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Home My WebLink About24121-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25067 Date JUNE 3, 1997 THIS CERTIFIES that the building Location of'Property OCEANVIEW AVENUE House No. County Tax Map No. 1000 Section 9 Subdivision ACCESSORY FISHERS ISLAND, N.Y. Street Hamlet Block 6 Lot 9 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~RIL 28, 1997 .pursuant to which Building Permit No. 24121-Z dated MAY 12, 1997 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 10~ x 20' ACCESSORY STORAGE SH~D AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED T~ McKOWN FAMILY PARTNERSHIP Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N.° 24121 BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ~o,. ............. .~...../.~ ............. . ,o ~.~..~...~.~.x.~.~.:~.~...~..~.y~...~.~...~ .... ~t p~mis~ I~ted ot .,,~~~ ....................... Coun~ Tox Mop No. 1000 Section ........... ~ ........Bilk .........~. ........ Lot No...Z ................ pu~uant to application dat~ ....... ~~..~..~ ............ , 19~.Z, and approv~ by the Building Inspector. Rev. 6/30/80 Form No. 6 TOW~q OF SOUTHOLD BUILDING DEPARTMENT TOWN IIALL ~ 365-1802 ~PPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the buildi: inspector with the following: for new building or new usel 1. Final.survey of property with accurate location of all buildings, property liqes streets, and.unusual natural or topographic features. . 2.' Final Approval from Health Dept. of water supply and sewerage-disposal(S-9 3. Approval of electrical installation from Board of Fire Underwriters. ~. :".~.~..,' 4. Sworn. statementless than 2/10 offr°m1% lead.plumber certifying that the molder used in system ¢ontaina:.['.7 5. Commercial building, industria! building, multiple residences and similar buil¢ and installations, a certificate of Code Compliance from'architecg or engineer ,"i responsible for the building. - ....... . . ~ - 6.. Submit Planning Board Approval of completed site plan. requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings agd '.'pre-existing" land uses: 1.Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant.'";! If a.~ertificate of Occupancy is denied, the Building Inspector shall sgat~ tho reasons therefor in writing to the applicant. · Fees ~ 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.D0,' Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00 ~" Additions to accessory building $25.00. Businesses $50.00. ~'~ '2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00' 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Co~ne~cial $15.00 Date ' · Old ~onstructmon ........... Or Pre-existing Building ................. tton of Property llouse No. Street Hamlet c or Owners of Property ............... ~.. . · . . / ...... oo ~y Tax Map No 1000, Section ............ Block ............. Lo[ .............. · '' · ............. Aoulicant .... .~ S CorO Idacl , ~uq :h Dept. Approval .......................... Underwriters Approval ......................... ~ing Board Approval ......... ; ..... ' ......... ~st for: Temporary Certificate ........... Final Certicate... co o 5o¢ ..... FOIUI~ NO. ~ TOWN OF SOUTHOLD* BUILDING DEPARTMENT TOWN HALL ___..._~O~TH~LD, N; Y'~' BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL cOMPLETION OF THE WORK ,~UTHORIZED) Permission is hereby granted to.;, / ........... ~./~..~~/... ,./,....~...~ ..... · ~4..~.~ .................... ~~~ .......... ~.~ ........... ~ ~ ............................................ // ...................................................................... ~ ............ at premises I~ated at ..~.~~ ........................ ~o..~ ~.~ ~.~ .~. ,ooo ~.~,,~. .......... ff. ......... ,,~ ....... ~. ......... ~, No..Z ................. .......... [.., Building Inspector. Fee / ........... Rev. 6/30/80 ~;'"'~ It I,~LC u ? ,~..,~ , FORM NO. 1 \"~ ,)J .... ~ ' TOWN OFSOUTHOLD BUILDING DEPARTMENT : ~ ~_.l , b~b, HOLO, N.Y. 11971 : ~~.."'~i - ,0~; .~ TEL.: 765-1802 Exatnined. ~:~ 19 ~ ...... ~~ ' Approved ...... , 19~ Pemit No .......... Disapproved a/c ' ......:'.... ....... - .................. ... . ~/ ~ [~uildi~ ' ~LICATION FO~ B~ILDtNG INSTRUCTIONS BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY .................. CIIECK ................... SEPTIC FORH ............. c^t~ .~ 7 HAlL TO: Date ..... bp.r.J:.l...2.3.,..., 199.7. a. Tkis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 s%ts 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 st}eets or areas, and giving a detailed description of layout of property muir be drawn on the diagram which is part of this appli- cation. · ¢. ' 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 i~sued a Building Permit to tl~e applicaht. 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 South01d, -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, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. - ~ ' ~ ...% ....Z.&.S...ep.n.~.r..aF?.i.r.~.g' ~ri~.~ --: - - - -- (Signature of applicant, or name, if a corporation) ~ ,%Box'202; F:i~shers Island, N.Y. 06390' (Mailing address of applicant) State wt~ether applicant is owner, lessee, 'agent, architect, engineer, general contractor, electrician, plumber or builder. General Contractor Name of owner of premises Mrs. Frank B. Mc}(own (McKown Family Partnership .... (as on the tax roll or latest deed) If. applicant is a/corporation, signature of duly authorized officer. : .... . '/.~..........~ .... ' . (Name afF~ title of corporate/' %fficer) ~m ' v _ 13 242 HI ' . 'lder s License No .... 7 ..................... Plumber s Lmense No. 554 P .... 924 E Electncmn s License No ....................... Other Trade's License No... 2. .3 .8..A.R. ............ .. , 1. Location of land on which proposed work will be done.. ~. .......... :..;... / ........ / .......... House Number ' Street Hamlet t cotmty Tax Map No. 1000 Section ...: ...... 2. ..... Block :..¢ ......... i... Lo ................... Subdivision ...... (Name) . .. ............................ ;,.. ,,Flied ~Map No ............... t ............... 2: Stat~ existing use and occup.ancy of premises and'intended use an/:Fo~ccupancy of proposed construction: Exitingu doc pan y . single) far, il a. s se an.,cu" c .... .... .,.. .... ..... ,: ..... .. ....................... ,,", , .. b Intended use and occupancy same , '3. o 10. 11. .12. 13. 14. 15, ' Locate clearly and distinctly all property l/nes. Give street and block interior or corner lot. Nature of work (check which pplicable): New Building .......... Addition .......... Alteration ¥ ..... ' Repair .............. Rer~oval Demolition Other Work Estimated Cost $ 5000. B0 . ,: ' (Description) ! (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 .... ~ ................................................................ ~ · · x~d occupancy specify nature and extent of each type of use , commercial or mi. , Dimensions of existing structures if any: Front Rear ..................... Height" ............... ' .............. Depth ............... Number of Stories ' Dimensions of shine structure v)ith alterations or additions: Front ., ............... Rear .................. [ Height i · Number of Stories ' Dimensions of entire new construction: Front ........ · Rear Depth Height Number of Stories ' ' ' ' ' '' .................................... Size of lot: Front i ' Rear ' Date ofPu chas .................................. Depth ii' ' ' r e .~ .......... N of Forme Owner ....... amc r ................ Zone or use district in which pr~mise~ are situated .............................. ~.. .... Does proposed co tction vi late oninglaw ................. ns ru o any z , ordinance or regulation: ..... ' ......... Wffi lot be egraded ' I ................ ...... Will excess fill b ed fr emises: y No r ........ , .............. e remov om pr es Name of Owner of premises .. 'l ........ ' .... Address ............. .......... Phone No ............... Name of Architect .......... i ............. Address ................ Phone No. Name of Contractor ........................... Address ................... Phone No ............... 19 this property within ~00 feet of a tidal wetland? *Yes ........ No.X. ....... · If yes,'Southold ~own Trustees Permit may be required. PLOT DIAGRAM ~ :. buildings, Whether existing or proposed, and. indicate all set-back dimensions from umber or description according to deed, and show street names and in¢icate whethe, r Replace existin9 STATE OF NEW YORK, garage,'wi%h a 10 x 20 [ UNDERWRITERS CERTIFICATE C'EI 'HqCATE OF 0CCIJPAJ C¥ foot s%orage shed NOTIFY BUILDING D~M~AT 765-180~ 9 AM ~ 4 ~OR THE FOLLOWING INSPE~ONS: 3. FOUNDATION - ~0 ~EQUIRED FOR POURED CONCRETE Z ROUGH - FRAMING & PLUMMJNG 3. ~NSULATION 4, FINAL CONSTRUCTION ~UST BE CO~P~E FOR C,O, ALL CONS~U~ON SHA~, THE REQUIR~EN~ OF THE N,~ STATE CONSTRU~ON & ~ERG~ CODES, N~ RESPONSIB~ FO~ DESIGN OR CONS~U~ON ERRORS COUNTY OF S.S .... Thomas J. Shi'12o ........................... r ........ · ......... being duly sworn, deposes and says that he is the applicant (Name of individual signing icontract) above named· . Heisthe .~. ~'~v~er~ ..~.~. ". Pres*den%, Z&S C.?n%ractincj Inc. i (Contractor, agent, corporate officer, etc.) .... "' ......... of smd ow.ner or owners, and ~s duly attthonzed to perform or have performed the said work and to make and file this application, that all statements contained in this application are ~rue to the best of his knowledge and belief; and that the work will be performed in the manner se~ forth in the application filed therewith. Sworn to before me this - I ....................... ' ,r ..... · ',,!?.' Votary Public, ~...~....~...~. .... NOTARY PUBLIC, NEW .YORK STATE ' NO. 01WA950~185 ' ',~ .... . .... · .' QUALIFIED IN SUFFOLK COUNTYC~-~,;,/ ' ' (Signature .ofap;hcant). TERM EXPIRES OCTOBER 31,