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Home My WebLink About22451-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z24724 Date November 1, 1996 THIS CERTIFIES that the building Location of Property 365 Dr. House No. Street County Tax Map No. 1000 Section 88 Block 2 Lot Subdivision Filed Map No. Lot No. 1 accessory Seawood Southold Hamlet conforms substantially to the Application for Building Permit heretofore filed in this office dated October 28, 1994 pursuant to which Building Permit No. 22451Z dated November 4, 1994 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 an accessory storage shed as applied for. The'certificate is issued to_ George and Emily Lanos (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A J Bui~/]g insPector~ Rev. 1/81 FORM TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 22451 Z BUILDING PERMIT [THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission is hereby granted,,to.~ / .... ~ ....... .~.~ ........... ~~ ....... ~ ........... ~ et premises located at ...................... .~...t.Z~ .................... Coun~yToxMapNo. 1000 Section .......... ~... Block ...........~ ..... LotNo ...... ( ...................... pursuant to application dated ............. ~~.~ .......... 19....~..¢.., and approved bythe Building Inspector. Rev. 6/30/80 TO~T OF SOUTHOLD SUiLD lNG D £PARTI~.ENT TOWN F~4LL 765-[802 APPLICATION FOR CERT!YICATE OF OCCUPANCY Ao This application must be filled in by typewriter OR ink and submlctad to the building inspector with the following: for new building or new use: Final survey of property wi~h accurate location of al! buildings, proper~y lines, screens, and unusual natural or ~opographic features. 2. Tina! Approval from Eec!th Dept. of water supply and sewerage-disposa!(S-9 form). Approval of electrical instalia~ion from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system connains less than 2/!0 of ~% lead. 5. Commercial building~ industrial bui!ding~ multiple residences and similar buildings and-installations, a certificace of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval ~f completed si~e plan requirements. For existing buildings (prior to April 9, i957) non-conforming uses~ or buildings and "pre-existing" land uses: I. Accurate survey of property showing ail property lines, streets~ building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applican[o If a Cartificase of Occupancy is denied, the Building Inspeczor shall s~ate the re'sons ~herefor in writing to the applicant. C. Fees ~. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling Altera~ions to dwelling S25.00, Swimming pool ~25.00, Accessory buildin~ $25.00, Additions to accessory building $25.00. Businesses $50°00. 2. Certificate of Occupancy on Pre-existin~ Bui!din~ - $I00.00 3. Copy of Certificate of Occupancy - ...25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residen~iai $[5.00, Commercial $15.00 ./,?..~,~?.. ~/~'-~ Date .(~.C.~.., .~..5"~ ~ ~ ......................... New Construction.. -.. 01~ Or Pre-~xls~ing Building ................. Location of Proper~y .... ~! ............... .~..~.-~..~J.~ ~ .~ ........... ~q~.gJ.~ ............. ~ouse No. Street ~am3_e~ O~wer or Owaers o~ ~roperty .........~.' ................................... count~ ~x ~ap ~o ~000, Sectio= .... 'Y..'Y ....... ~lo~...~. ............ ~ot ..... ~ ................ Subdivision ..... .~...~...~.¢~...4~ ........... Filed ~ap ............ Lot ...................... Request for: Temporary Certificate ........... Final Car~icaca.. ~ ....... Fee Submitted: $~..~..v~, f: ~ .................... .............. .L>PL 2 C.~T LATIOH FER'N. STATE E}IERGy CODE FILIAL '. ADDITIO~A'L ~TS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] RO~'~PLBG. [ ] FOUNDATION 2ND [ ]/~SULATION [ ] FRAMING ~ FINAL REMARKS. ~ DATE//~I INSPECTO~{~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RoUG/H/PLBG. / [ ] FOUNDATION 2ND [ ·]~JLATION [ ] FRAMING [~'/FINAL [ ] FIREPLACE &CHIMNEY Town Hall, 53095 Main Road P, O, Box 1179 Southotd, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 30, 1996 George banos 2366 East 73rd Street Brooklyn, N.Y. 11234 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. The check is (not on file.)$25.00 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 # 22451-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL ,PPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTt{ ......... 3 SETS OF PLANS ......... SURV£Y ................... CIIECK z CALL ................... MAIL TO: Date .......?.c..;~....2:..8~., 19 ?.~z a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 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 streets ~ or areas, and giving a detailed description of layout of properW must be drawn on the diagram which is part of this appli- cation. 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 permit 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 Occupancy 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 the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or 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, housing ~ode, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections./_/ ~,/ . (Signature ~f a~plicant, or name, i'f a corporation) ~4,(. d. .~.~. aZ'. .Zr f .~ ~.Z.--, . ..~,r,f ~'.~Y~ .,dZ..X. z/,az ~. . (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...~..~.,'~.dr/f' .................................................................................... ~ ' / ~PPL~OV. ED AS NOTED Name of owner of premises' ........ (as on the tax roll or latest ¢;~?~r-~a- If applicant ~s a corporation, signature of duly authorized officer ,,.;.~.~----BY: · ' · I~ollI-y I~UILOING DEPA~;' ............................ 765-1802 9 AM TO 4 ~ FOR THE (Name and title of corporate officer) FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE Builder's License No .......................... 2, ROUGH , FRAMING & PLUMBING 3. INSULATION Plumber's License No. 4. FINAL CQNSTRUCTION MUST 8E COMPLETE FOR C.O, Electrician's License No ....................... ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No ...................... STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR I. Location of land on which proposed work will be done. DESIGN OR CONSTRUCT . .,3.4 7. . .......... ',?. . ............. J'Oa.Z-,'X.O. Z> ..... }louse Number Street Hamlet County Tax Map No. 1000 Section . ..~.8.-'...~..-..."~.... Block ..... o~. ......... Lot .4~....J .......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy .of proposed construction: a. Existing use and occupancy ~..~.,~/.~.~5'~.~../.~..Z. ' , ~ b. Intended use and occupancy ............................ .... . ;.,..'. ................. ai 3. Nature of work (check which pphcable): New Building .~. ....... Addition .......... Alteration .......... Repair .............. RemOval .............. Demolition .............. Other Work ............... .~j~' p.O.i ' ' (Description) 4. Estimated Cost : .O.~. , .. Fee .............................. : (to be paid on filing this application) 5. If dwelling, number of dwelhng ~mts ............... Number of dwelling units on each floor ................ If garage number of cars i ' 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing stmcture~ if any Front ,~,-~ ~''.O. * Rear ,~.O" ~'' ~.t:. Denth ~ ~ ~.0tt Height ............. Number of Stories /. ~'2, .. · Dtmenmons of same structure with alterations or additions: Front ................. Rear ..... ~ ....... Depth ~ ' Height ~ Number of Stories ~ · O' Ott 8. Dimensions of entire new constr~ction: Front /...~ .......... Rear /O~-Ot' Depth ~'2f.-O/.t .... Height ............... NumBer of Stories ........................................................ 9. Size of lot: Front ~.~O .~-: ~. '/.. j ........... Rear ~ ·/.Od.. O ............. Depth · .]~..~.'".O(.~ ........... 10. Date of Purchase . 2~ .-:/.8..T.~.i~. ....... . ......... Name of Former Owner . ~./.~././...~'~..~. ............ 11. Zone or use district in which pre~nises are situated.. 12. Does proposed construction violhte any zoning law, ordinance or regulation: . .~.o. ........................... 13. Will lot be regraded ...... A~. ..... ,, ............... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ~-~t'/~'~'.~'~:. ~/A~4~.~Address ~',.~'..-.~'~,~'~,/~,~.~:~,4.~rPhone No... :'7~.'/~.~... ' Name of Architect ~ Address Phone No Name of Contractor ......... i ................. Address ................... Phone No ................ Is this property within 300 feet of a tidal wetland? *Yes ........ No.~ ..... · If yes, Southold ~own Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all ibuildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block ~ .umber or description according to deed, and show street names and indicate Whether interior or coruer lot. 15. being duly sworn, deposes and says that he is the applicant STATE OF NEW Y..OgaK,. k, COUNTY OF... ?~.k .~.\.~ ....... S.S (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyi authorized to perform or have performed the said work and to make and file this application; that all statements contained ih 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 filed therewith· Sworn to before me this Note. P blic ........ ...... .......... . .... 1,~ h~i~'~ $!~ 15 ~ (Signature of applicant) '