The URL can be used to link to this page

Home My WebLink About13924-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z13516 Date June 18 1~5. THIS CERTIFIES that the building accessory garage Location of Property 700 Cedar Drive Hattituck ~/~.~ ~Jo: ....................... ~r~;i ....................... ~r~/e~ 'q O County Tax Map No. ] 000 Section ~ 06 .Block ............... ~t Subdivision .... ~ .F~ed Map No. ~ .... Lot No. conforms substantially to the Application for Building Permit heretofore f'fled in this office dated 1'day 2 ,19 8.5. pursuant to which Building Permit No .... dated Hay 8 19 ~3.~., 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 ......... accessory garage. The certificate is issued to NARTIN PRLEBE JR. ..................... io¥.'e;, 'g~;'J, '&L;k; ...................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... UNDERWRITERS CERTIFICATE NO ......................... ~./?. ..................... Building Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CTHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NB 13924 Z Permission is hereby granted to: ...~.:..~..~....s...~.....~.~..: ........ .....~.~.L~A~ .............................................. ......~.~....~.........~.:~.,.....u.~.~:.~ ..... ~:~ .................... .= ................. ~..= .......... :...;~...~.. ...... :.. ........ ~ ............. at premises located at '..J~...~..l~ ............................ ~.)..~ ......... .~....~..~ .................. :.~ ............. ..... ~..~ ....... ..~.~ ....... ~.:........~:.~~.....~..,~ ---, ............................................................. t o a~/,,,~ County Tax Map No, 1000 Section ..... L..O.,..g. ....... 8~ock ....... /, ............. Lot No ......................... pursuant ,o application dated ....... ~.~..~T... .................... , ! 9...~...~.'~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buHdlngs, property lines, streets, and unusual natural or topographic featu res. 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 peoperty 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 on pre-existing dwelling/r Certificate of occupancy $5.00 2. 3. Copy of certificate of occupancy $1.00 land use $/s'/$5.00 New Building.........,...J Old or Pre-existing Building(X) ......... ~ ZVacant Land ' ' House No, Street Hamlet Owner or Owners of Property .... ;~/~. t /~/~... ~ ..... ~.'T~. ~ .... e ....................... County Tax Map No. 1000Section /o ~ ' Block /~) Lot ' Subdivision ................................. Filed Map No ........... Lot No. Z Health Dept. Approval ........................ Labor Dept. Approval ...................... ,.. Underwriters Approval .......... - ....... Planning Board Approval .................. R que t f T raryC tiff Fi al Ce tificat~ e s or empo er cate ..................... n r ........ ~ ......... Fee Submitted $ ........... C°nstructi°n°nab~°v~ee~e~buildingandpe~rm't'?2~J~ap/~b'~gand~ns'Applicant ~ ~ . ~.~....., ..... Rev. 10-10-78 F1E~D INSFECTION FOUNDATION FOUNDATION ROUGH FRAME & (1st) (2nd) ?LUMBING COMMENTS INSULATION FEE N. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: ~ 'FORMNO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL EOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved . .~ ., 19~..~i Permit No. J..~.~.~..~.-~ Disapproved a/c ................................... ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT OI.DG. DEPT. TOWN OF SOUTHOLD Received ........... ,19... Date ..5~/. INSTRUCTIONS a. Tins application must be completely filled in by typewriter o~ in ink and submitted to the Building Inspector, with 3 ;ets 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 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 ~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 Eluilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or [egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'he applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to tmit authorized inspectors on premises and in building for necessary inspections. ~ ...... .... (Signature of applicant( or name, if a corporation) ....... .~...~. ..... .V..3. ~....~ ./m..~..,~....d./.,~. (Mailing address of applicant) gtate whether applicant is owner, lessee, agent, arc,hitect, engineer, general contractor, electrician, plumber or builder. Iame of owner of premises .... ~./~..~. D..~...../?.: .... ./-~..J?t/. .~. ~. ~ .... :'.~--..~..: .................... (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorized officer. Builder's License No ...... /..'~..' ................ Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... ~ 70 Location of land on which proposed work will be done., . . . .~./.'~.............. · ~ z,~,~ ~.~ ........... ZQ~' ///(~ . ~ .5'/~C./~.~.~1. . . . . . . . ................................. ~ ~ r..r..~?. ~.....Az.,? .y.. ................................ House Number Street Hamlet County Tax Map No. 1000 Section .... /..0..~. ......... Block . ./..~ .............. Lot .... .~..~. '~... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupanc[y of proposed construction: ¢, a. Existing use and occupancy .... ........................................ ¢5~6~5 .*d ,~:~b .......... b. lntended use and occupancy .~.~~... ~~ ,.-? 10. 11. 12. 13. 14. Nature of work (check which a~pplicable): New Building .......... Addition .......... Alteration .......... Repair ......~ ..... Removal .............. Demolition ............ Other Work ............... ([8~.! ~i '~.~3,i's': ~ , i (Description) ~ Estimated Cost ........... ./..Z:./oo.o...o.~ ............ Fee. ~?.-..~..d. ....... I '~' (to be paid on filing this application) If dwelling, number of dwelling units ............. Number of dwelling units on each floor ................ If garage, number 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 ............... Nu~nber of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. e i . · D pth ...................... Height ............. , ......... Number of Stones. D~mensmns of entire new cons~ructzon: Front ..... .Qr. ~. ...... Rear... ~,~.~. ........ Depth ...~.~.........'t ....... Height ............... Number of Stories ........................................................ Size of lot: Front I Rear Depth Date of Purchase ' Name of Former Owner Zone or use district in which premises are situated ..................................................... Does proposed construction vi61ate any zoning law, ordinance or regulation: ................................ Will lot be regraded ........ i~W~.q ................ Will excess fill be removed from premises: Yes No Name of Owner of premises //7. '..,~../f/.C~ ~. ~ Address ~. ] P...c.c..~. ~>/~.. Phone No ................ Name of Architect ......... , .................. Address ................... Phone No ................ Name of Contractor . .~.: .~.q~./.4 .~. ~r~?.. ~'.o. ~4.... Address ~ )q..c-ff. $.~. ......... Phone No.O.~.~. 7.f. {.~.:~ .... PLOT DIAGRAM Locate clearly and distinctly all 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. STATE OF NEW~ YORK, . COUNTY OF .~.. i S.S ........ . .,~.9..~..,or..~ ~,<..~ ...~..~../. +.~. ~. ....... 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 drily authorized to perform or have performed the said work and to make and file this application; that all statements conltained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ~ ~ ~ ~ ~ . (Signa~ure~ of applicant) ¸i, AP?7~G';_D AS NOTED ~OLLOWING IN'SPECTIONS, FOLJNmAT~ON - TWO REQUIRED FOR POURED CONCRETE INSULAT~QN ~TATE CONSTRUCTION & ENERGY ~ODES.~ NOT RESPONSIBLE FOR ~SIG~ OR ~ONSTRUCTION ERRORS