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Home My WebLink About23311-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24255 Date APRIL 2, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 5025 MAIN ROAD GREE NPO RT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 1996 pursuant to which Building Permit No. 23311—Z dated MARCH 18, 1996 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 SHADE SHED IN REQUIRED REAR YARD OF GOLF COURSE AS APPLIED FOR "AS BUILT". The certificate is issued to FLOYD KING , (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building fnapector Rev. 1/81 FORM NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD,N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Date ........•....1 AG•• x•�•lQ............... 19. . Na 23311 Z Permission Is hereby grarj4d to; '..��.. ..mar............................ ...... to .eiee ....../�-- . ...... ............... : c- ..... . ...a �c .s... �a ................................................................................•.................................................•....•..............•........... atpremises located at......... ........ ..... .................... . ,............•.......................... ..•..............................................•..• ........./yn. ...... County Tax Map No. 1000 Section ......... . a ..... Block......... .......... //Lot No. ................... pursuant to application dated ....................... .r19...., and approved by the Building Inspector._ i- Fee $. .....'....... ....... .. ..................... . . .. .... Building Inspe r Rev. 6/30/80 Form No. 6 TOWN OF SOUT'HOLD BUILDING DEPARTMENT AFAR 2 IVO TOWN HALL 765-1802P-r t;Ew APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept, of water supply and sewerage-disposal(S-9 form) . 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit- Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "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 Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, 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 Buildi.ne - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . . . . . ./.}?�.I . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . . . . Old Or Pre-existing Building. . . ../. . . . . . . . . . . . Location of Property. . . . . . P2r1' . . . . . . . . . . .!yA/N/Lb � l2� l//lEMAW . . . . . . . . . . . . . . . . . . . . . . . . . . . House No. Street Hamlet Onwer or Owners of Property. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Secti.on. . . . . . . .Block. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . �.� . ��Z: . . . .Date Of Permit. .': J� fK . . . . .Appli.cant f0fM ,,� 4.1k('k. HealthDept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Appr.oval . . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $ r;o-ve• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ass APPLICANT o�o��g'dFFOC,I-�y� G y x Town Hall,53095 Main Road p Fax(516)765-1823 9y�Ql 0� Telephone (516)765-1802 Southold, ew York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD March 25, 1996 Robert Brown Architect P.O. Box 521 Greenport, NY 11944 Re: Island End Golf Course To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $50.00 No Health Department Approval on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23311-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. I Qt I It M1011 r D A I I; .......... C(A It I Ul I S ---------- FOIIIIOA I*I 011 ( I;i'1') -------- -------- ------------ --- VOIJIMM 1011 (Rio) ---------- ---------------- ---------- MUCH FRAME. & 111.11HRINO --------- --------------------- --- -------------------------------- INS(ILATIOU rliu If. Y . STA*11�? ------------------- ----- --- ------ ------- ---- --- r rllnl. --------------- ------------- mammmmeoemmmmon ------ -------------------me- ------------------------ ------- -------- ------------------ ---- ----------------------- AD[WrIONAT, ----- ------------------------------------ .......... -------------- ----------------- ------------------------ ------ .......... BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . . . . . FORM N0. 1 SURVEY . . . . . . . . . . . . . TOWN OFSOUTHOLD CHECK . . . . . . . . . , . . . . . . . . . . . BUILDING DEPARTMENT SEPTIC' FORM . . . . . . . . . . . . . . TOWN HALL COUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL . . . . . . . . . . . . . . . . . . . . Examined . rpt/�/7, . 19(T' MAIL TO : � Approved , 191 . Permit No/ �� Disapproved a/c F) h: ISR 141596 .!4Fr C ., roWly ��..«..,.. tate (Building Ins pe or) PLICATION FOR BUILDING PERMIT Date . . . . . . . . . . . . . .. 19 INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector,with 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 stree, or areas, and giving a detailed description of layout of property must be drawn on the diag cation. ram which is part of this appl 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 perm; 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 Occupanc 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 th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o 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, housin; code, and regulations, and L admit authorized inspectors on premises and in building for necessary i etions. (Signature ot"applicant, or name, if a corporatlon) (Mailing address of applicant) State whether ,applicant is owner, lessee, agenta itect gineer, general contractor, electrician, plumber or builder. A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . .115K Cd/j+/TXv.a-05� . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . -title. . . . . . . . . . (Name and title.of corporate off.icer.). . . . . . . . . Builder's License No. ... . . . . . . . . . . . . . . . . . . . . . . . Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1, Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7$. . . . . . . . . . . . . . . . . . . /11�A//vim s� .? . . House Number StreetHamlet \ " " . . . . . . ' • • • • •. County Tax Alap No. 1000 Section . . . . 3s ' Block . . . . . . . . . Z. . . . Lot . . . . . . . . . . . . . . Subdivision . . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filed flap No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Name) 1. 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . Oe b. Intended use and occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . . . . ... . . . . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other work y (Description) 4. Estimated Cost . . . .4. Allo . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . Dcscri . on) (to be paid on filing this application) S. If dwelling,number of dwelling: units . . . . . . . . . . . . . . . Number of dwelling units on each floor . . Ifgarage, number of cars . . . .L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use F O N 00. 7. Dimensions of existing structures, if any: Front . . . . . . . . . Rear . ... I0`?`.�. . . . . Depth .l.`tGtS Y Hcight . . .. a!*. . . . . . . Number of Stories . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . Depth . . . . . . . . . . . . . . . . . . . . .. . Ileight . . . . . . . . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. Dimensions of entire new const Hiruction: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . Number of Stories . 9. Size of lot: Front . . . . . . . . . . F . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase . . : . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed constructiV� ybiolate any zoning law, ordinance or regulation; . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13. Will lot be regraded . . , I. . . . . . . . . . . . . . . . . . . . . . . . will excess fill be removed from premises: Yes Io 14. Name of Owner of premises � MfS l �G;G; , Address .moo?S P�r,ZS Phone No.%l CI _6190 Name of Architect. ' •, Address . pd.�t�SZ( (�(Pt!, , . , Phone No. . V7?-Q7 5i . . . Name of Contractor . . . '. . . . . a . . . . . . . . Address . . . . . . . . . . . . . . . . . Phone No. 15 .Is this property located within300 =feet of a tidal wetland? *YES*.4__N0 C *If yes, Southold Town Trustees Permit may be required . ;Me4lVi esAldw96TKA�" PLOT DIAGRAM 12,04 'je09,oWAVA10. Locate clearly and distinctly all!' buildings, whether existing or proposed, and,indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF ti ' O COUNT F . -fk (� S.S ' . • • • • • • • • • • . . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual sii npiii, act) above named. He is the . . . . . . . . . . . . . . . . . . !i (Contract , agent;. orporate officer, etc.) of said owner or'owners, and is duly!;authorized to perform ordhave performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner Set forth in the application tiled therewith. Sworn to before nee tll�'s j '. . . :.day of.! 19�!� Notary Publi , . . . . . . County CLAIRE L.GL.EW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notary Public,State of',New York (Signature of applicant) No.4879505' Gualifled in Suffolk County Commission Expires December 8,19. Isauea/rcvinons. N LnA O! n rateR CO L W z O S CL W J ` W I S Ile ,i a/ evraiNg u�HAcr 'N . ' III SNi,✓are,ub`i,✓y. o 2aY�C�h !,ti W R7/6"o,G, z zA Lai 'M IV"`/1)/�fg � I u Z W D UNDERWKonCERTIFIGTE Gaon! E✓s7/oN y/c� ECE�ariON, Q NEQUIRED __. C9 P R AS NOTED FEE: �uj .. DATE: �� D,P.q BY: _ NOTIFY BUILDING DEP ENT H 765-1802 9 AM TO 4 THE FOLLOWING INSPECTIONS: - 1. FOUNDATION - TWO REQUIRED }------ z FOR URE 2. ROUGHFRAMING &PLUMBING 6 - _ 3. INSULATION y —Iq U. 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET rl THE REQUIREMENTS OF THE N.Y.�`�'✓4�%b°CGA : coenVowner. STATE CONSTRUCTION & ENERGY MV�� a—I CODES. NOT RESPONSIBLE FOR N DESIGN OR CONSTRUCTION ERRORS /<j(OYN19/S ENfi C10ti I II r � ANY/LOU4Y7tY C[UPI. bt'e FaF Af ,rl'1 ti m �� P S z URRICATE W drolacl line H V OTD/31 Y4191/DNI 11lIN OAMI'O` W drawing tine. V Q prr��/� et.E✓p�roNh, z c difle. � 0� scale, / m cd'ro /b` REAVIMATIONOFTTE U q \`r m issue. INM1011ANVFEIIpL p`r' n0 I. ISN n OFAOFALICOTI® -',p2/E sty"n W drawn5 no. ARLTENORTOALTTSIANV D>sI 000W.NBONNMNOIN ANVWM!ANYAUII IZED 1'oJ Q ALTERATIONNUSTSE {A1 NOM,SEALED,AND 3 ' DESCRIBED INAOCORDANC- ,16941 4pQ.F WI HTHE LAW DF fl o9 til.no, L6 9Go NASSAU SUFFOLK BLUEPRINTING r 1 issues/revisions. 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