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Home My WebLink About17985-z - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17922 Date APRIL 3, 1989 THIS CERTIFIES that the build~.ng ALTERATION Location of Property 34715 MAIN ROAD ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section I9 B1ock 2 Lot 5 & 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29, 1989 pursuant to which Building Perm~.t No. 17985 Z dated APRIL 3, 1489 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 ENCLOSE EXISTING BRFF7.FWAY BETWEEN GARAGE ~ HOUSE The certificate is issued to KATHERINE HEWS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 !'OfCM 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 017985 Z Date 19..~J Permission is hereby granted to: 3~"s /.9.5..7...... . q 7,,~ ct pr ises located at ....................1..~~~.~J...........~l<.G~-+s. ....j~.9s7 Caunty Tax Map No 1000 Section~j. rl...q Block y..........ylgLot No ..:J!~':'X.. pursuant to application doted ;1...P~.l. 19..°..,1.., and approved by the Building Inspector. Fee 3• •~O : e-o Y.. wilding Inspector Rev 6/30/80 c~a~~ Y77- ~0`1ir p ~ o~,.. TOWN OF SOUTflOLD 2 3 BUILDING DEPARTMENT TOWN HALL EL"G SOUTHOLD ~ NEW YORK 1197 1 TOWN OF SCJir'~_L.) j 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY ~/a y~~~ . DATE. NEW CONSTRIICTION ....._.OLD OR PRE-E%ISTING BUILDING..N..VACANT LAND........ r Location of Property... HOUSE HO. STREET HAHLET Owner or Owners of Property...! ~ e ~l~f County Taz Map No. 1000 Section . F.~ Block _ Lot .~.9'. 14_ Subdivision Filed Map _.......Lot.._..,_._. Permit No. ......_...Date of Permit ....._....Applicant Health Dept. Approval Underwriters Approval.._.._._._.._. Planning Board Approval Request for Temporary Certificate Final Certificate Fee Submitted: ~ ~t APPLICANT.... ......t/.. ev. 10/14/88 ._._...+..e~~.,~_ BOARD OF HEALTH 3 SETS OF PLANS FORM KO 1 SURVEY TOWN OFSOUTHOLD CSILCK BUiLD1NG DEPARTiv1ENT SEPTIC tOIiM ' T04VN HALL ~OUTHOLD, N Y '11971 NOTItY - TEL..7G51802 CALL Examined . • 19 , MAIL TO Approved 19 Pcrinit No Disapproved a/c . . . . (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date .,,March_2Q_.._, ly8` INSTRUCTIONS a. Tliis application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, witi sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buiIdwgs on premises, reIahonship to adlommg premtses or public stre~ or areas, and giving a detmled descnprion of layout of property must be drawn on the dia, am which is par[ of this apt. cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Bwldmg Inspector will issued a Building Permit to the applicant Such peui shall be kept on the premises available for inspection throughout the work. e. No buildwg shall be occupied or used in whole or to part for any purpose whatever until a Certificate of Occupan~ shall have been granted by the Building Inspector APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Bwldmg Permit pursuant to t1 Bwldmg 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 describe Tlie applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit authorized inspectors on premises and in budding for necessa a}spectlbns- . . . ( ^n ph t, or name, if a corporation) MAR ~ ~ e! .,t_ . ~1. d.(~/~../~,.f.cp~p . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pi mUer or budde ..............Att4>:Ae,X.for.owner.............,....... Name ofo•.vnerofpremues .._,Kathers;ne.He,>:ns„_, . (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 Liccnse No. . . Electrician's Liccnse No . . Other Trades License No . 1, Location of land on wlitch proposed work will be done . . ....r10.#... ~ii~R.$4pd .............Or•aent, House Number Street Hmnfet County Tax ~iap No 1000 $CCUOn ,1,9, - , Block ? Lot 5_ & . 6... , . , . . Subdivision Fifcd flap No. Lot . (Name} State existing use and occupancy of premises and intended use end occupancy of proposed construction: a. Existing use and occupancy ....$esa.dentzzl b, intended use and occupancy ...Res>_dential,.,,,_• 3. Nature of work (check which applicable) New E3wldmg % ~UteraUOn % . • Addition Repair Removal Demolition Other 1Vork . (Dcscnppo, 4. Estimated Cost 1 , ~~.Q : Fee . {to be paid on filing thu application) 5. If dwelling, number of dwelling units nLa , , , , , , , . Number of dwelling units on each floor . . If garage, number of cars pia . . . 6. If business, commercial or mixed occupancy, specify nattue and extent of each type of use . n / a, , , . _ . , , . 7. Dimensions of existing structures, if any Front Rear Depth , . height Number of Stones . Dimensions of same structure with alterations or additions Front Rear . Depth Ilcig}it ....Number of Stones . 8. Dimensions of entire new construction Front Rear Depth , . Height .Number ofS[ones...... 9. Size of lot. Front . . Rear Depth . 10 Date of Purchase , .1963 . Name of Conner Owner 1 I. Zone or use district in which premises are situated ...A 12. Does proposed construction violate any zoning law, ordinance or regulation. PA . 13. Will lot be regraded no Will excess fill be removed from remises Yes 14. Name of Owner of remises .Katherine Heins p ~ p ...............Address P}ione No............. , Name of Architect ...........................Address ...................Phone No............. _ Name of Contractor . ...Address .Phone No. , . 15.Is this property located within X00 feet of a tidal wetland? *YES_.__NO_... *If yes, Southold Tovn Trustees Permit may be required_ _ PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions fry property fines. Give street and block number or descnption according to deed, and show street names and indicate when intenor or corner lot. Addition to connect existing house and existing garage ,GARAGE HOUSE Addition to Oertificate of Occupancy Work was performed in 1964. Owner was advised at that time a Building Permit was not required, STATL- OF ~E1V R S.S COUNTYf OF ~.~~!1~~... , • , ~~t~. ..~~~1d ~ 1 being duly sworn, deposes and says that he is the applic: {Name of mdividuai signora contract) above named. Eieistlie (Contractor, agent, corporate officer, e[eJ of said owner or owners, and is duly authonzed to perform or have performed the said work and to make and file t application, that all statements contained m this apphcatwn arc true to the best of ius I`nowledgc and belief; and that t '.work wdl be performed in the manner set forth in the apphcauon filed therewith. S:vom to before me this day of 19 . rotary Public, County ~Gj ~~t-wLt,~ NU ~~r~t~..~~co.~~ '~i~ 2 y1 , (S~f applica