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HomeMy WebLinkAbout18073-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 218609 Date DEC. 4, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 345 DOUGLASS ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 03 Lot 03 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1989 pursuant to which Building Permit No. 180732 dated APRIL 26, 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. The certificate is issued to ROBERT BANOME {owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 •oaas xa s TOWN Of 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) N~ ~ 8 ~ ! ~ Z Date 19.~ Permission is hereby granted to: 4 o~~-l~ri't.°.'?....~~-,ezr~,!r!Y...~. ~-~.~....,C~....7l~f~i/8yi*,c ~~,~~~...~~~33 to .~1~..... ......1~...•^.1.~4,1.....~~1..~..~f. , . . of premises located at ...~.~,5-...,,; (E~G~GF~(.ar'~'!~......~~ . . . County Tax Map No 1000 Section ..r~.Z...~.. Block .........`.3......... Lot No 3 pursuant to appl~cotion doted . 19~.., and approved by the ~/~fr Budding Inspector. Od Fee S~~ Bu ng inspector Rev 6/30/80 _ ~ TOWN OF SOUTIIOLD ' ~ ' ~ 3 + BUILDING DEPART2SGNT ~,r~~v~"' 4 ~ TOWN IIALL BLGG Ou SOUTIIOLD, NEW YORK ! 197 [ TO1NN OF SCUT Fl0~i` 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY 99/~/~ J///- DATE . _ r/ a :,G ~ . NEW CONSTRUCTION ...Y...OLD OR -E TIN BUI DIN V ANT PRE %IS G L C AC ~~jj LAND.._.___. Location of Property_..1. ~~............~d~` L:.~~~! .......~!:.~,G~IrT UOUSE NO. S~REET LIAMLCT ~C ~ 2T /3,0~,0/~ Ovner or Ovners of Property... County Taz Hap No. 1000 Section Hloclc Lot Subdivision Filed Map _.......Lot_..__..... l~~'~....Date of Permit ~a~~._AppLicaat .SJ~L~~Jo~.- ~~(y^G°a` PeraiC No. Health Dept. Approval Undcrvritcrs Approval.._..___._._.. Planning Board Approval Request far Temporary Certificate Final Certificate Fee Submitted: $...:~.:5.".C~.......... APPLICANT. ~ ~ 3 9I ~~~y~~y a C ~ 2/ / rev. 10/{4/88 i w FORM NO. 6 TOWN OF SOUTUOLD ~ BIIZLDING DEPARTMENT ` 1 .T7~1 TOWN HAL 765 - 1802 ' APPLICATION FOR CERTIFICATE OF OCCUPANCY INSTRUCTIONS A. This application must be filed in typewriter OR ink and submitted to the Building Inspector with the following; for new buildings 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 approves! of 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 solder used in system contains less than 2(10 of !Z lead. 5. Commercial buildings, industrial buildings, multiple residences and similar buildings and installations, a certificate of code compliance from the Architect or Engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B_ For existing buildings (Prior to 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 Cit1e company which shall show single and separate ownership of the entire lot prior to April 9, ]957. If a Certificate of Dccupancy is denied, the Building Inspector shall state the reasons therefor in vritiag to the applicant. 3. Bate 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 vacant land Certificate of Occupancy shall be submitted, and a certified abstract 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 a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. D. FEES: 1. CERTIFICATE OF OCCUPANCY - New Duelling $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 5. IIpdated Certificate of Occupancy - $50.00 6_ Temporary Certificate of Occupancy - $25.00 Residential $50.00 Commercial ev. 10/14/S$ A'~. zr~ TEL. 7G5-180' ~~i'`~CC; To~~rr or souTUOi.D c;'"r ly .:+h1L:,:u~ $ .`c OCf'iC1: OC GUILDING INSPECTOR g~~~4 s P.O. BO`C 1 ] 7 9 r'~i`' ~ TO~VV i1ALL ~c ~ ~ SOU'I iIOLD, N.Y. 11471 ~~y41 rho ` November 27, 1989 SORENSON CARPENTRY, ~'NC. BOX 253 ORIENT, NEW YORK 11957 RE: ROBERT BANOFIE To P7hom Thi;, May Concern, 4.e arc unable to complete your Certificate o£~OCCUpancy because of the follocting,reasons. 71n application for Certificate of Occupancy is bot nn file. CENCLOSED) rlo Undcruritcrs Certificate on file. 'f'he chr_c{; i;; (x~xtxxrxxxxr/nut on file.) $25.00 ho }Icalth Dept. Approval on tile. D:o final insl-~r_ct.ton has been made. Plea;,r. r_ontact: our office on this matter. Thank you for your cooperation. Ihtil<lir,q Pcrntit' D ~ - $ ~ 3 Z IIuilQinq Dupt-. "4k/ / {(o i'lumbar Solder Certificate on file. ' ( all porrtitc involve rtg pluml~incl briny i~cucd after ,1pri1 1,1984 ) -lELD II.S. cC:iu7 ~~I)r,Tc ~ ~O:YMENTS v 1. ~ _ r - H 1 FOUt1DATI0N (1st) ~ ~ c FOUNDATIOIJ (2nd) m • z 0 ROUGH FRAME & PLUMBING H 3. ~ m m IIISULATIOCI PER N. Y. STATE ENERGY CODE x a r; 4. y FIiJAL O ADDITIONAL COMMENTS: x ' x ^n H • 9 H H O ~ A r H d m -a H 3 - _ _ ~..a _ . - r-.__-_....__.._._._..._.....-..._...~..er..a.._._..-._.._._~~~~_-.._...~ t. a^«.~v..e.+el dYx~o~^' rv.i ;`a nncnrh~MSht~d w.eron7T^Rd>MMar~Y . ..~°'ti ,rcr,«nt+..a ~ S'_%ELY~wY~G G'J::~: y +;°i~r~~ ® ~ ,'?Wl ii,~.~EY~A~R-ROW env ~}j r~ 1.5 '~~ir 0 4;~~ 't':5n,'Nfi'f'~11Tt~{tj`~,N.Y, 60 ~ GD~1Q"~. ~~~3.~ p 8 ~ T£ST HOtfi ' " . ~ ~ N Y ~ Q.T.H. q , s__~ _ ~t~ _ ~ - . t LtiFf7 of ~ . ! ~ ti1 ~ J ~r~c~^: ,tea aa~,cT~+ :---~a-:c~ 1B ®AR. "t,.__wt N OE~.~ s S';'PJ' ~ rv 4 t t ~ Z V~• m ~i.~.w-r. SAC ~ CT J t g,g ~ y i j,~ ~ GE~aRnu~3'F>r T. 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" ,fie d"" ~`5,~ N 0 ~ i ~~AmF pwN ;+g~zm Y. 0 ~ fAp npTi~~ ~r;~'"ir~ O r" N a a o O J 9J ; ~D G7 ro O ~ 'O / o f .m~ o- ~ z° - , r, \ lC `~R JT J,.^ t°'•4 t x., hd• ~n'QiT ~L~ ~.r d yam' V ~I n ty ' * ~ ' f~ ~ 1 1~ I I ~ J ~ I ~ r N~ ~ ~ ~ ~ ~ It - ~ ( _ ~ ~ ~ ~ ICI ~ ~ ~ N ~ ~ ( ~ a ~ ~ ~ ~ ~ t , t 2r 8° ot=i ~x-K1;A'r~K ~ ~ ~ I~ ~ 1~?ToM of ~oo'fIN~ '1'o K oN ~ oN UIJpIsfUK~t7 50~ U N o ~ C~ G MIN ~ 'd~. ~ ~ ~ T c'F ~ ll Jt L ~ ~~r~~ x ~ ~ ar~ ~~~6 N~~ r r7 Y r ~ U U U U O c« N r~ 6 3~_7u 3i_-~ i u O J__ ~ yZ u ~ ~ c Si_a~i r. °JR C\~ ~ ~ = ~ ~ ~ _ x ~ ~ ~ -~~w. - ~ ~ ~ ~~~~t ~ ~ d 1 ~ \ ~ i ,4 ~ O ~ ~ ~ h1` s G ~ ~ir~ ~ ~S ~ tSG ~ ~i ~ ~ ~ ~ L O~ ~ ~ p• ~ ~ ~ ~ ~ ~ .g ~ ~Y ~ -ti ~ ~ ~ ~ ~a ~ ~ ~ v m4~p b v ~ ~ ~ ?c ~LS~ 'CS ~c ~ i~~~ I. j ~ ~ ~ ~ a.,~ a f L i L_ i y~ 11_ t- d BOARD OF HEALTH 3 SETS OF PL.1N5 FORM NO.1 SURVEY TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORP1 ' TOWN HALL SOUTHOLD, N.Y 11071 NOTIP ~a TEL.: 765 180'ic CAL r . Examined .~,1. ° , 19~.-~ IL T0: , . Approved ~~o?~ 19U.~Pennit No ~'3~ D ~~c~~~ DisapProveda/c , ~ i ~ ~ ri Y PLDG 0 (b' Bu mg Inspector) Ct b APPLICATION FOR BUILDING PERMIT Date I5 INSTRUCTIONS a. Tltis application must be completely filled m by typewriter or in ink and submitted to the Bmldmg Inspector, with 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 adlommg premises or public stre._ or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this app i~ihon. c. 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 issued a Builduig Permit to the applicant. Such pe ii shall be kept on the premises available 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 Occupam shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to ti Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, adddions or alterations, or for removal or demolition, as herein descnbe~ Tfie applicant agrees to comply with all applicable laws, ordinances, buildmg code, housin; code, and regulations, and admit authorized inspectors on premises and in building for necessary inspecppnons. (Signature of"applicant, or name, if a corporation) P o,_ 3o.x a s3 0 ~i~E.~ i !N,Y . • (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builde t3~~ I del .........................n....(-............................................................... Name of owner of premises , f C•a ° P+eT ~ i4 N o F? CC, (as on the tax roll or latest deed) IC applicant is a corporation, signature of duly authorized officer (Name and title of corporate off~.ifcer) Builder's License No. 3.~. 1 " Plumber's License No Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will/be don/~e . . . /~aa fl?SS D 2lfwT . . . House Number Street. Hamlet 3 County Tax ~i.ip No 1000 Section Block Lot , Subdivision Filed Map No. Lot . ([Jame) State e~is4ng Ilse and occupancy of premises and intended use an//d occupancy of proposed construction: a. Existing use and occu anc ~PS~ aPs.. ?i ,QL- P Y .........rn b. Intended use and occupancy C Sr_pz; : ,T~_~ ~ . 3. Nature of work (check which applicable). New f3uddmg AJdtdon ~Uterahon Repair . . . Removal , Dcmohhon , Other Work . (Descnptso 4. Esttmatcd Cast S .Q O x.:40 Fee . Qo be paid on Ghng flits applscaUOn} 5. If dwelling, number of dwelling units ~ Number of dwclitng units on each f7aor . If gara;e, number of cars . 6. If business. commercial or mined occupancy, specify nature and extent of each type of use . 7, Dimensions of extsttng structures, if any: Front , . ;S.Y....... Rear ...may........ Depth . , ,`i,'Q , , , , , , Height .....2~........NumberofStoncs....,~~;~,,,,,,,,, Dimensions of same structure with alterations or addthons Front ....r 5:.......... Rear f . Depth IIctght , , , Number of Stones ~ ~1......,..... . ' 8. Dimen ~d'~ ~ new construction. Front . Rear , Depth f . Hctgftt , , ~a1........ Number of Stones p!t!E°, . , 9. Size of Io[ Front ...../.4 G?' . . Rear ......~0.4 ~ Dc th ~ !IS ~ - • . 10. Dale of Purchase , ...................Name of Former Owner ..i~~r.~!P4...r.°!~'..Pe~'4u!. 1 1. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulattan: /J~~ . 13. Nill lot be regraded ~ , . IVtlt excess fill be res~~ttoved,,~~rt~om prcmtscs: Yes X 14. Name of Owner of prcmtscs . ({~T~,~tia(~ e ,Address a'. ys..d /GPs S. f~0,,, phone No. 3J 3 r,? 9 Name of Architect . Address ...................Phony. No............. - Name ofContracior ..Sp/~,E.+;Sa,~ C~iQ,p~.il1 Address ~0.~3oxaS3 ,o.Qr~i~7,-phone No .3.~.~'3.~',~. 15.Is this property located within~~ feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required, PLOT DIAGRAhI Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions fry property fines. Give street and block number or descnption according to decd, and show street names and indicate whetY intenor or comer lot. ST.1TE OF NEN Y'ORR, S S COUNTY OF . . • being duly sworn, deposes and says that }ie is the applica (Name of individual signing contract) above named. le istfte (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 tt pplicauon, that ail statements contained m this application are true to the best of fits knowledge and belief, and that t +ork will be performed in the manner set forth in the application Ciled therewith. worn to before me this a~ otary Public, ,Flr:~??. ,NL'.l(.~'~:.......... County d~ . NEIEN K DE VOE ~f NOT1~17~t1787iS~,So y°,'t (Stgnaturc otapphcar Tam Expires Much 30,1