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Home My WebLink About17617-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offlce of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17612 Date DECEMBER 19~ 1988 THIS CERTIFIES that the bu~ldmng. ACCESSORY Location of Propert~ 6360 NORTH BAYVIEW ROAD House No. Street County Tax Map No. 1000 Section 79 Block 07 Subdivision Filed Map No. 8OUTHOLD Hamlet Lot 01 Lot No. conforn~ substantially to the Application for Building Permit heretofore filed in this office dated NOV. 14, 1988 pursuant to which Building Permit No. i7617Z dated NOV. 17~ 1988 was issued, and conforms to all of the requzrements of the applzcable provzszons of the law. The occupancy for which this certzficate KS issued is ACCESSORY BUILDING. The certificate is issued to CAtAL F. & BARBARA L. HOLTHAUSEN JR. (owner, Y~) 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 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) N~ bl?617 Z Perrmss~on ~s hereby granted to' ~, D ' /~.~. ....... ~.:,....&...o~./~ .r.4.... ~'"'~~~'" .............. i .................. : .................................... : ........... premises located at ._~...~...L?..(~ ....~,........~......~/~.,._~:...~.,..~.o,..~.".~....O~,...."~ Counh/ Tax Map No 1000 Sectio~n~....C).,~..01,.. Block ....... .C~.'~. ...... Lot No .~....~ pursuant to application doted ... ~..~.. j kj~. ......... 19.~.~.., and approved by the BuHdlng Inspector. Building Inspector Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Bufldm9 Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. Th~s apphcation must be fdled in typewriter OR mk, and submitted ~ ~ to the Buddmg Inspec- tor w~th the followmg; for new bufldmgs or new use: 1. Final survey of property w~th accurate Iocatron of all buddmgs, property hnes, streets, and unusual natural or topographic features. 2.Fmai approval of Health Dept. of water supply and sewerage d~sposal-(S-9 form or equal). 3.Approval of electrical mstallat~on from Board of F~re Underwriters. 4. Commerma{ bufldmgs, Industrml buddings, Multiple Remdences and mm~lar buildings and installa- tions, a cert~hcate of Code comphance from the Architect or Engineer respons=ble for the bullring. 5.Submit Planmng Board approval of completed rote plan requirements where apphcabte. B. For ex~st~ng buddmgs (prior to April 1957), Non-conforming uses, or buddings and "pre-ex,sting" land uses: 1. Accurate survey of p~operty showmg all property hnes, streets, bullrings and unusual natural or topographic features. 2Sworn statement of owner or previous owner as to use, occupancy and condition of buntings. 3. Date of any housmg code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certlflcate of occupancy New Dwelling $25.00, Accessory ,$]0.00 Bu$~ness $50.00 2. CertLfLcate of occupancy on pre-existmg dwelhng $100.00 3. Copy of certlf;cate of occupancy $ 5.00, over 5 years $I0.00 4.Vacant Land C.O. $ 20.00 NewConstructlon /.. OIdorPre-exlstm uddmg .. . Vacant Land ..... House No. Street Hamlet County Tax Map No. 1000 Section ~ g Block ? Lot... / Subd~vimon ................................ Fded Map No .......... Lot No ........... .. . Permit No. . . Date of Permit .,,...:; .~.~..,~ppllcant .... ~ ............................ Health Dept. Approval ........................ Labor Dept. Approval ........ Underwriters Approval ........................ Planning Board Approval .................. . . . . Request for Temporary Certlftcate ................... Final Certlhcate ...................... . Fee Submitted $ ............................ Construction on above descmbed buddm§ and~t mee~s ~aJ~apphc~b~e codes at~ re§ulat~ons. .................. Rw 10 10-78 iELD -' ~ FOUNDATIOX {1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: CONSTRUCTION Why Don't Other Shec[s Measure Up? Compare Our Quality · No middle man. · All work done on premises · Completely constructed and assembled · All wood construchon. · Stronger, longer life. · Foundation 4x4 Pressure Treated T~mbers · Floor Jo~sts. 16' On Center, Pressure Treated covered w~th Ys tach Pressure Treated Ply- wood · Maintenance-Free s/s" Extenor C, radeT 1 - 11. · Roof Trusses 2x6 and 2x4 Double Gussetted for maximum strength. · E×ter~or Grade Plywood Roof. · Self Sealing 240 ]b Asphalt Shingles · Aluminum Roof Edge · Heavy Gauge Ga[vamzed Hinges & Door Latch · Galvamzed Nails. · Reinforced and Framed Double Swinging Doors. · Fully Painted and Tnmmed. · ~Pamts, Choice of Colors. · All Wood Comer Mold~ng. · Weather T~ght · Full Floor Dimens~ons-F..xample: An 8x10 Shed w~ll have a Full 8x10 Froot Space. Door and window placement can be changed to su~t your needs. S~ng~e Doors also available. · Free Dehve~ To Most Areas. We reserve the right to make design, ophon & spec[Jtcahon improvements. GABLE Shown here are one of the roomlest budding The Gable ~s as versahle as your need Maximum head ~oom. The w~de double dog, can be placed on the front or side of the bu~ldmL STORY OF THE TREATED AND UNTREATED FLOOR Untreated Floor Floor untreated and weathered showing the e feds of dampness, salt a~r and termites. CCA Pressure Treated 40 year warranty against rot and termites. See our complete hst of construction material & opt~ons on back FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 TEL., 765-1802 BOARD OF HEALTH ........... 3 SETS OF PLANS ~ .......... SURVEY .................... cuEc~'~'~ ................. SEPTIC FORM ................ NOTIFY CALL ......... MAIL TO '~ '~ ~ ,'~~' Dtsapproved a/c .......................... (Building Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a Tins apphcabon must be completely filled in by typewriter or ~n ink and submitted to the Building Inspector, weh sets of plans, accurate plot plan to scale Fee according to schedule. b. Hot plan showing locatmn of lot and of bmldmgs on premises, relatlonstup to adjoining premises or pubhc stree or areas, and g~vmg a detmled descnptmn of layout of property must be drawn on the dmgram whmh as part of th/s app, caUon. c. The work covered by tlus apphcation may not be commenced before issuance of Building Permit d. Upon approval of this apphcat~on, the Budding Inspector wall ~ssued a BuiIdmg Permit to the apphcant. Such perm shall be kept on the premises available for mspechon throughout the work. e. No budding shall be occupmd or used ~n whole or [n part for any purpose whatever untd a Certificate of Occupant shall have been granted by the Bmldmg Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the ~ssuance of a Building Permit pursuant to t[ Budding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulabons, for the construction of buddings, addmons or alteranons, or for removal or demolmon, as hereto describe, The apphcant agrees to comply w~th all apphcable laws, ordinances, bmldmg code, housm~ code, and reguiatmns, and t admit authorized inspectors on premises and m budding for necessary ~ns~"aon~ f? /~ ~/~_ ~;'~'(~gh,~thre o~ apphcant, or name'~f~' cYr~'¢ranon) (Malhng address of applicant) // State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electnclan,plum.b.~r~{:lr budde~ "'""" '- ....... ia w ' -. , : ..... Name of owner ofprem,ses ~~~~"~ If apphcant ~s a corporation, s~gnature of duly authorized officer ~: - 8Y (Name and title of co~orate officer) FO~NG INSPECT~O,~S 2, ROUGH - ~MING ~ PLUMBING 3. INSU~TION Plumber's L~cense No ................... 4. FIN~ CONSTRUCTION MUST Elcctncmn's L~cense No ............. ~ ~PLE~ ~R C.O Other Trade's License No ...................... 1. Location of land on which proposed work wdl be done .... ,; .... a ................... House Num her Street Hamlet Countv Tax map No 1000Seenon .~.7 ....... mock. .~ ......... Lot ..{ ............. Subdwmion .... . .. .. ..... FdedMapNo ............ Lot ........... (Name) 2. State exmtmg use and occupancy of premises and ~ntended use and occupancy of proposed construction a. Ex~st~ng use and occupancy b. Intended use and occupancy 3. Nature of work (check which apphcable). New Bmldzng ..... ' . . Add~tmn ........ Alte~rahon ....... Repmr ............ Removal ........... Demohtlon ........... Other ¥ ......... 4. EshmatidCost .. ?'. ...... ~ ..................... Fee ..'z~.: ........................ (to be paid on fihng this apphcatmn) 5. If dwelhng, number of dwelhng units ..... ~ ...... Number of dwelhng umts on each floor ........... If garage, number of cars .............. 6. If business, commercml or mixed occupancy, specify nature and extent of each type of use 7. Dtmensmns of existmg structures, ffany Front .............. Rear ............ Depth ............. Height ............... Number of Stones ............................................. Dmaenmons of same structure with alterations or add~hons' Front ............. Rear .............. Depth ................. Height ................... Number of Stones .................... 8. Dlmensmns of entire new constructmn. Front ............ Rear ............. Depth ............ Height ............. Number of Stones ~ ~ A6 9 Slzeoflot Front ~.~.~.'.q~..~.b.~f.~.~.~.?~.fi.. Rear ~2~.~,.-~ Demh 10. DateofPurchase (Ift.7.~?~: ........... ' ~,I'n~/2¢3~,~; r~;~;'>,~-v, ~.-,L',~J~'~ ........... I I. Zone or use district In which premises are s~tuated ............. 12. Does proposed construct2on violate any zonmg law, ordnance or regulation- . ........................... 13. Will lot be regmded ./~..~ ...... . ......... ~..~. .. Will excess fill be removed from premlses: 14. Name of Owner of premzses ~.,'.~ . (?.~ ~..~'~.~. ~..~f'.. Address .~,.F.~.~. (~,. ?.~! yf./~..~.. Phone No ~..~?... ?.~..~..~. Name of Architect . ,~ ..... ~.. .... ~ ' "'J 't~'' Address ................ .~ . Phone No ........... Name of Contractor/.~..,ff.r.,q..~.~.~. ?(~Z.~. .,of.~r. ....Address ~.~.~.~. v....ff..~.~.c.~.~<~.. Phone No 7~.. A .-. ~ .~?..~ . 15.Is this property located ~,ithin 300 feet of a t£dal vetland? *¥g$ .... NO .... *If yes, Southold Torn Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dlsttnctly all buddmgs, whether emstzng or proposed, and, mdlcate all set-back d~mensmns fro property lines. Give street and block number or descnphon accordmg to deed, and show street names and indicate wheth interior or coruer lot. OCCOPANCY OR IISI/IS UNLAWFUL QF OCt, NPANCY- - STA~ OF NEW YORK, COUNTY OF ..... -.. :]. -. · 0 ' ', 'a ?t3J"/*%~;n ta .... %,',' · ',~fg~ ~9q.~3~1, T~',*~ ~ ........... being duly sworn, deposes ~d says that he ~s the applica: ~ ,.q[N a~ o~~ ~ntract) ............................................. He ~'~ ~ ~ ' ' (Contractor, agent, co,orate officer, otc ) of smd owner or owners, ~d ~s duly authorized to perform or have perfo~ed the smd work and to m~te and aPphcatmn, t~at all statements contamed m th~s apphcatmn are true to the best of h~s knowledge and behef, and that work wdl be perfomed ~n the m~ner set forth m the apphcatmn filed therewith Sworn to before me th~s ............ ......or .... ...... :9 Term ~ ~mh ~ lg~ BLDG. DEPT. TOWN OF.~OUTHOLO Examined .tQ....~'U.,19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N Y. 11971 TEL.. 765-t802 BOARD OF HEALTH ...... ~... --BISET~ OF PLANS , .......... ~SURVEY .................... CHECK ..................... SEPTIC FORM ................ NOTIFY CALL .............. e ..... Disapproved a/c ...................... (Bmldlng Inspector) APPLICATION FOR BUILDING PERMIT INSTRUCTIONS a. This apphcanon must be completely filled in by typewnter or in ink and submxtted to the Building Inspector, w~th 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 adjoimng premises or public stree or areas, and g~vmg a detmled descrlpnon of layout of property must be drawn on the diagram which is part of this app cat~on. c. The work covered by ttus apphcat~on may not be commenced before issuance of Building Penmt d. Upon approval of this application, the Bmldmg Inspector will ~ssued a Bulldmg Permit to the apphcant. Such perm shall be kept on the premises avadable for mspectmn throughout the work. e. No budding shall be occupmd or used in whole or in part for any purpose whatever until a Certificate of Occupan, shall have been granted by the Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Building Department for the ~ssuance of a Building Permit pursuant to tl Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the constructmn of buildmgs, add~tlons or alterations, or for removal or demolition, as hereto describe, The applicant agrees to comply with all apphcable laws, ordinances, buildir>g,r~ode, h~ou. sln%~eode, a~d regulati~s, and admit authorized inspectors on premises and m building for necessary insl~'~'~ · {"~0~, ~ ¢,Z/~f,~ ~MaIlIng address of applicant) State whether applicant is owner, lessee, agent, axchltect, engineer, general contractor, electncmn, pIumber or buflde · 'd2"~'/<v~'zu~" ' ..... '~;;2;,;~; ik'; 2~ ~'z ~TZ;;_~'~'v,'~¢, '/,c .... r,/',~/'~ ...................... Nam e o f owner o f prem roes '-/.~..~.*~. = .~..~ ~.--.?.~.~ .~?P'. ?~ ~ .~ ~ .................................. (as on the tax roll or latest deed) If apphcant ~s a corporation, signature of duly authorized officer (Name and title of corporate officer) 2 Budder's L,cense N~. dH, iT..,.~..z~.....~. Z ..... Plmnber's License No .................. Electrlman's License No ................ Other Trade's License No .............. 1. Location of land on which proposed work will be done ................................ .4 z'0.. .... . ... House Number Street Hamlet CountyraxUapNo lO00Sectmn ...~.~. ....... Block--7 .......... Lot / ... 2 Subdwlslon ............... Fded Map No .... Lot ........... (Name) State eMStmg use and occupancy of premises and intended usc rind occupancy of proposed construction a Exmttng use and occupancy ......................... b. Intended use and occupancy ................................... 3. Na.ture of work (check which applicable): New Budding ' Addttion ....... Alteration ...... Repair ........... Removal ............ Demolition ............... 4 Estlmate'd Cost ..................................... " Fee ~.. ............................ I (~t~ be paid on filing th~s application) 5. If dwelling, number of dwelling units ............ Number of dwelling units on each floor ............ If garage, number of cars ............................................................... 6 If business, commercial or mixed occupancy, specify nature and extent of each type of use ................ 7. Dlmenmons of exmting structures, if any Front ............. Rear ........... Depth .......... Height ............ Num her of Stones .............................................. Dtmenslons of same structure with alterations or additions' Front ............... Rear ............... Depth .................... Height ................ Number of Stones. 8. Dimensions of entire new construction Front .............. Rear ............ Depth .., .......... I0. Date of Purchase . :t/'?/¢{ ................. Name of Former Owner v', C ~': ~:.~.c.,~..~.s. .......... I 1 Zone or use district m which premmes are situated .............................................. 12. Does proposed construction violate any zomng law, ordinance or regulation' ./.v'? .......................... 13. Will lot be regraded .t~.~ ...................... WdI excess fill be removed from premises: Yes . 14 Name of Owner of premises~.. ~-?.../~.cc. w.~.~.~/.T~:~... Address~..~.~.~.~f' .'~gf~?~.: ./Z.~.. Phone No .4~. ?.~.~..-..~..~: Nme of Architect .......... ,; .............. Address ................ Phone No ............. Name of Contractor .~ .~.~.~.~...~:,( .~.e.~ ........... Address . .~.c.~. f.':'... ~.'~. ....Phone No~.F. 15.Is this property located ~il:hiu 300 feet of a tidal ~etland? *¥1~$ .... *If yes, Southold To~u Trustees Permit may be required. PLOT DIAGRAM Locate clearly and d~stmctly all buddings, whether existing or proposed, and, indicate all set-back dnnenslons fro property lines. Give street and block number or description according to deed, and show street names and indicate wheth ~ntenor or corner lot STATE OF NEW YORK, COUNTY OF .............. S S ...................................... being duly sworn, deposes and says that he is the apphca: (Name of indiv~duaI s~gnmg contract) above named. He m the (Contractor, agent, corporate officer, etc ) of sa~d owner or owners, and aPphcatlon, that ail statements contained m tills application are true to the best of his knowledge and belief, and that ti work wtll be performed m the manner set forth in the apphcat,on flied therewith. Sworn to before me this ........... I..~..~ ..... day of...~.*:~."?,~..~ ., 19 H~N~D~E ' ''''' ' ~ ............... ~ ........ ~J~ ~.~.,Y~ / (S~gnature of applic~ Term ~ ~ch - It, /