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Home My WebLink About17747-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17674 Date JANUARY 12, 1989 THIS CERTIFIES that the buildin~ ACCESSORY Location of Property 2135 BEEBE DRIVE #45 FAWN LANE CUTCHOGUE~ N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 103 Block 4 Lot 24 subdivision M/O MOOSE COVE Filed Map No. 3230 Lot No. 46 conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1989 .... pursuant to which Building Permit No. 17747-Z dated JANUARY 6~ 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 F~RYANN FERRERI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A ' ' / ~ldi~g Inspector Rev. 1/81 FORM[ NO. 0 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THF. WORK AUTHORIZED) N~_ O17YL~7 Z Permission is hereby granted to: ..~..~. ..~.~...u...~.7. ............................................. ..~~.~...~..:.~.,......~.~..~.~. ........ , ~m ......... ct premises located at .,~.,9~t~..~.~,....,.~,./,.,~.~,...~...,~..,.,~,., ....... ~.~.~-~ Countv Tox Map No. 1000 Section ..... ~/.,,0.~,,~;~ ........ Block ...... ~..~. .........Lot No...,~',..~ ............... pursuant to application dated ......~..~.....~.. ................. ]9.~...°J.. and approved by the Building Inspector. Building Inspector Rev. 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTHENT TOWN HALL SOUTHOLD, NEW YORK 765 - 1802 APPLICATION FOR CERTIFICATE 11971 OF OCCUPANCY County Tax Map No. 1000 Section ~. Block Subdivisiou...~.q?~.o..........~OW~ Filed Hap Permit Health Planning NEW CONSTRUCTION ....... OLD OR PRE-EXISTING BUILDING ...... VACANT LAND ........ Location of Pro ert ~/~,9--2~-i~- .~.~., ~ ~.~.O.X.,9-~ 7~A/~,4, HOUSE NO. STREET ' HAMLE~ ...../f.4~ Y,!~.?. .................... . . . .. .. . .. . . ..../... Let ~,4~.o...Lot .... .'/.~... No. /~z~..~.~..Date of Permlt~/~.f...Applicant ................... Dept. Approval .................. Underwriters Approval .............. Board Approval ................ Request for Temporary Certificate ....... Final Certificate Fee Submitted: $ J.~: ..... rev. 10/14/88 fIELD .[,,S,~,~-u,~ [[DATE FOUNDATION FOUNDATION ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE (1st) (2nd) FINAL m ADDITION[L COMMENTS: Exandncd ................. 19 ,,. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL COUTHOLD, N.Y. 11971 TEL.: 765-t80;] BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Approved ........ 19 . . . Permit No ............ w '- ~,~'_,~ ,~, ~,v~2,, (Building Inspector) APPLICATION FOR BUILDING PERMIT ....... INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildhngs on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of tiffs appli- cation. c. The work covered by tiffs application may not be commenced before issuance of Buildiff~, Permit. d. Upon approval of tliis application, the Building Inspector w/il issued a Building Permit to the applicant. Such permit '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 Occupancy sl~all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as hereLn described. The applicant agrees to comply with all applicalJ}e laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ij~pections. ....... ~. (Sigfl~Zthre o~ applicant or,~ame, if a corporanon) State whether applicant is owner, lessee, agent, architect, en=lneer, general contractor, electrician, plumber or builder. Name of owner of premises / ,,fi. ~, ~ , (as on the tax roll or latest deed) Ifapplicant is a corporatioo signature.of duly.authorized officer. " t' ~' (Name S,n,~tJiI~f, q6~6~ate ~,ffioer) Builder'S Llcen~6*N6. ~.' ~.'..~: .~f'.~ .......... Plumber's License No ........... ----: ............. Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done... ~ ...} ........................ ' House Numbcr Streetx, County Tax Map No. 1000 Section . .Z"~-fl. \ ..~. ,~../. ............ BI?ok ............... Lot ..... ~ .......... Subdivision....~..al.t?..&-.~....~QIX.~- ................ F,j!ed Map No...-~.~.~..~. ..... Lot .... /.~. ....... (Name) ~' 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b-Intended use and occupancy..~.. ~.~..~ ,~ .............. 3. Nature of work (check whic.hjapplicable): New Budding ..... ' ..... Addition .......... Alteration .... Repmr .............. Re,moral .............. Demolition ............ ll~O~t h~[~ll~o r k ~~ 4. st~mated Cost . ~ E ' ' ~r"~ ~, (Dc~cr~ption) .......... ~ ....................... Fee I (to be paid on filing this application) $ Ifd ' nb fd Il/rig it N b f d Iii its h Ifg b f ' 6 Ifb i I ix do ..................................................... ify d of t typ f ' · usiness, commerc a or m e ccupancy.spec nature an extent eac~ e o use .......... 7 D' ' f i ti tq if F Height ............... N~mber of Stories ........ ..... Dimensions of same~,tructure with alterations or ad(il;;'~',~' ;x',-~,' ;' ',)J, ',5~2- ........................ Depth .... /.Q ..~... [ Hei ........... n .... ,o-,,~f ...... Rear .......... ght .. N e ........ "-' . ~ Stones ........... 8. Lmnenmons o/e~re newcon~truction: Front ...... Rear . . Depth '.:'.:. ' ...... Heg~t ....... Nu'm~- 9. Size of lot: Fr .. · ................... ................. Rear .............. D pth 10. Date of Purchase ......... i .... ' ...... e ..... Nam f F O .......... 11 Z di ict i hi 1 p; i ..... it; "'j .... e o .truer wner ...................... 12. Does proposed construction violate any zoning law, ordinance or regulation: .................. 13. Willlot be regraded ..... i .............. · ', .................... Will excess fill be removed from premises: Yes No fp , 14. Name of Owner o remises .., .................. Address ................... Phone No ................ Name of Architect ......... ! ............. Address ................... Phone No ................ Name of Contractor ....... : ..... . ...... Address .............. Phone No .......... .~. 15.Is this property located within300 feet of a tidal wetland? mYER .... NO. '.~. '' · If yes, Southold To~n Trustees Permit may be required. ... i PLOT DIAGRAM pro e o re.pose, d, and, indicate all set-back dimensions fro · g to aeect, and show street names and indicate whether interior or comer lot. ~ ~ NOTIFY 8tJILOING DEPARTMENT AT · '- ~ FOLLOW'lNG INSPECTIONS, ~,, 1. FOUNDATION TWO REQUIRED FOR POURED CONCRETE l, ROUGM - FRAMING & PLUMBING ' 3. INSU~TION 4.FINAL CONSTRUCTION MUST 8E COMPLETE FOR C.O. THE ~EQUlR~E~ OF THE ~TA~ ~N~U~, ~ ENERGY DES~N OR ~ION ERRORS STATE OF NE~V YORK, COUNTY OF ................. ;.S ............................. ' .................. being duly sworn, deposes ~d says that he is the applicant above named(flame of individual signi~g contract) ' He is the ' (Contractor agent corporate officer etc)- of said Owner or owners, ~d is duly; author zed to p~rform or have perfo~ed the said work and to m~e and file this application; that all statements contai~ned in this application are true to the best of his knoxvledge and belief; and that the Work will be performed in the m~neUset forth in the application filed therewith. Sworn to before me this ... ....... ... .~' .~. ~ . . ~t[~ ~ ~ ~0~ ~ (Signature of applic~t) lerm Expires ~rch ~0, 19~]