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~