The URL can be used to link to this page

Home My WebLink About20328-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of 'the Building Inspector Town Hall 8outhold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20412 Date DECEMBER 17~ 1991 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 1545 PECONIC BAY BLVD. LAUREL~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 145 Block 1 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 1991 pursuant to which Bullding Permit No. 20328-Z dated DECEMBER 11, 1991 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 SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED CAROL GAi~VEY & ANO N/A Rev. 1/81 TOWN OF SOUTHOLD BUILDIHG DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 20~28 Z Permission is hereby granted to: / .~ ._ / . ,~, ............... Z:;~ ..................... ~.~.~ ................. .~....~...~.... ~ ~/~_./~ ,~,~',//~ ~_..~.. / ................. ~ ..................... ~~~,.~ ~ (emisesl~ated at ~''~"''''''''''''''''''''''''~' .......... ~ ....... ............................................ ~ ~~ ....................... County Tax Map No. 1000 Section ........ :../...~.../..~. '. Block ............... ../....'Lot No ..... ~ .............. pursuant to application dated .... ;L~...~ ................................... , Building Inspector. 19.~/...., and approved by the Rev. 6130/80 FORM NO. 6 TOWN OF SOUTHOLD · Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted =. ~ to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic featu res. 2.Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). ;3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5.Subm(t Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-exis~ing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $25:00 -- BUSINESS $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3, Copy of certifJcate of occupancy $ 5.'00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $"50 00 Date 0ctober 3, 1991 NewC°nstrucbi°n ...... Old or Pre-ex~sting Building ............ Vacant Land ............. Shed* 1545 Peconic Ba'~..,Blvd Laurel N.Y. !1.9.!8' Location of Property ' ' ' House No, Street Ham/ar Owner or Owners of Property Andrew Zoly_ and Eleanor Zoly .,~ CounW Tax Map No. 1OOO Section . .1.4.5. .......... Block ...l. .......... Lot 3 Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ......... Applicant .................................. Health Dept. Approval .............. Underwriters Approval .............. ......... Labor Dept. Approval ............... ......... Planning Board Approval ............. Request for Temporary Certificate .................... Final~ficate ............... Fee Subm tted $ .... Construction on above described building and p ' regulations. Applicant.,...~. ~.~~, ./~.. ..... ..~ ..... Ray. lO-lO-78 Gary Flanner OIsen, Esq. P. O. Box 706 ~&C,q~Of~' Cutchogue, NY 11935 FOU~DAT]ION I 1st) FOUNDATIO~ _. ¢2nd) ROUGH FRAME & .PLUMBING ~I~SULATION PER N. STATE ENERGY CODE Fi~IAL ADDITIONAL COMMENTS · I .~. ,,','. .... .'~ ,,, ., .... ~ ..... ~.'/,. :~ ..... :.~. ," .., · ~ .... :4- ..~ : ,~ ,,~, ,, .'~ ~' , ~ .. .~ ~ ;' .: ~' . . :.... ,..... ..... .... ..... .... . ~ ;-, ~.:'.. ~... ~ ....... ,.....~....,,_~ ' ' ~ 'X~ . ',., :." ' , '- · ~ .- ~r~ L~ , ~ ~, . ~ ~' .- J ~,.~;~.,.',~;." . '.~'~'.~,, '.'~.< :.. ~ ~: .... ~,~,, ,'?'.'~ ~ ~," :,~,~. ' r~',',''~' ..r~.,..?.?', .~ I.- .~. ,~ ...... ~ .... ~ ~ .............. J '""'"'"'" '" "~ ~' "' ,',' r,' ...... ', '. " ' " ' ': ': '"~," '; ' ~ r"~'"',.. '" C~' : ' ' "'"." ', ' ' ' '~ .L" , ...... ,,,.~.,, -.~ '.',,~ ,,',.. ......' ....... SURVEY FOR '. ,.. ...... . ,. ". ;.'~,. /'''''''~'' ~ ''':' '''''' ' '' ?': ' .... '"" .... "' ":"' '~ ' '"' ' '~'"' .' '~' '?..'?'2 "'?;.'?:~(' ;"' '?'~'~,' ?'?'" ".'.;.' ",.-h,. ;'. FRANCIS X. Mc GOW~N :'& '. HELEN"McGOWAN' '/'?~'/'"'.,"~;'"'~.:'' :':":'' "/:" ! "'.'.. ;.., MAP OF LAUREE PARK LOT.'NO. 25 - [ ........ , ......... LAUREL , . . ..... .,-, . ..',. .... ,I ' ~.'.. .......... , .... TOWN OF SOUTHOLD.. , .,.... . ,. . SUFF, CO,, N.Y. 6UARANTEED TO ', .... ' , ,-. ,,, J "SUaOIVISIO. UAP FILED IN THE OFFICE OF SCALE: I ~40 .... CHIq~GO TITLE INSU"ANCE";CO BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. I SURVEY .......... TOWN OF SOU/HOLD CHECK .......... BUILDING DEPARINIENT SEPTIC FORM ............. TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 ' / Examined/.~-/.//'.. , 19 Approved.. ~. ¢..~/. i i i i i i, ]9 .~Permit No.~...~..~..~...1~>/ Disapi~roved a/c ..................................... (Bfdildin~,,flsp ect or) APPLICATION FOR BUILDING PER~,,'IlT NOTIFY CALL ................ MAIL TO: Date October 3, 19~ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 stree! or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appl ~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 perm 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 Occupanc 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 tb Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances ¢ Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe( The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t admit authorized inspectors on premises and in building for necessary inspections. (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 builde. Andrew Zoley and Eleanor Zoly Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY Builder's License No .......................... Plumber's License No ......................... Electrician's License No. C~' Other Trade's License No ...................... 1. Location of land on which proposed work will be done] ................................................. pg.c.o.n.i.C..~.a.y. ~.ly.d.., .L).u?9.1, .Ng.~ yg.r.~ .......................... ~ ............ House Number Street Hmnlet County Tax Map No. 1000 Section .1.4.5 ............... Block 1 Lot. 3 Subdivision..N.a.p..qr..L.a.u.r.e. 1. ?.a. Ck. ................. Filed Map No. . .2.1~ .......... Lot ...2.5 .......... (Name) State existing use and occupancy of premises and intended nse and occnpancy of proposed construction: a. Existing use and occupancy Shed .............................. ~,.~ ~.,'.; .,;'~,-;~f! ~.,,.n~?. ......... Shed .,~ ....... b. Intended use and occupancy ............................ w,~,: ........ ' ~":') ' 3. Nature of work (check which app!icable): New Building .. s'hed. Addition Alter;,tion Repair .............. Removhl .......... Demolition .............. Other Work ..... t ......... ~ (Description) 3°9 90 ' 4 Estimated Cost · , (to be paid on filing this application) hit 5. If dwelling, number of dwelling u s .............. Number of dwelling units on each floor ................ If garage number of cars 6. If busi~mss commercial or mixed Occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures,: if any: Front ............... Rear .............. Depth ............... Height ............... Numbler of Stories ........................................................ Dimensions 'of same structure with alterations or additions: Front ................. Rear .................. Depth ' Height Number of Stories - 8. Dimensions of entire new construbtion: Front .......... . ..... Rear ......... Depth .............. Height ............... Numblcr of Stories ........................................................ 9. Sizeoflot: Front ............ I .......... Rear ...................... Depth ...................... 'i'0.Date of Purchase ............ ] ................. Name of Former Owner ............................. 1 1 Zone or use ....... · dmtnct m whxch premises are mtuated ..................................................... 12. Does proposed construction violate any zoning law, ordinance Or regulation: ................................ 13. Will lot be regraded .......... i .................. 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 located w~thtn 300 feet of a tidal wetland? *Yes . No .... · If yes, Southold Town Trusitees Permit maybe required. PLOT DIAGRAM Locate clearly and distinctly M1 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 andjndicage whetRer interior or corner lot. STATE OF NEW YORK, COUNTY OF .SPFFp.L. .......... sis 765-]802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION '~O REQUIRED FOR POURED CONCRETE 2. ROUGH .. FRAMING & PLUM~ING 3. iNSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALl. MEET TNE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CCDES. NOT RESPONSIBLE FOR DE SiGN OR CONSTRUCTION ERRORS Andrew Zoly and Eleanor H. ZOly .............................. , ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. Heis the Agents of the Owners . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dulyiauthonzed to perform or have performed the said work and to make and file this application; that all statements contaihed in this application are true to the best of his knowledge and belief; and that tlie work will be performed in the manner eet'forth in the application filed therewith· Sworn to before me this 3rd . ~ , October ..................... ~..eay m.l .................... ,19 91 Notary Pu . County NO 4828373 Oua~m~a ,n su,om Cou~ (/ ~/ (Signature talZ~glli~nt)