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HomeMy WebLinkAbout18097-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18165 Date JULY 5, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 3285 CAMP MINEOLA ROAD MATTITUCR, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 06 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Peruut heretofore filed in this office dated MAY 3, 1989 pursuant to which Building Permit No. 18097-Z dated MAY 5, 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 ANNE HOMMEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Buildinq Inspector Rev. 1/81 rows xo. 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 18 0 9 7 Z Date ~ 19.x.9 Permission is hereby gmnted to: ct premises located at $ `5....... ~"^^:~t ...F?.:).A...~........~.i ..K. County Tax Map No 1000 Section .....l.s~.~~i.. Block .....Q.Sa........ Lot No ....~..1 ' pursuant to application dated 198.., and approved by the Budding I/nspector. Fee S•.~+T Bu g Inspector Rev. 6/30/80 . ,~.,___..w...-.~ , TOWN OF SOUTIIOLD ,;~~~~,I, ~ i w BUILDING DEPART2tENT ! ~ ` ~ c' i 1u TOWN HALL i \ 1 ~ 6 ~ SOUTIIOLD, NEW YORK 11971 ~\1;1 p BLDG DE T 765 - 1802 TpWN OF SOUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY DATE NEW CONSTRUCTION .../....OeLD OB PRE-EBISTING BUILDING......VACANT LAND.._.._.. Location of Property.~.L~J ~M.lb ~~~/EDLit} , f[ /l_ ~,j~~TI T UGK~ ~ ~~-f.S HOUSE N0. STREET HAMLET fJ Ovner or Ovners of Property;:`:'N~~..`:~M'I G`.:. y.S'~~~-!~ !y//I~E°G~f ~j~7~}"`'~` County Taz Map No. 1000 Section ' . Block Lot Subdivision Filed Map ........Lot...._..... / Permit No!~©~ (...Date of Permit ~~J."~~(. Applicant /.T.~u~._<1~~:~'!E/:. Health DepC- Approval Undcrvriters Approval_... Flaaning Board Approval Request for Temporacy,~/Certificate Final Certificate CJ U Fee Submitted: APPLICANT. .~(Y-.•-~~==:-`:~-.' /~2t~' rev . 10 / ! 418 8 ~ ~~~~,~•u`~'~~'~'~ 3 Rio s49 t'.o ~vsrc.s 1::LD l;.~E .~Ui~ I~Un~ ~I ~;Ud`4MLNT.^, e ^v ) ~ m _a H _ _ _ H _ eOUNDATIO:J , ( 1st) ~ I c POUNDATIOIJ (2nd) _ _ m Y • z 0 1' ROUGH FRAME & i PLUMBING ~ CA H 3. ~ rn m IIJSULATIOCI PER N. Y. o STATE ENERGY CODE ` di F a, r~ y FZ;JAL 1 L E _ ADDITIONAL COMh1EI7TS: ~ x C.o, La.?.~i$ ' x ^o H y H H O ~ m ~ a ~ r j 1 ~a e m ^o H a i t GABLE Shown here are one of the roomiest buddmgs The Gable is as versatile as your needs Maximum head room The wide double doors can be placed on the Front or side of the budding STORY OF THE TREATED AND UNTREATED FLOOR Unheated Floor Floor untreated and weathered showing the ef- fects of dampness, salt air and termites ~ ~ s~.._.. ,m,. ~ °r.. s x CCA Pressure Treated 40 year warranty against rot and terrmtes. ~ n 5'~r ~ w ~ ~ See our complete list of construction materials & options on back ` - ~ if . I u' ~ i`} _l 1 . ~ u~ L- "~u i r c ~ M^ ~ ~ 1 1• i ~ • 6 1 1~ ~ ` l t I I , ~ ~i ~I ' n.' "1'~~ ~ -w ~ 1 • t 1\ I I ~ 1 1~V` ~ ' ~ 1 ~ )I ~ ~ ~ > .I 1 !M ; 1~ i ~i ~qT~l~~. Y - ~ .1 L~7~ v t ~ 1 yfi*y'~- ~f `1` E ~ J- U}1 y V~:T~. .mow ` ~i r - E n ~I~ta='~.d:~:. c-r r ~ to 1 i ~ Ci 1 f. 1 j` 1 < ~ IS~ 1 ~ ~1 _ _ _ ,a° _ ~ . C. 1 ..c ~ ~ i. ! ~ VC t~ v ' - - ~ 1 ~ G'``. ~ i p . .a' ` f- ~ , i~~ O.. ~ 1$ a - o ~ ~ ~ C ~l - - ^~t iatih~,r ~ ~ ~ TuE T tr~~ ~arzF.tv_TEE cam.' ~ ( ~~Jt~ • ' .~,.th ~~j v ~v~, i.. t f • • ' - Lrt%!~icFC> ~t 4f„e ~1J}2VEYC7R5 ...~Reeuc~o~rr~~+ _ .r ~ ~ , tl v-1 ! r - ~ ~Y , r . BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CIiECK BUILDING DEPARTMENT SEPTIC raarl TOWN HALL SOUTHOLD. N Y 11D71 NOTIrY ~ p~Y (~~~G' TEL.. 7651802 CALL P1AIL T0: Examined , 19$°j. \pproved ~ v S 19~ . Permtt No ~ ~~~Z .RL.-.. D ~ Disapproved a/c ~~I; Iw? 3 I~ J BLi7G DEPT TOWN UFSOJTHGLD (Building Inspector) APPLICATION FOR BUILDING PERMIT Date Y.~-, , 15~.,. INSTRUCTIONS a Tlus apphcatron must be completely filled m by typewnter or m ink and submitted to the Building Inspector, with sits 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 premtses or pubhc stree or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this apps cotton. c. The work covered by ttus application may not be commenced before issuance of Building Permit. d. Upon approval of tilts apphcatton, the Building Inspector will issued a Building Permtt to the applicant. Such perm shall be kept on the premtses available for inspection throughout the work e. No building shalt be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupant shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permtt pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Orduiances c Reculahons, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnbe~ The apphcant agrees to comply with afl applicable laws. ordinances, buildm^ , housing c e, a d regulations, and t admit authonzed mspectois on premises and m buiIdmg for necessary mspe ions. (Sign e,oi apphcant, or riame, if a co porauon) • ((~athng address of apphcant) Yl y J/~f Stale whether apphcant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or/builder Name of owner of premtses • ; • • t t!t 2 r~(:.~ _ . . n! ' ~'f ;j~~,,/i;,~;b-~ (as on the tax roll or latest deed) [f apphcant s a corporallan, stgna~~~~~h~i~zed officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . Electrician's Liccnsc No . Other Trade's License No . . 1, Location of land on which proposed work will be done. . Flouse Number ~ )Sheet Hamlef County T.t~ ~\fap No 1000 Section ~ i Black . a% L/ot r . Subdivision Filed 1<fap No Lot . (Name) State e~isung use and occupancy of premises and intended use and occlipanoy of proposed constructon• i , a. Existing use and occupancy ~ L Y1.~'.~ C 22j. ~ ,t~ ~~Gt-tc~~Ue ''P~ ~~R f~ b. Intended use and occupancy ~ l~rv Y ~ • ~ l~• . r 3. Nature of work (check which applicable) New I?uildmg J.~f~.CN. ~ . Addition .Utcranon . Repair Removal Demolition Other 1Vork . ,~g (DcscnpUOn 4. EsUmatcd Cos[ . - ~~4! li~ . Fee ~ ~ J . ([o be paid on filing this application) 5. If dtvelhng, number of dwdhng units Number of dwelling um[s on each (loon , , , , , , , , , , , If garage, number of cars . l~tf'..lGtd}~D..!@:~t~l{ . 6. If business. commercial or mixed occupancy, specity nature n extent of each t e of use 7. Dimensions of e ing structures, tf any Front ;~~~1 Rear , Depth ..2`~........ . Height ...~~~f.'~{........ Number of Stones G . . Dimensions oC amc structure with alterations or additwns Front Rear . Depth . I[ctght , , ,,J Number C tones F ~S 8. Dimensto t~of F tir ew construction Front ...~~'~7......Rear /D. Deptft . Height Number of Stones _ . . .G....-.... ~r 9. Size of lot: Front H . , U .Y..... Rear , `1~.. C~. ~ Depth„ / ~ • • . • , - • - 10. Date of Purchase .....dc'...~, , , , , , , ,Name of Former Owner :~.L~.uG:~ l~~'~`:~ C-a!G~ , , , 11. Zone or use distract m which premises are situated . 1~. Does proposed construction violate any zoning law, ordinance or regulation . 13. 1Vill lot be regraded ............................Will excess fill be removed from premises: Yes D 14 Name of Owner of premises . ........Address Pftonc No............. . Name of Architect .Address ..................Phone No............. . Name of Contractor .Address ...................Phone No . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.X . *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing ar proposed, and indicate all set-back dimensions fro. property lines. Give street and block number or descnption according to deed, and show street names and indicate whetht intenor or corner lot. gPPROVED AS NOTED ' DATE B P k O ~J FEE ~S. BY _V_G'•L NOTIFY BUILDING DEPARTMENT A7 l05 tROY.9 AM TO 4 PM FOR THE F')itf)VlitNi~ INSPECTlON$ _ t yOt1NDAT10N TWO REQUIRED F()R POURED CONCRETE 2 ROUGH -FRAMING & PLUMBING ~ 3 iNSt)LATION t3CCUPANCY OR t 4 t=tMAt - CONSTRUCT+ON MUST USE IS UNLAWFUL BF f CIMNLETE FOR C O WITHOUT CfRTIFIGATE ALL CONSTRUCTION SHALL MEET nl+n ~+y THE REQUIREMENTS OF THE NY. VF yyyupa~Vr STATE CONSTRUCTION 6 ENERGY CODES NOT RESPONSIBLE FOR OESiGN OR CONSTRUCTION ERRORS STATL OF SER'~~ORR,c~Y S S COUNTY ~ . . • ~~L`" • • • /•I•L' l.~ ~ . , being duly sworn, deposes and says that he is the applicar (Name of individual signutg contracU above named ;ictstite ..~'.trJl).~ff2~.................................................... (Contractor, agent, corporate officer, etc ) N said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file th =Ppluauon, that all statements contained in this application are true to the best of fus Lnowledge and belief; and that tl vorl, will be performed in the manner set forth m the application 171cd Therewith horn to baforc me tats ........`,~~.hcC.:. ..1dayof ..:~174.~~:........ ,19!~l .Diary Public, .....,.i+~tt..~,~,Gc-.i- K. County Q LINDA J. COOPER (Signature of appflcan Notary Putriic, State of NawYark No. 4822b83, Suffolk County C~~ Term Ezpues December 37,19._L