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HomeMy WebLinkAbout17163-z ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17082 Date JULY 13 1988 THIS CERTIFIES that the building ACCESSORY Location of Property 50 WASHINGTON AVE. GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 41 Block 1 Lot 36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1988 pursuant to which Building Permit No. 17163-Z dated JUNE 24, 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 SHED AS APPLIED FOR The certificate is issued to JAMES FINNO (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 6/88 roan xo. s 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 ~ ~ 1.71.6 ~ Z Date ~ ~ 19. Permission is hereby granted to: ...!~..d~:,..... ~ : ~ ~.9.~..'f.......... ro ..~~~.~•.:K-..~.....ikn.... Q... .~~1!-u:-... I. o~o-~, t . ct premises located ot..~r?~.....W~^^^~Y.~^ ...~......~..~'4'0"~`~••••••••.••••••••• ............................................................................tt.................................................................................... County Tox Map No. 1000 Section ........Q~t....... Block ........Q..1........ Lot No......~.~.......... pursuant to opplication dated .....~..,A~!l-..•.~:':a'•••••••••.•••••, 19.~~.~..., and approved by the Building Inspector, f Fee $..~:5 . . Building Inspector Rev. 6/30/80 ~ S 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 Tie 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 equall. 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" {and uses: 1. Accurate survey of property 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 $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4. Vacant Land C.O. $ 20.00 ~~q'',~,•~,~, 11 ~ 11~ pC/ 5. Undated C.0. $"50.00 c` Date. `-'..t....l,.,,,,,,,,, NewConstruction,,,,,,Oldo re-existingBuildin .~.Jll.e.~.... Vacant Land Location of Property . S.Q..W~;S~7!/~"..ta'1~.~(/@.".......W.r~~r •~•qz'~..,~/-~tc~ OLt~ f `9 House No. ~ Street - yG Hamlet Owner or Owners of Property ~~~c'`S...:~:.. ~ G' County Tax Map No. 1000 Section Block Lot..-.J7. . Subdivision Filed Map No. ..........Lot No. . Permit No. C~?1~.~.jp3 LDate of Permit ~~~Applicant . Health Dept. Approval ........................Labor Dept. Approval . Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ ~ G' Construction on above described building and permit meets all applicable codes and regulations. ~p~ Applicant ......:5../:~,~?!?~ Rev. 70-10-78 R~c..3so`I`1 eo-~ 1~og~ 'c'1::LD It:SPcC:iU,J ~~DATE ~ COMMENT ro ~ 1 . • ~ 3 ~ _ - y W rOUNDAT20N (1st) o ~ m~~ FOUNDATIOW (2ndl _ - 2. .1 z o I/'~ P,OUGH FRAME & ~7 r PLUMBING G ~ 3. x' m IIdSULATIOfJ PER N. Y. y STATE ENERGY CODE x Q A .--1 r 7. H 9 FINAL ~ o ~ , ~ ~ ADDITIONAL COMMENTS: x ~r . x H~N ~ N y H O oL z ---C~ I 9 • r H ~ d C7 H tF`~-.?~' v~ rum 3 s ~E j'am'' ~ 6 `'t. ~r~! d 1tf G L l~~r j. ~ s ~ ~ o ~S c Q~` j _ ~~~o~Q~~° ~ o~ , ~ 3 0 ~ ~ X ~{c~ ~P~ov~,q~s~NO,Y,_~ _ > f a/ DATE: a ~ B.P. N l ~ y o x~ 8 FEE: BY: ~ G . L. Z„~( cu 1-1 ~ NOTIFY BUaL01luG DEPARTMENT AT a ~LYi'(~Z;~ ~ U 9'°~!~/ f~~ 7&5-1602 ~9 Ate TO 4 PM FOR 7HE ZX 4.! N ~Z,w' CG`H ~RSF FOLI,.CSWING INSF ACTIONS.. ~ 6'~©G i. FOUNgATfON - TWO REQUIRED ti 7~. (~:4~' I " ~ 1 - -FOR ROURED GONCREI'E r l ~ I ~i ~ ~ ~ ~ 2.. ROUGH -FRAMING & PLUMBING S ° 3: INSULATION' 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. i ~ALL_CON.STRUCTION SHALL MEET THE REQUIREMENTS Of THE N.Y. -STATE CONSTRUCTION dr ENERGY CODES. NOT RESPONSIBLE FOR ' DE31GN'OR CONSTRUC'fiON ERRORS 00 a• ~o ~ -o o DoT ~ is r u m D _ ~•~a5t -z.__ K France eo 0 0 S ~ Z p r ~ ~ w u u+ cp c~ O ~ o °s ~ ~t , - ~ W a 3 x 0 UJ m II ~ o` o ~ m ~ 1 ~ 3G ~ ~ - d ~ > - ~ ~ ~ ~ i' s N o r ~ ~ r o D ~ w o \r~--t ~ COMC. dvrve way ~ S - It France p x west F `K ~ .2°23' 10.&. I~O.O 4ot Ilne ~oj- t8 '>F 4 Visor n ~OP~ Q ~ F- a o° ~ rb"Q ~~s ~ ~ ~ ~ ~ - p ~ 2 o + ~ rte ~ ~ ~ m ~ ~ ~ , j > ~n< ~ ~o ca p~~ F O o< p m ~ "z' ~ ,r-tr ~ ~ ~ € - ~ Sao a iD ~--I ~ ~ ~ ,ia~i::u 4a;t~ - ~iMl: r.~~ ~ 1... - r ~ a' nW;: it,, r~ . ~ ~ d~ ' TEL. 7G5-1802 pFf01k 0 5 COG~~ TOW1V OF SOUTIIIOLD :.t OPFICI: OF BUILDING INST'ECTOR ~ I'.O. BOX 728 ~ TOWN BALL YO ~ `C' SOUTIIOLD, N.Y. 11971 ~~j~l. I , I X88 w ~,,,,ti l.J 1 i 4 ~l y To Whom This May Concern, We are unable to complete your Certificate of~Occupancy because of the following reasons. An application for Certificate of Occupancy is not on file. /y/ No Underwriters Certificate on file. h!/~ The check is (outdated/not nn f.'>~.,) ~7U• oa / / No Flealth Dept. Approval on file. iJ/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit I! ~ ~ L ~a .3 Z .~¢in~ocA~.~.(.+.s4 IIuildiny Dept. / No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) l ` ! ~ ~ 785-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION i5T [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ~ FINAL REMARKSa ~ C~ ~ DATE 3~ d INSPECTOR i D BOARD OF HEALTH 3' SETS• OF PLANS B•~ . FORM NO. 1 SURVEY .Q",~•, , , , , , , ~~j ~'t2~~U`~, li TOWN OFSOUTHOLD CHECK .....~!'S13•....•.•.•. ILIIIL~V ~ BUILDING DEPARTMENT SEPTIC FORM TOWN HALL ~ SDUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL `"1 ,j - ~ MAIL T0: yO.rrt.(,~d-,vxmt- Examined ....vt-~. = 19 . 00 ~ ~7r'ia Approved ---v 19Yt .Permit No....... ll 9 J Disapproved a/c (Building Inspector) APPLICATION FOR BUILDING PERMIT Date ~..J`~....., 19 INSTRUCTIONS • a. Tlus 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 showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to 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, additions or alterations, or for iemoval 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. (Signatur "applica/nt, or n~ntame, if a corporation) ft. {t ~n 'tom n~ ~akx~.J ....~o.....~...r~. f~..... . ' (Mailina~-tfddress of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .........C~WNQ~ Name of owner of premises ...~~.me.,S_ • . i_n (~O (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized offices E~ s ~ (Name and title of corporate officer) ~ Builder's License No. ..~GN.~!~- . . y~t~~„ /y~` J Plumber's License No. ~~:~e" •6/~t c%~~ Electrician's License No. .,IF?UJ~!~ . Other Trade's License No. . . 1. Location of land on which proposed work will be done. s~.Q„ ,~S, n ~,n~~ ~~Q- on} rT V House Number Street ~ ~ ~ ~ ' ' ' N" ' ' ~ h~y Hamlet County Tax Map No. 1000 Section ~ Block ~ , , , , , , Lot Subdivision Filed Map No. Lot............... (Name) State existing use and occupancy ofpremises and intended use and occupancy of proposed construction: a. Existing use and occupancy . '~...........i b. Intended use andaccupancy ..~.1.1.~~ ~ ~~L......1`em~~e~ ~U2~^ ~i~ e~tg~~n~ S~e~ 3. Naturerof work (check which applicable): New Building Addition Altera[ion~e~'~ Repair Removal Demolition Other 1Vork . p ' / / (Description) 4. Estimated Cast ..~-~~o' , , ~~;z~~~~- Fee (to be paid on filing this 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. Dimensions of existing structures, if any: Front . Rear ~ ~ • • ~ ~ • • Depth............... Height Number of Stories . unensions of same structure with alterations or additions: Front . ........Rear Depth ......................height ......................Number of Stories . 8. Dimensions of entire new construction: Front • • ' ' ' ' ' • ' Rear...... Depth Height ...............Number of Stones . ize of lot: Front Rear Depth 10. Date of Purchase ' ' ' ' ' ' ' .............................NameofFormer Owner 11. Zone or use district in which premises are situated . . 12. Does proposed construction violate any zoning law, ordinance or regulation : . 13. Will lot be regraded . ,Will excess till be rem ved from premises: ,Yes ~T~, 14. Name of Owner of premises S, ,lyn!~,°• • ,Address .Spu=p:5h:!q{x:? Phone No. y7.1 a S9Y Name of Architect ...........................Address ...................Phone No............... . Name of Contractor ..........................Address ...................Phone No........ . 15.Is this property located vithin 100 feet of a tidal vetland? *YES....NO.~.. *If yes, Southold Tovn Trustees Permit may be required. . PLOT DIAGRAM Locate cleazly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. r STATE OF NEW YORK, S.S COUNTY OF . f ' ' ' ' ' ' ' ' ' • ' ' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. 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 Cle this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this Notary Public, ~~?'~-L(!+l! ..7~....~Q: Jam........... County HELEN K DE YOE J NOTARY PUBLIC. State of New Yerk . No.4707678, Suttolk Coe . Terri Expires 6Yreh 30,19 (Signature of applicant)