The URL can be used to link to this page

Home My WebLink About17664-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Bulldlnq Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-i7669 Date JANUARY 11~ 1989 THIS CERTIFIES that the building ACCESSORY Locatlon of Property 61560 NORTH RD. COUNTY RD. #48) House No. Street County Tax Map No. 1000 Sectaon 45 Block 2 Subdzvaslon Filed Map No. GREENPORT, N.Y. Hamlet Lot 2 Lot No. conforms substantzally to the Applzcataon for Building Permit heretofore filed an this office dated DECEMBER 2, 1988 pursuant to which Buzldlng Permit No. 17664-Z dated DECEMBER 6¢ 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for whzch thzs certafzcate is assued as ACCESSORY GAZEBO AS APPLIED FOR The certafzcate zs zssued to ABRAHAM SHAMES (owner) of the aforesaad bulldang. SUFFOLK COUNTY DEPARTMENT OF HEkLTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUI~BERS CERTIFICATION DATED N/A /Bua~8mn9 Inspector Rev. 1/81 I~OB.~ NO. ~ TOWN OP $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF T~-IE WORK AUTHORIZED) N9 017664 Z ..................................... ~~.~ .................. .~,.. ............................. County Tax Map No 1000 Section . ~ Block ~ Lot No ~ pursuant to opphcohon doted ...... /~. ~./.'~'~ .......... 19..~,, and approved by the Budding Inspector. Rev 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- I802 APPLICATION FOR CERTIFICATE OF OCCUPANCY LDG O!PT -- ~OWN OF SOUTHOLD A. This apphcation must be filled in typewriter OR ~nk, and submitted ~m~ to the Budding Inspec- tor w~th the following; for new buildings or new use: 1. F~nal survey of property w~th accurate location of all buildings, property lines, streets, and unusual natural or topographtc features. 2.Final approval of Health Dept. of water supply and sewerage dlsposal-(S-9 form or equal). 3.Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buddings, Industrial buddings, Multiple Residences and similar buddings and installa- tions, a cemficate of Code comphance from the Architect or Engineer responmble for the buddm§. 5Submit Ptanmng Board approval of completed rote p[an reqmrements where apphcab[e. B. For exmtmg buddings (prior to April 1957), Non-conforming uses, or buddings and "pre-exmtmg" land uses' 1. Accurate survey of p~operty showing all property lines, streets, buddings and unusual natural or topographic features. 2.Sworn statement of owner or previous owner as to use, occupancy and condttion of buildings. 3 Date of any housing code or safety inspection of buildings or premises, or other pertinent ~nforma- tron reqmred to prepare a certificate. C. Fees' Additions $25.00 ?OOLS $25.00 ALTERATION $25.00 l. Ce~ificate of occupancy New Dwelling $25.Q0, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ ]OO.OO 3. Copy of cert~ficate of occupancy $ 5.00, over 5 years $10.00 4.vac c.o. o.oo 5.Updated C.O. $ 50.00 Date Og~ ............. NewConstructmon ..... Old or Pre-exmtm9 Buddm~ ............ Vacant Land ............. Location of Proper~ ....................................... Hou~ No, Street Owner or Owners of Prope~ ...---- --~.~ ................................. ~hfl ~.~. ........ CounW Tax Mao ~o. ~000 Section ............... Block .............. kot ....... Subd~wsmn ............................... Fded Map No ........... Lot No .............. Perm,t No ..... Date of Permit J.~. :.~.'. ¢.~..Appl,cant...~.~..~'r.~..~.C..~.....~..'.. .......... Health Dept Approval Labor Dept Approval ........ Underwriters Approval ........................ Planmng Board Approval ................... . .. Request for Temporary Certificate ........ Final Certificate ........... Fee Submitted $. .~ ................. Construct,on on above descr,bed bu,ld,ng and ~e¢,tx m~ e;:: ~,1. app!,~'~"~des and,,~"~ '.-. _ ~, regular,ohs. Applicant .... .v..~..¥....~.4r~-...¥.1'.../.F4~..~rF-.YI.<~.....'~~. ............. Rev 10-10-78 FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIO}~AL COMMENTS: i ! ! ! ! ! ! t 4 EXISTING 5LILDING FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, NY 11971 TEL,, 765-1802 Disapproved a/c ............................. pector) ..... APPLICATION FOR BUILDING PERMIT BOARD OF HEALTH 3 SETS OF PLANS .......... SURVEY CHECK .................... SEPTIC FORM .............. No I y q77. Z/ CALL ................. TOWN OF SOUTHOLD Date ............. , 19 INSTRUCTIONS a Tlus apphcahon must be completely filled ~n by typewriter or ~n ~nk and submitted to the Bmld~ng Inspector, w~i sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of buildings on premmes, relahonship to adjmmng premises or public sir or areas, and giving a detmled descnphon of layout of properW must be drawn on the dmgram whmh ~s pa2 of t~s a~ cahon. c. The work covered by t~s apphcat~on may not be commenced before ~ssu~ce of Budding Pe~t. d. Upon approval of th~s apphcahon, the Bmldmg Inspector will ~ssued a Braiding Pe~t to the apphc~t Such pm shah be kept on Ihe premmes arguable for mspechon ~rou~out the work e. No building shall be occupied or used ~n whole or ~n part for any purpose whatever untd a Ce~ficate of Occupq shalI have been granted by ~e Braiding Inspector. APPLICATION IS HEREBY MADE to the Building Dep~ment for the msuance of a Bmldlng Pe~t pu~uant to Braiding Zone Ordinance of the Town of Southold, Suffolk County, New York, ~d other apphcable Laws, Ordinate Regulatmns far th~ constm.,c~on of buildings, addit,ons or al/erahons, or for removal or demoht~on, as hereto descnI ~e apphcant agrees~~pphcabIe laws, ordinances, building code, housing 9ode, and regulatmns, ant admit authored ms~f~ ~ ~r~fes and m building for necessaw ~ections. ' :~m ~V~, ,Ot ......... ~Madmg address of app~z~) 'T' ' State whethe~~~t$ arch,tect, en~neer, general contractor, electnman, plumber or burl, ~~~- ~U~ ¢ ......... .......... ........................................... ~,~ ~ ~~W~'~ ~.,S]'~ ~ ~as on the tax roll or latest deed) If apphcant m~a~~~Pauly a~thonzed officer Plumber's Lmense No ........... Electrician's License No ............... Other Trade's License No 1. Location of land on which proposed work xvlll be done .............................. .d/ do..kb rk ({ct.. &c Wo.r? ............... House Number ' Street ............. Mamlet County Tax Map No I000 Sectlon ~:/:'..~ff. ....... Block 02 Fried Map No ......... Lot ........... Subd~v~mon '(Name) ........ 2. State exmtmg use and occupancy of premises and intended use and occupancy of proposed constrtiction- a Exlstmg use and occupancy ..t~,,~,~.e,-If~ .'-"~'...'r'...: ~,.~,,.i.:!...r~,~r- ~"~t, .............. b. Intended use and occupancy.. ~ ['-~/~+ J~' 'F~k'~'; '1-~- .~..~'. f"~..0.1~.. ' ........ 3. Nature of work (check which apphcable) New Building ..... Addxtxon ........ Alteratmn .... Repmr ............ Removal ............. Demolmon ........ Other Work ......... ~ ~OO ,C>O ' Fee (Description 4. Estlmate'd Cost .............................. (to be paid on lihng this apphcatton) 5. If dwelhng, number of dwelling units .......... Number of dwelhng umts on each floor ............ If garage, number of cars ............................................................. 6. If business, commercial or m~xed occupancy, specify natnre and extent of each tyne of use ........ 7. Dmaenslons of ex~stmg structures, If any Front ...... Rear ........ Depth HD~e~ens~n; ~ ....... Number of Stones ................................................. oi same structure w~th alterations or additions' Front .............. Rear ............... Depth ................. Height ........ ~ ........ Number of. Stones ................... 8. Dimensions of entre new constmctmn Front .... l;;l- ........ Rear .... ./.~-. ....... Depth ..../.~. ...... Hmght ...l~,,.q ...... Number of Stones ..... .'T ....................................... 9. Slzeoflot Front... 2. ............ Rear ..................... Depth ............... 10. Date of Purchase . . ~... [..-' 7.~ ............... Name of Former Owner ................... i 1. Zone or use d~stnct m whmh premises are situated ......................................... 12. Does proposed construction v~olat~ any zoning law, ordinance or regulation ... ~ ...................... 13. Wflllot be regraded ........ 14. Name of Owner ofprem~ses-~. *If yes, Southold Town Trustees Permit may be reqt ired. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether ex~stmg or proposed, and.~ndmate all set-back dtmens~ons fi property hnes Give street and block number or descnptmn according to deed, and show street names and mdmate whet interior or comer lot. OCCUPANCY OR r// USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY 3. INSULATION 4. FINAL CONST~ BE ~M~ ALL ~N~ THE ~R~E~ STATE CON~ CODES. N~ DESIGN OR C~S~ STATE OF NEW YORK, S S COUNTY OF .......... ...... 4 (Name of ~ndiv~duaI s~gnmg contract) above named .... being duly sworn, deposes and says that he is the apph( APT'dUR L LOEFFL Notary Public, State of New york No 41 ..4~63898 Qtletffied in Suffolk County ~ (S~gnarure of apphc: He is the ..................... (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 application, that ail statements contained m this application are true to the best of his knowledge and belief, and that work wgl be performed in tile manner set forth m the application filed therewith. Sworn to before me this ........ .~..~..~.. . .day of . ~.O..~'p/.~.?~ ....... 19 ..~ Notary Pubhc, . .......................... County