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Home My WebLink About22991-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANC~ No Z-23872 Date SEPTEMBER 14, 1995 THIS CERTIFIES that the building. Location of Propert~ 265 YOUNGS AVE~u~ House No. County Tax Map NO. 1000 Section 61 Subdivision ACCESSORY SOUTHOLD, N.Y. Street Hamlet Block 4 Lot 38.2 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22~ 1995 pursuant to which Building Permit No. 22991-Z dated SEPTEMBER 6, 1995 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 STORAGE SHED IN REAR YARD AS A~PLIED FOR "AS BUILT" The certificate is issued to LORETTA DiMA~GIO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A Building Inspector/ FO~M NO.3 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. N? BUILDING PERI, IT (THIS PERMIT MUST BE KEPT ON THE PREMISES uNrI1L FULL COMPLE~ON OF THE WORK AU~)~,~ 2299~. Z Permission Is hereby grantj~d to: ~ ,, / ~, , ~~~..:~/~.~ .~.~........./-J ~,,~ ,~,~ ,- o ...... ~..,..../.~.........'.~ .......................... ................... .~_~.. ...~. ././/...,..y ............ __./---- _..z.-- - ~' ~ ~...~...~,...~..~r.~c~.....~~ ' -- -- -- ............... .... ........ ~./......../.....~..../.~ ..................................................................................... CounlyTax Map No. 1000 Section ....... ....~.../.... Block .......... ~ .........Lot No. ....~....?..~....~ ....... pursuant to application dated ...................... ~.~..~-,~ 19 ....... ~....~ approved by the Building Inspector. FeB $....~..~.....,.. ,.-'. .... Rev. 6/$0/80 / TOWW OF SOUTUOLD BUILDING DEPARTMENT TOWN HALL 765-~g02 AFPLICATION FOR CEKT%EIC~EE OF OCCUPANCY Au 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: i. Final survey of pro~erty 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 installatibn from Board of Eire Underwriters. 4. Sworn statement frnm plumber certifying that the solder used in system contains less than 2/10 of I5 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: t. Accurate survey of property showing all property limes, streets, building and unusual natural or topogrmphic 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. t. Certificate of Occupancy - New dwelling $25.0J~, Additions°to dwelling Alterations to d~e!iing $25.00~ Swimming pool $25.00, Acc_ssory build~fg $25.00, Additions to acc_ssory building $25.00. Businesses $50.00. f 2. Certificate of Occupancy on Pre-existin~ Buildin~ - $t00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Ocaupancy - Residential $15.00., Comm~,~rcial $15.00 ~ D~te .... ~.~.~.~fL. ...................... ~ew Construction ........... Old Or Pre-existing Building ................. ~oca tion o~ ~roperty ........ ~ .ST....~r< .x/g,~...~/~.'./i .e=.. .................................... ~ousa No. Street Hamlet Onwer or Owners of Property ............................... ;.~ ................................ / Subdivision .................................... F{Tcd Mop ............ Lot ...................... ?ermit No ................ Date Of Permit ................ App!ican~ ............................. i[eal~h De?t. Approval .......................... ~nderwriters Approval ......................... 'lamming Boar~ Approvol ........................ :~equest for: Tcmporarz Certificate ........... Ri,tel Ce~tic~e....-~..---~-'~" ?ee Submitted: $ ~, ~ / FOB~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certi[icate O[ Occupancy THIS CERTIFIES that the building located at (q/.2..~.'~. ?. U g~ 2... ~ .~..~.. Street Map No. ~( Block No. b( .Lot No..~. . ~ O v T ~ O L ~ ~] :~ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..... ~. ~.~...~.~. , 19~. p~rsuant to which Building Permit No. ~.~.~ dated ...... f~.~...~.?~[]~., lg~., was issued, ~d conforms to ~1 of the requw~ ments of the applicable provisions of the law. The occupancy for which ~is certificate is The certificate is ~ssued to ......................... ~. ~ ............................ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ~ff.~.~. f.~. f.~.?.~ ............ ...~( ,: us,s~w~zs~s c~z~CA~S ~o. ~. ~ ~.~f.%.. ~.~.~ ~..~. ~./Z~ :/ ...... HOUSE NUMBER ~ ~ Street f~ ~ ~ 5~ ~ ~ ~ ~ q.[~.~ L~ Bmlding Inspector FIEI,D INSPECT[ON REPORT DATE COMMENTS FOUNOAT [ ON (2ND) RO[JGII FRAM~ & II INSULATION PER N. Y. STATE ENERGY CODE ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INsu~N~-~ [[ ]] ~iRRA;pI;;CE & CHIMNEY ['~NAL FORM NO, 1 TOWN OF SOUTHOLD BUIED NG DEPARTMEN~ TOWN IIALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 BOARD OF ttE^LTII ....... 3 SETS OF PLANS SURVEY CIIECK SEFTIC FORtl ............ CALL .............. Disapproved afc ........................ ,,~ .......... · ,./~. (Building Inspector) __ r,, . -----' ' APP,,4~CATION FOR BU LDINGPERMIT '" -~"~"'-'-- ' INSTRUCTIONS a. This application must be completely filled iu by typewriter or iu ink and submitted to the Building Inspector, wit[ sets of plans, accurate plot plan to scale. Fee acco[ding to schedule. b. Plot plan showiug locati6n of lot and of buildings on premises, relationship to adjoining pre~nlses or public stm or areas, and giving a detailed description of layout of property nmst be drawn ou the diagram which is part of this apt cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upou approval of tiffs application, the Buildiug Inspector will i%ued a Building Permit to the applicant. Such per~ sbalt be kept on the premises available for inspection throughout the work. e. No building shalI be occupied or used in whole or in [)art for any purpose whatever ontil a Certificate of Occupar shall have been granted by the Buildiog Inspector. APPLICATION IS ttEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to Building Zone Ordinance of the Towo o£ Southold, Suffolk County, New York, m~d otl~,er applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alteratious, or for removal,6r demofition, as herein describ The applicant agrees to comply with all applicable laws, ordinances, building code, ~z~usingcode~.fi;~ regulations, and admit aut mrized i ~spect0rs on premises and i ~ buildb~g for mcessary inspecfio -' (Signature of 3k0plican:t ..~0r paine, if a corporation) .... < ...... "-- ,'.. (M[ailin~ a d dress j~fiapplim~¢'-~ ~: State whether applicant is .ow. fi_e[t, lessee, agent, architect, engineer, general contractor, electrician, plumber or build Nan,e of owner o f premis:~'/~'.~.' ~'.'~..~"..~..."~../'.~/~..~..~/.'(.~? ........... : ...................... (as on the tax roll or latest deed) If applicant is a corporatiou, signalure of duly authoriied officer. (Name and title of corporate officer) Builder's License No .......................... Plumber's License No ......................... Electncm] s L cense No ....................... 1995 Other Trade's License No ...................... Locafion of land on which proposed work will be done ................................................ ....... .... ' ' [louse Number Street tlamlet County Tax Map No. IO00Section .....~..~./ ......... Block .... ¢.q: .... :... Lot...~.~.'...~. ...... Filed blap No. Lot Subdivision ........ , ........................................................ (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .................................................................. ~. I,,,e,,de,~ ~e and occ,,,,,,,e.~ ...... ,~//.~:(2...~"e. ,YC.',Z/-- .~, l'~atmu oi wm~. ~,¢heck wh!,ch applicable): New Bui{d{n~ .......... ~,ddltion .......... Alteration ......... Repair .............. R~moval .............. Demolition .... ; ......... Other Work ............... · J~ ' · . (Description) 4, Estimated Cost ...... ~'.~. .... :... Fee .... (to be paid on filing this application) 5. If dwelling, hum ber of dwelling units ............... Nmnber off dwelling units on each floor ............ · If garage, mm~ber of cars ........................................................................ 6. If business, commercial or mi~ed occupancy, specify nature aud exteot of,each type of use ..................... 7. Dbnensions of existing structures, if any: Front ............... Rear ............... Depth ............... lleight ............... Number of Stories Dimensions of shine structure with alterations or additions: Front ................. Rear .................. Depth ....................... Height ........... ........ :., Number of Stories ........... 8, Dimensions of entire new construction: Front .............. i Rear ............... Depth ............... Height ............... Number of Stories ........................................................ 9. Size oflot: Front ......... , ............ Rear ............. ; ......... Depth ...................... 10. Date of Purchase ............................. Name of Former Owner .................... r: ....... 11. Zone or use district in which prenrises are situated ..................................................... 1 2. Does proposed construction violate any zoning law, ordinance or regulation: ................................ 13. Will 16t be regraded ....... '. .................... Will excess fill be removed fro~, premises: Yes No 14. Nmne of Owner of premises ........... ; ........ Address ................... Phone No ............ :... Name of ArchJti~ct ........................... Address ................... Phone No ................ Nmne of Cootractor .......................... Address ................... Plmne No ................ 15. I~s this property within 300 feet of a tidal wetland? *Yes ........ No ......... · If yes, $outhold Town Trustees Permit may be required. PLOT D~AGRAM 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 corner lot. ;TATE OF NEW YOR~. p- ~ ~ (Name of individual sigsiug contract) T;WO 2. RO~ 3. IhS ~LL CO~STRuc~Io~ SHALL MEET THE REQUirEMenTS O~ THE N,~ ~TA~ CONSTRUCTION ~ E~ERGY COoE~. N~ R~S~O~SI~LE FO~ DESIGN OR CONSTRUCTION ERROrs sworn, deposes and says that he is thc app[icas~ bore named. ~ ~ ~,?~/~ , ff' le is the .............................. · ................................................... (Contractor, agent, cot mtate'l officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this pplicafion; that all statements contained ha this application are true to the best of his knowledge and belief; and that the ,ork will be performed in the manner set forth in the application filed there.. worn to before me this ~ ................. or., ......... '. ,' .... t. " 'ota~ Public, .~ .... ~ .... County / / ~OS~¢~ h. Gm~,S . ~ · ' / ~ (Signature or plicant) NIAvl .f ~IOIN