The URL can be used to link to this page

Home My WebLink About17535-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17421 Date OCTOBER 18~ 1988 THIS CERTIFIES that the buildin~ ADDITION Location of Propert~ 26025 MAIN ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 018 Block 03 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 27, 1988 pursuant to which Building Permit No. 17535Z dated OCT. 14, 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to CAROL MEYER & JOANNA ASPERGER (owner, X~) 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. 1/8i FOB,~ NO. ~ TOW'N OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. ¥. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 017535 Z Perrnissio~ is hereby granted to: ,, , ~,¢,,~.- ~'": ...... :.. ......... . ...-.~........~.,..~;~.'. ........ ~¢~ .. ~ ....... ~.~2....~~...~....~~~~ ......... ~ ............ ~,,,~,,,,~,~ ~, ...... ~.~..~.~.~_..~ ........ ~ .............................................. co~.~ ~ Mo~ No. ~000 S~on ....... Building Inspector. Fee $.~ Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted m"-------- to the Building Inspec- tor with 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 featu res. 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, a certificate of Code compliance from the Architect or Enqineer responsible for the building. 5.Submit Planning Board approval of completed site plan requiremer~ts where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topograph ic features. ...... - ~: p i ~v ie~, ~ ow. u r ,as~z~-s~ccupancy~ n d ~e~i~itdings; 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: Addit±ons $25.00 POOLg $2$.00ALTgRATTON $2.5.00 1. Certificate of occupency New Dwelling $25.00, Accessory ,$10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ IOO.O0 3. Copy of certificate of occupancy $ 5.00, o~e~ _5 yea~s $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewCons truc tion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property ........................... ... House No. Street Hamlet Owner or Owners of Property County Tax Map No. 1000 Section ............... Block ............... Lot ................ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit ....... Applicant ........................ Health Dept. Approval ....................... ~'~~af .................. Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ............................. Construction on above described building and permit meets all applicable codas and regulations. C 0 7_/~/ Applicant . .. 6AROA. MEYER ...................................... 765-1802 BUILDING DEPT. INSPECTION REMARKS: (~ /~ ~'"~ ,INSPECTOR TOWN OF SOUTHOLD FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1802 Examined/?/./~. ......... ,19 .~.~.' Approved ....... , 1 Permit No .......... Disapproved a/c ..................................... APPLICATION API)I~ AS ~.D ~. · FOR BUILDING PERMIT FEE:~BY:~ BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: Date ................... 19 ... INSTRUCTIONS 785-1802 9 AM ~0 4 ~ ~ ~ a. FoTk~{~I~I{II~. completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3 sets ot} pllaO~JNIt~l{t~ p[ot l~ ~ee according to schedule. b. ~lllt~i/~n of lot and of buildings on premises, relationship to adjoining premises or public streets or arell$,RllllJllit'in~& ~ of lhyout of property must be drawn on the diagram which is part of tiffs appli- cationS. INSULATION c.4.'ll~N~kork, c~Nl~~$1J~on may not be commenced before issuance of Building Permit. d. I~lI~ Fotl~Opplication, the Building Inspector will issued a Building Permit to the applicant. Such permit shall t~elgOSlST~ktfft~ONesS~h/~bl~[ffiTinspection throughout the work. e. Th'~o 81t~tiffi~l~ffi~e O~t~i~cl N~used in whole or in part for any purpose whatever until a Certificate of Occupancy shall ~T~T~e~l~l~l~tl~Oh~ ~ui~i~pector. CODES. NOT RESPON~ISU~ FOR AIiSl~gt~T~8~~II~o the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, a.d. ditions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. (Signature ot apphcant, o e, if a r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) nuilder's L ce=e No.C. Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Oo ,U?A {O¥ OR USE iS UN[AWFUL WffHOUT CERTIFICAT£ OF 1. Location of land on which proposed work will be done .................................................. P6 0 & o House Number Street Hamlet County Tax Map No. 1000 Section ..... ).~.. ' Block · 3 .............. Lot...o~..A ........... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) 2. State existing use and occupancy of premises and intemled use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... b. Intended use and occupancy ..... ~..~..C~ ................................................. .... . . . ( ppli ) 3. Nature of work check which a cable: New Building ..... ' ..... Additio .......... Alteration .......... Repair .............. Removal .......... Demolition ' Other Work ..... 4 stimataCost , (Description) (rd be paid on filing this application) 5. Ifdwelling numberofdwellingunits Nnmberof ' ' ' ................ dwelhnglunits on each floor. If garage number of cars ~ ............... 6 Ifbusine;s ......................................................................... · , commercial or mixed occupancy, specify nature and extent of cacti type of use 7 Dimensions ofexistin~ structures if any: Front ..................... Rear . Depth Height Numb'er of Stories ................... ~ ......................... Dimensions of same structure with alterations or additions: Front ' Depth tleight ......... I ........ Rear ........... ............................................ Number of Stories 8. Dimensions of entire new construction: Front ............... Rear ' Depth Height Number of Stories ................................. Front ...................... Rear .................... ~.. Depth ............... Date of Purchase ........ N fF 0 r · Zo e di i ..................... ame o onner wne tinwhihp i itu d ' ' ~ ' ......... ne or us str c c rem ses are s ate ................. ~ .... , ............. ~' .~ ............ D p d ti iolate i g law di ocs ropose construc on v any zon n , or nance or regulation: . i ,, ' ' ' · Will lot be regraded ............................ ............................ Will excess fillbe rem red from re scs: Yes No Name of Owner of premises ................... Address ....... · ..... ; ...... Phone NO.: .............. Name of Architect ....................... Address ............ i. .:Phone No ............ Name of Contractor .......................... Address ............ ~ ·. Phone No .......... '... IS.Is this property located within 300 feet of 'a tidal lwetland? *YES .... NO .... · If yes, Southold Town Trustees Permit may be requlr~d. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, andiindicate all set-back dimensions from and indicate whether 10. I1. '12. 13. 14. property Lines. Give street and block number or description according to deed, and show street names interior or comer lot. ................................................. being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named· He is the / i (Contractor, agent, corporate officer, etc9 of said mvner or owners, and is duly authorized to perform or have performed lhe isaid work and to make and file this application; that all statemants contained in this application are true to the best of h.'is knowledge and belief; and that the work wgl be pertbrmed in the m~ner set forth in the application filed therewith. Sworn to before me this '