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Home My WebLink About13733-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southald, N.Y. Certificate Of Occupancy No. Z~ ~769. Date Augus~ ~ 5 85 THIS CERTIFIES that the building greenhouse. Location of Property 36~.00 County Rd. 48 Peconic County Tax Map No. 1000 Section ..... 6.9. .....Block ...... ~ .Lot . Subdivision ............ x. .................. Filed Map No. x .Lot No. pc conforms substantially to the Application for Building Permit heretofore filed in this office dated ·. ?.e.~.r.u.a..r7 .......... 27 198.2. pursuant to which Building Permit No.. .................... ~ dated ....... .~.a.r. 9.h' .6. ............ 198..~., 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 ......... ~c.e.e .nifo.us e.. The certificate is issued to .... JAY & J~AN GUILD ................. /o¥.;;, ~ ...................... of the aforesaid building. Suffolk County Department of Health Approval ......................................... UNDERWRITERS CERTIFICATE NO ................................................. Building Inspector Rev. 1/~1 I~O~M NO. ~ TOWN OF $OUTHOLD BUILDING DEPAB, TM,~NT TOWN HALL SOUTHOLD, N,. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 13733 Z Permission is hereby granted to: ....................... ..... ~.~.~.....~. .......... ~ ...... ..................... Y...~. ....... .t.~..~.~. ...... ~...-.~..,. ............................... '~ .......... i ...... :'""';"7"/2.~'/'~J ...... ~i~ ......................................................................... or premises ~ocateo or .'~,;,,~f..r.:....':~:........;..,~.?. ........ ..~..~=: ................................... ~ ..................................... pursuant to application dated ....... ~.~. ........... 19.~..~., and approved by the Building Inspector. Rev. 6/30/80 FIELD ~NSI)ECTION FOUNDATION (1st) COMMENTS FOUNDATION~( 2nd ) ROUGH FRAME & FLUMBING INSULATION PER N. STATE ENERGY qODE Ye FINAL ADDITIONAL COMMENTS: ' FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~°OUTHOLD, N.Y. 11971 TEL.: 765-1802 Disapproved a/c ..................................... ................................ .... (Building Inspector) APPLICATION FOR BUILDING PERMIT -- ~.DG, DEPT, TOWN OF SOU~OLD 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 tke 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 code, h, ouCyt$,code, and regulations, and to admit authorized inspectors on premises and in building for necessary in ections. ... ................. , ........ /~/igp/fi, lure of applicant, 9r~nam. evif a~orporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, enCneer, general contractor, electrician, plumber or builder. 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 ...................... 1. Location of land on which proposed work will be done ...... .~.~../~...~..~. ................................. House Number Street Hamlet County Tax Map No. 1000 Section ..... .Q)...~...~ ..... Block ...... . .Q.~.. q ......Lot... iU ............. 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 .... .J~...~./..~..~ ..................................................... b. Intended use and occupancy .pd,6..~..}~.././~. f'q -- .... : ..... ~.~....g.~..X . .}~...~. ?~.~ ......................... 3. Nature of work (check which ~pplicable): New Building ..... '. t--~"~ddition .......... Alteration .......... Rep~r.... ~..~, ........ :.. Removal, .............. Demolition .............. Other Work ............... ~_... ~ (Description) 4. Estimated Cost, ~ ~ .,. ...... ~i~q~ ........................ Fee . .................................... . . · ~ ,.,~ :.~¢:O?[ i *" (to be paid on filing this application) 5 If dwelling ' ' ' Number of dwelling units on each floor · , number of dwelling umts ............................... If garage number of cars 6. If business, commercial or mix6d occupancy, specify nature and extent of each type of use ..................... 7. Dwnenslons ofexmtmg structures, If any: 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 ........................................................ 9. Size of lot: Front ....... ...~............~ Rear ...................... Depth ...................... 10. Date 0fPurchase .......... ................... N~e of Former Owner ............................. 1 1. Zone or use district in which premises are situated 12. Does proposed construction viglate any zoning law ordinance or regulation: /Y..O. ............................ 13. Will lot be regraded ....... ,., .................... Will excess fill be removed from premises: Yes No 14. Name of Owner of premises .~¢-~ ............ Address ................... Phone No...q .~.~--~. ,~', ,~,c[~,., Name of Architect ......... ~ .................. Address ................... Phone No ................ Nmne of Contractor ........ i .................. Address ................... Phone No ................ I' 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 corner lot STATE OF NEW~tO~//Iff.,/~ S S COUNTY OF/t, ~41&~]:e'~'~-f5.~ ./]., · ........ · ~ ~.~ .~ff .................... being duly sworn, deposes and says that he is the applicant / ~ ~e of individual~gl ing contract) He is the "Z~ /~],~ ~ ,r~ (Contractor, agent, corporate officer, etc.) of said owner or owners, ~d is duly authored to perform or have perfomed the said work and to m~e 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 perfo~ed in the m~n~r set forth in the application filed therewith. Swo~ to before me this. t ~I Nota~ Public ........ ~..~.~.! County .-- , . e .............. NOTARY PUBLIC, :State of New ~or~ / N0 4707878,1Suif01k C0untv / / ~ t~lgna~ure ozappucanr) lerm Exp.os ~areh 30, 19~' ~ ' '