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HomeMy WebLinkAbout17727-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17784 Date FEBRUARY 22, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 4440 NSW SUFFOLK ROAD NEW SUFFOLK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 8 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26, 1988 pursuant to which Building Permit No. 17727-Z dated DECEMBER 27, 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 THOMAS A. fi MAURE@I NOVAR (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~~ Building Inspector Rev. 1/81 i •osat xo. s i 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) ~~ v1~~~z7 I z Dote .. ~~/~.7 .................................. 19~',~3 Permission os e y granted to• ~~.......:~9, (. ........................................ t, y~ ~'~ .. ... ...1~ .....................................''................................ ....................,t~~ ................................. ct premises located at ...7..~.'.~.(.~~D .. ~r.~nFf/.:... .. ...... ./ ....................... ..... . .. .. ............... ......:/,/..G~4Y./.:.... .. .................................................... .... County Tax Map No 1000 Section ,,1~~...... Block .. ....~...... Lot No .........~~. ~. pursuant to application doted lam",!. ~~.'.~ . ... ., 19.~i~ and approved by the Building Inspector ~ .~ D D. . C=,~~ ~~~ ..1.~'2~f'~ .............. . ilding Inspector Rev 6/30/80 ~~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SODTflOLD, NEW YORK 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCIIPANCY 'i// DATE.. ~./../..~~./. NEW CONSTRUCTION ..`:....OLD OR PRE-E%ISTING BUILD~jNG......VACANT LAND.... ... Location o~/p~d~~rtyl...~I./.~....~~1:~".-d.'1~~~:`..~~:--•Y-'-~w!.J~~b'\ (HOUSE NO. /~ Q STREE~jT~~ ///~~~ flAL1LET Owner or Owners of Property.~~~:':-! ~..~7^."~~!~ .. ~~Y."E1.1. . ... County Taa Map No. 1000 Section /~C.~.. Block .. 8... Lot .S!. ~..: _ .~ Subdivision... .. ~ ............. Filed Ma''p ........Lot.......... ~/J,' Permit No.~~~~~.~.Date Permit .~~.c~J.-plicant~o~-]'~ A." Health Dept. Approval ..._.lJ .......... Underwriters Approval.. J.~....... Planning Board Approval ...~ ~......... /// /' Request for Temporary Certificate ....... Final Certificate ...L~.......... Fee Submitted: s ..19~°./~ 5~ ~... . APPLICANT. ... ... ..Yf..' ..... .. i (,~,;~.. 3GGC3 CO ~ 17?B-y rev. 10/14/88 Q ~ ~ U aLDC Daar TOWN OF 30UTHOLD ~ o ~, To~~rr or sou~o~.a ~'~,c~~,`~ ~`~ orr~rci.or>sUrtDln'ctrrsrr--.crow 4 ,~ ~~~~~, z I'.O I3O!C 1 1 7 9 TOMN rrALL ,i t ~ ~ ~ ~ '• 4,y fit- ~Ol ~ SOU'I ItOLD, N.Y. 11971 "~~ February 6, 1989 TEL. 7t,S-r 8f:' Thomas~& Maureen Novak Box 296 New Su~folk, N.Y. 11956 To t9hcm This May Concern, D7e are unable co complete your Certificate of Occupancy becaus= of the folloc~zng reasons. /_J i>,n application for Certificate of Occupancy zs not nn fi]_c. (ENCLOSED) I /_/ ;10 [Jndcr~:~rit-crs Ccrtifzcnte on file. / / 'Phc cl:ccrc ic~x~Lg~t.~X9{prlnc~t nn fiic.) $ 10.00 1_/ D:o l~calth Dcpt. 1lpproval on file. /_1 No final znsi'~cc:tzon ha:: been made. P]c;a~n contact: our office on thin matter. Thank you for your cooperation. Puilcitrr] Pcnn~Y I! 1 7 7 2 7 Z Builc3inq Dept. *t"/~( tkt Plumber Soldci Ccrtif-icatc on file. ( all pc:rrtit:: involving plumbzn~ briny icsucd after ~~pril 1,198A ) J 7727 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING f ] ROUGH PLBG. [ ] INS CATION ~ FINAL REMARKS: ____~~~~ ~_~ G~~ DATE d` 3 INSPECTOR 3~/ -1cLD i;.~:E; :lu;~ ~ ~UhTE ~ JOMMENT° ~. : .a m a ___ 3 H ~ y FOU1dDATION (1st) _ _ -~ c FOUNDATIOIJ (2nd) 2. z 0 pOUGH FRAME & PLU ~ MBING H 3. m~ ne IIdSULATIOfI PER N. Y. - "3 STATE ENERGY CODE -.. \ a a- 3 ©~ ~1 a . FI;IA'L ~ ~ o s ~ ADDITIOPIAL COMMENTS: x ' c~ x ~-o H 7] . 9 H H O r _~ rn , cA^\ _ _ H d m b H a 1~`R~i, ~', ~:~S~t', rS~1~13~Yj1 ~ BARN ASSEMBLY DOORFRAME ~ ~~ III III 1 i I III 1 II III III 111 I i t --~ EACH ADDITIONAL PIECE ADDS APPROX. 16 SQ. FT OF FLOOR AREA ~~Y ~ ~~now To ~,SS~`r~B~,~ ~~X~~sn y ~ru,l~e/r~~ns, 1. Cut 4-ribbon boards 2x4xT-11" tong. r FI, ~~ `'~ ~~ ~~~ 2. )yail door frame to one end of bottom ribbon boards. n~~u` e ~~Pa~~' 3. hail the balance of "Porter Frames" at 24" on center with .V~~C/, ~~ (PfP~ ~ b end frame at outside. ~prC`~ 4. IYai1 the other two hoards inside at top of wall for bracing. 5. Finish walls, roof, and floor with sheathing materials. ANCY OR /~~ 6. Apply shingles, trim and doors to complete Assembly. "EXPANDABLE" to 2•-0•' SECrIOnS... Examined .~y/?' ~/~. Approved ,/~Y' p Disapproved a/c .. ~~~~~ f. DATA: CATION FOR BUILDING PERMIT Date ~~ ^~~.... ., 15".~ 786-7802 8 AM 'ICI t MI~fOR THE INSTRUCTIONS FOLLOWING tNSPfCTION6: 1. FOUNDATION T1A10 a i~BA c mp e ely filled in by typewriter or in ink and submitted to the Building Inspector, wrth 3 sets CaE 1Rfl19131icuPlMANIIiV~pjRrp~~Fee according to schedule. b3. B~1SLJpgO'fONowing location of to and of buildings on premises, relatronship to adlommg premtses or public street- oT aika~IGbPd.giving®kl8~ti~~'IIl9FFNR18~ft of layout of property must be drawn on the diagram which is part of this apple cation. BE COMPLETE FOR C.O. o4L¢kfsQNBIRU>82(01{Ib$W1RGI,apyion may not be commenced before issuance of Building Permit ~;HI;I~I~b'~pEHSgthmFapa~, the Building Inspector will Issued a Building Permit to the applicant. Such permv shall$~~6p1C63NBt~p1@'fiiQ~ ara>~r inspection throughout the work cCn~bu11[~?i[g ~NaBPr}~ASH117$ier~ used in whole or in part For any purpose whatever until a Certificate of Occupancy shall~o~ARg~d3Pl63AyiCQ1E18~8RtlrJ~$is pe c f or APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Bwldmg 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 removal or demolition, as herein described The applicant agrees to comply with all applicable laws, ordinances, budding code housing code, and gulari s, and to p p miles and in building for necessary mspectr admit authorized ms ectois on re ~/~ (Sig tore of applican"ti or name, if a orporauo ) (Mailing address of applicant) State whether applicant is owner, lessee, agent, azchitect, en~neer, general contractor, electrician, plumber or builder ..... C1w.~~ ~.. . ............ . . . . . . . .... Name of owner of premises '~/~,(~1N\~is`. .. ~ ' Y " ~ ~ ~! ~ ~. ~~ y rC ~ ~ .. .. ~ v`~' l (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer ........... . .. . ... (Name and title of corporate officer) Bu,lder's License No ..... .. .. . . ,---- Plumber's License No .. .. ..... .. . . ~- Electrician's License No ... .. .... . . ...---- Other Trade's License No .. .. .. .. ~~~0 ,IP~ ~~ ~ ~ , / ~~ 1 Locate n of land on wluc propos ~d work wil be done _ , .. , , , , , , , , • . ): House Number Street Hamlet County Tax Map No 1000 Sechonj~i/. ' ~ ~ .. Block t! v° w ... Lot .. Y~~~~a v Subdivision .. .. .... ... .... .... Filed Atap No , . .. , , .. Lot .. ... . (Name) 2. State existing use and occupancy of pr ises and i t~ennde~d`{.~use and a Ewshng use and occupancy ... ~~~~/j~/~~/Jf u •`•~ b. Intended use and occupancy ..+.... ~'.! ~~•+• ' BOARD OF HEALTH .. / 3 SETS OF PLANS ....Y....... FORMNO.1 SURVEY ........ TOWN OFSOUTHOLD CHECK ...........'~........ BUILDING DEPARTMENT SEPTIC FORM ................ TOWN HALL ~ SOUTHOLD, N Y. 11971 NOTIFY ,~~. / ~ ~ f,~ 1Y~ TEL.: 765-1802 ...:..._....'..:....... 19aU PSAIL TO:~ 1~~Permit No / ~~ C. C~ L~ i7~'/ E-~ (~ 44 l) Uf`~.. '" VIII )~ occup ncy of p(ro led construction W Pi ~/~~i'l^.~. ... ......... . 3. Nature of work (check whit h apphcable)• New Buildmg~il!~~.. Adddion ....... .. Alteration ...... . Repazr ... .. Removal ... ...... Demolition .. .. .Other Work . ..... . /~ Imo`^D ' . , ' - • • '(DescnpLon: 4. Estunated Cost .. .- .. °• ~• ~ ............... Fee ............... . (to be paid on filing this apphcaUOn) 5. If dwelling, number of dwe~lhng 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. Dunensions of existing structures, if any Front .. .. ........ Rear .............. Depth ............ . Height .... ........~NumberofStones ...... ... ... ............ .................. ....... Dunensions of same structure with alterations or additions: Front .. .. ..... Rear ....... ....... . Depth .... ............ ... height . ...... r. ...... Numbe ~ f Stones ..... ... ~ .... . .. ... 8 Hemhr~sions of e~ t~ new construchon• Front . ... ~... .Rear ~ . ::.. Depth .. ~....... . g ~` ... .Number of Stones .. ..... f .... ... ...... .. .............. . 9 Size of lot Front .~(;> ........... Rear-.(.~......... ... epth~'rr h,, f 10. Date of Purchase `3-~. /^7 ... .. Name of F nner Owner ~C//•~ ~>.~.~r~t/.~/S~.. . I I. Zone or use district in w~ch premises are situated .QE.~tdPV~.dMn ~... . ~ .. .. ..... ....... . 12. Does proposed construction vi late any zoning law, ordinance or regulation~`~.(.~ ....................... . 13. Wi111ot be regraded .... ~~. .. ..Will excess ill re9?o p~i}t premises: Yes/ 14 Name of Owner ofpremises ~ .dt~.~.'.f~,tlV,a/,~Address~~~~~~!~.~d.Cld.'PhoneNo.~~.~.^~~J.~'.5 Name of Architect .... .... .. ..Address . ........... .Phone No ......... . . Name of Contractor . ...... l/~~ .. .. .....Address ....... .........Phone No ............ . IS.Is this property loco ed within 100 feet of a tidal wetland? *YES....NO.... *If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions frc_ property Imes. Give street and block number or description according to deed, and show street names and indicate whet; interior or comer lot. ~_a~ ~ 3 - °- - ,~`„~ She :, ~, ~c'~"" Fs ~--'s ~ ,fix ~~?~~110°g~'a~S !N ~ ~_ ' ~ ~Q J VVJJ o" i ~( 1" C'k Ai ~ N r ~t~l.vnr'~ Gi ~ ~ r ..t, ftFt ~Nu,SC , ..e .,v ~ ?Y ~~~ ~,~t.~+,=..,,1 PKiilivi~ ~ ~i~i f (~ t V i r'4 YI td'ftWlil OCY;i1 c ., ~ a' " ~ I ,. ~ N~ilff3,un -^ , a VvlA 1 t•<~ , 5TA'fE OF NEW YOR~ - CG1R~i`~ 8F`.=.~.-" M7i>w...~.-i..--firs .. ......~r~~~~~y ~lX .. being duly sworn, deposes and says that he is the apphc< (Name of individual signing contract) above named . ........... He is the .... ... ... .. ... ............. ........... .. ..t (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 file t application, that all statements contained in this application are true to the best of his knowledge and belief, and that 1 work wdl be performed m the manner set forth m the application filed therewith. Sworn to before me this .. ........ a. ].;f .,..day off/. .. N~~... .. , 19 ~'~ Notary Public, .... /~'~-~!~!.. !i ~ .hl. ~ '!.e'e.... County HELEN K DE VOE N6TARY PUBLIC, SCate of New Yerk No. 4707818, Salfolk Coanty{y Sean Exp~ies Mach 3Q t° n ~