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Home My WebLink About17975-z d FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17921 Date APRIL 3, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 6865 ROUTE 25 LAUREL, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section I25 Block O1 Lot I9.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 26, 1988 pursuant to which Building Permit No. 17975-Z dated MARCH 31, 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 - "AS BUILT" The certificate is issued to JOSEPH CRENSHAW & r~uuRr.uS GATES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building I ector Rev. 1/81 f08M N0. f 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 017975 Z Date ..~,.~!!.ll.......~..~ 19.~.~ Permission is hereby granted to: a~,.,s- ..............~u~........~,~.r..j°~..... . . . . . . . . . ~ . . . .T . ~ . . . d ~ ct premises located at .1...~.C~.:r... .~.....~..1~..~............. . . Caunty Tox Map No 1000 Section Blo//c~~k/~...~....... Lot No pursuant to application dated 4~,.~~ .~+4. 1911., and approved by the Building Inspec~t~or. Building Inspector Rev 6/30/80 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOIITHOLD, NEW YORR 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY DATE.. •Apri1.3,• 1989• NEW CONSTRUCTION X......OLD OR PRE-E%ISTING BIIILDING......VACANT LAND........ Location of Pro ert North side of Route 25, Laurel P y HOUSE N0. STREET HAMLET Owner or Owners of Property.....Joseph-Crenshaw•and Charles Gates County Taa Map No. 1000 Section .125. Block .01.... Lot 19 n/a Subdivision Filed Map ........Lot........._ r 717.f~ Joseph Crenshaw by Permit No. [l .Date of Permit}~~~~(I~.Applicant •Scheinberg, Schneps, DePetris• DePetris Health De t. A royal . ~'~--Tan 3. 10R P PP ndervriters Approval` Yes-Nov. 19, 1985 Planning Board Approval Request for Temporary Certificate Fiaal Certificate X for Shed Fee Submitted: $ JOSEPH CRENSHAW APPLICANT..... BY: Janet Ge sa, Esq. o Scheinbe g,~Schneps, ePetris & DePetris ~o~t~ga` rev. 10/!4188 . BOARD OF HEALTH 3 SETS OF PLANS FORM NO. 1 SURVEY . TOWN OFSOUTHOLD CHECK BUILDING DEPARTMENT SEPTIC FORM ' TOWN HALL SOUTHOLD, N. Y. 11971 NOTIFY TEL..765-1802 CALL MAIL T0: Examined . 19 ~ . ~yy~ , Approved •<~i 1. I~~Permit No ~.7~ ~~Z l~ L5 iJ t'/ L r~nr Disapproved a(c wl ,Z 6 ~ ' tt~ F 1 5...,~ " ~ . Wtd OF SOlp7uS~t0 ~ . (Budding Inspector) APPLICATION FOR BUILDING PERMIT October 25: ]5 Date INSTRUCTIONS a. This application must be completely filled ~n by typewriter or in ink and submitted to the Building Inspector, wtti 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 stye or areas, and giving a detazled description of layout of property must be drawn on the diagram which is part of this apI capon. c. The work covered by this application may not be commenced before issuance of Budding Permit d. Upon approval of this apphcatron, the Building Inspector wdl issued a Building Permit t0 the applicant. Such peu 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 Occupan shall have been granted by the Butldmg Inspector. APPLICATION IS HEREBY MADE to the Butldmg Department for the issuance of a Building Permit pursuant to t Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descnb. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in building for necessary 'sections. (Si net re o[ appl c t, or name, if a corporation) JAN EASA .k,. Q,.$P~.599....$7Pe;h~ad~.N.•Y,.. 119Q (Mailing address of appii.,ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build. Agent . Name of owner of premises , ,Joseph Crenshaw and Cha>^les Gates . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer . (Name and title of corporate officer) Builder's License No. Self (18025) Plumber's License No . . Electrician's License No . . Other Trade's License No. . I. Location of land on which proposed work will be done . North Side Route 25 Laurel F{ause Number Street Hamlet County TaK plop No 1000 Section ...125.......... Block ~l I?/0 19.000 . Lot Subdivision File) Map No Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ...Shed.... . ~ YYtE Shed ; ~ b. Intended use and occupancy • ~.fdt gt`At~l~ s ,s !Mt' Adddron AlteraUOn 3. Nature of work (check whrch applicable). New Burldrng . Reparr Removal Demolrtron Other 1Vork . ~'7 (Descnptra 4. Estimated Cost . ~a~ ~ ~ • • • . • . Fee . .~r..~.Gl.. . (to be paid on filing thrs apphcatron) 5. If dwelling, n tuber of dwellrg unrts , . N/A Number of dwcltmg units on each floor . If garage,numbcrofcars 6. If business, commercial or mrxed occupancy, specrfy nature and extent of each type of use . 7. Dimensions of exrstrng structures, rf any Front ..?S3..tt...... ,Rear .29..~~....... Depth . 40 ,ft: • . He,gtrt Number of Stones l... . Drmensions of same structure wrth alterations or add,trons Front , Rear . Depth ...''i . ' Herght Number of Stones . 8. Dimensions of entire new construction Front .Rear Depth . Herglrt ...............Number f Stones . See site pan 9. Size of lot Front Rear...................... Depth 10. Date of Purchase ..i~dy..26 , . 19$ ~ . ........Name of Former Owner A?~t# 7-:tR~~. Holding Comp• 11. Zone or use drstrrct rn whrch premrses are srtuated . , $-J . 12. Does proposed construction violate any zoning law, ordinance or regulatron• . No . 13. Wrll lot 6e regraded ............................Will excess fill be re ov'd from premrses: Yes 14. Name of Owner of premrses . JRS6>?~. Crenshaw Address P ,Box ~.4~6 phone No . Name of Archrtect ~ha>i les, Gates ,Address Mattituck , N:1~. ~ phone No. 11'9'52.. Name of Contractor ....................Address ...................Phone No.......... , . . 15.Is this property located within 300 feet of a tidal wetland? *YES....NO.X.. *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and drstinctly all buildings, whether exrstmg or proposed, and, indicate all set-back dimensions f, property fines. Give street and block number or descnption according to deed, and show street names and rndreate whet intenor or corner lot. See site plan STATE OF NEIV YORK, S S COUNTY OF . SUFFOLK. . . , , , , , , , , , , JA~I$,T, ,GFrASA , , , , , , , , . , , , being duly sworn, deposes and says that he rs ttre applic (Name of rndrv,dual srgnrng contract) above named. S Hersthe...Ageuk . (Contractor, agent, corporate officer, etc.) oC said owner or owners, and a duly authorized to perform or have performed the said work and to make and file ~ apphcat,on, that all statements contained m the apphcahon are true to the best oC firs knowledge and belief, and that work will be performed m the manner set forth m the apphcatron filed therewrth. Sworn to before me thrs 25th October, ..day of 19 88 Notary P<u~bl/rc, , , , Suffolk County KABOSKI NNr~ t3Z•,e,yy,k (Signature ofapplia k G~My~ or,,