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Home My WebLink About15415-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17126 Date JULY 28r 1988 THIS CERTIFIES that the building. Location of Property 1800 SHIPYARD LANE House No. County Tax Map No. 1000 Section 35 Subdivision Block Filed Map No. ACCESSORY Street 8 EAST MARIONr N.Y. Hamlet Lot 5.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 15~ 1986 pursuant to which Building Permit No. 15415-Z dated OCTOBER 20~ 1986 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 CABANA & BARBEQUE AS APPLIED The certificate is issued to GUSMAR REALTY CORP. (owner, ~) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 20~ 1988 PLUMBERS CERTIFICATION DATED MARCH 22r 1988 - HENRY J. SMITH & SON,INC. Building Inspector Rev. 1/81 · OB~ NO. ! TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERA~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15415 Z Permission is hereby gronted to: ..~.~~~....~ ......... './.....~..~~ ........ ~...~.~....~.~.~/~- .~..~.~.~...,..~....~.: ............................ ,o ..~~....~.....~..~...~~...~...~.~.~.....~ ........... ...~~. ............................. ~ ....... : .................. .~ .......................... ;;.._.. .................. ; ............... at prem,se, located at .~/. ' .... ~.~ ~.....~-r:o,3~ + ............... County Tax Map No. 1000 Section .... ..0...~..,~'.. ....... Block ..... ..(~....~. .......... Lot No......~..!....~. ......... pursuant to application dated .....e~..~....!_~.~, ................... , 19..~....J~.., 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 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted I m 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. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pz'operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occopancy 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: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling $25.00, Accessory '$10.00 Business $50.00 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 .......................... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 1800 Shipyard Lane East Marl. on. . House No. Street Ham/et Owner or Owners of Property GUSMAR REALTY CORP. . County Tax Map No. 1000 Section 35 Block 08 5.. 3 Subdivision ................................. Filed Map No ........... Lot No. (CABANA & BARBEQUE) ............. Permit No.15415Z.......... Date of Permit .1.0./. ).0/8.6.Applicant.. Gusmar Realty Corp./Peter Fakiris Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate X .. 25.00 Fee Submitted $ ............................. Construction on above described building and p~mit meets all applicable codes and regulations. Apphcant ...... Rev, 10-10-78 'OUNDATION (1st) 'OUNDATION (2nd) :OUGH FRAME & PLUMBING iNSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS · ' ~' FORM NO. 1 ' ,~.,:. '", . ..... ~ s,~, TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL.: 765-1803 xamJnea .~'~....~?~.....D.o.., 19 ~.~ ,~proveO .O~.. ~.., 19~. Pe~it No ............ i~approved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Date../.'V./+/~....~19... a. This application must be completely filled in by typewriter or in ink aud 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 pretniscs or public streets :,teas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- lion. 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 all 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 all 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 ~filding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or cgulations, for the construction of buildings, additions or alterations, or for re~noval or demolition, as herein described. i~c applicant agrees to comply with all applicable laws, ordinances, huildi~ode, housing code, and regulations, and to imit authorized inspectors on premises and in building for necessary inspe, t~ior]s./~L /.~/'7 . (Signature of applicant, or n.,Mhe, if a corporation) whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) 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. ........... ............. . . .... ' ...... .... l louse Number Street Ilamlet ('ounty Tax Map No. 1000 Section ...... ?.~..~: ..... Block ....ca..~. ........... l.ot....~. 7.~. .......... 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 ..................................................................... b. lnt ended use:~nd occupant . ..... ~....~......~.. ~ ............................. -....:.~.. 3. Nature .of work~ (check which applicable): New Building .......... Addition ...~.. ..... Alteration .......... Repair .............. Removal .............. Demolition .............. Other Work (Description) 4. Estimated Cost ...................................... Fee ...................................... (to be paid on filing this application) 5. If dwelling, number 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. Dimensions of existing 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 ...................... ~. Dimensions of entire new construction: Front ............... Rear ............... Depth ............... iteight ............... Number of Stories ........................................................ 9. Size of lot: Front ...................... Rear ...................... Depth ...................... O. Date of Purchase ............................. Name of Former Owner ............................. I. Zone or use district in which premises are situated ..................................................... 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ ~ Will lot be regraded ............................ Will excess fill be removed from premises: Yes No I Name of Owner of premises .................... Address ................... Phone No ................ Name of Architect ........................... Address ................... Phone No ................ Name of Contractor .......................... Address ................... Phone No.. 5. Is this property located withinl.00 feet of a tidal wetland? * Yes ..... No '~'..... .......... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRA~ Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions l¥om roperty lines. Give street and block number or description according to deed, and show street names and indicate whether ~terior or corner lot. IA I*H OF NEW YORK, - S S ,Ore llallled, me of 'J~"~i ' '' ' s~n]~l ~ 'c'~l~r~c't i .......... being duly sworn, deposes and says that he is the applicant is the (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ,plication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ork will be performed in the manner set forth in the application filed therewith. vorn to before me this ........... /.~. . dayof : ...~.~ ,19 .................. ~ ..... ; ....... County !1011~ ~ ~~i~-~l~ ..'~'~'"'fi ................... (Sig/~tu]e ot: applican't) ¢. SG"- 29~'to''E P~ 4 - II I I I I :~ ~// · ( / LAt~ r~ APPROVED A~ NOTED ~Ol'lFY BUILDING DE'PARTMENT'AT 755-180~ 9 ~ TO 4 P~ K~R THE '~IGN 0R CG~!STR~JCT)ON ~ OCCUPANCY OR, uSE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY REVISIONS C,A,BA-I',,I 'A, '