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Home My WebLink About17525-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17407 Date OCTOBER 12, 1988 THIS CERTIFIES that the building ACCE5SORY Location of Property 1725 SMITH ROAD PECONIC NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 18 Subdivision M/o INDIAN NECK PK Filed Map No. 551 Lot No. 34 conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 12, 1988 pursuant to which Building Permit No. 17525-Z dated OCTOBER 12, 1988 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 STORAGE SHED AS APPLIED FOR The Certificate is issued to JOHN & ALTHEA ROBINSON (owner, ) of the aforesaid building. SUFFOLR COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A V IC..,, l-C~ t Buildin Inspector Rev. 1/81 FORM NO. D TOWN OF SOUTHOLD BUILDING DEPARTMEN4 TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTiL FULL COMPLETION OF THE WORK AUTHORIZED) N ~' li 17 5 2 5 Z Date ...../.a.-..r.,~ ................................... 19&.~ Permission is hereby granted ta: /S30 ...~~~..... ~~.....r..... ct remises located at .,../.7sr~..~.....elr.lC.~• ....P ...............................................J..~..~l~~.!-u.................. ~................................................... ..........................................................................y..................................................................................... Caunty Tox Map No. 1000 Section ........1..~....... B1ock .....~1~.L............ Lot No......l...~........ pursuant to application dated ...~P .............................................. 19........, and approved by the Building Inspector. fee $...°r..~. ~ ~.... uilding'/lnspector Rev. 6/30/80 i ~~ " ' FORM NO. 6 ~~ ~ ~~J ~ ~~~ TOWN OF SOUTHOLD Building Department o~' - 7 19~ Town Hall Southold, N.Y. 11971 765 - 1802 BLDG, 61'T• APPLICATION FOR CERTIFICATE OF OCCU NCKOWN OP SOUTHO Instructions A. This application must be filled in typewriter OR ink, and submitted ~ s~~.~ to the Building Inspec- torwith the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pxoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing 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. Certificate of occupancy New Dwellino,$25.00, Accessory •$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $IBO . 00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 . 4. Vacant Land C.O. $ 20.00 0y~ 5.Undated C.O. / $ 50.00 Date ......~~~7~,$0,,......., NewCons truc t i on , ,v, , , OId orPre-existing Building Vacant Land Location of Property ..~ ~~~',~, ~~+; ;~ ~c >~ ~,,~.purc. . House No. / • . • . 3ireet . ........................Hamlet Owner or Owners of Property , . ~D,!~','; , b, , ~; ,~;?'FCpA-. ~ /3iuso.J . County Tax Map No. 1000 Section ~ $ . , •~, , , , Block ..... ~, ...... Lot .... ~, ~ ~, , , , Subdivision .................................Filed Map No. .. ;t'f ~ , , ,Lot No. ..3~, , , , , , , , Permit No. .......... Date of Permit ..........Applicant ................................. . Health Dept. Approval ........................Labor Dept. Approval ....................... . Underwriters Approval ........................Planning Board Approval ...... . , , , , , , , , , , , , ... Request for Temporary Certificate .....................Final Certificate .... Fee Submitted$..f.~~ /~,~7.~...... .••....••.-.•... Construction on above described building and permit meets all a plicabl des and regulations. Applicant ... ......... ~ . /:....}-;' ........... . aw.ro~io.~a ~bNna ~. ,Po/diNso.J Rte, ~~ s9 a~ cod )7r~~F.~~ I I 1 1 ~ ~ W ~ O C° ~ Gp _ W O iii m ~ ~ my P~ ' ~ 2 ~~ s ~ Z _ O N ~ N ' - ~ ~ ~^ m a ~ ~ X m ~ ~ ~ ~ ~ ~ y _ ~ ^s' ' •- O , A N ti O . a ~ m a ~ ~ ~/// ~ • ~ C D Q ~ O O °~ -mi D • ~ / ~ G f ~ H W O-m mom P1 _ I a m ~ ~ _ I A J pmy ~ ~ ~ ~ I I ~~ - w oZ = p __~ ~ ,~; 1 ~~ 2 y O inN y- ~ - I ~p m °Sm5 ~_ i~Q ` _ - -- ~ ae mH ° 3~ v m F rn D - _ -". c ~ oc \ = N /~` m m ' m fa a A 0 u J _ ~ cm'^o m o n 3~ 0 C v z ~av ' r~ D °, mf w ° =vm W C I Q~ a ~ ° v' ,c 3 ~ u ~Z m-H Z r1 ~ D ~ • ~~ D m y 0 m n~~ _. d 3 a D, . D n N 9 ° G y y ~ a ~. n ~ O r ~ Q ' D ~ y ~ = f m o 9 Q1 ~ DO O :. s a ~ Z ~"'~ /~ s , ~~ - a ~~v V ° ~ - ~ ~m ~~' ° ~ ~ may' ~m~ V ~ v .~ ~ c ~ n ~ Z~ Q ? ~p ~ ~m Z 0 m ~ O a ~ W A c °~ ,, - -- 1 i, i ~~~~so ~ 765-1802 BUILDING DEPT. f1:T.-i~~.TiiL~I`l [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING REMARKS: ( ~NAL l~Lr1~ _ ~~ DATE l INSPECTOR ~~~ - , ~r., - n .; . ~ ' `~.~ .-~ , ~, ~ ~ .x{. t` - FORM No. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 - Examined ~Q~r°.L, .... TEL.: 7G5-7802 ..., 19~i~ Approved .. l/ 2 , , pp ~•^ , , ., 19 ~UPermit No.~~c/ .~~~~ / Disapproved a/c ........ ........................... .. BOARD OF HEALTH :~::......, 3 SETS OF PLANS , SURVEY ,,µ.~ ...... CHECK .~ ................. SEPTIC FORM ................ NOTIFY CALL .. ................ . MAIL T 0 : (p .5 ~i~P~ ~-~ c~~, ~~ 1153D ............... i ................ ~. J 1G./(r~~iZ~'~~ ..... . ~t ~~ Di"` ~ ~ , C--"~~~~ din;/IJ~ns/pector) /9/ ~ ~ APPLICATION FOR BUILDING PERMIT ©t+~~ ~ ~ ~~ INSTRUCTIONS Date ................... 15 .. - a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show~u't~~gg,~~~c., tio~n.-o-fvl~gt~:ap'd of buildings on premises, relationship to adjoinin; premises or public streets or areas, and giving a defaile' c7escriphon of layout,of property must be drawn on the diagram which is part of this appli- cation. _ "'' - +~ '~ ' c. The work covered by this~pplication may not be commenced before issuance of Building Permit. d. Upon approva}~of;thjS,,app~icatiojts the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on t$e{ p`rggri~ises.~v~ilable,for4'utspeetiari throughout the work. e. No builditi'g shall be••.gcpupied or iase'd in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been grant~~t~atyt.~l~~yBlzildin~~~slie^ctor: ' ' APPLICATION IS HE ~ ~'' to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Or~1na~~f e'Town of.Southold,;Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the constrpclia~ of buildings, additions or alterations, or for removal or demolition, as herein described. rs ::; :•. The applicant agr~e~•~o~cdm,~ly~it,~t:all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors onapr~gmxses and in :building for necessa inspec ons. ~~/---~//J )ta~~~ `+'~'` °" ~ ~~ ~ (Si nature of°a lican ~} ~ ., ~c6 ~~~~ ~~r name, if a corporation) ............... - _ (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...............................+.~................................................................ Name of owner of premises 'L, i4x-l7:"t~4 h ~/~/ffeSo!J... ~/O.rf~'..... ~ ...............~~. ... . (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 License No . ....................... . Electrician's License No . ..................... . Other Trade's License No . .................... . 2. Location of land on which proposed work will be done . .............. . House Number Street 1..~ County Tax Map No. 1000 Section .....~~........ Block ......? Subdivision .... /''.~~!'~+'. !u'~..~~f-' ................ Filed Dlap No. (Name) State existing use and occupancy of premises and intended use :urd occupant ... ..... ............... ................... Hamlet t }~ .......... Lot .....V.h`?..~./. . sSl........ Lot .. 5.~.~7.. Y of proposed construction: a. Existing use and occupancy ... ............... ............. ...... . . .............................. b. Intended use and occupancy .. ...ss~~+-'~• • .. • .~~.~, /h~t~+yy~} g/L,. l g zegweosp eslldx~ uolet:lwtuo~ Awno~ ~IID11nS ul ~IAlrn~ .,- (l~a!fdde3o amleu3rg) 'i sosscsr•~N ' ..... .. 11+oA~N W WRa3'aIW~V AW1uN ... - ...... ...... N13'ID "17lIItlTJ ' y I~~ ~Cluno~ ... 'allgnd ~(zc]o,V styl aw azo3aq of woms a 'yltmazayl PafJ uo!3cai{dde aq3 ui tilzo3 las Iattuew at{l ut pauuq{Iad aq iM+ .yzom yl ley3 pue.3ac{aq put: a9palmouy sgt{3o lsaq aql 03 antl aze uot3ts~yddc sn{] ui poum]uoa s]uauta]o]s {lc 3eq] 'uopcai{ddc s!yl aia Pue axcw of pueyzon+ pres', ayl pawzo31ad anrt{ zo wzo31ad o3 pazuotllnc llnp si pue 'slaumo Io Iaunw pies 30 ....... ~ .. : ..:.. .............('ola `Iaa!33o a3czodzoa'3ua5c `IOlocz]uo0) s. .i . ........................ ................ f ~m~ ................. at{1 s! aH . , •pawcu anogc 3ueai{ddt; an3,~I.~zi.3cyl s,it:s,pue sasb~tap `uzonss ~t{np 9ulaq (lo°zluoa .°,ulu3ts ienptnrput 3o atur,N) ,.-,~ m.......,....._ ,,, _ .. , _ . S•S •~'~ ~,~.. ao ~iHnoo ua 13[~l :IO 3.LV,LS APP~~ ~D, AS NHTED DATE: ~-~st~~~n u B.P. N /7S.ZS~ FEE: NbTIFY~~OE T A7 78b•1802 9 AM TO • FOq THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~ TWO RE~lNRED FOR PQURED CONCN8IE 2. ROU(iH~- FRMAING ~ PLUM8M10 3. INSULATION Q, FINAL - CONSTRUCTION MU8T BE COMPLETE FOR C.O. ALL CONSTRUC7'-OM BMALt.' MffBT THE REQUIREMENTS OP >~ y,Y STATE CONSTRUCTIOp rj ~M{y CODES. NOT RE$PgN$IB,L! FOR DESIGN OR CONSTRUCTIONERRORB i . zay3aym a3eaiptn pus satueu laaz3s mots pue 'paap o3 Suipzoaac uoildilasap so Iagwnu ~{ao{q pue 3aa13slani;~~aun rC~ dozd woz3 suolsuatutp ~{aeq.las {[e a3t:3ipur~,pue `pasodozd zo 2u{ls{xa zay3aym `s5tnppnq [lu ~I3au13sip pttE ,Sltt;ajo alt:aol _ I~IV2I'JVIQ .LO"Id . •paiinba.x aq dsm uimaaa saaasn.xy uyoy pjoyanog `saS 3I~ l'..011....S~]Cr ~puEi]an',Tepil a ;o qaa; OD£ u?qni.+ pausaoj 6]><ado3d siy] sI'S[ 'oH auoyd ...... i ............ ssaIPPV .......................... zolac13uo o atue ................oN auoyd ..... i ... ssaIPPV • .... ~ ................... 3oaliyolV 3o atueN o sa oN aunt{d ...... ; ssazPPV .. • ............... : : sastwazd 3o zaum0 3o atueN •y I "••••. .sastwazdwoz an •...•.•••.•. • ~ ................... waI aq I13 ssaaxa {l!M ................... . ::: ; • ' :uo!le{nSaz so aaucuipzo `me{ Sutuoz ~tuc a3c{o!n uot3an13su ~cpasodozd sa{oQ 'ZI a P len3is alt: sasiwazd t{an{m ui 3au3s!p asn zo auoZ ' I I • " " " "' aum zauuo. o a O 13 we{~{ ....................... . ascgaznd 3o a3cQ '01 ............ ..... t{]daQ ..~ ....................Iea~ ..................... • 3uoz,d :l0{3o azcS '6 .............. y3da............,....................... sauo]S3ozaqumN............... .............. Q Iea~ .. 3uol uoi an.t suoa mau az!lua 3o suoisuautt ]S 3 • .. 1t1~!aH ................ sauo o ~agwni,I ...................... 3t{StaII .................... • y3daQ ..:: Iea .• 3, 3 l Q 8 ~I. • ... • •',. • • • • • • • . • 3ua3 auo!lrppc Io suo13t:Iallc tµtm aznlottzls awcs 3o suoisuawtQ ................ .. .. sauo]S 3o zaqutnN ............... 3t{SiaH ............... tl]daQ ......... ~.... zca~ ............... 3uoz1 :Cur. Ji `saznhtu]s 3uilsixa 3o suoisuawiQ 'L • •asn o ad~i yaea 30 3ualxa puc aznlcu ~C3taads `,Caucdnaoo paxrw zo lrlazaunuoa `ssautsnq 3I '9 ..................................................... sleo3olagtunu'a3cIe53I .......:........zoo aca uo s lun Sunlamp 3o Iagwniy .....•. G ( i yl ~lJ P. l q ......... shunSu!{lan+P3ozagwnu'°u!IIan+P3I 'S uot3cai dde st Sut t uo tcd a pll ....~....:..... as (uonduasaQ) ~~.~..... d ........................... ..... 3so0 a c .............. 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