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Home My WebLink About18973-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18984 Date APRIL 24, 1990 THIS CERTIFIES that the buildin~ Location of Propert~ 1450 YOUNGS ROAD House No. County Tax Map No. 1000 Section 18 ACCESSORY ORIENT Street Block 002 Lot 007 Hamlet subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 20, 1990 pursuant to which Building Permit No. 18973Z dated APRIL 23, 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 ACCESSORY SHED. The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED JOSEPH L. SABORIDO ~1 ing Inspector Rev. 1/81 TOWN OI~ $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. N_O BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 18973 Z Dote ...~ .................................... Permission is hereby granted_ to: /'~ ~ // / / /. ~..~ ...... ~......~ ............. , ~.....~....~:.~ ............. .z~x~.z ,,r~ -~~~.; '"'" ~~'"'" '~'"'~'ZZZ~~ ,~ ~,~i,,, ~t,~ ~t ....Z~a....~~.z.~.e~ ........................................................ pursuant to application dated ......... ~**J~. ............................... , Building Inspector. County Tax Mop No. 1000 Section ..~...~.. ............. Block ........ ~ ......... Lot No ....... .~... ............ 19...~...~,., and approved by the Fee $.~../., ~-..~ Rev. 6/30/80 BLD(]. DF:PT. TOWN OF APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD 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: 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 Compliance from architect or engmneer 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: 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 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 $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 ... ~.~. ~f/] .~.....~/?.~ /~ Hew Construction ........... ~Old Or Fre~existing Bcfclding ................. Location of Property....~/~.~.Q... ~.. ~z~ ................ Y~ ~z¢.¥ ............ House No. ~' Street Hamlet Onwer or Owners of Property.. ~. ~. ~Y County Tax Map No 1000, Section.../..~. ...... Block .... ~ .......... Lot....~.. ................ Subdivision .................................... Filed Map ............ Lot ..................... . Permit No ................ Date Of Permit ................ Applicant ............................ . Health Dept. Approval ......................... Underwriters Approval ......................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate ........... Fee Submitted: $..~.~ .~.' .~. ?~. .................... _ . . ..... ~.~..%v.~/~.. >~.~~~..~...~.~v.. .... FORM NO. 1 TOWN OF SOUTHOLD BUILD NG DEPARTMENT TOWN HALL BOARD OF' HEALTH 3 SETS OF PLANS ............ SURV£Y ..................... CtlECK ........... ~~.. SEPTIC FORH ... . . $OUTHOLD, N.Y. 11971 NOTIFY: , . / ~ TEL.: 765-'1802 CALL ................... Examined · .~-.~..~.. ...... , 19 ~ HAI 0.: ' ' ...... .................. .............. : ................ .... ~.x~~~..~ ' /- ~ 'j / (~ding ~e~toO .... ~ APPLICATION FOrt BUILm~G PERMIT : INSTRUCTIONS s ' a. This application must be completely filled in by typewriter or in ink and submitted to the Buildi~,l'nSPector' with 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 or areas, and giving a detailed description of layout of property must be drawn on the diagram whichispart of this appU- cation. ¢. The work covered by this application may not be commenced before issuance ot~.Buitding Permit. · d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throuzhout the work· e. No building shall be occupied or used in whole or i-n part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. ' APPLICAT/ON IS HEREBY MADE to the Building Deportment for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws. Ordinances or Regulations. for the construction of buildings, additions or alterations, or for l:emoval or demolition, as herein described. Tile.applicant agrees to comply with all applicable la~vs, ordinances, building co ousing code. and r · oas. and to . · n, acorpora,=n, .,.. ,: ,' ,~,,~,,.? , · ...//..~.~.5..~~.?/ · '-: ....... ' ........ - .... (frilling ad'dress of a ican--~"- ......~' ~-~ - . * '.~ ' ¥,,', · ':," C PP ) //~7~'-~-7 5tare wnet~ '~plk,~n',t'{is: 0~gcr',i lesiee, agent, architect, en-ineer "e-er-~ ~ , : - o ~ ~ - -. ~,~.tsagto[~ elec[rlclan, plumber or builder. Name ~ ~r'.v!,.; ~'. ,S. .. :.. ¢ . "" (as on thc ......................... · ' tax roll or latest deed) ......... If applicant is a corporation signature ofdu y authorized officer. officer) Builder's License Nq .............. Plum bet's License No ' - Electrician's License No ............. Other Trade's License No 1. Location of land on which proposed work will be done: · , .. ......... ~< ~; .' . tlous: Number $lreet ..... ~. , Hamlet ~ ,yTa ,,, pN '10o0s ,i /.2.: ~' .'Z. "OUn x a o. ec on ........... Block .......... . .... Lot ....... /'> ~ bdi i i ........ ; ' u v s on ..................................... F, ilcd Map No. ... (Name) ........... Lot ........ ' i · ' occupanc~ ....... :.XeS..¢:: .... -:~.../../. y-/~,~',~ ~ ' ' b ~ ........ ~ ' ~'."~"~'~"~,-,~ ............ ..3. Nature ofwork (check which appllcable): New Buildlng .......... Addition.......... /dtcrat:on ........... Repair .............. R~moval .............. Demolition ............ Sw i,'a, ning poet ............ 'i' 4. Estimated Cost ~. .... ..c£ .................. Fee ................................... ' (to be paid on filing this applicat!on) $ lfdxvclling numberofdxvcilingu0its . ' Numberofdwellingunitsoneachfloor ............ If garaee number of cars ' 6. If business, commercial or mixed Occupancy, specify natnre and extent of each type of use .................... ?. Dimensions of ex sting structurcs¢:fany: Front ............... Rear ............. cpth ... , . ~Heieht_ ............... Nu ~bcr of Stories ........................ . . . i ........... . Dimensions of sar~ struc, ture with a terations or add tions' Front Rear Depth ' ' ..,. Heght Number of Stories 8 Dimen,si,o~s of er;tire new construction Front Rear . Depth .... 9. Size'of lot: Front ...... /.W.a. ..... ' ..... Rear..'....~.2d. P. ........... Depth .... "~c. a C? ....... 10. Dateof urchaseo%~ ..~'.t~/. ~. ,./.~.2~...NamcofFormerOwner .~.~,4~'.~- ............... 1 I. Zone or use dmtnct m which Premises are situated.. .4. c .~.~.~.7.,~3 ............................... 12 Does proposed Construction violate any zoning law ordinance or regulation: ................. 13. Will lot be regraded .: ........ ~ .................. Will excess fill be removed from premises: Yes .... N~. I I Name of Owner of premises .' ....Address Phone No .......... Name of Architect ' Address Phone No Name of Contractor ......... I ................ Address ............. Phon No ..... }:'. · · '. · · 15.Is this p=ope~t:'y locat,ed wzth~., lO0 feet of a 'ti~l'a'l' ~ '"' , · · wetland? -YES .... NO.,m~.- m3Cf yes, Seuthold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, amd. indicate all set-back dimensions from property lines. Give street und b!ock n~mber or description according to deed, and show street names and indicate whether interior or comer lot. STATE OF NEW YORK, S.S COUNTY OF ................. . (Name of individual sign: lg contract) above named. A. PJ}ROV~) AS NOTED NOTIFY J~alLO,~G DEPART~E.~r ~ 761~1RO2 B AM TO 4 PM F~R THE FOLLOWING INSPECTIONS: 1, FOUNDATION TWO REQUIRED FOR POURED CONCRETE 2. ROUGH. FRAMING & PLUMBING 3, INSULATION 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY COD~S, NOT RESPONSIBLE FOR DESll3N OR CONSTRUCTION ERRORS being duly sxvom, deposes and says that he is the applicant He is tile ............ of said owner or owners, amd is dui application: that all statc,nents cents Work will be performed in tile manner Sworn to before me this (Contractor, agent, corporate officer, etc.) :mthorized to pe,rform or lave performed the said work and to make and file tl$ia' ned in this application are tree to the best of Ins' knowledge and behef, and that tl~,~ set forth in tile application filed therewith. ," '