The URL can be used to link to this page

Home My WebLink About20176-zFOl~ NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector TDwn Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20303 Date OCTOBER 23, 1991. THIS CERTIFIES that the building Location of Property 2575 BEEBE DRIVE House No. County Tax Map No. 1000 Section 103 Subdivision ACCESSORY Street Block 4 Filed Map No. CUTCHOGUE ~ N.Y. Hamlet Lot 35 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24~ 1991 pursuant to which Building Permit No. 20176-Z dated SEPTEMBER 27~ 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 IN REAR YARD 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 Rev. 1/81 JOHN & JANE PHILLIPS N/A N/A -~~/Bu~ dj/rig ~n~Pector TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE ICl:PT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No_ 20176 Z Permission is hereby granted to: .......... /...~.~ ............ ~.~. .............. ,.' ................ C~ ..... .~..~. ......... Lot County Tax Map No. 1000 Section...J. ....... .~........ Block No..~.~'~... ............ pursuont to applicotion dated .~l~..'~...~.....~......~.~......., 19.~J.., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF $OUTIIOLD BUILDING DEPARTMENT TOWN lULL 765-1802 APPLICATION FOR CERTIFICATE OF OCCU 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 C~pliance from archiuect 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 , pre-exzstxng land uses: 1. 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 iSSpect 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 - $I00.00 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 Date ......... ew Construction ......... Old Or Pre-exi~ting Building. . oration of Property....~..~.~.?c~.~].~ /~=~/f~-~ ff~fi,~.......&.~.~//~o.~FZ~ House No. Street Hamlet ....... ,wet or Owaers of No . 000, Seetio .. .. ot .... *bdivision ....... ' ' ' · ' · .................. Filed Map ......... Lot... . . alth Dept. Approval .... ' ............... ~ ...... Underwriters Approval ......................... arming Board Approval ................ ~ ....... quest for: Temporary Certificate ...... Fisat Ccrticate ........ E~030~ - APPLICANT / ................ BUILDING DEPT. INSPECTION FOUNDATION 1ST FOUNDATION :)ND FRAMING REMARKS: ROUGH PLBG. I~JLATION [~]~INAL INSPECTOR TOWN OF SOUTHOLD OFFICE OF BUILDING IN~'PECrOR P.O. BOX 728 TOWN ttALL $OUTItOL~), N.Y. 11971 OCTOBER 2],1 1991 JOHN & JANE PHILLIPS BOX810 CUTCHOGUE, NY [1935 TEL.~,765-1802 To Whora This May Co,ncern, We are unable ko complete your Certificate of Occupancy because .of the following reasons. //~ An application for Certificate of Occupancy is not on file. (ENCLOSED) /--/ No Underwriters Certificate on file. / ~]le check ls(~~not on fzle.)$25.00 /_-/ No Health Dept. Approval on file. /_--/ No final inspection has been made. Please contact our office on this matter.' Thank you for your cooperation. Building Permit tt 2 0 '~, 1 6 Z Buildinct Dept. ***/--/ No Plumber solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) TOWN OF $OUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN tlALL SOUTItOLD, N.Y. 11971 OCTOBER 21,1 1991 JOHN & JANE PHILLIPS BOX 810 CUTCHOGUE, NY 11935 TEL. ,765-18O2 To Whom This May Concern, We are unable to complete your Certificate of Occupancy bccansc ,of the following reasons. /--// 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 Dept. Approval on file. /--/ No final inspection has been made. Please contact our office on this matter.' Thank you for your cooperation. Building Permit tt 2 0 _~, 7 6 Z Buildinq Dept. ***/5/ No Plumber solder Certificate on file. ( all permits involving plumbing being l~oucd after April 1,1984 ) FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & ,PLUMBING 3. INSULATION PER N. STATE ENERGY CODE Ye FINAL ~Nature of work (check which applicable): New Building ........ Addition ..... Alteration · ~ .~ pair ............... Removal .............. Demolition ..... Other Work .... ~-~' , ' ~"' .~.~/~.;. '' , ~ i (Dcscfipti~) 4. Estimated Cost . , .'.'.. ~.~"', 5 If dwelling number of dwelling uni'ts (to be paid on filing this application) Number of dwelling units on each rio'or .'.'..'. If garage', hum bet of cars , . ........... 6 ' If business ................................................................ ': ......... · , commercial or mixed occupancy specify nature and extent of each type of use ' ' 7 Dimensions ' ' ' ' of exxst~ng structures if any: Front ....... ' .... Height Number of Stories ....... ';: ' Depth - .' ' · Dimensions of same structure with alterations or additions: Front /Z~ ~.~ Rear Depth ~. Height .................... ................................ ....... Number of Stories . ' 8 Dimensions of entire new construction: Front ' ' ' ........... Height Number of .......... ' ..... Rear ............ Depth Stories " .................. 9. Size of lot: Front ' . ,. ........... Rear ........ :... .......... Depth . . . I0.. Date of Purchase .................. . ......... Name of Former Owner .... ' .................. Zone or use district in which premises are situated .............................................. 12. Does proposed construction violate any zoning aw, ordinance or regulation: d¢~..., ............ ~ ......... ' ..... 13. Will lot be regraded ...... x,~-~ _~ ,-, - ~ ' ' :.' ' ' %'5 ~ '.; ' '~ J' · '; ..... Will excess fill be remove from premisesi Yes No ..... ~ ............ ss ..: ................ Phone No ......... . .;/Name of Contractor ............ . Address ................... Phone No ...... .; .. ..... 15. ;' s this property within 300 feet of a tidal wetland? *Yes..' ...... N ..... : '·i~' . mIf yes, Southold Tow~ Trustees Permit may be required. ' <):~,'~z'.'., ,," ':' .~ .... .... ' PLOT DIAGRAM . ..... ':Locate clearly and dfstinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or descriptioh according to deed, and show sfreet names and red,cate whetheY interior or coruer lot. "' ' ' IiHOUT CERTG CAT[ 0F OCCUPANCY NOTIFY BUILDING DEPARTMENT-"~: , 765-1802 9 AM TO 4- PM' FOR THE ';-: , ' '" FOLLOVVING INSPECTIONS. ' 1. FOUNDATION TWO REQUIRED .. 2. ROUGH - FRAMING & PLUMBING , , · ~ ~' 3. INSULATION ' . :" >.;,~, ;, , 4, FINAL CONSTRUCTION MUST ' ' ' ' ' BE COMPLETE FOR C,O. "' ,.' '' ALL CONSTRUCT;ON SHALL MEET "'"'~'* ~o ~ ,, THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY .... "' COOES. NOT RESPONSIBLE FOR ' ''~' · , DE~I, GN OR CONSTRUCTION ERRORS - TATE OF NE'~V~K, ~ S S i , ': ,. , ............... ~ '*'~' ........ ~', · %, · '~, ~, ...... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) )crc named, , ', · (; ',' %%,, ..... !. :,:: ~isthc ':' .' " .... : ' (~)t,K~,14,~C...'.'(.'~.,'. ''- ', ' .... ' ,',' ' ' , , , ' ,, (Contractor, agent, corporate officer etc.) said owner or owners, and is duly authorized to perform or have perfo~ed rlte said ' ' " " ' ' ' ' '"'; work and to m~e and file this plication; that all statements contained ~ this application are true to the best of his ~owledge and belief; and that the ~rk will be perfo~ed in the m~ner set forth in the application filed therewith. ~om to before me this ' -- : .... ,,, ' ....... " ......... ,ta~ Public ..... nty "k' '"" "'' :"=' '/','~"', ~ '? ':;,,,,:' .... ,': lb~gnatureofapphcant) TOWN OF ~OUTHOLD _ FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 , , TEL.: 765-1803 BOARD OF HEALTH SETS OF PLANS ..; ...... jSURV~Y ., Examine . .~.)., 19 ~ '" '" ' · ~ ] .. __ { : '~ 1.' ,,, ,,<,~: . ~ HAIL TO; ::::::::::::::::::::: Approve ~)., 19~ J. Pemit No.~.1. ~: ,~' . Disapproved a/c .... .... ~ ~ , . .... ' ~ , ' ~ ,7 , ~uilffing Inspector) "" .......... .... APPLICATION FOR BUIkDING PERMIT ~' ~?,,,:, , . , '"'F: :. , ,',; Date ........ 19. ....... ' ~. ",,~ INSTRUCTIONS ' a. TNs application must be completely filled in by Wpewdter or in ink and submitted to the BulldOg Inspector, with 3 ;ets of plans, accurgte plot plan to scale Fee according to schedule. ' b. Plot pl~ show~g location of 1 ~t and of buildNgs on premises, relationship to adjoining premises or public streets >r areas, and giv~g a det~led descript on of layout of property must be drawn on the diagram which is pa~ of this app,- ,atica. "',5,;'. ' ..... ' .... c. The ~ork covered ~y t~s applk atica m~y .o{ be c~mmen~ed before iss~=oe of Budding ?e~it. ~. Upon approval of this applicati, m, the Building Inspector wQl issued a ~uld~g Pc~it to the appUcant. Such pe~it &~l be kept on the premises avaQable ~r inspection throughout thc wor~. e, No building shall be occupied 0r used in whole or in p~t for any purpose whatever until a Ce~ificate of Occup~cy ,hall have been ~ranted by the Building[Inspector. APPLICATION IS ~ERE~Y MADE to the B~ilSNg Depmment for the issuance of a ~lding ~emit p~nuant to th~ ]uilding Zone Ordinance of the Town[of Southold, Suffolk County, New York, ~d other appQcaNe ~ws, Ord~ces or ~egulations. for t~e const~ction of buQdNgs, additions or alterations, or for removal or demolition, as hereN descdbed. Fhe =pplicant agrees to comply with ~ app~oable laws ordinances buQdNg codc, housing code and re ulations and to ldm~t authorized mspecto~ on premzses and ~ buildN~ for neccssa~ inst. . '.'.' , · · · · ::'",~.~~...'... ,j ' ~ " (~i~ of applicant or name, if a c~poration) ,.,. ,,, ,~ ,, ..... ? ',, ~ __ __~ Stat~ wtNther applicant is 'owner, les ce, agent, architect engineer, general contractor, electrician, plumber or builder. Name of owner of premises , '~. ',,,,,,~a , , ,. .,. ' ~ :. ' ~ (as on tile t~ roll or latest deed) ff applicant is a corporation, signature 0fduly authorized officer. '" '" ' a ' ) ",a ' .., ;,, ,:,me and title of co~orate officer , , . .' ' Electrician's License No. . ~ ..... . .... ' ' '". , ,/ ,', '~, ,~ ,., ",'OlZt-ler Trade's License No ' ~ ' ' '"' "' ....... , .......... ; ...... , ,, I. cation of land on which proposediwork will be done. ,'~..K.~.. ,-., .... ~y · · · · ...', "~'~ "'': llouse Number ....... ~l' ' Street ' ": ' , "-,"':,, :'". ;" · Hamlet ~ .~.'. ~<~.v~.~ ., ',,. :',:~. "'" ""' PtNo. e~. ~," .... :: .... County Tax Ma 1000 Section ~ ....... ~5 Block ' " ........ Lot. .... ' -. Supdtv~ston~' ' ' ' .~'.ffW~/ ..... ~0~...t~r,,~M'l . .... L,.. Filed Map No..,. ~.~ ] ...... Lot'....~. ...... "' .'. Staie ex,sting use anuoccupancy ct premises and intended 'Use and occupfinc~' of pr;pos~'d constrhction: a. Existing use and occunan~u ~ ''? ' ~:~ k'~ '" ~ ..... ' ' '- '~ '.',, i~ ,5 . . . '"~,-'.j.:.7;~?z,~,?;~-- ~ 't ~7','/ '~','"";,~ ':' / ] ~.~l~f**~'qli~t~V.~:-5 ,~ -' , u. mtenaea use and ' ' - '~5 1 .....:,1; ,' :. ,. occupancy O.~a.. :~r.~..~. ,~~~{~.. ;.,.