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Home My WebLink About17672-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offmce of the Bulldlng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17613 Date DECEHBER 19~ 1988 THIS CERTIFIES that the building. Location of Property 745 N. OAKWOOD RD. House No. County Tax Map No. 1000 Section 127 Subdivision ACCESSORY Street Hamlet Block 07 Lot 12 Fmled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed mn this office dated DEC. 5, 1988 pursuant to which Bumldlng Permit No. 17672Z dated DEC. 8r 1988 was mssued, and conforms to all of the requmrements of the applicable provisions of the law. The occupancy for whmch this certificate ls lssued ms ACCESSORY SHED. The certmflcate ms mssued to HENRY & THERESA KUHN (owner, of the aforesaid bumlding. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 Bumlding Inspector lrOR~ NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 17672 Z Counb' Tax Map No 1000 Section ... ,/.~'~.~.... Block ......... .'Z.. ........ Lot No ..... pursuant to opphcatlon dated ........ .//~-. / .~. ........... , 19 g~.~ and approved by the Building Inspector. Rev 6/30/80 FQRM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N,Y. 11B71 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in typewriter OR ink, and submitted m -- ' to the Building Inspec- tor with the follow~ng; for new buildings or new use: 1. Final survey of property with accurate location of all buddings, property lines, streets, and unusual natural or topographic features, 2.Final approval of Health Dept. of water supply and sewerage dmposal-(S-9 form or equal). 3.Approval of electrmal installat.on from Board of F~re Underw,ters. 4. Commercial buildings, Industrml buddings, Multiple Residences and similar buildings and installa- t~ons, a certfftcate of Code comphance from the Architect or Engineer responmble for the building. 5.Submit Planning Board approval of completed site plan requirements where applicable. B. For ex,sting buildings (prtor to Aprd 1957), Non-conforming uses, or buddings and "pre-existing" land uses: 1. Accurate survey of p~operty show~ng all property lines, streets, buildings and unusual natural or topograph m features, 2.Sworn statement of owner or previous owner as to use, occupancy and condition of buddings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent mforma- t~on required to prepare a certifmate. C, Fees: Additions $25.00 POOLS $25°00 ALTERATION $25.00 1. Certlficate of occupancy New Dwelllng $25.00, Accessory ,$~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ IO0. OO 3. Copy of certlflcate of occupancy $ 5.00, over 5 years $[0.00 4.Vacant Land C.O. $ 20.00 X[...~-~%.. ,.~-t /~(=7 ~3 5.Updated C.O, $ 50.00 Date ........................ NewConst~uc t[on , Old or Pre-existing Budding . . Vacant Land . , House No. Street Ham/et Owner or Owners of Property ,..~...-e .................................... County Tax Map No. 1000 Section ............../ ~ ,~.. Block ..... 7. ........ Lot.. .............. / ~' Subdw~s~on ................................ Fded Map No ........... Lot No .............. Perm:t No .......... Date of Permit ........ Apphcant ...................... Health Dept. Approval ................... Labor Dept. Approval .................. Underwr~tersApproval ................. .. ....,PlanmngBoardApproval ... ................ . . . Request for Temporary Certificate .................... Final Certlhcate ................... o... Fee Submitted $ ............................. Construction on above described budding and permit meets all apphcable codes and regulations. Apphcant .... /x~.~ ~ ....................... Rev 10 10-78 YOUNG a, YOUNG ,ooo~o~ ~,u~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N Y. 11971 TEL . 765 1B02 BOARD OF HEALTH .......... ~3 SETS OF PLANS .......... -SURVEY ................... CHECK .................... SEPTIC FORM .............. Dmapproved a/c .............................. ~i ~JJ~ ......... : (13~ dd m ~rg~ sP ~ct °-r ) *,'!fi ' ~'C ,'~ ~9~ APPLICATION F~RR BUILDING PERMIT CALL .................. MAIL TO:.~/~ Date ~ .................. 19; INSTRUCTIONS a. Tlus apphcatton must be completely filled in by typewriter or mmk and submitted to the Bmlding Inspector, w~t sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing locat~on of lot and of braidings on premises, relatmnsh~p to adjoining premises or pubhc str. or areas, and giving a detmled description of layout of property must be drawn on the diagram whmh ~s part of tbas ap catmn. c. The work covered by ttus apphcation may not be commenced before ~ssuance of Budding Permit. d. Upon approval of tins apphcat~on, the Budding Inspector will ~ssued a Bmldmg Permit to the apphcant. Such shall be kept on the premises avadable for mspechon throughout the work. e. No budding shall be occupied or used m whole or m part for any purpose whatever until a Certificate of Occupm shall have been granted by the Budding Inspector. APPLICATION IS HEREBY MADE to the Budding Department for the ~ssuance of a Building Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other apphcable Laws, Ordinances Regulations, for the constructmn of buddings, addmons or alterations, or for removal or demolmon, as hereto descmb Th~ applicant agrees to comply wxth all apphcab]e laws, ordinances, bmldmg code, housing code, and regulations, and admit authorized inspectors on premises and rtz braiding for necessary mspec~2~// . --- (Signature or apphcant~ or name~ if a corporauo~n) V (Malhn~ address of apphcant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electncmn, plumber or bmld, Name of owner of premmes ./~....~.....~.~... ~ ............. (as on the tax roll or latest deed) If apphcant m a corporation, signature of duly authorized officer (Name and title of corporate officer) Builder's License No. ~m~'~- Plumber's License No ......................... Electncmn's License No ................. Other Trade's License No ................... 1. Location of land on wluch prqposed work xvllI be done ..... House Number St reetx Hamlet County Tax Map No I000 Sccuon / 2 '7 \ \ '~ / ~- ................. Blgck ............... Lot ................. Subdxvmmn ........................... F41ed Map No ............... Lot .............. (Name) ~ 2 State exatmg use and occupancy of premises and mtep~dcd use and occupaacy of proposed construction b. Intended Use and occupancy .. ..... -/ .......... 3. Nature of work (check ~h~ch applicable). New Budd,ng/CO:~.. Addmon .~ ....... Aiteratlon ........ Repair ............. Removal .............. Demolition ........... Other Work ............. 4. Estlmate'd Cost ~t.~-~ (to be paid on fihng this application) 5. If dwelling, number of dwelling units .............. Number of dwelling units on each floor. .. Ir garage, number of cars ................................................................ 6. If business, commercial or mixed occupancy, specify nature and extent or each type of use ................... 7. Dimensions of existing structures, if any Front ............... Rear ............. Depth .......... Height .............. Nun her o f Stones ................................................... Dzrnensions of same structure with alterations or additions Front ................ Rear ................. Depth ..................... Height ..................... Number of Stones .................... 8. Dimensions of entire new construction. Front ............... Rear .............. Depth .............. Height ............... Number of Stones ..................................................... 9. Slzeoflot. Front ................... Rear .................... Depth ....... 10. Date of Purchase ............................. Name of Former Owner ............................ 11. Zone or use district in which premises are situated ................................ ~v..~... ~ ........ 12. Does proposed construction ¥1olate any zonmg law, ordmanceorregulatlon: ........... ~..'~...7.~L~'. ...... 13. Wall lot be regraded .............. ~/.~ .o. ....... Will excess fill be removed from premises: Yes 14. Name of Owner of premises ................... Address ................. Phone No ............... Name of Architect ........................... Address ................... Phone No ............... Name of Contractor .......................... Address ................... Phone No ............... IS.Is this proper~y located within300 feet of a tidal wetland? ~'YES .... I~O..~'~..' *If yes, Sourhold To,an Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dlstmctly all buddmgs, whether exlstmg or proposed, and. indlcate all set-back dmaenslons rrm property I~nes. G~ve street and block number or description according to deed, and show street names and mdlcate whethr mtenor or corner lot. STATE OF NEW YORK, S.S COUNTY OF ......... ...................................... being duly sworn, deposes and says that he is the apphcar (Name of indw~dual s~gnmg contract) above named. He is the ........................................................................... (Contractor, agent, corporate officer, etc.) of smd owner or owners, and is duly authorized to p~rform or have performed the saat work and to make and file th apphcat~on, that all statements contained in this application are true to the best oftus knowledge and belief; and that work wdl be performed m the manner sci forth in thc application filed therewith. Sworn to before me this O'- .day of. · .................................... ..... County (S~gnatureofapphcan