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Home My WebLink About18356-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18268 Date AUGUST 10, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 275 ANGLERS ROAD GREENPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 36 Block 2 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 3, 1989 pursuant to which Building Permit No. 18356-Z dated AUGUST 8 1989 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 AS APPLIED FOR. The certificate is issued to SOHN & MARY HICKEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0._ N/A PLUMBERS CERTIFICATION DATED N/A Buildiyt I Spector - Rev. 1/81 Fosat xo. s TOWN OP SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Z Date ..Q . N°- ~.8356 ...8 19.5 Permission is hereby granted to: ....G~.... f~.~......le~...~~ ~/J t0 ..~kr~-T .~c,Y,........ I. - ~=c.--.~.~~ ....°.....~~9~~~ at p emises located at .....s>~....7...~...G".,eG°eLt,[........ r~,. ...........................................~v /ij/ J~~.~y~...c~/~ Caunty Tax Map No. 1000 Section Block :.....~gLot No............ ~`.t...... pursuant to application doted 19. ,IJT..., and approved by the Building Inspector. Fee . . y.~~.:.. / s Buildl g Inspector Rev. 6/30/80 ~~r~a~~~..~~ TOWN OF SOUTHOLD BUILDING DEPART?LENT D TOWN HALL QuG ° SOUTIIOLD, NEW YORK 11971 765 - 1802 BLDG. DEPT. TOWN OF SOUTHOLD „„,.~5 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE. ~..3.. ~ _ , _ . . NEW CONSTRUCTION ...._..OLD OR PRE-E%ISTZNG BU1ILDING......VACANT LAND...__... Location of Property."Z.~?,,,,,/~W~'~e?S _~c.oc•-1_.. Gy~e~~ , J ' HOUSE NO. STREET HAMLET Ovner or Ovners of Property.~oloiN-+-_(/K~4?z.~/_ • iL.t z~ County Taa Map No. 1000 Section yam, Block ( L~ Lot......... Subdivision FF Filed Map ........Lot........_. Permit No./4r~.`5,~. .Date of Permit ~~~~..Applicant IIealth Dept. Approval ....~~,(Y-,_,,,,,,, Undcrvriters Approval. J{//~,_,,, PlanninE Board Approval Request for Temporary Certificate Final Certificate _ Zjcv C> Fee Submitted: $ APPLICANT.. ~ O ~ ~ jam reV• 10/14/88 Gi.~c.. a~~yyg- eo ~ i8a6S~ i L FORM N0. 6 _ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765 - 1802 APPLICATION FOR CF~RTIFICATE OF OCCUPANCY INSTRUCTIONS A. 'This application must be'filed in typewriter OR ink and submitted to the Building Inspector with the folloying; for new buildings or new use: I. Final survey of prope;ty with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Heath Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical, installation from Board of Fire Underwriters. 4. Swotn statement from plumber certifying that solder used in system contains less than 2/10 of li lead., 5. Commercial buildings, ',industrial buildings, multiple residences and similar, buildings and installations, a certificate of code compliance from the Architect or Engineer responsibl,'e for the building. ' 6. Submit Planning Board !Approval of completed site plan requirements. B. For existing buildings (Prior Co April 9, 1957 non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, buildings and unusual natural or topographic features. 2. A properly completed application, a consent to inspect signed by the applicant and a certified abstract of title issued by a title company which shall show single and separate ownership of the entire lot prior to April 9, 1957. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent information required to prepare a certificate. C. For Vacant Land Certificate of Occupancy: 1. An application for vac~nnt land Certificate of Occupancy shall be submitted, and a certified abstrajet of title issued by a title company showing single and separate ownership of the entire lot prior to April 9, 1957 shall also accompany the application. If ai~Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: I 1. CERTIFICATE OF OCC~TPANCY - New Dwelling $25.00, Additions to Dwelling $25.00, Alteration to Dwelling $25.00, Swimming Pool, $25.00. Accessory building $25.00 Addition to Accessory buildings, $25.00 -'Businesses $50.00. 2. Certificate of Occupancy on pre-existing dwelling - $100.00. 3. Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00 4. Vacant Land Certificate of Occupancy - $20.00 S. IIpdated Certificate of Occupancy - $50.00 6. Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial rev,', 10/ 14 /S8 ~ BOARD OF HE.\LTH q 3 SETS OF PL.1rIS AUG 3 ~ FORM N0.1 SURVEY TOWN OF SOUTHOLD CHEGR . BLDG• DEPT. BUILDING DEPARTMENT SEPTIC Foart ~ • • TOWN OF SOUTHOLD ' ' ' ' ' ' ' • • TOWN HALL • SOUTHOLD, N.Y. 11971 NOTIFY ' TEL.: 765-1802 CALL Examined . ~G/l~ , 1~~ MAIL T0: . Approved R/(~........, 19~f Permit No.. ~a-'-~--Q C..~--~~..-,~...~ / ~S6 Disapproved a/c Q~• ~ ~ CS~S \~o`r~j~ ~ . l~u-ro `l9 ~ . b.~'Y 119'7/ AV R VED A5 NOTEQ al . DATE: BPq~ .5-6' uil ,Inspector) ~ d APPLICATION FOR BUILDING PERMIT OTIFY UILOING DEPA NT AT 786.1802 8 AM TO 4 PM FOR THE Date ..~....~J. - 15 .Sl-q FOLLOWING INSPECTIONS: i. fOUNOATION - TWOREQUlREO INSTRUCTIONS fOR POURED CONCRETE 3: R~FlGFPplfaf1141NR~~tgINlGtely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets~fg~g~p,A~gate plot plan to scale. Fee according to schedule. fA4>aLPlan sbON9T~t~iplCl~ltlypij$0t and of buildings on premises, relationship to adjoining premises or public streets or areaeE~iMpYiBtBtfQIRSIlE71 description of layout of property must be drawn on the diagram which is part of this appli- cati~tll CONSTRUCTION SHALL MEET aHET~S~T~4EPli#d'ation may not be commenced before issuance of Building Permit. .rOO BfiAl' n, the Building Inspector will issued a Building Permit to the applicant. Such permit shat Ti~QISB' tiill~t inspection throughout the work. used in whole or in part for any purpose whatever until a Certificate of Occupancy shall ~~Tc~ee~t~~~ t~EH~~ffi d~Tiggftspector. 765-1802 AM TO 4 PM FOR 7HE UI~I~&!>LQI~~tSE~'~I~I~~;Y MADE to the Building Department for the issuance of a Building Permit pursuant to the Buildjn~~g~gance p&jdhpEOf Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulatrypp,p(~~ggpq~R~~un of buildings, additions or alterations, or for removal or demolition, as herein described. The ,Tp~Egg~{agtleR,ySq~rgp~l~ applicable laws, ordinances, building code, housin; code and regulations, and to admigayNg~~gt+pflspectors on premises and in building for necessary ins do s. 4. FINAL CONSTRUCTION MUST BE COMPLETE fOR C.O. o---~ ALL CONSTRUCTION SHALL MEET ignature oi' applicant, or n~m~, if a corporation) • • THE REQUIREMENTS Of THE N.Y. ~ Z 7 a ~ ~ f py } ~ I'~ . .....c~..t: ~ STATE CONSTRUCTION at ENERGY ' ' ' C3' -v COggDESyy. NOT REpSPO~TNtSIBLptEpp ~fOpRR (Mailing address of applicant) StatDEvlier'thOR PO~IcSn"tU3'bQvitPT"'1€SSEe, agent, architect, engineer, general contractor, electrician, plumber or builder. .c9 rU:~. ~ . Name of owner of premises .~q ~,ru.~ . Yu. ~ Y ~ (as on the/tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~ t:e'. ~V:e:.~_.... - Plumber's License No . . Electrician's Liccnsc No . . Other Trade's License No . ~ 1. Location of land on which proposed work will be done. 7~ ~9-w' ~-e ° ` l~u hs. ~y rl 2 u vY~ [louse Number Street. " " " " " " " " Hamlet ~ • • • • County Tax Map No. 1000 ~CC[l0? . Block • • • . • . , Lot . Subdivision Filed t`lap No. Lot . (N;unc) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy w" b. Intended .............'~•'t~~~.. ~ ~ • , use and occupancy ..d•~'.~•er-r• • • • • ~e . z/ . " • applicable): New Building Additicn ea on 3. Ret yi of worl, check whichmoval ~ ' ' ' ' • p R` Demolition Other ti'ork . (Description) 4. Estimated Cost ~ , , , , , , ~j , G cJ Fee...... Qo be paid on filing this application) ' • f da•clhn^, nurnbcr of dwcllin' e • • . g units Number of dwelling units on each floor . If ara,c.numbcrofc.ars ^ ed occupancy, specify nature and extent of each type of use . . . 7. Dirt ensrons of cxsunalstructucs, if any: Front . Rear d .Depth . Hci_ht Nu}rtbcrofStorics. Dimensions of same structure with alterations or additions: Front ~ ~ ~ • ' ' ' ' ' ' ' ' ' Depth . height . Rear . 8. Dimensions of entire new constntctian: Front . • • ~ ~ ' ' ' ' ' • • • • Number of Stories . Hcigltt Rear............... Depth •.••....NumberofStorics. 9. Size of lot: Front. Rear . ........D~p~t~~.~'~ ':s:~'+")ee 10. Date of Purchase , • • Name of Former Own ~ ~'1`''' 's • ' ' (1. Zone or use district in which premises are situated ' ~ n" ~ • ' ' ' ' ' ' ' 12. Does proposed construction violate any zoning law, ordinance or regulation: ;~•g; ;~qja_ " •_,A .r. ' ' ' ' ' ~'::-:~3-~ - a 91i~ iF - d of be regraded . rr, a............ . Will excess 611 be rert;gyctlt'frofr9 ' derfise's: ` " `a~i=°s l4. Name of Owner of premises . , , ,Address P - r • ss N` Name of Architect ' • .....3ni1'ohe No:'. '•"'I`" .Address .-t; a=}.tsf?~1 i~fdhe Nowts is risi9Yiss.- t . , . Name of Contractor . ...........Address • ' ia'r tt}~'~;'' . IS.Is this property loci;ted with in,~00 feet of a tidal3'• ~ ~~~'6d~~~`1b~°"t••r~•5"t"~•"" *If yes, Southold Towp Trustees Permit may be requir a~d•la"~~ YL7S• sSsit?'^',~~:~~. r:' PLOT DIAGRAM r a:;,~9 r1, i;;::rz. r t Locate clearly and distinctly a11i bui]dings, whether existing or proposed, and is t=..°3 iit7 fi ? t~a~°3, ~ ,t:f property lines. Give street and blocklinumber or description according to deed, and- Q~ ~~~~~~~ons'-from interior or corner lot. S~9w3~#'R tc`iikealhbthe: y%~t3ki~ ~ T'~t~l'f";i4(t~b 3;eif< , ' ~gt~~F~M9i`i#iril~"}it1~~D'i~. ,'tr' its' r~ ;;•a:. rt lfS ( p t .t 5'. /~4°A>' c NCO y;~ ~ ;G';,' ` . 4s a Pat - aa; ~ - _ , STATE OF \E1V YORE, SJ COUNTY OF S a 1 ' ' ' ' ' ' • • • • • • • • • being duly sworn, deposes and says that ho is the applicant (Name of individual si~nins contract) above named. Ile is the (Contractor, agent, corporate officer, etc.) • ~ ' ' ' ' ' ' ' ' ' ' ' ~f said otvncr or owners, and is duly authorized to perform or have performed the said work and to make and 61e this ~Pplication; that all statements contain~:d in this application arc true to the best of Itis knowledge and belief; and that the vprl; will be performed in the manner sC[ forth in the application 61cd therewith. "vorn to before me [his .....................day of..'. ,f ~ y '/J 19 ~ ~owry' Public, 7i.'.. ~2 ur4?-~-:......... . County ~ , ~ce; l t NOTARY P BU6 StOete fo~New perk • • • • Signature of applicant) No. 4707878, SuBolk County Term Expires March 30, t9~