The URL can be used to link to this page

Home My WebLink About21112-zFORM NO. 4 TOWN OF SOUTHOI~) BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22742 Date NOVEMBER 22~ 1993 THIS CERTIFIES that the building ALTERATION Location of Property 35350 MIDDLE RD. (CTY RD. #48) PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 69 Block 4 Lot 2.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOX~k~BER 24, 1992 pursuant to which Building Permit No. 21112-Z dated DECEMBER 2~ 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 REPLACE AWNING ENCLOSURE ADDITION TO EXISTING BUILDING WITH WOOD FRAME STORAGE AREA AS APPLIED FOR. The certificate is issued to HELMUT HAD~ (owner} 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 FOBM NO. ~ TOWN OF $OUTNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CrHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) / / County Tax Map No. I000 Section .......... .~..~... .... Block ........... ...~....... Lot No ..... ..~...~...~... ....... pursuant to application dated .......... ./.~..~... .......................... , 19..~.,~ and approved by the Building Inspector. Fee /0 0 ~ Rev. 6/30/80 OU~;DA'TION ( ~ st) 'OUNDATIOt! (gnd~ :OUGH FRAME & .PLUMBING ]NSULATIO~! PER N. Y. STATE E~IERGY CODE FIi;AL ADDITIO~;~L COMME~;TS: Form No. 6 . TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 · . .~ ' ~'. ' . ~%PPLICATION 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 1% 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. B. , 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 applieation 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 $15.00, Commercial $15.00 Hous / __ .................. ............ 0nwer or Owners of Property...~~..... - t~ n ~ ~ ' County Tax Map No I000, ~ec io ....... ~ .... Block... ..... ....... ............... Subdivision. .. · z .................. ./. Health Dept. Approval ............. ' · ............ Underwriters Approval ......................... Planning Board Approval ~equest for: Temporary Certificate ........... Final~erticat W?:..... · ' /.~: ~ NOV 2 BUILDING DEPARTMENT .... ,-'7~ ~.~ ........ TOWN HALL Ex:mined ~ .~ ..... .~ ~ TEL.: 765-1802 ''' ~ · · Approved ...~ Disapproved a/c ..................................... ~PPEICATIO~ FOR ~UILD[~G PERMIT INSTRUCTIONS BOARD OF HEALTH ..~...~.~.. 3 SETS OF PL.%~S .......... SURV£Y CI1ECK ' .................. a. Tiffs application must be Completely filled in by Wpe;vriter or in ink find submitted to the Building I~peCtOr, sets of pm, accurst,, plot plan to scale. Fee :rccrorcfing to scbedufe. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public stre,. or areas, and giving a detailed description of layout of property must be drawn on the diagram which is pan of thSs ap; cation. · c. The Work COvered by this application may not be Commenced before issuance of I3uiJding Permit. 'cl. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant Such peru: shall be kept on the premises available for inspection throu~out the work. - e. No building shall be occupied or used in whole or ~n part for a.ny purpose whatever until a Certificate of O¢cupa,m shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit purxuant to t,~ Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable La~vs, (.)rdinance~ Regulations, for the construction of buildings, additions or alterations, or for/'emoval or demolition, as herein The applicant aerees to Comply with all applicable la ' . · admit authorized inspectors on premises a ;. ~,.:,.,- ws/ordinances, building code, housin- . descdbe~ nd ..... ,umg zor neces!ary i sm[~ode, and regulanons, and · . . /~"'' ny~ee, t/ons. . ~ ~ 35.- - . ..... ;//~<,¢'.. ....... ~tmim= addr~z~s of applicant) State whether applicant is owner, lessee, agent, archite t eh-' ,, . . ' ...... .,.- -.._72375 g;eer, oTral contractor,. lectr, c,an. p'umber or uilde amc of owner of prem,ses . ,/~,ff.~//~. aZ/'(~'.'Z '/'~"~' ~~ T applicant is a Corporation si .... ' ........... (;~ on't~l'e t'a'X'r~'ll' o~ iatest fiee'~) ............" , 6nature o~auly authorized officer. Builder's Liccnse No .............. Plmnber's License No ..................... Electrician's License No... Other Trade'~ License No ....... Location of land on wb/ch proposed work will be done; ...... " · ~z% ' · llouse Number · ' ................. .. SIreet · ' '''' ~"~ ~ ~h;:.'l;i ........................ Co,n,y r~., ,~,a, ~o. ,000 S~c,io, .O.~ ). ' ~lo~k ....O..~.. ............' SubdiviSion .... .~...~. .......... Lot.. ' ........................ Eilcd Map No. St~tee.' · (Name) .............. Lot .............. ,, u~e and occupancy - ocCuPancy · x~stmo of premises and in leaded use and of proposed construction: A. Existing use and occupancy ........................... .... · .............................. 3. No'rare of work (check which applicable): New Budding .............. Addition · - Repair' R~moval Ocmohtion Swimrain~ pool ......... ......... Accessory Duilding Other 4~ Estimated C~st ' 5. ~<~ (tn ha paid on filing thi, application) lflf garage.dWelllng'numbernUmberof°fcarsdWelllng~ugils ....... ~.-. . Number of dwclling units on each floor . ~:. ' ....... 6. lfbusiness-COmmercialormixedocc~ancy, s~ccify namrc'~nfe~fcni'ofeachtypeofu~c .............. ~ .............. 7. Dimension~ofcxistingstmCtures, ifany: Front .............. Rea .. De th ~,mf~s,ons yff~e st~ctur= w,th altcranons or,dd ions: Front ~Cl~llt ... ~' . Numberoe~. · / .... "' .............. ~ ............ 9. Size of let: Fiont ...................... Rcn~ ...................... Dcpt~ .............. or use district in which premises are situated 11. 12. Does proposed construction violate any zoning law, ardinanc~ ar re-ulation ................ Nee of Contractor .Q~ ~/~/<gt ..... Address..~2'~.:: ........ PhontNo. 7; .~ ........ ~.I~ cki~ Uro~erty locatg~ ~ithln 300 feet of a tidal ~e~land? -YES .... NO .... · If yes, Southold To~n ~ru~tees Permit may be required. PLOT DIAG ~M Locate cle~ly ~d dist~ctly ~1 buHd~, wheihcr existing or proposed, ~d. indicate property Hn:s. Giw street ~d block number or desc~ption accord~g to deed, ~d show street n~es and ~dicatc w:::::. inte~or or comer lot. ' APP,,RO/VED AS NOTED- .:' NOTIFY eUlklSIl~ DERART~dT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPEC'iqONS: 1. FOUNDATION 'DAKT~ RFQUIRED FOR pOURED CONCRETE 2. ROUGH .. FRAMING & 3 INSULATK)N 4. FIMAL CONSTRUCTION MUST BE COMPLETE FOR C.O. .ALL CONSTRUCTION SHALL MEET THE REQUIREMENT9 OF THE STATE CONSTRUCTtON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 5T~ATE OF NEW Y..O-P, K./5/q ,-aUNTY OF...~.~.~.. £.S ''' ' "~'~'~,<~" ' q/~ '~'>'/f/.~' '/~' .................... bcing duty sworn, dcposcs =d says that he is thc - . (Name ofindivid~l signing contract) ~i~the ......... . ....... .' . .......... ;.. . ~f said owner or owners. ~d Is . n dlorized to pcrform or have pcrfo~ed the said work and Pplica{ion: [hat all slalement~ comamed in ibis application are {ruc Io the best of his knowledge and belief; and that .v°rk will be peri'ore, ed in ll~c m~ner set forH~ in Hm applicafioo filed flmrcw{th. "yom lo before mc t ds (ii. / ' / ............ ..... ..... ,o o / . / /. -. .