Loading...
HomeMy WebLinkAbout23487-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall southold, N.Y. CERTIFICATE OF No E-24405 Date JUNE 7, 1996 THIS CERTIFIES that the buildin~ STRUC'rU~ Location of Propert~ 2265 LONG CREEK DRIVE SOu'£~OLD, N.Y. House No. Street Hamlet County Tax Map NO. 1000 Section 52 Block 8 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated ~ 4, 1996 ~ursuant to which Building Permit No. 23487-Z dated ~ 7~ 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 39" x 38" STOPAqGE BIN HOUSING WATER PUMP "~ BUILT" AS APPLIED FOR. The certificate is issued to CHARLES & BARBARA DIGNEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 1~0]1~ NO. B 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) N.° 2348T Z June 6, Date ........................................................ , 19...g..6.. Permission is hereby granted to: Paul A. Camlnitl, Arty a/c Chas.& Barbara Digney P.O. Box 992 Southold, N.Y. 11971 CONSTRUCT A 39~ x 38" ACCESSORY STRUC'~'u~d~ HOUSING I~'ATBR PUHP "AS BUILTw AS APPLIED FOR. at premises located at ........~.2..6..5.....I~..?...G...~...P~.?...E...?..R.: ............................... .S..O.~..~...O..L..O.~...~.~ ................... County Tox Map No. 1000 Section 52 . Block 8 Lot No. 4 pursuant to application dated June 4, 19..?..6..., and approved by the Building Inspector. 35.00 Fee $ ........................ Rev. 6/30/80 TO~'~ O? SOUTHOLD TOW~ 765-:-802 This=oo__~=* ~<---~- ..... musz be filled in by. rx~e%-r%:er.. OR ink end suBm~:ec -=o _..e~ ou_~cL.._, ~e ~_:spe~:sr wL:h :he follow, nc: for ~e~ build!ag or new use: .... =_ survey of proper:7 ~'-_cn accurate iocauion of al! buLlalngs, prsperr]: !ices, screens, and unusual na~urai or %spograph~c features. o ==~-~ ~oorova! frBm ~ea~-% Dept. 52 ~:ar SUDDiV e~nd seca_a=_ ,_spos=--,- . farm) 3. ~pprova! of___--__-=-~=~- .... ~ ins:aiLau~on from Board of _=~-=___ Under, fluors. ~=ss ~hzn 2/i0 of :" lead. ..........5u_lau-~g, mu___p__ residences and s~!ar buildlnms_ _ns~=--=,-o=s, a car%LuLca:e of Code ComDii&nca from ar l.lz__c or engineer responsible for :he bui!d!n~. , 6. Submi: Plannln~ Board ,%pprova! of comp!cued cica plan recuir~enus. For exlszin~ buildings (prior :o April 9, !957) non-confo._-ain~ uses, or buildings acc "pre-~xls~in~" !and uses: l. Accuraus su~-~ey of properuy sho%~-ng ail proper:? !ines~ sureazs, building ~nd 2. A oroper!y compia~ed app!lcaulon and a cousan~ ~o lnspeci sl=~-aed b~ =ha applacan~. reasons :here£or in ~i:in~ :o cbs applicant. ~:erazions :5 d~e!i/~ $25.00~ S~n~-~ool $25.00: Accessory bui!din~ S25.00~ Adaictons ua accesso-~?' buhldln~ $25.00. Businesses $50.00. CerulflcaBe of Occupancy 5n ?rs--~xis:l-~ Buiidin£ - $i00.00 Copy of Certificate ~f Occupancy - .25c Updated :arc!Bloats of Occupancy - S50.00 I~mporary Carui£1cacs of Occupancy - Rasldencla! $!5.00, Commercial O~era o~ ?roper:y ................................................................. T~x Map No !000 Sec:ion. .~oc~ ....... o~ ............... ............ ...................... lull (:~ ii ) TITLE INSURANCE SERVICES 45 ExectJt~ve Drive · Plainview, New York 11803 · 516/349-0600 · Telefax 516/349-0646 Lisa Lubrano BLOG. DEPT. TOWN OF SOUTHOLD FORH NO. I TO~/tl OF SOUTIIOLD BUILDING DEPAR'FNENT TO~/N I1ALL SOUTI1OLD, N.Y. ! )97 I TEL: 765-!802 F~ani~,l ............ 19. ..... ....... Disapproved ale ~ BOARI) OF IIEALTII ............... 3 SETS OF PLANS ............... SURVEY ........................ CIIECK ......................... SEPTIC FORN ................... NOTIFY: Chl,l ................... NAIl. TO: .................... Date ............ , I INSTRUCTIONS a. 'Hals ~licati~ mint Im ~letely fill~ in by t~witer or in ink ami mdnittM to the Ikdldiog Tns~etor 3 ~Cs o~ plans, acetate plot plan to ~ale. F~ aconrdit~ to h. Plot plan M~t~ l~at~ of lot ~ of buildi~s ~ pr~i~s, relationship to Mjolning pr~i~s or ~bllc str~ts or areas, ~ givi~ a &t~ilM &~ripti~ o[ l~t og Wo~r~ ami tm dr~ ~ the dla~ this applicati~. c. lhe ~rk c~r~ hy this ~licaCi~ ~ ~t Im c~mt~l Imfore issue of ~ildit~ Pe~i~. d. U~ a~al of this a~licati~, tim ~ilding In~ctor will iss~ a ~ildi~ Pemlt to ~he a~licant. ~it Mmll lm kepk ~ tim ~s ~allable for ins~cti~ th~t~ the e. ~ ~ildi~ ~mll Im ~a~pi~ or u~ in ~le or in ~rt for ~ ~ ~mt~er ~til a ~rtifica~e o~ ~A~H~ 18 l~nY ~ to:lt~ ~fildi~ ~r~nt ~or the issue of a ~ildi~ Pe~t ~r~nt to ~he ~ildi~ ~m O~it~e o~ tim ~ o~ ~tl~ld, a~ffolk ~ty, ~ York, ~ ~r a~li~le ~s, ~i~ea'or ~gnla~i~s, for t~ ~st~ti~ 6~ ~ildi~s, ~iti~s or al~eraCia~s, or~r~~l~tion, as lerein ~ril~. ~m ~plic~t ~es td ~ly with all a~llcable l~s, ordi~~g c~, I~si~ c~e, ........ )z ........... : ............. / .................... ~ (~il i~fmss of ~l leant) State ~hetlmr applican~t js e~aer, es~e, agent, arcidteet, engineer, general contractor, electrician, plunlxer or builder (~s on the tax mi1 or latest deed) If applicant is a corporation, sxgtmture of drily authorized o[ficer. (Nme a~ title of corporate offaeer) Boildera License kb ........................ Phmbern License kb ......... ; ................ El~tr~cx~s Lice~ ~ ...... ' ................ 2. State ~isti~ u~ aM ~m~ of ~ims ~ inte~ u~ a~l ~lm~ of ~o~ construction: % lanture o1: ~[k (cl~ck ~hich al~licahle): tic~ I~ihling .......... ~klition .......... Alteration .......... If garage, t~,dmr of cai. ...................................... 6. If Nminess, com~reial or mi~l ~O~lm~, s~ei~ nature and extent of each ty~ of uae ...................... 7. IJJ.~nsi~s of exist'is~ strictures, if any: l%~mt ................ I~ar ............... I~pth ................. I~i~t ......................... ~dmr o~ Stories l)in~nsicx*s o~ s~sm stumture ~ith nlteratJ~ms or ~x~litions: Front ............... l~nr ............... l~pth .................... I~il0tt .................... ~zdmr o~ Stories ............... 8. I)in~nsi~xs of enti~e ~ c(mstnmticm: l?~mt ............ :... I~nr ............... I~pth .............. I~i0H .......................... N:dmr of Stories ..................... lO. I~te of l~:rclmse ..................... ~ o~ Forn~r (X~mr ........................................ II. l~ or u~ district in ~:ld* pranises are slt~at~ .............................................................. 12. I~s prol~l c~mlrtK:tJ~ violate nny ~ming 1~, orditmnce or regularly: ........................ · ~ of Arc~Htect .................................... Nklress .............................. · ~ of Cxx~tractor ................................... Nklress ............................... 15. ls this p~rty ~[thln ~X} f~t of n ti~Nl ~mtland? ~ YI~S .......... ~) .......... PI,OT 1) IAGP, AH locate clearly and distinctly all laJildlt~s, xdmther existing or prolx)sed, sod indicate all setq)ack dinenslons I:rou propert'y liras. Give street and block r~dmr or descriptica~ according to deed, and c~c~ street nines and indicate wlmtlmr interior or corner lot. 35, NOTIFY BUILDIN~ DEPA~MENT AT 7B5-1~02 G AM TO 4 P~ FO~ THE FOLLOWING INSPEC~ONS: 1.FOUNDATION - TWO ~O~ POUB6D OONC~T~ 2.ROUGH - FRAMING & PLUMBING 3.INSU~TION 4. FINAL - CONSTRUCTION MUST BE COMPL~E FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR ~NSTRU~ION ERRORS duly s'~g)ru, delx)ses a]KI. Says ~!mL he is the spplicmH ,s .... ..................................................... (Cxmtractor, nge~ L, corlx)rate officer, etc.) said <~mr or ~mr., mKI is duly m~thoriz~ to l~rfonn or have [~rfo[ned Ihe said ~)~k O[KI Lo rake a~l file this nl~llcakion; thai. all statemnts cont'ai~l in Ihis nl~llcstlon me I n~ to the Imst of his k~x~l~l~ m~l Imllefl mxb Ihnt the ~rk will Im Imrfou~l in Ihe .~mner ~t forth in the appllcatlon fi[ed Omr~ith. Term Explr~ ~r ~, 1~