HomeMy WebLinkAbout17897-z
~ ~ FORM N0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ha11
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17820 Date MARCH 8, 1989
THIS CERTIFIES that the building ACCESSORY
Location of Property 5550 NEW SUFFOLK AVE. MATTITUCR, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 115 Block 10 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 7, 1989 pursuant to which
Building Permit No. 17897-Z dated MARCH 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 i.s a.ssued to JAMES A. & JANET HUGHES MALONEY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
1di g Inspe for
Rev. 1/81
roans 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)
NQ 017897 Z Date ......~.MIhMf.l..~~ 19.A..1
Permission is hereby granted to:
~wax~ awn.
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to . ~~/SA.......S,C1 Ct.t_ c~a.-e-~. ~!t!:~X,~......G?r..a~r.....4t~~7..,g2.lL.:C,2.~
~ nn .
ct premises located at ..5~..,~-~........AC!R-~?....J>~,AXHC. .
Caunty Tax Map No 1000 Section s Block ......1..~...... GLot No . O ~ .
pursuant to appl~cat~on dated .....~~4C.J~1.. 7 . 19.~ J ,and approved by the
Building /Inspector.
Fee S.!~2~?.:.
~
Bu ding Inspector
Rev 6/30/80
J ~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOIITIIOLD, NEW YORK 11971
765 - 1802
APPLICATION FOR CERTIFICATE OF OCCIIPANCY
DATE....~~ ~
NEW CONSTRUCTION .......OLD OR PRE-E%ISTING BU/I~LD/I~-NG.. ::.VACANT//LA/N/D...._...
Location of Property....J.r-~~.. _......~(.`C'`:.:f^':!1.~: ~j~ ~~t
HOUSE NO.~ j /SJTRE/E~/T / ~ HAMLET
Owner or Owners of Property..:':~J.~.<~]E'S...,/`/._/./_'.~'!~!!e:G _..~t~z~~~~C~.C.~2~~
County Taa Map No. 1000 Section Block 1. U.. L~t
Subdivision Filed Map ........Lot..........
Permit No. ..........Date of Permit ........._ApplicanC
Health Dept_ Approval Underwriters Approval_..~~........
Planning Board Approval
Request for Temporary Certificate Final Certificate
Fee Submitted: $
APELICANT,._.. ~1lbs.~,-..._`.~"..~~~.~~__.....
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rev. 10/14/88
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FOU;]DATION ( T s t )
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I1ISULATIOPI PER T1. Y. • • y
STATE EPIERGY
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ADDITIONAL COMMENTS:
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(~R ~ ~y~ ( ~/J'}~~ SOARD OF HEALTH .
" a U Vr ~ ~r 3 SETS OF PLr1NS
~7( FORM NO. 1 SURVEY
~ ~ t l i; 1, TOWN OF SOUTHOLD CHECK .
~f BUILDING DEPARTMENT SEPTIC FORM
RUG TOWN HALL
._„~~ny?;vCF ,f~~?T, $OUTHOLD, N Y 11971 NOTIFY
TEL.. 7651802 CALL
MAIL T0:
L-~amined n..~..., 19~~.
.\pProved . 199. Permit No ~ 7 8 `~7zZ. 1
I ~
Disapproved a/c ` ~
. 0. ~ .S~ .a'v! . .
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Date .......J/. 15~r
Iiv'STRUCTIONS
a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with
lets 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 stree~
or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this appl
cation.
c. The work covered by ttus application may not be commenced before issuance of Building Permrt.
d. Upon approval of this apphcauon, the Buildmo Inspector will issued a Building Permit to the applicant. Such patina
shall be kept on the premises available for inspection throughout the worle.
e. No building shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupant
shalt have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Budding Department for the issuance of a Building Permit pursuant to th
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apgticable Laws, Ordinances o
Regulations, for the construction of buildings, additions or alterations, or for removal or dcmohtron, as herein descnbec_i
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t,
admit authorized inspectors on premises and in building for necessary inspections l~~ /
(Signa re of applicant, or name, if a co oranon)
u;,, vz.l ~ ~ l
• (Mailing address of applicant) ~i ~j'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electriciiSPC, plumber or builder
.....~!~i./t/C~ - .Y{ a
.,cti
4,
Name of owner of premises = t<i. s .
(as on the tar roll or latest deed)
a, f•
ff applicani is a corpor~tiX"gri',~i'gr~>filrrito~~~ilyiau'tl~oitzed officer
(Name and title o~ corporate o~'ficer)~
Builder's License No 1~~-'~. • • •
Plumber's License No .
Electrician's License No . .
Other Trade's License No .
I. Location of land on which proposed work wdl be done . • , , • , • , . .
.
I{ouse Numbcr Street • • ~ • • • • • • • •
Hamlet
i
County Tai Map No 1000 Section .....~15....... Block .l~• • • . Lot .
Subdivision .Filed 1<lap No. Lot .
(Name)
State existing use and occupancy of premises and intended use and occupancy of propo~ed constnichon•
i
a. Eristmg use and occupancy ¢~`%~lQ . L`-rz.,... .::";~'/~,Ur- .
b. Intended use and occupancy • ,S~-~?~ • • • • • • • ~:+'.'~Q~i~ • • , • , • , . , • , • , .
3. Nature of work (check Which applicable): New QuAdmg Addrtion Alteration .
Repair Removal De.molwon Other 14ork . ~lc!c`estc7~z~'y. s,
(Dcscnpuon
4. Estimated Cosi G' ~ Fee . , .
(to be paid on fi]ing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor . , . , , , , , , , , , , ,
If gara;e, number of cars . . . .
6. If business. commerccal or mired occupancy, speedy nature and extent of each type of use . .
7. Dimensions of existing strvctures, if any Front Rear Depth .
Height Number of Stones , .
Dimensions of same structure wish alterations or additions Front Rear .
Dcpih . fIcight Number of Stones .
Dimensions of entire new construction Front Rear Depth , , .
Hei;fit ...............NumbcrofStones
9, Size of lot. Front Rear Atli
De
10. Date of Purchase .....................Name of Former Owner .
1 1. Zone or use district in which premises are situated . . .
12. Does proposed construction violate any zoning law, ordinance or regulation . .
13. Will lot be regraded ................Will excess fill be removed from premises: Yes A
14. Name of Owner of premises . ....Address , , , ........Phone No... - .
Name of Architect ...............Address ..................Phone No............. .
Name of Contractor .......Address ..................Phone No............. .
IS.Is this property located with in~00 feet of a tidal wetland? *YES_1r__NO._..
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAb1
Locate clearly and distinctly all buildings, whether existing or 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 wheth
intenor or comer lot
APPROVED AS NOfiED
DATE g ~9 B P q~ 8 7
FEE ~ BY
NC?T1FY Rl11LD1NG DnPpM FORTTHE
' 7b5 tRCi2 9 A1Lt TD
FOLiOW9vG ENSPECtiJ^15 .
~ FOUNDATION ~ TVVO REt2UIRED
pECNppNG`[ OR FoR POLtRED coNCRETE
,s ~NIAW~u~ 2 ROUGH -FRAMING & PLUMBING
U,$E CERTIFC~
TE 3 INSULATION
w~ZF1QU
~CUpAN 4 FlPiAL - CONSTRUCTION MUST
BE COMPLETE FOR C O,
0 ALL CONSTRUCTION SFIALL MEET
THE RECIUIREMENTS OF THE N.Y.
STATE CONSTRUCTION 8 ENERGY
' DES GN OR COpIgTRtICT{O ERRORS
STATE OF XEW YORK, S S
COUtiTY OF
being duly sworn, deposes and says that he is the applicai
(Name of mdrvidual signuig contract)
about named
ficistfte
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file tl'.
apphcauon, that all statements contained m this apphc~uon arc true to the best of lus ),nowtedge'and belief, and that tl
work wdi be performed m the manner set forth in the application filed therewith.
Sworn to before mrye tfus
l...~/.,...day o~f/.....~2 /f~ 19 t~'y
rotary Public, 1.1:.. County ///y/(J
HELEN K. DE VOE
~Na7~TbttN SalttolkCoun<Y6~ / (Si;nature of applicar
Tartu txpires Mtreh 3Q,14_s-Y