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HomeMy WebLinkAbout17841-z y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17806 Date Februa 28, 1989 TE3IS CERTIFIES that the building ACCESSORY Location of Property 630 YENNSCOTT DRIVE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 055 Block 06 Lot OS Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 13, 1989 pursuant to which Building Permit No. 17841-Z dated FEBRUARY 15, 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 BUILDING IN THE REAR YARD AS APPLIED FOR The certificate is issued to ANNE & PAUL KRAFHLING {owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ding Inspector Rev. 1/81 rosai xo. s TOWN OF SOUTHALD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MU5T BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N ~ ~ 17 8 ~ Z Dote 19....1 Permission is hereby granted to: to ..C:~:~...a:~-7.... a:4...-k~ti..'.^.r.~.....rt:ri...~-~...~.,A:E14n...~~-P~ .~.....R:Q3 ct premises located at ...~Q..w~..i.....~y ...............t~:':!....~.k'.:..........~.4.'~lN..!4~0`t.~......................... County Tax Map No. 1000 Section ......(,5.~~... Block ~ Lot No...~?..wS pursuant to application doted ....~,R~X~-~i-!rt.. ....t'.w~ 19.~.~., and approved by the building Inspector. Fee $..r~.. ~r....:. /L. ~e c+ ..g...~ 8uildin I actor Rev. 6/30/$0 i C CS Cl~~!~ ~~1 TOWN OF SOIITHOLD ~ ~ BUILDING DEPARTMENT TOWN HALL BLDG. DEFT. TOWN UP SOUTHOLD SOUTHOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DAZE . ~ las 1 (a cue SStC `'~,,',1c~~'~5 NEW CONSTRUCTION ....°/.OLD OR PRE-E%ISTING BUILDING......VACANT LAND....._.. Location of ProPerty...G ~.°0. ---•--......~4~N.~:: 50 :a. ~~s HOUSE NO. STREET HAMLET Owner or Owners of Property.~:`~^?~...!~:"~?..Q:;~t._.kt~Reh~'_NS. J County Tax Map No. 1000 Section .~.SS. Block U G... Lot ..U Subdivision Filed Map ........Lot.......... Permit No. ~~/././...Date of Permit .rZ./.fS~~y...Applicant i~~.1:..~~:~~E.N~i^~~... Health Dept. Approval Underwriters Approval.............. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: $ n I APPLICANT..:(S-sw9:...F:... `~J,(k~.~........ rev. 10/14/88 ~.¢,C , 367 9 Cod i~SoL r'1£LD it;b°':'~C=lUiJ ~~lli,TE ~ UUMMENTS '-o m 1 . H _ _ y.., FOUtJDATION (1st) FOUNDATIOtd (2nd) _ - 2 . tea. z o s ROUGH FRAME & ~ PLUMBING ..i ti H 3 . ra m u I2ISULATION PER N. Y. - • • '3 STATE ENERGY 8Q CODE x a r cn FIidAL~ o ADDITIONAL COMMENTS: x..~ m ' x .J H a r~ H 'w-Y O 0 m " yC,. ' r~ H .a S . c7 'y H ' BOARD OF HEALTH / 3 SETS OF PLANS ~ FORM NO. 1 SURVEY TOWN OF SOUTHOLD CHECK . ~rao~ , , , , , BUILDING DEPARTMENT SEPTIC FORM TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 „ Examined ~ t.~.., 19 g9. NAIL T 0 Approved . t~ 19.`1. Permit No.. l .~~~1, .~''z. Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date . ~'~-.a.../.3......., 19~~. INSTRUCTIONS a. Tlus 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 buildings 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 this appli- cafion. 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 Building Permit to the applicant. Such permit shall be kept on [Ire 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 shall have been granted by the Building Inspector. ~ , . APPLICATION,IS HEREBY MADE to the Building Department for the issuance of~a Building Permit piatstrant to the Building Zone Or'dinance'of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Re,ulations, for the'co~struction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agree~~t6 comply with all applicable laws, ordinances, buIlding code, housing code, and regulatons,,a`nd to admit authorized inspectb~rs on premises and in building for necessary inspections. 4 ~ . r-; . , ~ I': (Signature of applicant, or name, if a ¢or ~Qratson).~ x e,....„ ~ 3a...yeNN,e;.ot~ ,f~c~, So,u~-,~w ~ Ntl ti4~! i.•:z' h ~ l . i (Mailingaddress.ofapplicant).',,:1. State whether applicant is owner, lessee, agent, architect, engineer, general contractor,electrician, plua~~l5er or'builder. c~ w ,tee ~ Name of owner of premises ~<`v.~:..~--....G~~:...~.~UE...~,.....tiL.~o;tl..li~rc , (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No . . Plumber's License No . . Electrician's License No . . Other Trade's License No . . 1. Location of land on which proposed work will be done . . ...~3a ..................ye.,~Nec~:-!:.. r~.~-~~re-................ House Number Street. Hamlet County Tax Map No. 1000 Section BI'uck ..4j, , , , , , , , , , , , , , Lot . Subdivision Filed slap No. Lot . (Name) Slate existing use and occu .rnc of remises and intended use and occu p" Y p panty of proposed construction: a. Existing use and occupancy ~a S ~ ~`.`.'p . b. Intended use and occupancy ......5.~.'".':~-- ~ 3. Nature of work (check which applicable): New Building , Addition Alteration Repair Removal , , Demolition .Other Work . s 1'1 ~ ~/rao o, ~ (Description) 4. Estimated Cost . . . Fee ...~.'S.:~.................... , . Num ([o be paid on filing this application) 5 If darallennumbeber of dwelliingunits . • • • • • • bar of dwelling units on each floor . . . S ~ r of cars i 6. If business, commercial or m~xed occupancy, specify nature and extent of egCh type of us4 , , , , , , , , , • 7, Dimensions of existing strucqures, if any: Front ; ; ; , 1 ' ' ' ' Height Rear Depth . Number of Stories , Dimensions of same structure with alterations or additions: Front Rear , ~ • Depth . , , .Height . . Numberpf Stories . ~ ~ ~ • 8. Dimensions of entire new construction: Front , 1 ~ y Rear /9....... .Depth ~ ~ • • Height , {f.......... Nltmber of Stories . , r • . • . 9. Size of tat: Front Rear , ...................Depth . 10. Date of Purchase ,,,,,,•,,,,,••••,,,,NameofFormerOwner 1 1. Zone or use distract in which . P P ~ Premises are situated 12. Does ro osed construction holate any zoning law, ordinance or regulation: .+vP.......... . 13. Will lot be regraded . N 4, , , • • , , , , • , , , . • , Will excess fill be removed from premises: Yes N< Name of Owner of remises . P Address Phone No. Name of Architect I . .Address . .Phony No.. • • , • • • . ~ ~ ~ • • • Name of Contractor . ' .Address . ,Phony No. . ? IS.Is this property located within 300 feet of a tidal wetland? *YES....NO:`~. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate cleazly and distinctly y111 buildings, whether existing or proposed, and, indicate all setback dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPRpVEp AS NOTES DATE.'• ~ I' B.P H .U~~ - FEE: ~ ~ BY~ ~ k! u ~ ~ G~i O NQTIFY BUILDING DF.R+tRTS~i+I-~. ~ II ~ ~ ~"fn 785.1802 9 AM TO 4 S"'~r + I"h ~ O G FOLLOWING INSi~ECT1U'~'c. G ~ A 1. FOUNDATION TWO HFUUir~ ) ~ ~~i'~ FOR POURED CONCRETE - ~n~ 2. ROUGH - FRAMING R PLUMBItvG x ~ 3. INSULATION ~ [ 4. FINAL - CONSTRUCTION MlJ5T ~ ~ G 8E COMPLETE FOR C.O. 9~ ALL CONSTRUCTION SHALL MET tt? ' THE REQUIREMENTS OF THE N'.V. ! ~ l ~ STATE CpNSTRUC170N & ENER~,Y CODES. NOf RESPONSIBLE FQR q,,ti DE81QN OR CONSTRUCTION ERRORS ~ ~ ~ ~ ~ ~ ~ tip, ~ y yv v w ~ ti e~ows o N S ~o c~ +-o l0 4- ~ ~ r c ~4 Sec „ o fc.w t S ~ c~ S l~+.J L'4lce- o.~oUe. vv`I;~a~ 1vo~•ZI~ FoRk vJaoc). Oes[~,~. w;A1 be a+ (eat Ia~F 5ic~e ~ year-pm~+~ ~~'r~2s. STATE OF NEW YORK, COUNTY OF . . S.S \ on • • • • • • • being duly sworn, deposes and says that he is the applicant ~~J ` {Name ofit dividual sip ing contract) above named. He is tfte ~ CUn/, f° /Z._ (Contractor, agent, corporate officer, etc.) ~ ~ ~ • ~ ~ ~ • of said owner or owners, and is duly authorized to pe~rfcjFm or have performed the said work and to make and file this aPPlica[ion; that all statements contained in this applicgtj'on are true to the best of his knowledge and belief; and that the work will be performed in the manne';r set forth in the application fjlcd thcrowith. Sworn to before me this I ~ ~~.........day ofi~~ lh ~`1 Notary Public . ~ County au C C ~ LINDAJ,000PER ' ' F' 1 ~ Notary public, Stetq of NewYorl~,, n No.4822683, Suffolk County(y1 V (Signature of ap licant) Term Expires December 31,1