HomeMy WebLinkAbout23999-zFORM NO. 4
TOWN OF SOUTBOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OC~uwANCY
No Z-24975 Date APRIL 10, 1997
THIS CERTIFIES that the buildin~ ADDITION
Location of Property 515 HORTONS LANE BOuTHOLD~ N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 63 Block 5 Lot 20
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MA~CH 14~ 1997 pursuant to which
Building Permit No. 23999-Z dated MARCH 19, 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 SHED ADDITION TO EXISTING ACCESSORY GARAGE OF A ONE F/%MILY
AS APPLIED FOR.
The certificate ie issued to
of the aforesaid building.
ANN
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Bu i~i ng Ins~t or
Rev. 1/81
TOWN OF Sou'rHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 23999 Z
Building Inspector.
Rev, 6/30/80
765-£802
.~PPLiC~-LTION FOR ~RTIFZCATE 0F OCCLrF-~YCf
~uspacuor w~=h the foi!o~: for =aw bundle or =e~ use:
1- Final su~zey of .proper~ ~ch accurate location of ~! bui!d~gs, proper~7 lines,
~uree~s, and ~usua! nanur~ or topographic features.
2. F~a! ipprova! from 5eg:h Depu. of ~-a~ar supply and sewera~e-diaposa!(S-9 fo~).
3. Approval of e!acCric~
S~'oru suacamenu from pl~ber caruify~g thau the solder ~sed ~ syst~ coutains
Lass chat 2/10 of 1% !and.
5. Co~erci~ bu~d~g, ~dus:rig bu~d~$, ~!c!ple Vesidencas and s~mJ!ar buildings
and ~su~lauions, a caruifi~ua of Code Compii~ce fr~ archiCecu or engineer
responsible for the
6. Su~: P!a~E Board Approv~ of co~iecad size p!~ requir~enn~.
For existing buildings (prior ~o gprii 9, i957) no~-conforming uses, or bu~d~Es and
?pre-existed" t~d uses:
Accurate s~e7 of proper~ sh~E ~ propers? !~es, s~ree~s, 5u~d~ ~d
if a Cer:~iaa~a of Oc~ap~cy is de.!ad, ~e Bu~d~ ~spec~or sha~ state ~he
r~asons ~lerefor ~ -~%:~ zo ~he appi!can~.
C. Fees
~,, r~a_~.~=.~___~ac_= of Occnpa~c~ - New RweLl~g $25.00, AddiTions ~o dw~m~g
~:ara:icms co dwe!l~g S25.00, 3~g pool ~25.00, .~ccesso~z bulldog $25.00,
iddicions ~o accesso~ bu~d~g $25.00. 3ns~esses S~O.00.
3. C~py of Car~icaca of 0ccnpamc7 - ~
~=. Updated Carl.!ceca of Occupamc? - $50.00
New Consu~ac:iou ........... 01d 0r Prowl sUrE ~u~g .................
~ouse YO. S ~ree~
..... ....................................
..
. . . ~rav~ .........................
Planning 3card Approval ....... ~ ................
Raqnas~ for: -_empora~z Car~i.-'ica-~a ........... Finai Carcicaze ...........
Fee Submitted:
AP P L '2 C~2q~
765-1802
BUILDING DEPT,
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAI~ING
[ ] FIREPLACE & CHIMNEY
ROUGH PLBG.
[ ].~NSULA/~/.N
FINAL ~'~:~ ~~
REMARKS:
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSi'ECTOR
TOWN IIALL,
SOUTIIOLD, NEW YOJ'tIC
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
/'~/ Land
['X/ Building(s)
f-I Use(s)
DECEMBE~ 5,1983
C,O, Z12124
located at 515 HOI~TON LINE: ~OUTttOLD
_Street Hamlet
shown on County tax map as District 1000, Section 063 , Block
5
Lot 2(1 , does{not)conform to tine present Building Zone Code of the
Town of Southold for the following reasons:
INSUFFICIENT TOTAL AREA~ 1NSUFF~C%ENT TOTAL OF TWO SIDE.YARDS
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /'-X/Land /i/Building(s)
/2/Use(s) existed on the eHective date the present Building Zone Code of tile
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CEI~TIFi1ED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follo%vs: ONE ~AMIZ¥ DWELLING & DETACHED GARAGE
Tile Certificate is issued to
of the aforesaid building.
$OHN & ROSE BERRY~AN
(owner, lessee or tenant).
Suffolk County Department of Health Approval N/A
UNDER\~qtlTERS CERTIFICATE NO. N/A
NOTICE IS ItEREBY GIVEN that the owner of the above premises I-LiS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine ff the premises comply with ali applicable codes and ordha-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply witl~ all other applicable codes and regula-
tions.
.z~ Building inspector
t4~ I 4 1997
FORH NO. I
I'O~IN OF SOUTIIOI,U
BUll,DING DEPARTHENT
· roan IIALL
SOUTHOLD, N.Y. ] 197l
TEl,: 765- 1802
BOARD OF IlEAl:FI! ...............
3 BETS OF PLANS ...............
SURVEY ........................
CllECK .........................
SEPTIC FORH ...................
INSTRUCTIONS
NOTIFY:
CAI.I ...................
HAIl. TO: ..................
Date ................ ,19...
a. ]{lis applicatio~ n~tst be completely filled in by typc~triter or in ink at~ ~ulvaitted to the ~,ilding lns~ctor
3 ~ts of pl~s, ~rate plot p]~ to ~ale. F~ ac~rdi~ to sd~lule.
b. Plot pl~ ~i~ l~ti~ of lot ~ of l~ildlngs ~ pr~i~s, relation~dp to mljoini~ p~i~s or ~l)lic
struts or areas, ~ givi~ a ~tail~ ~scripti~ of last of prot~rty ~st ~ dr~ ~ the di~r~ M~id~ is ~rt o
this a~licati~.
c. ~ ~ ~ ~ ~is a~licati~ ~ ~t I~ c~ I~fore isle of ~ildi~ Pe~t.
d. U~ a~al of d~is a~[icati~, tim hiildi~ Ins~cLor will is~ a ~ildi~ Pe~ to the a~]ic~. ~
~mit ~mll ~ ~p~ ~ tim ~i~s ~il~le for ins~tion th~t the ~rk.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rt for a~ ~ Minter ~tll a ~rtlficate of
~ ~mll h~ ~n ~t~ by tim ~ildi~ Ins~tor.
~]~ IS l~mff ~ to tim ~ildiag ~r~nt for the issue of a ~ildi~ Pemit ~mmt to the
~ildi~ ~ O~i~e of t~ To~ of ~tt~ld, ~ffolk C~ty, ~v York, a~ otber a~lic~)le I~s, O~i~es or
~g~laci~s, for fl~ mt~ti~ of ~fildi~s, m~iti~s or alteratt~s, or for ~a[ or ~lition, as bereln
~ri~. ~m appli~t ~s to c~ly with all a~llcable l~s, ordi~es, ~ildlag ~e, I~si~ ~, m~
~lati~s, ~ to ~fit ~ri~ in~tors ~ pr~i~s a~ in ~ildln~ for ~cessa~ ins~ti~.
.....
(Signature o[ a~llcanr, or ~m, if a cor~rati~O
(Hailing address o[ applicant)
State ~mther applicant is o~mer, lessee, agent, architect, engix~er, general cc~ntractor, electrician, plmi)er or i~il
,,f of p i. s ......... .... .0.3. h .......... ...........................................
(as off the tax roll or latest deed)
If alhqlieant is a corporation, signature of duly autl~)riz~d officer.
and title of corporate officer)
II~ilders [.ieense No ..........................
Pit,bets License No .... '7. .....................
Electriciatxs License No. 7. ...................
Otlmr Trvale~s License No..~. ..................
,,~ation of ,a,~ on u,ia, p~o~ ,,,o~ ~i,, be ,~o,~...~15.....~. .... ~.,.~.. ...........................
i~4iu, e ul: work (dleck uhids al.ldicahle): klc-~ lluihli.l~ .......... &klitit~t ...~ .... Alteration ..........
t&~l~dr . ........... I~at ............. t~mlit k~u ............ Otter ~s~k ..................................
~l~ript
E~t iu~tc4 C~E ......................... f~ ..............................................
(lo le l~dd ~m fil i.g thig awl
[~ ~lli~g. ~t.t~r of ~lli~l units ............ ~ler of tk~llit~g ~dt~ ~ ead~ fl(~r ................
Oi.e,,~it~,~ of existing 8tneh,res, if a,,y: ~.~,t...[~ ........... ~.r ...~ ......... ~plh ..].~ ............
,~iu,,.. ........ I-~/. ............ ~,,~ oe a,,~ .../ ..................
t~pth ..... ~ .~ ............ I~i~lt .... [ .~ ........... fi.l~t o~ ~tut ies .... [ ..........
..~.~ 7'
si~ a ]o. ~.,~ ..... --'?.~i ........... ~ ....~A:' ........... ]~p,, ..J56/ .............
Will loc ~m regr~l ........ ~P ......... Will ~:eas fill l~ r~w~ hun pt'~ni~a=
~a~ o~ Acd~it~ .................................... &Ureas .............................. [~[~ ~) ........
Ia fids pml~rty within ~) f~t of a ti<hi ~tlmfl? a YI~ .......... ~ ..~ ....
lq,OT I) 1 AGItAH
lc, cate clearly al~ distinctly all htdhli.gs, ~mther existi.g or pro[~l, ami imitate all set-q~k di.e.sions
h~. i.ol~ly Ih~8. Gi~ stol: a~l bhmk ~i~r o( ~s~:vil~ti~ ~:cmding ro &~l, taxi g~ street ,u,,es mfl ialica
x~tta~ i~terio( or eon~r lot.
duly .~a~rn, delx).°es mH say~ thai: lie is the appl
,,, ....... .............................................................................
((~t~actor, ng¢.t, corlx~ra[e .fficer, etc.)
apl)l it;It [o,; IhaL all sLHI~IEIItfi (:attait[~l Tit this apl)l icat ioil ate tt~ to lise [~ml. of his ktx~l¢~lge alfi hfl ief; atxl
IhaL (l~a ~)rk wi ti I~ [~rFou[~l iii Ihe IIfflIIIX}F ~L forth iii the avid lear:lo, file4
(.~hR,at,le cfi' Al~pl ica,t)