..4.8 ......... G.r..e.~.n.p..o.r.~. ...... Hou~o No. Strut Hamlet County Tax Map No. 1000 Section .... 4. .4 ...... Block ..... 0..2 ........Lot l 7 Subdivision ............ 2t .................. Filed Map No .... X. ....Lot No. X conforms substantially to the Application for Building Permit heretofore fried in this office dated ... Au.GU$~. 2,2,. ~-.9.8 5. pursuant to which Building Permit No ..... .1.4.2.7. .4.Z .......... dated ....... Sepl:e-~er..1,~ ,..1.9.~ .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 ......... 12'X30' Storage shed addition to an existing one-family dwelling. ONNIK & ARAKSI ARSLANYAN The certificate is issued to ........................................................... (owner~lRa~g~ ~l~lXl~ of the aforesaid building. Suffolk County Department of Health Approval ................. .N/.A. ..................... UNDERWRITERS CERTIFICATE NO ......................... ~q,/~ ..................... PLUMBERS CERTIFICATION DATED: N/A · o~ NO. ~ 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) 14274 Z Permission is hereby granted to: ................... d...~.......~........~,. ................ ~....~.. ~.,, ~ ........... H ....... .t.~..~ .................... ot premises located at ................ ~. J~.......~. .......... .B..Y~&~. ~ ................. pursuant to appl cahon dated ..~..~.........~....~. .................. , 19.~.~.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 BLDG. DEPT. TOWN OF SOUTHOLD A. FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted aa aaammm tot with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property Ii natural or topographic features, 2. Final approval of Health Dept. of water supply and sewerage disposal--(S-9 f¢ 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similm .... u.,u~ anu ms,alia- 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-6onforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property 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 -- BUSINESS $50.00 ACCESSORY $10.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date ..M~.. {~..~ .::]:~[~x. 1~.~7.. NewC°nstructi°n...... OIdorPre-existingSuilding ............ Vacant Land ........ Location of Property .. ,5.8525 ........... C'Iz~Y' ' 'l%0~3TE~r~t' ...... 4~' · .GR~NPOR~ ......... House No. Ham/et Owner or Owners of Property ONNIK ~[ ARAKSI ARSLANYAN County Tax Map No. 1000 Section .../fl/ .......... Block ..... ~ ......... Lot .... 1.7, .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No.'14274..........z Date of Permit .........9-13-85 ,Applicant ONNT~ ARSLANYAN Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate Fee Submitted $ 10.00 V'~ Construction on above described building and perj~t meets all ap~olicable codes and regulations. ¢,0. 1517 ' Applicant..~_,¢¢~L. '5 9, 0 5 ....................... Rev. 10-10.78 TOWN OF SOUTHOLD 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. /--/~n application for Certificate of Occupancy Ks not on file. ~-~/c~$~ ~/--/ No Underwriters Certificate on file. /--_~/The check is(~/not on file.)~/O~3 /5/ 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 Permit # ~ ~ ~ ~ ~ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) I~iELD INSFECTION COMMENTS ,UNDATION (2nd) IOUGH FRAME & PLUMBING ~NSULATION PER N. STATE ENERGY CODE AI COMMENTS'. TOWN OF $OUTitOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN ttALL 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 Certificate of Occupancy not on file. /--/ No Underwriters Certificate on file. /--_~The check is(~a~e~/not on /5/ 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 Permit # _~ ~ ~ ~ ~__ Z Building Dept. ***/5/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 \ TEL.: 765-1803 Examined .~.~.-~.~...I .~., 19'~ kpproved . .~..~ .~... !.~., 19~..x~. Permit No...~..&~..~ .~:.. Disapproved a/c ..................................... ................................ ....... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Received ........... ,19.. · Date~,%~c~ ............. 19~--'... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 lets 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 )r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 Ihall 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 3uilding 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. rhe applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tmit auth°rized inspect°rs °n premises and in building f°r necessary insp7~4~' ~ (Signa~re of applicant, or naxff4, if a corporation) ...q.¥.:..q~'.....~...~..'~..~..~. ¥,5 .%~.~.\~. ....... (Mailing address of applicant) 3rate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ........ ~.~.~-~. ................................. : ........................................ game of owner of premises . O/Id. ~. [~:~... ~:~. b.. · ~.~t4~. ,-~ ./.. ·/5}~..~.~ ./~1.,~...~.,~..d ...................... (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../~,..~. ............... Other Trade's License No. ~..~. ............... Location of land on which proposed work will be done .................................................. ..... 57. ~..;.z..47 ....... C..o.. ~ .xL77...~..../~o.,4,9 ..... 2_..7. .... g?/z~.,v~..o~z-.. .......... House Number Street Hamlet County Tax Map No. 1000 Section .... .~.~.~. ......... Block ........ Z ....... Lot..../..~. ............ 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 ....~'.Z'..~.. ~Z~" .~..e~f/~/Z.),f. /~./d.x'.~../.~/. b. Intended use and cc ................. : .i ' ', .' ............. ~hcck which applicable): New Buff 'ng ..... '.~.. Addition, ,;:~,,..,. Alteration dl .......... .......... Remloval .............. Demolition ............ Other Work ............... Cost : ,. ,~ I ................. Fee ........................... units ............... Number of dwelling units on each floor ................ If garfige number of cars ' 6. If business, commercial or mlx0d occupancy, specify, nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front .36.t~lll~l~/. .... Rear ...~.t ........ Depth . .~..tg.~. ........ Height . Nu er of Stones . Dimensions of same structure With alterations or additions: Front . ..~.O ............ Rear . .2. ~' .......... Depth.. ,~, .q ............. i' · · Height ..................... Number of Stories ..................... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height Number of Sto.fieq 9. Size of lot: Front ...................... Rear ...................... Depth ...................... 10. Date of Purchase .......... ! ................... Name of Former Owner ............................. · 11 Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded ........ i .................... Will excess fill be removed from premises: Yes ~ No ' 14. Name of Owner of premises..] .................. Address ..................- Phone No..M.~.q.~:~.x.~.'.l .... Name. of Architect ........................... Address ................... Phone No ................ Name of Contractor Address Phone No 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]: 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 is the ..................... . .................................................................... ~ I' (Contractor, agent, corporate officer, etc.) of said owner or owners, and is d~ly. authorized to perform or have performed the said work and to make and firg~this- application; that all statements contmned in this application are 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 ....... ..... · rm Expires March (Signature of applicant) APPROVED AS NOTED D~TE: ~)/~.~,~ B.P · '<~"-" BY' ~"~'~' F~. ~' - '~'"~ AT ~nTl~ 8UILOING DEPARTMgm~ 1 FOUN~ON ~U~CUum FOR PO~ED 2 ROUGH FRAMING & PLUMBING 3, INSU~TION 4, FINAL CON~UC~ON MUST BE COMPETE ~R C.O. ALL CONS~UCTION SHALL MEET THE REOUI~MENTS OF ~E N.Y STATE CON~U~ION & ENERGY CODES, NOT ~S~NSIBLE FOR E~SIGN OR CONSTRUCTION ERRORS, OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY '7' ~" g'©~ } f