The URL can be used to link to this page

Home My WebLink About18847-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18B69 Date MARCH 12~.1990 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 3105 LITTLE NECK ROAD CUTCHOGUEr N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block i0 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6, 1990 pursuant to which Building Permit No. 18847-Z dated MARCH 8r 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 ACCRSSORY SHED AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A STEPHEN & FRANCES STEIDEL Building I~pector Rev. 1/81 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~ 18847 Z Date ........................................ , 19 ....... Permission is hereby gra~ntecJ, to: ~, ,./~ ..... ,o .~~...~.....~.~..~......~~....~ ..... Gun~ Tax Map No. 1000 Section ....... ~.~ .... Bilk / ~ Lot No. pu~uant to application d~ ......... ~ ................................... , 19.~., and appr~ by the Building Inspector. Fee $.~....~../~ I~. 6/30/80 LO~. OEP'r, - TOWN OF SOUTHOL[', TOUN OF SOUT~OLD BUILDING DEPART}IENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 1197l APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE ................. NEW CONSTRUCTION ....... OLD O~ PRE-EXISTING BUILDING ...... VACANT LAND ........ ~OUSE NO. STREET HAHLET Subdi~i*inn ....................... Filed ~ap ........ Lot Permit No ........... Date of Permit .......... Applicant ................... Healgh Dept. Approval ................. Underwriaer$ Appcoval Planmimg Soard Approval Request for Temporary Certificate ....... Final Certificage ................ rev. 10/14/88 FIELD FOU~DATION (1st) FOUNDATION (2nd } ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE Fi~AL ADDITIONAL COMME~TS: A~P~OVED AS NOT~ 5~ ~? .~ FOUNDATION FOR POURED CONCR~ ~N~ULATION ~m~ . CO.STRUC~h ALL CONSTRUCTION SHAI,L FHE REOUIREMENTS OF CONSTRUCTION & NOT RESPONSIE ENER~GY LE [OR ~I~I~G DEPA~tENT AT 7~B-1802 9 AM ~ 4 PM :OR ~E FOLLOWING iNSPECTIONS: [ ~ I. FOUNDATION ' ~O R~QU~D FOR POU~D CONC~E~ ~ 2 ROUGH - FRAMING & p~M~NG 4. FINAL . CONSTRUC~N MUST BE COMP~E FOR C.O. t ALL CONSTRU~ION ~E~ THE REQUIREME~ O~ STA~ CONS~U~ON CODES, N~ RESPONSI OESIG X)oo~- i~oe~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND L] INSULATION FRAMING [~/~NAL DATE FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765.1802 BOARD OF HEALTH ..... SURVEY ........ c .cK ....... ...... .... .,5. ........ Examined -~/?. ........... 19.~.. ^pproved. .........,l, Permit ...... Disapproved a/c ..................................... - ,<mfild t,W)g Insp eot or) ', APPLICATION FOR BUILDING PERMIT NOTIFY: CALL · -- MAIL TO: Date .................. , I9 INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Ihspector, wit sets 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 strc or areas, and giving a detailed description of layout of property must 'be drawn on the diagram which is par~ of tkis ap cation. ¢. The work covered by this application may not be commenced bet'ore issuance of Building Permit. d. Upon approval of this application, thc Building Inspector will issued a Building Permit to the applicant. Such pen shall be kept on the premises available for inspection throughout the work. c. No building shall be occupied or used in whole or in part for a.ny purpose whatever until a Certificate of Occupm shall have been granted hy the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to i Building Zone Ordinance of the Town of Southold, Suffolk County, New York, a.nd other applicable Laws, Ordinances Regulations, for the construction of buildings, ad. ditions or alterations, or for removal or demolition, as herein descriN The applicant agrees to comply with all applicable laws, ordinanceS, building code, housing code, and regulations, and admit authorized inspecto~ on premises and in building for necessary inspections. (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build~ Name of owner of premises (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. Builder's License No...~"~..~¢. .............. Plumber's License No ......................... Electrician's License No Other Trada's License No t. Location of land on which proposed work wdi be done, House Number Street Hamlet County Tax Map No. IOOO Section ..... ~/.O.'r'~.'. ....' BI'oc~ . / 0 Lot. ~ .,~ Subdivision ..................................... Riled Map No. (Name) 2. State existing use and occupancy o( premises and intended use and occupancy of proposed construction: occupancy ....... · ............................. ................ ~. · b. Intended ~ ~ 8~ ~ ~ a V~ use and occupancy ........ 3. Nature of work (check which applicable); New Building .......... Addition Repair , R~moval .............. Demolition ...................... Tennis ~'~'.'.'.'~... Accessory Building .......... Fence ....... Other Work .......... Estimated cost... .4 . .. ....... .. Fee.... ...................... · (to be paid on filing this application} $. Ifdwelling, number of dwelling units ....'V' .......... Number ofdwellingunitson each floor...q ......... ·. If garage number of cars -- ify typ 6. If business, commercial or mixed occupancy, spec nature and extent of each e of use .................... if any: Front Rear Depth 7. Dimensions of existing structures, .., ......................................... Height Number of Stories . Dimensions of same structure with alterations or additions: Front ................. Rear ............ Depth Height Number of Stories . 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ......... Height ............... Number of Stories ........... ; .................................. 9. Sizeoflot Front ..7.~.~.,~Y. ..... Rea~ //.~,.Y ...... Depth ../.~./r.~.y. ......... 10. Dateofrurchase ....... .... '.lli a ,}b:o' er'6 wer 11. Zoneoruse districtinwhichpremisesaresituated....8.e$;.~.e~F!'~a.. . .. ................................... . 12. Does proposed construction violate any zoning law, ordinance or regulation: . N/~ .......................... 13. Will lot be regraded .... /'~.0 .................... Wiil excess fill be removed from premises: Yes .... N 14. Name of Owner of premises . ~J'~pl~ e,~...~T~.d'c [.. Address ~195..t.t .rr!~ A/e.c~:.g~.C orr.~' ' ..Ph°ne No...'7 .~. 5Z.":f.,}2'.~..: Name of Architect ........................... Address ................... 'rhone No ............. Name of Contractor ' Address Phone No ' 15.Is this property located within 100 feet of a tidal wetland? *YES .... · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate ali set-back dimensions fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth interior or comer lot. BAL DWI N ', S.8~°54'20"E. ¸!, 161.37 o' s.s STATE OF NEW YORK, COUNTY OF ................. · (Name of individual signing contract) above named. q being duly sworn, deposes and says that he is the applic 1-~ is the ............................................ ' .......................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file application; that all statements contained in this application are true to the best of his knowledge and belief; and that Work will be perforated in the manner set forth in thc application qlcd therewith. ,. Sworn to before me this NELEg K. DE VOE . ~ No. 4707878 Suffolk ~, Term Exp ms M~ch ~0, I~ -"zJ (Signature of applic~