The URL can be used to link to this page

Home My WebLink About19823-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19934 Date MAY 24~ 1991 THIS CERTIFIES that the building Location of Property 1700 YOUNGS ROAD House No. Street County Tax Map No. 1000 Section 18 Block 2 Subdivision Filed Map No. ORIENT~ N.Y. Hamlet ACCESSORY Lot Lot No. 6 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29, 1991 pursuant to which Building Permit No. 19823-Z dated APRIL 30~ 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 JOAN CONTENTO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A / Bufdin~ InSpector Rev. 1/81 ~OwM NO. ~ TOWN OP $OUTHOLD BUILDIHG DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) NE ~9823 Z Permission is hereby grantgd~to: .............. .............. · ..~.~.~....a.. ~. ~ .................. ...~..~....~....~..:~. .......... u..%~.~. ............ · ~/o0 .~ /~,cl. ~' . .... at prem,ses located at ......................... ~ .......................... .~ ....................................... County Tax Mop No. 1000 Section ..... ..c~...../...~.. ....... Block ...... (~....~... ....... Lot No. ,...C)....~.. ............. Building Inspector. Fee a....~ .............. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 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: io 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. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from archiuect or engineer responsible for the building. Submi~ 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: 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 $15.00, Commercial $15.00 Date .............. . Iew Construction .... ~./.. .... Old Or Pre-exis tin~ Building' '~ '~" [ J i: '~" "~: [: ,ocation of Propertv..<~.~f ..... House No.~' Street Hamlet )nwer or Owners of Property ............... ou ty No 000, .... .... ..... ...... ..... ............. ubdivision .................................... Filed Map ............ Lot .................. . . . . ermit No..~.~ .... Date Of Permit..~.~.( .... Applicant...~O~ - ealth Dept. Approval .......................... Underwriters Approval ...................... .,. lanning Board Approval ........................ equest for: Temporary Certificate ........... Final Certicate ........... ee Submitted: ........ FOUNDATION (1st) FOUNDATION (2nd) 2. ROUGH FRAME & -PLUMBING INSULATION PER N. STATE ENERGY CODE Ye FINAL ADDITIONAL COMMENTS: ( Lumber POS #837-92-99 13el~ane gVood Truss Barn Assemble Yourself and Save CONTENTS 8' and 10' Barn Assembly Page 1 .fl- acLl.Q.,._~Q.r_~Qd~End..A~.~m~bly --~. ----___-------------- Page 2 . ,t,~_8,' x8' Barn Construction (POS #837-21-99) pp~'agee' e'~4 ~'xl0' B-ar'~ Con~~~'2~9~)) ..... · age 4 8'x12' Barn Construction (Pos #837-23-99) Page 5 10'x12' Barn Construction (POS #837-24~99) Page 6 Materials Lists Page 7 REVISION DATE eCopyright 1'989, Eighty Four Lumbei' FEBRUARY 1990 CAUFIELD ,O,~I~NT; tx/, r~ ,; I \/ // Examined .... 19~}. FO~M NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Approved Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH ......... 3 SETS OF PLANS .......... SURV£Y ................... ClIECK HAIL TO; Date ................... 19... INSTRUCTIONS ,a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 :ets 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 >r'areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- :ation. 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 hall 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 hall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the luilding Zone Ordinance of the Town of Sou~;hold, Suffolk County, New York, and other apphcable Laws, Ordinances or >,egulations, for the construction of buildings,, additions or alterations, or for removal or demolitions as herein described. ?he applicant agrees to comply with all apphcable laws, ordinances, buildiilg~code, housing code, and regulations, and to .dmit authorized inspectors on premises arid in building for necessary inyt~ctions. ~'~a[ure ot appncan , e, if a corporation) (Mailing address of applicant) ;tare whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. {amc of owner of premises ...... J.o../~..~... ~ .... 2.0 /c) '..-~..~'~. AJ "7~ .' ....................... (as on the t,a~ roll or latest deed) f applicant is a corporation, signature of duly authorized officer. " .... ...... (Name and title of corporate officer) Builder's License No .... ~..C~. ~...~.¢~.,~ ......... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on which proposed work will be done ..... ~.~ ~., .......... /.7. ?.?. ?....a.a... House Nmnber Street Hamlet Section .../.. ~. ............ Block .... ~ ........... Lot .... ~ .............. County Tax Map No. 1000 Subdivision ............................. Filed Map No ............... Lot (Name) ............... State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..... .~v~/.~ .... · ' · · · ·/~ .~ · ~'.L'~.~. Y*.~i-7. ,' .~-~ ,~i/,~,~q ym~, ~. ...... · b. Intended use and occupancy .......... 3. Nature of work (check which appilicable): New Building ...~. ...... Addition .......... Alteration .. ~ ..... Repair ........... .,... Remo~>al ............. Demolition .............. Other Work ~ i ~ ~'..~ escnptlon 4. Estimated Cost .o.~ .....[ ...... Fee :...~. ....... i (to be paid on filing this application) 5. If dwelling, number of dwelling u/aits .............. Number of dwelling units on each floor ........ ~ ....... 6 ' If garage, number of cars ...... i .................................................................. If business co.mmercial or mixed ~ccupancy specify nature and extent of each type of use 7' Dimension's ot existing structures !if any: Fr'ont ~! ar ~ ~ ..................... · R Depth ~ Height Number of Stories Dimensions of same structure with alterations or additions: Front ................. Rear .................. Depth .............. i Height Number of Stories 8 Dimensions of entire .................................................... · new construction: Front Rear .............................. Depth ............... Height ............... Number of Stories ........... 9. Size of lot: Front ........... I .......... Rear ...................... Deyth ...................... I0. Date of Purchase ........... . ........ Name of Former Owner ........................... 1.1. Zone or use district in which prenpses are situated ..... 12. Does proposed construction violatle any zoning law, ordinance or regulation: IO o ........ 13. Will lot be regraded .......... ~ ................. Will excess fill be removed from premises: Yes No 14 Name of Owner of premises ' ' Address Phone No Name of Architect ........... I ............... Address ................... Phone No ................ Name of Contractor .......... , ............... Address ................... Phone No ................ 15. Is this property within 30p feet of a tidal wetland? *Yes ........ No ......... *If yes, Southold ToWn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all bhildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block n~mber or descriptioh according to deed, and show street names and indicate whether interior or corner lot. UUILDING O[:pAR.FM ...... 765-1802 9 A rn ]~-~ 1. FOUNDATION .. 'r~O FOR POURED CONCRET~ RED 3. ~ COMPLET~ FO~ C.O ALL CO~SIRucTioN S~ALL THE HEOUIRE~ENTS 0F THE N.~ 8rATE CONsTRuCTION ~& CODEs, N~ DESIGN E FOR OR CONSTRUCTION ERRORS i USE JI [AWFU/ · WITHO 7 C t /IFICATE OF OCCUPANCY (Name of individual signing ~ontract) bore named, i leis the ' I (Contractor, agent, corporate officer, etc.) f said owner or owners, ~d is duly authorized to perfom or have perfomed the said work and to m~e and file this ~plication; that all statements containe~ ~ this application are true to the best of his knowledge and belief; and that the 'ork will be perfomed in the m~ner se~ forth in the application filed therewith. worn to before me this ' Oue'~ ~n 8~k~. q/ ~ (Signature of applicant)