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Home My WebLink About21064-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21138 Date NOVEMBER 9, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 1265 DELMAR DRIVE LAUREL N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 127 Block 4. Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1992 pursuant to which Building Permit No. 21064-Z dated NOVEMBER 15, 1992 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 BUILDING AS BUILT TO CODE The certificate is issued to BRENDAN BOWEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 , TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21139 Date NOVEMBER 9, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 1265 DELMAR DRIVE LAUREL, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 127 Block 4 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29, 1992 pursuant to which Building Permit No. 21064-Z dated NOVEMBER 5, 1992 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 PLAY HOUSE BUILT TO CODE AS APPLIED FOR The certificate is issued to BRENDAN BOWEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4,2 Building Inspector Rev. 1/81 FORM NO. a 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 2N9 21064 Z Date 19.9..2 Permission is hereby granted to, 3Q!~-~.......,.,.c:4 7 r- xze*;ee i at premises located at 16V.~c/y1....... 22 .1.f-4.&e County Tax Map No. 1000 Section .....1ie7..... Block Lot No. pursuant to application doted ZQ 19„7. F,, and approved by the i Building Inspector. Fee 5.` i uildin tar 1 Rev. 6/30/80 4 ".~.'t Form No. 6 I TOWN OF SOUTHOLD OCT Z'9 B9 BUILDING DEPARTMENT TOWN HALL 765-1802, APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept, of water supply and sewerage-disposal(S-° form. 3. Approval of electrical installation from Board of Fire Underwriters. ) 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 17, 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. 1• For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00• 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $115.00, Commercial $15.00 :w Construction... Date .......4 .....!,y2 Old Or Pre-existing Build,}'ng• )cation of Property: ......2G~.... I2 '21 1-c- .....,;A teL L I('?~i House No. ~7 Stre .e.t. Hamlet wcr or Owners of Property... 12,..-7 / 2-- unty Tax Map No 1000, Section ..............Block...., ...........Lot )division ....................Filed Map............ Lot..... -mit No ................Date Of Permit .............Applicant....... 11th Dept. Approval ,.Underwriters Approval . .nning Board Approval........ uest for: Temporary Certificate..., Final Certicate.........., - Submitted: . sec, ~ 09 .9 L/ APPLICANT C0 z oaJ13T- Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT +f TOWN HALL 765-1802 APPLICATION FOR.CERTIFICATE OF OCCUPANCY A. 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 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 installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 12 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. 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic 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. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $11/5.0/0, Commercial $15.00 / Date .......4 !w Construction,.', Old Og Pre-existing Building,,,,,,,,,(( ,cation of Property:......f ZG~.....C,~ C•Jw.i e.•.. :dgv,teL N l(~~! House NoI. Street Hamlet wer or Owners of Property...t unty Tax Map No 1000, Section ..............Block....... .........Lot . idivirion..................................... Filed Map.. ..........Lot........... 'mlt No ................Date Of Permit Applicant 11th Dept. Approval ,.Underwriters Approval nning Board Approval........ uest for: Temporary Certificate........... Final Certicate.........., Submitted: 4sr)gq . Co -i at Jl 1 APPLICANT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING []'INFNAL REMARKS: DATE INSPECTOR ""I BOARD OF HEALTH FORM NO.1 D SETS OF PL%NS ~s TOWN OFSOUTHOLD SURVEY .Ui,@ BUILDING DEPARTMENT CHECK _ _ _ . . t s TOWN HALL SEPTIC FORM SOUTHOLD, N.Y. 11971 r.On FY ; p TEL.: 765-1802 CALL .Ia 3 BL Examined.. • • • • • , , , 19x~.,,. / MA I L TO: Approved .F/.........., 191~Permit No. ?c`~ Disapproved a/c v~. of (Buil( ' g Inspe or) APPLICATION FOR BUILDING PERMIT / Date ...46(2~......... 19 .~L 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 premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property 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 :lave been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Buil icing 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, buildin code, housing co e, and regulations, and to admit authorized inspectors on premises and in building for necessary inspection . . (Signature of applicant, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises A'eq l ti L/ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . Plumber's License No . Electrician's License No . Other Trade's License No . nn 1. Location of land on which proposed work will be done. ........1 z~ ...??.L!t^ ~4 , . .......N.. .......ll....................................................... House Number Street Hamlet County Tax Map No. 1000 Section Block Lot ...l L...... . 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 u . ~b. Intended use and occupancy .i...~:^.... , , K 3. Nature of work check which a ',plicable): New Building Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost .....Z 5.~ (Description).. Fee . (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, spec' y nature and extent of each type of use . . 9 g structures, if any: Front . l~........ Rear ....g......... Depth 7He Dimensions o Number of Stories . . . . Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories ;'i...... . 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories . 9. Size of lot: Front Rear ...Depth 10. Date of Purchase Name of Former Owner . 11. proposed premises are situated 13. Will Zone lot or be use regraded cconstruction ,in, which ch N ' viol, 12. Does ate any zoning law, ordinance or regulation: Will excess fill be removed from premises: Yes No 14. Name of Owner of premises , , , , , , , , , , , , Address , Phone No. . Name of Architect Address Phone No. , Name of Contractor . . Address . Phone No. . 15. Is this property within 300 feet of a tidal wetland? *Yes„ No.. *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAM 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. S ~ cA -ec~ S(lk6ty APP ED AS NOTED GATE: 2 BA! # ~/O" ~ FEE: BRNOTI SUILDI G DEPART AT 765-1802 R AM TO 4 PM R THE FOLLOWING INSPECTIONS: 1, rOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH • FRAMING & PLUMPING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 13E 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 ~p COU~~-•YOF...SS UPI enr~ R?c c . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly 'authorized to perform or have performed the said work and to make and file this application; that all statements contained in 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. 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