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Home My WebLink About13927-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z~ 367~ Date July 24 1985 THIS CERTIFIES that the building accessory garage. Locatinn nf Prnn~rtv 29775 Main Rd. Orient County Tax Map No. 1000 ~ction q & . .Block q .~t q Subdivision ~ p N x x ............................... Filed Ma o ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated April 29 19 85 pursuant to which Building Permit No. ~13927Z dated ..... May 8 19 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 ......... A two-car accessory garage. The certificate is issued to HARRISON & FRANCES D~ST ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Building Inspector Rev. 1/81 FOB~ 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) 13927 Z Dote ......................... , Permission is hereby granted to: ~.?~ ~ ~. ............ ~.....~..., . ~o ..~.......~.....~. ~.~.....~...~~....~.~....~... .~.........q~.~ ~. O' ~ / .... ~ .... · ~1~'f~'"~'"' '-~'. ' ............................................. ; ................... .~. ......... at premises located at ..~...~...~..~..~......):~.~.....~...~.. ......... ..~~ .................................... County Tax Mop No. 1000 Section ....... ...(~....~...~ .... Block ........ .~ ............ Lot No ......... .~ .............. pursuant to application dated .... ~......~.~. ................... , 19.~...~.~., 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 This application must be filled in wpewriter 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" land uses: 1. Accurate survey of p~Loperty 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. 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 $15.00 Date, .?: ,/~//?>.~: ........... New Building ~... Old or Pre-existing Building ~. ........... Vacant Land . ~ ........... L. ocation of Property .~.. ?. ?..~.: ....... .~.~ · .~.~-..~. · ............... Q~: ........... Owner or Owners of Propertv, .~.¢.~.v..~.~. ?.' ~ ...................... County Tax Map No. 1000 Section ...D./.~/ ........ Block ..... L ......... Lot ..... ./ .......... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No./.3. ~.'.~.~ ~ Date of Permit .. ~,..Applicant .................................. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval .~,,~/~, ................... Planning Board Approval ...................... Request for Temporary Ce ~r~ficate ..................... Final Certificate ....~' .................. Fee Submitted $ .... L~' ....................... Cons, truction on above described building and permit meets all applicable codes ~,nd regulations. qqfl PP' ......................... .................. Rev, 10-10-78 FiELD'INflECTION FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY qODE FINAL COMMENTS ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~-OUTHOLD, N,Y. 11971 TEL.: 765-1802 >proved . . .~.., 19~. .~. Permit No ............ sapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS TOWN OF SOUTHOLD Received ........... ,19... a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s 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 areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- ion. 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 11 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 11 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 [lding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or ?,e gulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. l'h s applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to id nit authorized inspectors on premises and in building for necessary inspections. ' ........... (Si~gnature of applicant, or name, if a corporation) a. ...... (Mailing address of aplSlicant) rte whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. me of owner of premises .~...-~ewc,~. ~..~9.../4~d~,..~r-c,r~ .a~.....~.. ................................. (as on the tax roll or latest deed) ipplicant 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 ...................... 1. Location of land on which proposed work will be done .... .~ff. ?..7..~. .......~¢4~....~.?. ..... .~.~... House Number Street Hamlet ,/ County Tax Map No. I000 Section ~;lt~l~..i.'-[.... Block. f.j~'~ ........... Lo~~... 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 ..................................................................... ~. Intended use and occupancy .................................................................... 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration .......... Re~air . .~,,~, ~.. V~I~ · Removal ..... , ........ Demolition .............. Other Work ............... ~1 ~ K/ '~ i t _ ~ , _ (Desc,~iption) 4. Estimated Cost. ........................ ........ ....... i ' ~to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number o f dwelling units on each floor ................ If garage, number of cars .. ,,~.~, ................................................................ 6. If business, commercial or mixedloccupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structuresl if any: Front ............... Rear .............. Depth ............... Height . .............. Number of Stories ........................................................ Dimensions of same structure with alterations or additions: Front ................. Rear .................. pth ' '~ht f .St ~...~. ~ D~ ...................... ~. Hel .................. Number o eries ............... trtl ,~.~'. ~.~. pth Dimensions of entire new cons etlon; Front... ' Rear ............ De Height ............... Numl~ar of Stories .... .................................................... 9. Size of lot: Front . .~ ~,~; .o,...' .......... Rear .?~,/$. ~'../.~.~...r).. . ..... Depth F~g:'. ~a..t. ~a~./?.a ~. :. 10. Date of Purchase ............................ Name of Former Owner ............................. 1 1. 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 ........................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises ................... Address ................... Phone No ................ 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 block Oumber or description according to deed, and show street names and indicate whether interior or corner lot. ~ -8. STATE OF NEW YORK, iS.S COUNTY OF ................. ............................. i .................... being duly sworn, deposes and says that he is the applicant (Name of individual sig~ing contract) above named. ., He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is du~y authorized to perform or have performed the said work and to make and file this application; that all statements contained 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 Nota,~ Public,... ~-~....~.' · .~.~. · .~/..~. · NOI~Y PUBliC, State 0~ N~w York .. County . /~ ,(_, ) . ......... (Sigd/ture of applicant) I NEW TWO VEHICLE GARAGE HARRISON DEMAREST RESIDENCE, ORIENT PLAN SCALE: ~,. (zJ z"x ~" PLAN SEC T/ON O.H. DOOR FRAME DETAIL SCALE: r SECT/ON SCALE: ~/'IEE CEAVE DETAIL SCALE;- I"=/-0' FOOTINg (~' SCALE; DE TA IL I"=1'--0" SILL DETAIL SCA L t': NEW TWO VEHICLE gARAgE for the HARRISON DEMAREST RESIDENCE, ORIENT PLANS, SECTIONS f DETAILS A-I £ £ REAt~ f~IGH T SIDE SCALE EL £ VA T/O/V 1~4''~- I I __ FRONT LEFT SlOE SCALE EL EVAT/OA' NEW TWO for the HARRISON VEHICLE 8ARASE DEMAt~EST t~ESIDENCE~ Ot~tENT ELEVATIONS