The URL can be used to link to this page

Home My WebLink About18469-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18362 Date SEPTEMBER 12, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 600 GROVE ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section S1 Block 6 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1, 1989 pursuant to which Building Permit No. 18469-Z dated SEPTEMBER 1, 1989 was issued, and conforms to all of the requirements of the applicable provisions o£ the law. The occupancy for which this certificate is issued is ACCESSORY SHED AS APPLIED FOR The certificate is issued tc DONALD ZIERAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NIA PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 ' soaas xo. s TOWN OF SOUTHOLD 6UILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N 18 4 6 9 z Dare 19..`x/..' Permission is hereby granted to; , .......,a.Q~... 00 ct premises facoted ot .....~..Q...........(~..:~~~...~ Caunty Tax Map No. 1000 Section ..C~~ Block ........1~............. lot No.......~h..~...... pursuant to application dated 19.>~, and approved by the Building Inspector. D ~ Fee 3•••.:~.•Y.••/ .....0..,~. ......................~'Y.................... 8uil g nspector Rev. 6/30!80 ' TOWN OP SOUTUOLU BUILDING DEPARTMENT TOWN HALL SOUTIIOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY nnTE.. `I:~ :~.T..._.. NEW CONSTRUCTION ~.//..OLD OR PIIR~~E-E%ISTING BUILDINC......VACANT LAND........ Location of Propcrty_F~:o~. Ls~'f??~,I~C~~.....:~v~~~L~ UOUSE NO. STREET IIAMLET Ovner or Ovners of Property...._..... Coua[y Taa Map No. 1000 Section ..`3 ~ Black Lot' 2:~,. Subdivision Filed Map ........LoC,_......_. PermiC No. J8.7.4.(_...Date of Permit .._...__._A LicaaC PP Health DepC. Approval Underwriters Approval..__._........ PlanninU Board Approval Request for Temporary Certificate Fiaal Certificate Pee Submitted: $ o ~ l~~ APPLICANT.--' 3 &ao 2% Cod- f83Ga rev. 10/14/88 BOARD OF HEALTH D~~ 3 SETS OF PLANS FORM NO. 1 SURVEY . ~ ~D ~ TOWN OF SOUTHOLD CHECK • • - • • • - . i % BUILDING DEPARTMENT SEPTIC FORfi TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY .--7~~~ //I~ TEL.: 765.1802 CALL ••-__----.-.-7-,.. q MAIL T0: Examined .q..~.°~, , _ . , 19~~j/ / 1~ M Approved...~~~......,1PermitNo.l.~`~~~Z p ~ ~ t5 ~ U 15 Disapproved a/c AP AS~NO~ED . " ' BLDG. DEPT. / TOWN OF SOUiHOLD GATE: g.P,M.~.[~ . ~ FEE; °v gy; ~ ~uildi ~ nspector NOTIFY ILDING AE NT AT 766-18(12 9 AM Tp 4 PM FOR TfIE APPLICATION FOR BUILDING PERMIT FOLLOWING IN' ECTIpNS: Date ...~j. f.........., 19~: 1. FpUNDATION TVMO REOUMtE4 FOR INSTRUCTIONS 2. ROUGH - FRAMING i PWMgING 8. iN aF s app ' etely filled in by typewater or in ink and submitted to the Building Inspector, witY se~'~ an to sca e. Fee according to schedule. A~ n riot and of buildings on premises, relationship to adjoining premises or public stre~ or~aslg~~~ a sc~~tton of layout of property must be drawn on the diagram which is part of this app ca~~~gipuC7i0 i s a~cation may not be commenced before issuance of Building Permit. 1kc on, the Building Inspector will issued a Building Permit to the applicant. Such perry sh a ept on the premtses availa le 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 Occupan shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Depaztment for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein describe The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary inspectivtt~. (Signature of applicant, or name, if a corporation) .......~.°av ~,P~!/E ~'6.4I~ .`mot>TZfoG~ (hfailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde Name of owner of premises ....~~'.'!!'`7L:b. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. OCCUPANCY OR (Name and title of corporate officer) ALL CONTRACTOR`S MUST BE S OLK COUNTY LICENS$I~~~ Builder's License No. .....~-~t~~~~ ~6~~66pp Plumber's License No . . ~,~~~~~N~UT C~RTIFiCATE Electrician's License No . ~ ®CCUf A"~~ Outer Trade's License No . 1. Location of land on which proposed/work will be done . . ~00 ~,~D//C ~~~I.~ ~(!v(~L,J~ House Number Street Hamlet ~ County Tax Map No. 1000 Section Block Lot . Subdivision Filed itlap No. Lot . (Name) 2. S[a[e existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ! tL r......r b. Intended use and occupancy . 3. Nature of work (check which applicable): New Building Addition Alteration . Repair Removal Demolition Other work , ' (Description) 4. Estimated Cost Fee ~ y-5~. ~~U (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . 7. Dimensions of existing structures, if any: Front Rear Depth . Height ..............:NumberotStories........................................................ Dimensions of same structure with alterations or additions: Front Rear . Depth ~.4?. !•1'?:..... Height j ...........Number ofrStories . S. Dimensions of entire new construction: Front ....%4....'..... Rear /D.....:,,,=r, ~t{rtl~; ~ :.9 . Height ...............NumberofStories.............. . r d ~ . 9. Siae of lot: Front Rear =Depth:°...:~+~C3:'.::::.. . 10. Date of Purchase , ......................Name of Former Owner _ - _ . , . 11. Zone or use district in which premises are situated .:v:~"?~.... _ . . 12. Does proposed construction violate any zoning law, ordinance or regulation: . c.°i ..i..• . . 13. Will lot be regraded ............................will excess fill be rem*oly pd,fsr~oy }ire>T ises: Yes ~No 14 Name of Owner of,premises ....................Address ~ ne-~lo ,,,p;..... Name of Architect ...........................Address c ~t;t+fysU~aT'~43 , . Name of Contractor ..........................Address one o.. ~t s:n_, a~ . . 5. Is this property located within 300 feet of a tidal wetland? ;Y~yCy,~ ~•;3y~~o .r...' , *If yes, Southold Town Trustees Permit ma be re uired. ,t~,`a <<!1 es PLOXI' DIAGRAM yy~ ..yy ' Locate clearly and distinctly all buildings, whether existing or proposed, and~i~lic asec~ en frPm aperty lines. Give street and block number or description according to deed, and s)A~~et~it c3~~ ~i~~ther terior or corner lot. P+~44}'1~y " ~ 'tl ,~y~~ I ~ ~o~S~ ors ~~?~IJC /Ze.~14~ (n/T.f.~~t1 ~T~ STATE OF NE1V YORK, S .OL:N'TY OF . . ~D.. Z~ER~.~ being duly sworn, deposes and says that he is the applican . (Name of individual signing contract) above named. ieisthe' ....................QG~.U~i~.................................':........................ (Contractor, agent, corporate officer, etc.) ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi pplication; that all statements contained in t}tis application are true to the best of his knowledge and belief; and that the cork will be performed in the manner set forth in the application filed therewith. >worn to before me this c~ :ota Public, ~ County ry ~ HELEN K DE VDE " " " " ~ ~~~~~~7' NDTIIRYPUi3lIC,StateolNewYork (Signature of applicant No. 47D7879, SuNolk Court., Term Expires March 30,19