The URL can be used to link to this page

Home My WebLink About23985-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OC~umANCY No Z-24938 Date MARCH 19, 1997 THIS CERTIFIES that the building ADDITION Location of Property 1395 OLD SHIPYARD LANE House NO. Street County Tax Map No. 1000 Section 64 Block 5 Subdivision Filed Map Nc. BOUTHOLD, N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7, 1997 pursuant to which Building Permit No. 23985-Z dated MA~H 13, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" The certificate is issued to VIRGINIA GOHIER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A ~lding I~spect or Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24939 Date MARCH 19, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 1395 OLD SHIPYARD LANE House No. Street County Tax Map NO. 1000 Section 64 Block 5 Subdivision Filed Map No. SOuT~OLD ¢ N.Y. Hamlet Lot 27 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 7~ 1997 pursuant to which Building Permit No. 23985-Z dated MARCH 13, 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 ~CESSOR¥ STORAGE SHED "AS BUILT" AS APPLIED FOR. The certificate is issued to VIRGINIA GOHIER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A N/A Building Inspee~or Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PER,MIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N.° 23985 Z March 1 3, ........................................................ , 9...37 Permission is hereby granted to: PAUL A. CAMINITI, ATTY (Virg~nla Gohier) P.O. Box 992 Southold, N.Y. 11971 CONSTRUCT DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT~ & ACCESSORY STORAGE SHED "AS BUILT" AS APPLIEU FOR. (2 CO'S REQUIRED) ~t p~mises located at 1395 OLD SHIPYARD LANE SOUTHOLD, N.Y. County Tax Mop No. 1000 Section ........ ,6.~ ............ Block ........ .5. ............ Lot No .......... .2.,7 ........... pursuant to application dated ........ ~A.R...C..H...,.7..~ ............................. , 19,....9...7, and approved by the Building Inspector. $35.00 (ACCY SHED) // B,~{Iding Inspector Rev. 6/30/80 Approval of e!ec:r!c~ ~sua~aui~n fr~ 3o~d of Fir~ Uuda~t:ars. Lass than 2/~0 of [~ !sad. Sub d. dv±s/.ou .................................... Filed Hap ............ Lc: ...................... :~_=-~ :~o.,~'~.~ s.S...~...oa=e o~ .:,_,:=_ 31:;.}.C~.? ..... _~pl.:~_,:= ............................. _:!ann!n= 3oar~ Approval ........................ TO~ 765-[802 FOR ~TiFi.-CA_.-E OF ibis applizauion =usu be fl!lad in by cy?e~-riSer OP- ~k and sub~zuad ~o =he bu!!dln~ Lms~ecnor ~-i:h eke folio~n~: for new bu~d~g or ne,~ use: [- ~ing! su~ey of .proper%7 ~k accurate io~%ion of ~! bui!d~gs, proper%7 lines, 2. Final ipprova! fr~ He~Bh Dept. of '~a~ar supp!7 and se,JerB~e-dls~osa!(S-9 fo~) . 3. !pprova! of aiaczric~ ~sca~a~!mn fr~ 3o~ of Fir~ S~o~ sta~amen~ from pt~ber cart~7~g tha~ ~he solder ~sad !ass tha~ 2/10 of ~% lead. and ~as~la~ions, a aer~ificata of Code Co~'Li~ca from archi~ac~ or engineer responsibia for ~e For existing build~_ugs (pre_pr to Ap. rii 9, i957) non-conforming uses, or buLidin~s and [. iccura~a su~ey of proper~ sh~g ~7~ propar~ l~es, streets, bn~d~g ~d C. Fees [. Car~ifica~-e of 0ccnpancy - New d~e!iing $25.00, .~ddi~io~s 2. CerBifica~a of Ocaup~c7 o~ Pre-~%sc~ Bu~d~z - $iO0.O0 3. Copy of Car,S!casa of Ocanpa~c7 - : 5- Tamporar~ Carc!fica~a of Occupancy - teside~i~ S13.00, Co~erc!~ $15.00 / New Cons~c:ion...........~ 0i~ Or Pr~is~g ~u~g ................. .... ..... ..... ...... Couuey rmx Map No i000, Section ............ .. Btam< ~ ..L~c.. .............................. Subdivision .................................... Fi!ad 'w-ap ............ Loc ...................... Permi~ No ................ Da=a Of Permiz ................ Applicant ............................. 5ea!zh Oep=. ipprovat .......................... Umda~_~era kpprovai ......................... Planning Board Approval ........................ .~aqnes~ for: Temporal7 Carr!f!ca~s ........... .v/-~a~ Car~ica.~/..~ / ...... ~..~ .... % ............................ ,+. , 75.D0~ $ O: P' 'Op. / ~AR I O 1997 FOEH NO. I TOWN OP SOIITlIOI.D BUll.DING DEPARTHENT TO~N IIAI.L $OUTI1OI.D ~ N.Y. 11971 TEl,.' 765-1802 BLDG, DEPT, Aplrroved ................. , 19 .... Pemlt ~ ................. l}isapproveO a/c .................................. BOARD OF IIEALTll ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORH ................... ,NOTIFY: CALL .................. NAIl. TO: .................... (t~Ji hllng Inspector) APPLICATION FOR BUII.DING PERHIT INSTRUCTIONS a. Tnls appllcatlon rmst I~ completely filled in I~ ~iter or in ink ~ ~itt~ to the ~dldi~g lon~tor 3 ~ts of plus, ~o~a~e plot plan to ~ale. F~ ~conli~ to ~h~de. b. PIo~ pl~ d~i~ l~ati~ e[ lot ~ o[ t~fildi~s ~ ~i~s, relati~dp to ~tjolning ~i~s or ~tr~ts or nreas, ~1 glvi~ n (~tnil~l (~ripli~ o[ I~d: of p~rty ~mt I~ /lr~ ~ Ihe (lingr~ ~icJ~ Lids n~l lentil. c. ~ ~rk ~ t~ this ~llca~i~ ~ ~t ~ c~l I~fore ism~e of ~tild/~ Pe~it. d. U~ a~al of this nM)llcmti~, the l~ildirM Insl~CtOr will is~ n ~fildhg ~mlt to the o~llcnnt. ~h ~it ~lal] ~ kept ~ tim ~i~s ~ailM)le for ins~cti~ I:hr~m~t tl~ ~rk. e. ~ lmildi~ ~mll ~ ~i~l or u~l in Mmte or in ~art for a~ ~r~ Minter tmtll a C~rtiflcate of ~m~ ~all h~ I~ ~t~ ~ tl~ ~dl(li~ ln~etor. ~;l~rl~ IS '1~t~1~ ~E to tt~ ~ildi~ l~rt~.t for IJle is~m~e o[ a ~itdi~ Pemlt ~rm~ant to the ~ildi~ 7~ ~i~e of tl~ T~ of ~tl~hl, ~ffolk ~mty, ~ York, ~ othe~ a~tleable l~s. ~i~es or ~flati~s, for tl~ ~stm~ti~ of ~dhli~s, ahliti~s or alterati~s, or f~/~al o~liti~, as t~in (~ri~. ~m a~llc~t ~s to ~ly with all a~lJeable 1~, omli~e~; ~t~{ I~si~ e~le, ~dati~s, ~ to ~it antl~r[~ ins~tors ~ ~i~s and in I~dldi~,~or~ce~ ....... :. ...... .... State ~ether applicant is o~ner, les?~e, agent, arddtect, engineer, general contractor, electrician, plL~er or hd]der (as on Ihe t~x roll or latest deed) If appl leant is a corporation, signalalre of &Jly nnthori~-d officer. (Nmne and title o[ corporate officer) l~fihlers l, icen,~e Ilo .......................... Plumher~ License I~o .......................... Electricians License No ...................... Otl~r Trade~a 1.1tense No ...................... I. Location of land on ~d~ieh propo,,~ed work will be done .............................................................. llouse Ntnt~r St~t l~et ~Mivlsim ...................................... Fil~ }bp ~ ................ l~t ..x ............ (~) 2. State ~isth~ u~ ~ ~o~ of ~i~s and inte~l~ u~ ~1 ~ of ~ ~stmcti~: a. Existi~ u~ ~ ~ .......................................................... .................... .................. r ......... ........................ ~hether h~Le~'ior o~' cotter I0. I~de of l~rd~a~ ..................... ~ or For~er (~mr ........................................ ~;I'A'II~, (J~ I~1~'~/ ............. : ....................... ..... ~.~ ........ ,~,,y ,,r ~.~..~.~.. JOSEPH H, GIBBONS N~aw Public, State o~ New Yock No. 524618265 - hfied in Suffolk County Qua ' . ~mm~sslon Expires April 30. 1~ FORM NO. ~ TOW~ OF smmmL~ BUIiLUI NO DEPARTNENT TOWN [tALL ,.1SOUTI1OLD, N.Y. 11971 '~' BLDG. DEP'I. TEL: 765-1802 Exanised ................. , 19 .... Approved ................. , 19 .... Permit NO ................. Di*appr0ved a/e .................................. BOARD OF }IEALT}I ............... 3 SETS OF PLANS ............... SURVEY ........................ CllECK SEPTIC FORM ................... ,NOTIFY: CALL .................. HAlt. TO: .................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS .~. 3lfia applicatlrta n~qt be ct~npletely filled {n Ip tyl~iter or in ink mxl mflmlttO to O~e ~fildlng Ins~tor w 3 ~ts of plus, ~ate plot pl~ to ~ale. Fee a~o~ing to ~h~ule. b. Plot plm fl~i~ l~tim of lot ~ of ~ildi~ m ~ims, ~latlm~ip to ~joini~ ~{ms ~ ~bllc st~ts or am~, ~ glvi~ a ~ta}l~ ~rlptim of l~t of ~rty mst ~ dram ~ O~e di~ ~id~ is ~rt of this a~l icati~. e. ~ ~rk ~ ~ ~is ~licatim ~ mt I~ reed before isle of ~ildi~ ~mit. d. U~ ~1. of O~[s ~llcatim, the ~ildi~ Ins~c~or will is~ a ~lildi~ ~mit to the ~licat. ~d~ ~mit ~mll ~ ~pt m t~ ~i~a milt)le for in~tlm th~mt tim turk. e. ~ ~ildi~ ~atl ~I~H~ IS 1~ ~ to r~ ~ildi~ ~rmnt for the ism of a ~ildi~ Pemit ¢~mt to tl~ ~latlms, for t~ ~ri~. State ~t~r ~li~t is ~r, les~, ~nt, a~it~t, engi~r, ~ral ~tract~, el~trlci~, plier ~ ~ilde Name of ortner of premises ..................................................................................... .... . . (as on tt~ tax roll or latest deed) If applicant is a corporation, si~ature of duly authori~at officer. and title of corporate officer) Builders License No .......................... Plumbers License No .......................... Electricians License No ...................... Otter Trade's Lice.se NO ..................... I. Ix)cation of land on .~hich prclx)sed turk will be done .............................................................. ... ltouse Number Street tlanlet Sulxllvlsion ...................................... Filed Hap No ................ let ............... 2. State existing use ard oconpm~:y of premises and intended use ~d occupmmy of propo.~t construction: a. Existing use and occupancy ......................................................... ' .................... h. lnten~k,d t~e and occupancy ...................................... ~[,'~'"~: 'j~,"~e3&[ .................... ]. ~zittne o! woCk (dgdck ~dch als~licable): Nc-~ lkdhlit~g .......... ~klitiml .......... Alteration .......... l~qmir ............ l~a~ ............. l~ml it i~ ............ Other ~t~ .................................. (to I~ ~id ~,~ filing tlti8 5. If ~helling, Iillt~f Of Cg~lit~ units ............ t~nt~r of ck~lling ~a~ita {~ ead~ ~c~}r ................ 6. If I~milmaa, ~mereial or mi~l ~:lm~y, a~ci~ tmture at~l extent of eadt tyl~ of u~ ...................... 7, l}inenMtma of ~iating $tnmturea, if any: l%~t ................ ~ar ............... ~pth ................. l~iOst: ......................... Ktd~r of Storiea ...................... l~pth .................... I~il~t .................... ~t~r of ~]lorie:l ............... 9. Si~ of lot~ l~(ast .................... I~ar .................... [~ptil .................... I I. 7~ or u~ diatt ict in ~dd~ proui~a ate slt~ttcnl ............................................................ 12. I~$ prolight c~mtnmti{~ violate ~,ty z~nt[.~ lt~, onlitu. K:e oc regulnt, tta~: ........................ 13. ~iII lot I~ regrm~ .................... 9iii ~:eaa ~iTl Im r~ frown pr~ni~a: ~e of h~dtit~t .................................... &klresa .............................. l~t~ ~ ........ 15. la this p~tty within ~) f~t of a ti~l ~tlm~l? ~ ~ .......... ~ .......... l~:ate elear]y at~ diatit~Ely all Indldit~a, ~mtlmr exiating o~ pro~, ~ i~xlicaee all ~t-I~ di~naiona xS~etl~r interior or eon~r lot. SI'A'IIr. (iir M'~M ,¢. . (~]~ of itxli~idtud signing cont. ract) ,,, i. ............................................................................ (Cxn~tractor, ngent, cerl~rate officer, etc.) nppl icnLio[G thnL nil 8LalBleliLS COIlliliI~N[ {11 IIlis nppl ii:al iol~ file I il~ to the I~nt o[ his k~K~l~lge at~ lx~l ief~ n~xl ~rn to I~fore .~ this // .... ..... ;..,,,,, ,,f.. No. 524618265 Qualified in Suffolk Coun~ '~~ ~mmission ~ires