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HomeMy WebLinkAbout21012-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21180 Date NOVEMBER 24~ 1992 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1815 ALBERTSON LANE GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 52 Block 5 Lot 56 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 6, 1992 pursuant to which Building Permit No. 21012-Z dated OCTOBER 9, i992 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 AS APPLIED FOR. The certificate is issued to MARIE CASSIDY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED Rev. 1/81 FORM NO. fl 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-°N? 2101~Z Date .......... ~ ..................................... , 19..?..? Permission is hereby granted to: ....... ,..~..,....~..../.~ ................................... _ ,p · ac d a t .....g/.,~...~.~....~--.~/'A'~ .. ~.~ ................................................... County Tax Map No. I000 Section ...... ...~....-...~.. ....... Block ...~,... ........... Lot No..~.. .............. pursuant to application dated ......... ./..~./~... ............................... , 19~., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTtIOLD BUILDING DEPARTMENT TOWN HALL 765-1802~ APPLICATION FOR CERTIFICATE OF OCCUPANCY 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 ail 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 f~om Board of Fire Underwriters. 4. Sworn Statement from plumber certifying that the solder ~Used in system contains less than 2/10 of 1% lead. . S. Commercial building, industrial building, multiple residences an~ 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 Vpre-existing" land uses: 1..Accurate survey ~f property showing ail property lines, Streets, building and unusual natural or topographic features. 2. A properly completed applicatio~ ann'~ 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. Fees I. Certificate of Occupancy F ~Ne_~ d.w~lling $25.00, Additions to dwelling $25.00, ~terati6~ to dwelling $25.00, Swimming25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2- Cer.tificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate ,of Occupancy - $5.00 over 5 years - $10.00 '~" 4. .Updated Certificate of Occupancy - $50.00 $. T.emporary Certificate of Occupancy - ResidenJial $15.00, Commercial $15.00 w Con~truction... ......... Old Or ~ · '~''"~'~ rre-existmng Building ................. '' }louse No. Street ' · ...... Hamlet .er or Oweers of Propert ~''~''~f~- P' ~'~-~ /~ ~f :Y.. ~.~ ........ __ ................. '_ . . mty Tax Map No I000, Section .... .~.~ ..... Block ...... ~ ....... Lot .......... ~ . ~diviaion ................. ''' ;" .... ~ ........ Filed Map .......... Lot ........... ' g x'.xa " mit No. . ..Dar ermit . cant... . . lth Dept. Approval ......... ' ....... ............ ~...Underwriters Approval ......... nnlng Board Approval ......... ' .............. ~es~t for: Temporary Certificate ........... Final Certicate ........... Submitted: ~. ~0 ' ? 7 ............ ... .. . ...... %o ~b ......"-' .-, ZePL~C~ · d~ .... , ..,.,,,: .... OUNDA~ION OUNDATION OUGH FRAME & (1st) (2nd) .~LUMBING NSULATION PER N. Y. STATE ENERGY CODE ~ FI;;AL ADDITIONA'L COMMENTS: 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] FRAMING REMARKS: INSPECTOR D LUMBER POS #837-91-99 Storage Building CONTENTS 12' and 16' Storage Building Assembly 12' ando16' Door and End Assembly 12'x12' Storage Building (POS #837-11-99) 1,~d~Storage Building (~.~_~_37-12-9~ ' ('~torage Building (pos~'~-fi837-16-99) ~~als List Page 1 Page 2 Page 3 Page 4 Page 6~. Page 7 REVISION DATE ©Copyright 1989, Eighty Four Lumber MAY 1989 INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal ' CURTIS HORTON, Senior VINCENT R. $VIEGZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD August 24, 1992 SCOTT L. HARRIS, Supervi~6r Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 Marie Cassidy P.O. Box 193 Greenport, N.Y. 11944 Re: Premises at 1815 Albertson La. Suff. Co. Tax Map 91000-52-5-56 Building Permit Application Dear Mrs. Cassidy: Greenport, N.Y. In checking our records we find that the enclosed paper work is outdated. If you wish to re-apply, please submit new application. VL:gar Very truly yours, S~UTHO~D~-TOWN~BUI~ING.DEPT. Principal Building Inspector encls. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT - , ..... TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined/l~ .~ .......... 19 .~ Approved .jy~. ......... 1 ~. Permit No..~./.~./..2..~ Disapproved a/c ..................................... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURVEY ................... CIIECK .................... SEPTIC FORH .............. Date .................. , 19... INSTRUCTIONS 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 premise'.s, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property musf 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 code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. -- (Signature of applicang~ or name. if a corporation) (Mailing address of applicant) State whether applicant;.is:.ownef, lessee,. 'agent;architect, engineer, general contractor, electrician, plumber or builder. .................. ; .,:.. Name of owner of i~remises ...,..~/~. ~/~. i ~..;..q/....~...~..~..~.4.~....../~......~.....~...~...~.' ............... (as on the tax roll or latest deed) If applicant is a corporation si~fiatu~m6f duly authorized officer. (Name and-ti.tie,of, corporate officer) . Builder's License No....~..0./..~..~.. ~."7..~../ ..... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. .,.... .................. g ........... House Number Street County Tax Map No. 1000 Section ..~,;9.. Block '~ ~ Lot... ~''~ Snbdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: / ,., ,,.,--, a. Existing use and occupancy '. .. ~..~., ................... b. Intended use and obcupancy ........ , ......... q.,.'/;. 3.~. ?.',~,~.~J'*~C .................... 3. Nature of work (check winch applicable): New Building .......... Addition .......... Alteration, .......... Repair ............. Rem4vai .............. Demolition .............. Other Work.' ?'/¥~' ~(~g~ '~' '7') (to be paid on filing this application) 5 Ifdw 11' numbe ofdwell'ngOnit N mbe ofd ellingunits each floor If garage, number of cars .... ! 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ...... ,. .............. 7. ~menmons of extorting structures if any Front Rear . Depth Dimensions of same structure wiih alterations or additions: Front /~ .. . Rear /.~,.7... Depth .................... i. · Height ...... /.~. · ·., .......... Number o~' Stones ........ 8. Dimensions of en, tire new construction Front { .b ~ //- m~,~,h ..... ~ :" ...... Height .... ! .O. ........ Number of Stories .. / ......................................... 9. Size of lot: Front ........... ] ........... Rear ................ Depth 10 Date of Purchase .... i N fFo (~v .......................... ........ ,. · · ' amc o rmer ncr ...................... 11. Zone or use district in which pre~nises are situated ..................................................... 12. Does proposed construction violet6 any zoning law, ordinance or regulation: 13. Will lot be regraded ......... , ................... Will excess fill be removed from premises: Yes ,N~ 14. Name of Owner of premises i Address .. Phone No ...... Name of Architect .......... ,i.. ............ .. Address ................. .. Phone No ................ Name of Contractor ...... :.. i ............... Address ................... Phon~qo ................ 15. Is this property within 3100 feet of a tidal wetland? *Yes ........ No .......... · If yes, Southoid Ti'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 aumber or description according to deed, and show street names and indicate whether interior or corner lot. ~'~ APP, NO D NOTED NOllFY 8Uli~ING OEPAF~T AT ?e~.~8o~) 9 At~ TO 4 PM~OR 'mE FOLLOWING INSPECTIONS: 1. FOUNDATION TWO REQUtREO FOR.POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL. CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE. FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK.._ . .......... V..~.... .~.~ ............... being duly sworn, deposes and says that he is the applicant (Name of individual signin ~ntract) above named. He is the ........................ .~..~..qgg~. ....................................................... · ..~.Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly mthorized to perform or have performed the said work and to make and file this application; that all statements contair ed in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner ,'t forth in the application filed therewith. Sworn to before me this ' / ItOTARY ffi / , NO, 4725Q89,~ ......