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Home My WebLink About18812-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19255 Date JULY 31~ 1990 THIS CERTIFIES that the building. AGRICULTURAL BUILDING Location of Property 2790 NEW SUFFOLK AVENUE MATTITUCK~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 9 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13~ 1990 pursuant to which Building Permit No. 18812-Z dated FEBRUARY 13~ 1990 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 AGRICULTURAL BUILDING (HORSE BARN) AS APPLIED FOR. The certificate is issued to WENDY G. NORRIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .-1216S4-4/ /90-H-136107-6/1S/90 N/A Rev. 1/81 FO~I,M NO. ~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT CFHIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 18812 Z Permission is hereby granted to: ,4 /2 . ""' ,Y~,~.~ ,-,4.// ~/ ..... ~;,.~./,z..~ ........................................... ..,,- ~_ - · . ,.__ ,-~, ,,~ .~ ~H ~,,~~'"~'":-.'~" ....... ;...../.../.~,," ,z__~ ,, ,o ~ ~..~~.....-~./.~,z...~,~.~...../.~.~,~...~ ) .~..~.. ....... ,~...'ff~~.._-~-- ~,--.: .......................................... at premises' located at ~' 7 ,~~;;i~ ~~-~ . '~.~' ~/x/ ./~/ · ..................... ~.,~_~..~~ ...... ~ .......................... ................................................ ...................................................................... County Tax Mop No. 1000 Section ...... /./K~...~,~....... Block ...........~ ...... Lot No ............ ~ .~.... ...... -/ pursuant to application doted .......... ~../~. ............................... , 19.~-....~.., and approved by the Building Inspector. Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must he 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 Undsrwriters. 4. Sworn statement from plumber certifying that the solder used in system cont=~ms less than 2/10 of I~ load. 5. Commercial building, indus, trial building, multiple residencos and similar buildings and installations, a certificate of Cods Compliance from architoct or engineer rosponsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-conforming use~, or buildings and "pre-existing'~ land uses: i. 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 o£ 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, Addftions 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 ..~ .... ~'7' ..... ~'' ................. '' New Construction..~. ....... Old Or Pre-o~.ist~m~ Building ........ ~_~ ..... Locat%on of Property...~.7-~-.~. ~..f .~..-~~~ ............ ~ea[th Dept. Approval .......................... ~nderwriters Approval ........................ Planning Board Approval ........................ Request for: Temporary Certificate .......... ,--x~~Fiaal Certicate...~.~ . OUND~TIOJ ( 1 st) FOUNDATION (2nd) ROUGH FRA~E & -FLUMBING INSULATION FERN. Y. STATE E~IERGY CODE Fi~:AL ADDITIO~;A'L CO,U..~ENTS: Examined · .~..~.~- .......... Approved ...~.~. ,-~. Disapproved a/c .................. ~Idin~ l~cctor) APPLICA~ON FOR BUILDING PERMIT TOWN O~= $OUTHOLD BUILDING DEPARTMENT TOWN HALL ~OUTHOLD. N.Y. 1197I TEL.; 765,1802 NOTIFY~ ~A~ ... ~?f.: ........ MAIL TO: INSTRUCTIONS a, Tiffs application must he completely filled in by typewriter or in ink and submitted to the Building l~..~pector, with sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho~ving location of lot and of buildings on premises, relafionship to adjoining premises or public or areas, and giving a detn/l~d description of layout of property must be drawn on the diagram which/s part of tk/s appli- cation. ¢. 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 issucd a Building Permit to the applicant. Such permit shall be kept on the premises available for Inspection throughout the work. ¢. No buildLug shall be occupied or used in whole or in part for ap.y purpose whatever untiI a Ceraficat~ of Occupancy shall have been granted by th~ Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pm'suant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other appIicable Laws. On:Iinances or Regulations, for the construction of buildings, additions or alte~'ations, or for ~'emoval or ,demolition, ~ h~r~in described. The applicant agrees to comply wit~ all applica~e laws, ordinances, building code, hotffia., code, and/i'e~-nflations, and to admit a~tba~ed in,pee~o~ o~ premises an~ ~, buil~l~g ~or :.e~essa~Z..~s~eetio~s.D t ) ' // --.--(St=nature ot appt~canr, or.n0,me~t a cot, PoE;t~on) · .,~ ~ (Mailing address of applicant) State whether ap~icant is owner, lessee,la,ear'architect, engineer, general contractor, electrician, piumbet or builder. [[ applicant i~ a corporation, signature of duly autkorized officer. Builder's License No Plumber's License No ' Elcctrician's License No Olhcr Trade's License No [louse Number 'ff Street. ' ' Hamlet c,~v,~ M~p ~o~ m00 s~io~ ...[.1.~.'.': .... .: m~ ............... rot ............. Subdivision .......................... .. .. . . .,... Eiled Map No. .......... . . .. Lot... ........ -- .- (Name) :. Nature of ~vork (check which applicable): Ne~v Building .~ .... Additicn ..... '-" a~--.,.~t~:ration ........... Repair .............. R~mova, .............. Demolition .......... ' ' ' ' S05'~:ni~i rlg ~'~0 o1 ........... , Tennis Court ......... Accessory Building .......... Fence ....... Other t4ork; ........... E~timated Cost--~:~5- ~c~6') v~5' Fee (to be paid on filing this application} · Ifd ?. N h fl ,. welling, number of dwelling units......~ ..'-T-... . . umber of dwelling units on eac oor ........... ..... If gara2e number of cars :-:...ol C .............. i. If business, commercial or mixed occupancy, specify nature and extent o f each type of use ......... ,~. ....... '. Dimcnsionsq.f~t~r}gstmcturcs, ifany: Front.~J~.. ..... ... Rear .~ ....... Dept~ ...... :: Hci..ht= ....... ~.. Number of Stories . ..aap~.. .................. ............................. .. Dimensions of same structure with alterations or additions: Front Rear . Depth ...................... Height .................... '. Number of Stories ............ p ......... . D,mensions of entire new construction: Front. /O.<~/. ....... R~ar . ,/.~../ ........ Depth .~.. .......... Height ...Z/J.~'. ....... Number of Stories..../ ......... : .............................. ,. si,.o or lot: Vgnt. 0'&-'~7~;:,~ ........ ~e=' ................ r~epth .~ ..................... D.tc o~ i~urcaes~ . .~. J..~2¢ ............ Name o[~onner Owner .~U~%12~-~t. .................. iI Zoae or usc district in ~vhich premise~t are situated. ~.~e.~,.t,5~q,~,Zd.,. ..... ~ 7 .... ~' ............. :" ......... -. Docs proposed cormtruction violate anv zoning faw, ordlnance or regulation: .'l.~q ............................. 3. Will lot be regmded ...................... Will excess fill be removed, fro}n premises: Yes .... Illo. *. Nan~eofOwnerofprer~[s~'2,?-~C~i~.~}/2~r~.'~.Address ~.~j,.O~ .~.'.~.'~./~honeNo,~L~6~.:-~'...flj/e~.~.~/. .. Name of Architect 7~'~.~f~-o'~.~. Addrc= ..... ' -,'-ae~ ~ .... Phone ~o~ ..........., Nam e of ContractorT~.w~. 5/~'~.~L/. Address/.0~.'Z ~ ... Phone Ncr:'~.~ 5.Is this property locat~/d ~il:'hin [00 feet o£ a tidal we'claud? *YE$...LN0 .... *If yes, Southold Torn Trustees Permit may he required. PLOT DIAGRAM Locate clearly and distinctly all building~, whether existing or proposed, and. indicate all set-back dimensions from roperty lines. Give street and block number or description accord'.mg to deed, and show street nmmes and indicatc whether 'tterior or comer lot. STATE OF NEW YORK, S.S COUNTY OF ....... .....................· ....-...................... being dulyswom, deposes a-nd says that he is the applicant · (Name ofiudividual signing contract) above named. I-Se is the : ' . ' (Contractor, agent, corporate officer, crc.) -. al' said owner or owners, and is duly authorized to pe,rform or 'have performed the said work and to make and file this application: that all statements contained in this application are true to the best of his knmvlcdge and belief; and that the work w~l bc performed in the m~ner set forth in the application flied therewith. ' ~wom [o bet'ore mc this ,.r.~ .... t~ ~ ~ ~r . .,~ ............ ~9 .g~ , ~.. ..__ ........