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HomeMy WebLinkAbout13737-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No..Z. 1.4..4.0.9. ......... Date May 19 19 86 THIS CERTIFIES that the building ... Barn ........................................ 2595 SOUND AVE. MATTITUCK Location of Property ............................. Hotzse NO. ' 'S't/e~i ....................... I~bi County Tax Map No. 1000 Section .. :~;~.0. ...... Block ..... 2. ......... Lot ..... 3. ...1 ......... Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated ·..F.~.D .., .2.~ .......... ,19, .8 .Spnrsuant to which Building Permit No.. J-.3 73 .TZ. ............ dated ..... March...... .... ? .............19.8.5.,wasissued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ......... Construct horse run in shed. The certificate is issued toROBERT ENTENMANN ..................... ...................... of the aforesaid building. Suffolk County Department of Health Approval ...... Iq/k ................................ UNDERWRITERS CERTIFICATE NO .............. N./'.~. ................................ Rev, 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No...g.l.4.4. Q9 ......... Date lvl~y..1.4 ........................ ,19.8.6. THIS CERTIFIES that the building ..... B.a..r.n ....................................... Location of Property 2595 SOUND AVE. MATTITUCK 2 3.1 County Tax Map No. I000 Section 120 .Block ............ Lot Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... F.e.b. g B .......... , 19 .8.5. pursuant to which Building Permit No. 13737 g dated . .March. 7 .................. 19 .8.5., 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 ......... Construct horse run in shed. ROBERT ENTENMANN The certificate is issued to ..................... ~d~,n'o'r,'l,~'~ ..................... of the aforesaid building. Suffolk County Department of Health Approval .... N../.A. .................................. UNDERWRITERS CERTIFICATE NO ............ N./.A .................................. Rev, 1/81 Building Inspector TOWN OF $OUTHOLD BUILDING DEFARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL, COMPLETION OF THE WORK AUTHORIZED) NO. 13737 Z Permission is hereby granted to: .... ;~,,~'~'.~.~.~...~ ~. :......¢....~i,~,'i 4~,,~..... ~.~... ...... ,~.~.....~.;~..~ ........................................... ...J:G~.~.~.~....~'~.~(., ....... U.::~a..~ ........ .LL~:,.~.~.~ ...... ~..~...~..,..~,.,~,:,~.;:..,~,.,-~,..~- ......... .,....~.....~:~,~,.,J~,~.J....~,,~ ........... .............. ~ ............................................................................../~ ; ............... ~; ...................................... ot premises t~ated ~ .~.~.;~.¢~.....~,~:;,,~.~.....~,~,~ .......... ~:~ ~.~-:~.~ ......................... ..~ ....... ~.....~'~;~.~,~ ................................... ~ ..................................... ~ ~ ~ ~ ....... ~ ....... Lot No ....... ~...J ......... C~n~ Tax Map No~ I000 Section ...~.~,~ ........ Bilk punuant to application d~ ..... ~,,~,~.,,~,~. Buildln~ Inspector. Fee $.~.~. .............. Rev. 6/30/80 FORM NO. 0 TOWN OF SOUTHOLD Building' Department Tow~ Hall Southold, N.Y. 11971 765- 18021 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m ~ to the Building Inspec- tor with the followlng; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, sLreets, 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. B. 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 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 $5.00 2. Certificate of occupancy on pre-existing dwelling $15.00 3. Copy of certificate of occupancy $1.00 / /_~.~, 4.Vacant Land C.Oo $5,00 5. Updated C~O~/ $15.00 Date ......... New Building ............. ~'~ Old or Pre-existing Building ............ Vacant Land ............. House No. Street Ham/et Owner or Owners of Property .... /;; .'~ ................................................... County Tax Map No. 1000 Section ............... Block ............... Lot ...... 7, Subdivision ................................. Filed Map No._~,//~,~,~ ~'. , Lot~No~.~ (~ ,~'~ ,,~Z~'~'~'2 Permit No. J.%.? .~.. ?..'-~- Date of Permit .......... Applicant . .....~ ........................ .~/.. / Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... ~equest for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ .'.~. ........................... Construction on above described building ~nO permi/~meets~,l applical~le code/~ulations. ~ Applicant ..... ': ~~~' .-~..~.. ~-:-~. ~ ....... F1ELD INSI~ECTION ~ o u__N D 6T ~?_N ._ COMMENTS FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. Y. STATE ENERGY ~ODE FINAL ADDITIONAL COMMENTS: 'FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD, N,Y. 11971 TEL,: 765-1803 Approved ...\A~.y.~C4,fjjx .~., .., 19 ~.~. Permit No.'/.. .~.n. Disapproved a/c ..................................... ................................ (Building Inspector) APPLICATION FOR BUILDING PERMIT 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 the 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, buil~i~code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary insl~ecrm~s. ---w' ....... .'~., .('N'. ~c ¢.,v.../..~.;.~. b..-: .< ........... (Signatur~ of applicant, or name.,-i~ a corporation) ......... (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......... .............................................. ~' ~ ~ mi es 9~.~ -~. ~. v~4 ~ ~ame ozowner o~pre s ......................................................................... (as on the tax roll or latest deed) If applic~t-~s a corporation, si~a~ure of duly authorized officer. ....... :: ............... ~qame and title of corporate officer) Builder's License No .......................... Plumber's LicenseNo ......................... Electfician'sLicenseNo ....................... Other Trade's License No ...................... 1. Location of land on which p_ropp~s,ed work will be done ................................................. Hodse Number Street Hamlet County Tax Map No. 1000 Section ... ~.~fl_) ......... Block ...... ~ ......... Lot.. ~.D.,./. ............. Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of ~remises and intended use and occupancy of proposed construction: 1^ a. Existing use and occupancy .... [ [c¢.~. f,.e_ .... .~.'¢-.~.'.~. . .............................................. ·. ............ ........... b. Intended use and occupancy ...~..~. ::~.~... 3. Nature of work (check which applicable) New Building .... .~..'. Addition . . . Alteration Repatr .~ ............ ~. Removal .............. Demolition .............. Other Work ............... ~ ~x,~ I(~' ' b f2coO C (Des~r.ipti~n, 4 E timatedC o~c Fee s est ....... : .... , .............................................. (to be paid on filing this application) 5. If dwelling, hi'tuber of dwelling units ............... Number of dwelling units on each floor ................ If garage number of cars 6. If business commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dtmenslons of existing structures, ff 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 ~.t~./..~ .3..~.'. Rear ............... 'I~e'p'ti~' i i i i ........... Height Number of Stories 9. Size of lot: Front i Rear Depth 10. Date of Purchase ..........: ............ Name of Former Owner ............................. .11. Zone or use district in which ' ' ' premises are situated ..................................................... 12. Does proposed constrqg~ion violate any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded . [ .\.~.. 'AQ' 1' · 'P' '~- .......... Will exce~s fill l~e ~emoY~t fromSremises: Yes No Name 0f Contractor ... ~ff3.~.~. ¢ ~c..~..].~l~:-. ..... Address . ~-..9.~.-2 ...... ~... Phone No..'.7..~. -.7.....~.~.~.~. 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 gumber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF N~ORK, S S COUNTY OFL .... .......... L ~ .~./.~:-~ ¢ .??../: · ./~ ~' · · .~:':':':':'m-. ............. being duly sworn, deposes and says that he is the applicant (Na~e of indiviaual signinglcontract) above named. He is the .... (Contractor, agent, corporate officer, etc.) of said owner or owners, md is duly authorized to perform or have perfomed tho said work and to m~e and file t~s application; that ail statements cont~eg ~ this application are true to the best of his ~owledge and belief; and that the work w~l be perfomed in tho m~ner se~ forth in the application filed therewith. Sworn to before me this ........ .... .., .... . ...... , .... , ..... Nota~ Public, .~k ~']' .~9q~5~. . . County ) .