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Home My WebLink About17717-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Buzldzng Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17634 Date DECEMBER 22, 1988 THIS CERTIFIES that the building Location of Property 1870 SOUND AVENUE House No. County Tax Map No. 1000 Section 33 subdivision ACCESSORY GREENPORT ~ N.Y. Street Block 4 Lot Filed Map No. Lot Ho. Hamlet 79 conforms substantially to the Application for Building Permit heretofore flied in th~s office dated DECEMBER 19, 1988 pursuant to which Building Permit No. i7717-Z dated DECEMBER 22f 1988 was issued, and conforms to all of the requirements of the applicable provisions of th~ law. The occupancy for which this certificate issued is EXISTING ACCESSORY SHED AS APPLIED FOR The certificate ls issued to PATRICIA HEERMANN & FRANK (owner, of the aforesaid' building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED yllding Inspector Rev. 1/81 IrOBM NO. ~ TOWN OF $OUYNOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. No_ BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) b;1.7717 Z Dote ..../..~.~ ............................. , ,~[.~.. County Tox Map No 1000 Sechon . . ~, ~ to °pphcahon dated ..... .Z/ .~../..~. pursuant Building Inspector ...... , 19 .~., and approved by the Rev 6~30~80 1'O~- p ~ A PLICATION FOR CERTIFICATE OF OCCUPANCY FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765- 1802 Instructions A. This apphcatlon must be fdied m Wpewnter OR ink, and submttted m -- . to the Building Inspec- tor w~th the following; for new buildings or new use: 1. Final survey of property w~th accurate location of all buildings, property hnes, streets, and unusual natu fa) 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 Installatmn from Board of Fire Underwriters. 4. Commermal bufldiqgs, Industrial buddings, Multiple Residences and similar buddings and installa- tions, a cernfmate Of Code comphance from the Architect or Engineer responsible for the budding. 5.Submmt Planning Board approval of completed state plan reqmrements where apphcable. B. For ex,sting buddings (prior to April 1957), Non-conforrnmg uses, or buildings and "pre-ex~sting" land uses: 1. Accurate survey of p~operty 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 cond~tmon of buddings. 3. Date of any housing code or safety inspectmn of buildings or premises, or other pertinent informa- t~on required to prepare a certificate. C. Fees' Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Cert{ficate of occupancy New Dwelling $25.(10, Accessory ,$10.00 Business $50.00 2, Cert~flcate of occupancy on pre-existing dwelling $ IOO.O0 3. Copy of cert~hcate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 ~ 5.Updated C.O. [/ $ 50.00 Date ..~..L?.-~,~.[.J~.....(.].i.~.L.A.~° Locat,on of ProperW ..~... ~. ..... t' ....... ~'"' 2' ................. Houm No. Street Ham/er Coun~ Tax Map No. 1000 Section ............. Block .............. Lot ............. Subd vismn Filed Man I ................................ ~ . T ......... LOt ~O Permtt No ........... Date of Permit. ....... . . Apphcant ............................... . .. Health Dept. Approval . ·., .................... Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for TemporaryCert~flcate ....... ..............FinaICertlficate .............. Fee Submitted $ ............................. Construction on above described budding and permit meets all apphcable codes and regulations. Rev 10 10 78 W 0 Z ~ p/~qr ~P~CIA'T-OLEtUO Town 0~' SOUTI4OLO, N.~/. FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTM£NT TOWN HALL SOUTHOLD, N.Y 11971 TEL.. 765-1803 BOARD OF HEALTH ......... 3 SETS OF PLASS ......... SURVEY ..... F ............ CHECK ................... SEPTIC FORM ............. NOTIFY CALL ............ Date INSTRUCTIONS a. This apphcation must be completely filled in by typewriter or in ink and submitted to the Building Inspector, sets of plans, accurate plot plan to scale Fee according to schedule. b. Plot plan showing location of lot and of braidings on premises, relahonship to adjoining premises or pubhc st or areas, and g~vmg a detmled descnptmn of layout of property must be drown on the dmgram which Ca,on. c. The work covered by t~s apphcatmn may not be commenced before ~ssuance of Buddmg d Upon approval of tlus apphcnt~on, th~ Buddmg Inspector w~I msued a Bmldmg Pe~t to the apphc~t. Such p~ shall be kept on the premmes avadablo for msp~ct~on throu~out tho work. e. No bmldmg shall bo occupmd or ~ed ~n whole or ~n par~ for any purpose whatever until a Ce~fficate of Occup shall have been granted by ~e Bmldmg Inspector. APPLICATION IS HEREBY MADE to the Bmldmg DepOnent for the msuance of a Bmldmg Pemlt pu~uant t~ Budding Zone Ordnance of the Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ordm~c, Regulations, for the constmctmn of bufldmgs, add~hons or alteratmns, or for removal or demohhon, as hereto desert The apphcant ~ ~t~ '~h all apphcable laws, ordmances, bu~dmg code, housm~ code, and regulatmns, an admit authonze~'"~ect- b~ onprem~se~n~ m bmldmg for necessaw ~nspectmns. ~ ... Y.~.~s~'..X~~ ~ ..... ~"l~ -~'~?] (S,gnature o~ apphcan~, or name. ifa corporauon) ~M,~9~. '" q~ - , ~ ~ ~ .......................................... __~._~ ~ M~,A. , , (Mating address of apphc~t) State whether anBhi~.lif~wn~r, l~ee, ~ent, ~ch~tect, ~n~neer, general contractor, elecmcmn, plumber or bml ..... ~ ;~ '~,,~ ~¢-.. ~ ..................................................................... ~¢-?}~ ~ ?~ . (as on the tax roll or latest deed) If apphcanL~'~t?~, s~ggature of duly authorized officer (Name and title of co.orate officer) Builder's License No. z~,_, p.~--w- Plumber's License No ...................... Electrician's License No ................... Oilier Trade's License No ..................... 1. Location of land on which proposed work wfli be done . House Number St ree~ Hamlet County Tax MapNo I000Secnon ................ Block ................. Lot ................ Subdtv~mon .............. F,}led Map No ............... Lot ............. ............ (Name) State exmtmg t~se and occupancy of premises and mtended use and occupancy o[ propo~ construction ...... ......... ~ -- ~~Yk~/'"//' "~?'~ ~ ...... . . ~~'~ 3. Nature of work (check whtch apphcable) New Budding .... ' ..... Addmon .......... Altcratmn ....... Rep:ur ' 0,0 . 4 Est~mat6d Cost .... ~.~., ........................ Fe ................................. (to be prod on fihng th~s apphcatmn) 5. If dwelhng, number of dwelling umts ............. Number of dwelhng umts on each floor ............. If garage, number of cars .~ ................................................................. 6. If business, commercml or m~xed occupancy, specify nature and extent of eac~ type of use ................. 7. Dimensions of ex~stmg st~ctures, ff any Front ............. Rear ............. Depth ............. Hmght .............. Number of Stones ............................................... D~mensmns of same st~cture with alterations or addmon$ Front ................. Rear ........ ~. . Depth ..................... Itm~t ............ Number of Stones 8. D~mensmns of entire new const~cnon Front .............. Rear .............. Depth . . Hmght ............... Number of Stones ................................................... 9. Sxzeoflot. Front ..................... Rear ...................... Depth .................. 10. Date of Purch~e ............................ Name of Foyer Owner .......................... I 1. Zone or use d~strlc~ ~n which premises are muated ............................................... 12. Does proposed construction 51olate any zomng law, ordmance ot regulatmn ............................... 13. WSI lot be regraded ............................ Wall excess fill be removed from premmes: Yes 14 N~e of Owner of premises.. ................. Address ................... Phone No ............. N~e of Architect ....... ~ .................... Address ................... Phone No ............. N~e of Contractor .......................... Addre~ ................... Phone No ............. 15.Is ~h~a proper~y located ~i~hln~OO ~eeC of a ~idal ~ecland? ~YES .... ~O .... *If yes Southold ~o~n ~rustees Permit may be required. ' PLOT DIAG~M Locate cle~ly ~d d~stmctl~ ~1 buildings, whether ex~stmg or proposed, ~d. md~cate ~1 set-back d~ensmns fr~ pmpe~y b~es. G~ve atreet ~d block numbe~ or descnptton accordtng to deed, ~d show street n~es and red,cate w~etl interior or co,er lot. , AI)pIlO~_ D AS liOTED _ / 765-1802 9 AM TO 4 FOLL~NG INS~ONS: 1. ~UNDAT~N . ~R~ ~, IN~U~Om BE COMP~E FOR CO. ALL CONS~U~ON SHA~ ME~ THE REQUIR~E~ STATE CONST~ON CODES N~ RESPONSIB~ ~FSiGN OR CONSTRUCTION ERRORS STATE OF X£W/ffgfl, K~ ~ , · SS COUNT~ OFx~'-~.~..~. ~ ....' (Name of )nd~v~du~l stgmng contract) above named bmng duly sworn, dcposes and says that he ~s/he apphc: He is the ..... .~.~ .~..,..~..'c.'¢~ .~ ................. ., .... (Contractor, a'gent', corporate offmer, crc ) of smd owner or owners, ~d ~s duly authorized to perform orqmve perfo~ed the sa~d work and to m~e and file t apphcatmn, that all statements contmned m this apphcatmn are true to the best oflus knowledge and behef, and that work will be perforated m the m~ner sct forth ~n the apphcatmn filed therewith. Sworn to before mc tlns ._ ........ / ............. ...... Nota~ Pubhc,~ ................ County ~ . [ _ , ~ ~~M~ (Smnature of appbc~ ~. 4~1Z ~~ - T~~ I~