The URL can be used to link to this page

Home My WebLink About19659-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20549 Date FEBRUARY 26, 1992 THIS CERTIFIES that the building Location of Property 340 BOUND ROAD House No. County Tax Map No. 1000 Section 35 Subdivision ACCESSORY Street Block 1 Filed Map No. GREENPORT, N.Y. Hamlet Lot 17 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 6, 1991 pursuant to which Building Permit No. 19659-Z dated FEBRUARY 8~ 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 STORAGE STRUCTURE IN REAR YARD AS APPLIED FOR. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVD~ UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED MICHAEL J. VERITY N/A N/A Rev. 1/81 / /BBi~d~ng Inspector TOWN OF SOUTHOLD BUILDIHG DEPARTMENT TOWN HALL $OUTHOLD, N. Yo BUILDING pERMIT COMPLETION OF THE WORK AUTHORIZED) N"_ 19659 Z Date County Tax Map No. 1000 Section ..... ,,~,,..,~..~. ..... Block ....... ,,(~,..I ....... Lot No ...... )..,~, ............. .,...ont to opp,,cot,on do.~ ..~~~....~ .............. ~', ,~.~.~..., ~,~ ~,ov~ ~ ~ Building Inspector, Building Inspector Rev. 6/30/80 TOWN OF 80UTI~LD BUILDING DEPARTMENT TOWN HALL 765-1802 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: i. 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1o Accurate survey of property showing all property lines, streets, building and unu~uai 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. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $15.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory buildin§ $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 ~/ Date ............................. New Construction ........... Old Or Pre-existing Building .... ij-DAi Location of Property .... >.~,~... ,, .~. ~ .'~..~.. ,~..~..'~.~, ........ i ......... r House No. Street Hamlet Onwer or Owners of Property .... /~l ~ ~ ~ ~- '.~.~?. { .7'..~ .... County Tax Map No 1000, Section ............. Block .. .Lot .......... ................................... Filed Map ............ Lot ...................... Subdivision . Permit No..Z..~..~..~. ~. .... Date Of Permit...~2-./...~/~./...Applicant .... -.......,.....-/~/~i,,~'~'~. ~..~.~.~../.~ Health Dept. Approval ..................... .. ... Underwriters Approval ....................... .. Planning Board Approval ........................ Request for: Fee Submitted: Temporary Certificate ........... Final Certicate ........... ' ....... APPLICANT 765-1802 BUILDING DEPT. INSPECTION ~]~UNDATION 1ST [ ] ROUGH PLBG. ~ ] FOUNDATION 2ND [ ] INSULATION []FRAMING []FINAL REMARKS: DATE FORM NO. 1 TOWN OF SOUTHOLD DUILDING DEPARTMENT TOWN HALL -~OUTHQLQ. ~L¥o it57 t BOARD OF HEALTH ......... 3 SETS OF PLANS SURVEY .......... CIIECK ..... NOT I ~y ~ · . ...... ',~-)'~l&~,--'.--'~ TEL.: 765-1B02 Examinc~l · ~., 19 ~ l Disapproved a/c ..................... . ~ ,,~....~.~~~ _,~_~. I,~~,· .... ~~ . ~ll Itl (B~[n~ In~pec[or) '. .... TOWN OF ~OUT~OLD ~, ~lds =ppl[c~tion mus~ bc comp]etely ~Hcd in by ~pewHtcr o~ i: 1~[ And submitted to th~ Bufldm= ~p~=, sets o~ p~, ~ccu~=t~ plot plan to scale. ~ =~ing to schcduJe. ' * b. Plot p[~ showing ]oc=fion o~ ~o~ ~d o~ bufld~=s o~ p~cm~scs, rchtJonshJp to adjoining premises or or A[c~s, A~d g[v~ ~ de~[e~ ~cscfiptlo~ o~ [ayour o~ property mus~ be dr:wn on thc diag=am which ~s p~ c. ~he wo~ covered by t~s ~ppHc=tion may not hc cemmc~ced before issu=~ce o~ ~u~d~g ~. Upo~ =pp~ov~t o~ this application, the Building Inspector w~ Jssucd ~ Bui]dj~= Pc~ir to thc shah be Acp~ on thc p~cmiscs =v=~=b~c ~or ~spccfio~ throu~ou~ thc wor~. Such pc~ sh~lI h~vc bcc~ grantc~ by ~c Build~g inspector. - APPLICATION IS HEREBY MADE to the Build~= Dep~men[ for the issu~ce of = B~ldin~ Pe~it pumuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other =pp/icab~e ~ws, Ord~ce~ Regulations, for the construction of bu~d~gs, additions or alterations, or for ~emovai or dcmoJition, as here~ describe( ~dmit authorized ~specto~ on premises and ~ bu/id~g for nece~s=~ inspecti~. . ~ ~ ~ . The applicant a~rees to compl~ with all appHca~e laws, ordinances, bufld~ code, housin~ code, ~cgulafions, ~d /~ ~ . ~o~=na~urc o~ apphcan~or name,/{~rJti~)' ' ' ........... g; · ..... ...... $tat~ wh~ther applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrichn, plumber or builder lfapplicant is ~ corporntion, Z~gnature of duly authorized of~cer. (Name and tide of co~0rate of~cer) Builder'~ License No Humber's L~cense No ......................... EIectHcinn's License No ....................... Off,er Trade~ License No ...................... I. EoCaHon of land on which proposed work will be done~ House Number Stree~ ................... Hmnlet S~i~is~on.. . .......... Lot ..... ~.~ ........................ ~ilcd Map No. SI (N:une) .............. Lot ......... fp ...... ~[C ~.XlSlmg Ii~: ~fld occupancy o rcmiscs and intended use :nd occupancy O~proposed ~xiSting A. use and occupancy .............. B. ~n~ended use and occupancy.~ ..... ~ ' ,~ 3. n...,.Nature of work (check which..__..ap~licable): New Building .......... AdditiGn .......... Mtcration ......... 4. I / . ... .......... I I {t~ hc oa/d on ~ing lhi~ application} If dwelling, number of dwelling ~ Number of dwelling ' 5. nits ~ .............. units on each floor ............... If garaee number of cars ~ : 6 lfbusine" ss ......... ~ ....................... · .Commercial or mixeq occu?ancy specify natt re and extent of each type of usa i..=. 7 DimensionsoCexistingstmcture~ ifafiy: Pr~nt i ~ ........ ' Depth Hcieht ...... .... ' ..... Rear ............. ~ .............. ........ Number of Sto~es Dimensions of same structure wit, ~ a rotations or additions: Fr~n~ ........................................ De '~ ................ Rear .............. D:Inens:ons of entire nc~v constn~ct~od: Front ~ - /~ ~ ~ .~ ,~ r .... L~ ..................... oumber of Stofiee I ' · . ' ' .... · ,'~' ~ ~ .............. ~amc of Fo~cr Owner . ~... 11. ~one or usc d:stnct m wluch pre~ises arc situated... ~.i.~O~ ~J ............... ~.~.. (. , 12. Does proposed construction violMe an~ zonin- law or~'-a- ~. . , ~ I.. 13 ......... reorauea ........ ~P. ~ ......... ~ .... Will excess fill bcremovcd from pr~N~: '~O,Y.g: -.. ~ N~e of Contractor i ~ - ......... ~ .... i ............ Address ................... Phone No ....; ..... t ~'. l~.lm Nkia property locaged ~within 3fl0 feet of a tidal wetland? 'mYgs .... N~. ~If yes, Southold Town~ Tr~stee$ Permit may be required. PLOT DIAG~M Locat~ cle~ly ~d dist~ctly ~lJbu~djMgs, whether existing or proposed, ~d, indicate ~1 set-back d~en~ion~ ~: prope~y Hnes. Gi~e s~block ~umb~r or description accord~g to deed, ~d show street n~es and ~dicnte FOLLOW'At (. · .... : 1, FOtJNDATtOI~ l'X,'/G LO .... STATE O F NEW~O~/~! COUNTY OF...~.-~.~.. IS'S i ' FOR POURED CONCV~ TL 2, ROUGH -. FRAMING S above nam'ed. BE COMPLETE FOR C,O , . ~ ' ALL CONSTRUCTION SHALL MEET (c g~ :.": .... t" ~:' ~E' COSS~aU~O~ A. ontraetor, a of ~a=d owner or owners, ~d Is fluly aufl~or]zed to perfor~ or mvc perfo~e~g~~l~ , ~c and file lb aPplicnlJon; that ~]] statements contained jn tiffs application arc true to thc best of his knowledge and belief; and that work will be peri'ore, ed in the m~ner set forth in tim application filed therexvith. Sworn to before me this ; ' >x ' · · · .v ..... ~al~i~lnSuff~k~l ~ ~ ~ (Sig~ture ofapplic~' 765-~[802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ] INSULATION FRAMING, [~FINAL REMARKS: DATE FOUNDATION (lst) FOUNDATION 2. (2nd) ROUGH FRAME & .FLUMBING 3. INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONA'L COMMENTS: