Loading...
HomeMy WebLinkAbout17146-z FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217656 Date JANUARY 6, 1989 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property 1750 PLATT ROAD ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 027 Block 001 Lot 10.5 MINOR JOSEPH & EDWINA Subdivision HATAIER Filed Map No. 106 Lot No. 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 17 1988 pursuant to which Building Permit No. 171462 dated JUNE 21, 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 AGRICULTURAL BUILDING AS APPLIED FOR. The certificate is issued to JOSEPH & EDWINA HATAIER (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H006831 DEC. 08 1988 PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FOEM NO. A 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~ o171.jf6 Z Date ........~.,[.tms?,,....~:.~ 19.~~ Permission is hereby granted to: ~:.e:~:...N...~'Q...-~-~-. ~~.Q....~..~.... ro ..~cS~:......~:?-r,....ar.....~r9~~c;y,.:?,,~µ,.,n,.aX,....~4:~!:":,Q:.~.~...~''!^Q......4<~....~U ...........................................~.........................................................r......................................... at premises located at ..~...7.~~......~..~2~4~17(......o!-ut4:d4. ................p.![!ca^1!'................................... P/ County Tax Map No. 1000 Section Block Lot No..1.4...I..D. pursuant to application dated .......~,/.I~'lR-..~...7 19~.a.., and opproved by the Buildfng Inspector. Fee 5~.1.. ~ ~Jl. . Building Inspector Rev. 6/30/SO . „ ..A FORM NO. 6 TOWN OFSOUTHOLD 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 ~ e~~ 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, Mu{tiple Residences and similar buildings and installa- tions, acertificate of Code compliance from the Architect or Engirieer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. misting--buildings-fRr-ier-~ca-~-Aarii-4957); Nen-eer~foFming-uses--or-bu-ildings-and-='prP-r+x-" land uses: 1. Accurate survey of pmper~--shawirrgrall-prop7ffy I~in~es, streets, buildings and unusual natural or topographic features.--- ----""f~ 2. Sworn state cif=of owner or previous owner as to use, occupancy and condition of buildings. 3. D any housing code or safety inspection of buildings or premises, or other pertinent informa- ~rott~egmr,'~ Kepare ~-sc~rnTtcata. C. Fees: Additions $25.00 POOLS $25.00 ALTERATION $25.00 1. Certificate of occupancy New Dwelling, $25.00, Accessory 10.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $100.00 3. Copy of certificate of occupancy $ 5 . 0 0 , over 5 years $ ] 0 . 0 0 4.Vacant Land C.O. $ 20.00 S.Undated C.O. ~ $ 50.00 Date NewConstruction,,,,,, OldorPre-existing Bpuilding'}-............ Vacant Land Location of Property . I .7.5 ~............Y , ~ a:. ! : . , . a;.~, , , , . , OI\.' 1 E N' 1 House No. _ t- Street yy,,~~II~ Hamlet Owner or Owners of Property ..:,()~,~:~?Y1,,:~;, ~.~)V~~'i,,,,,,,!j,O~~;d,1,~Y~ ~~77 SOS ` Ccunty Tax Map No. 1000 Section Pa~ Block Lot . Subdivision ...........................Filed Map No. ..........Lot No. . Permit No....~~~~~ bDate of Permit ..........Applicant -~16S;e;~~~W l~~ , ,N o~+;CG,1,~~' Health Dept. Approval ........................Labor Dept. Approval Underwriters Approval ........................Planning Board Approval . Request for Temporary Certificate .........Z...........Final Certificate . Fee Submitted$..~,~~4,QQ (~.>3 Construction on above described building and permit meets all applicable codes and regulations. ,Q f~ ~~w L Applicant ....'t:-GP.(.UTl,1r!~.....4~?~~ . Rev. 7010-78 l~-L ~ ~ y3 y ~°a~i7~s~ . ~j6«~ 765.1802 BUILDING DEPT. INSPECTI®N [ ]FOUNDATION i5T [ ] ROUGIi PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~ DATE 7~ ~ INSPECTOR s.__,w THE NEW YORK BOARD OF FIRE UNDERWRITERS rA<,r: 1 r.06475i: - BUREAU OF ELECTRICITY 8 JOHN STREET. NEW YORK, NEW YORK 10038 tt~~ >,Ilci~+KCa =+4Rf};l'Fk~k;R;,.~7'8';•"•' si4ftF~68R18R H t)(15g t'i note 1~1f4ti'°rk~°' °!R~'~1 at:'.° THIS CERTIFIES THAT only the sktctriee! equipment a daecr76ed 6ebtD and introduced by the oppNcant nwmsd on the ohooe appliation nurnher in the promLp of ,I. e{A'1'At M:R, t`i 5fj i'I,AP'I' BOAT) OB Y.FM't'. 4ti i'M;N'1`- N-Y. in tkefdlolrinRlceo ~ ~ Ixt Fl. d Ynd Fl. I-~~u Section BlockS yot i l~~-d u~aa examined on - andfoundto 6e in compliance reith the reyairementx of thu Board. ACIES fWItG1ES RXTWES RANOEf COOKRIO MCXS OVENS dsN WASNNS T OUIIlTS INCANDlSClM FlUOI1ESClNi YA AMT. K. W. AMT. K. W. MIL K.W. NAT. K. W. AMT. M. P. .i 1. r .i DRYERS RNNACE AWTORS lUTUEE AMLIAWCf RIMES SlEOAI EECIT TMIE CLOCItS EHL UNIT WATERS NtX 40YIIEt OIMAIYEf AMT. K. W. Oll N, P. GAS N. P. AMT. NO. A. W. a. MIT. AAa. NAT. AMPS. TEAKS. AMT. N. P. NO.Oi IMt AMr. wATit SNVKE DISCONNKT NO.Of S E R V 1 C E IJAT. AMP. T1YE MEOUN. I 1 TM 1 / 3\V S / Tv S X AW ~ CC COND. A. W. 6. NO. OP N41EG A. W.~•' NO. OP NENRAIS NR / OF CC. COND. OE Nb O OP l OTIN AN'ARATUS: uA1VKl,fit)Akli`i'S--R (;1R_ 1 ~5 t>, b'-f .f'O"~ .fOS6a>N HA9'A-i F'.k 17°;{i rLA'I-r RitA1i ~)BCA:N•P. taV: 11.45'1 IEBtElAt ii Per This aAificoH must not be olhred in any mannlrr; roturn to the office of fM Board if incorreel. In rs may ba idemifisd by their erESletltiah. COrY FOR itRip1lKe DEMRTMENT. TFif~ COFY OF CERTIFIGTE MUSLNOT RE ALTERED IN ANY MAMIER: w r'k~LD°iGSi'?C:iu;J ~~Ub.~ ~ ~OdKMENTS ro ~ 1. ~ H _ y FOUNDATION (1st) o FOUNDATIOI ( 2nd ) _ _ ~ ~ 2. z o ,J P.OUGH FRAME & PLUMBING ~.1 y 3. ~ ca I1ISULATIOPf PER N. Y. • • . STATE ENERGY CODE 0 s /o ~ r 4. ._~y FI;JAL ~ z ADDITIOPIAL COMMENTS: ~ ` - ro x ro• H u_ 9 y p N z _ ~ ~o x a ~ c- - "3 d lT1 ro '-1 Q ~ aC~~ BOARD OF HEALTH , • 1 3 SETS OF PLANS 4:~`:... FORM NO. 1 SURVEY . . T ~~8 TOWN OF SOUTHOLD CHECK • •~.~C/9. . BUILDING DEPARTMENT SEPTIC FORM ~......_.....„,e,~ TOWN HALL NOTIFY Ht_pG. oet,~r. f,OUTH0LD, N.Y. 11971 3oZ3~i~'S°Z rowN aF soura~oi_D ~ cALL . TEL.: 765-1802 MAIL T0: Examined . ~-1..., 19 Approved . 19 8a. Permit No. ~.7.~ ~6.~' U{~- lJ Ce/ /7/~'~' Disapproved a/c ~C/((~,~< g~„ 0•c. .A. au, (Building Inspector) APPLICATION FOR BUILDING PERMIT Date .'!Uy~.. 19 INSTRUCTIONS 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 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 pazt 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 removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, using code egulations, and to admit authorized inspectors on premises and in building for necessary insp tions. ' nature of applicant, or me, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. D W/lr E~2 Name of owner of premises ©S E~~...~..~:~~~~~ " T (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate offcer) ALL CONTRAC'POR'S MUST BE SUFFOLK COUNTY LICENSED Builder's License No. ~~'1?/1°.~.......... . Plumber's License No. . Electrician's License No. . Other Trade's License No. . 1. Location of land on which proposed work will be done . . ../~S"o.......~~~~-r-..~°. r??~ .........................Dry./~9- House Number Street Hamlet ~,b,S County Tax Map No. 1000 Section 7........ Block j Lot .~'~n~°~. S~ d~~sion ~~f ~!t'. ?~~h'//1~9.. /T/3,T/9/~ No. ~o.l°..... Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~ 2~s'~o~'eg . b. Intended use and occupancy C ~ ~ 3. Nature of work (check which applicable • w Buildin ,F~~ ' Alteration Repair Removal , Demolition , A ition ; Other Work . (Description) ~~CJOd <®p 4. Estimated Cost..... Fee......... ` (to be paid on filing this application) S. 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 ~ .I,....... Depth , . Height Number of Stories . Dimensions of same structure with alterations or additions: Front Rear , . Depth ......................Height , Number of,Stories . 8. Dimensions of entire new construction: Front am...... Rear Depth ...a: ~ . Height ~ Nu ber of Stories ~ , i 9. Size of lot: Front ~3~'< Rear ~ S3'. ~ (Depth r('. ~ 8 . ]0. Date of Purchase ' 7.oZ . ..............Namepf Folmer Owner aa!?~`.'.. ~.'~~'ff!~... . 11. Zone or use district in which premises are situated . 12. Does proposed construction violate any zoning law, ordinance or regulation: .I Nd . 13. Will lot be regraded Will excess fill be removefl from premises: Yes I4. Name of Owner of premises ! ~ .....Address . ~'~`Phone No..~0~3 ~~r~ Name of Architect ~a. .A.7,-A.. , Address • • • • * ~ ,phone . Name of Contractor BATA. , , Address ' ' • • Phone No . 15. Is this property located within 300 feet of a tidal wetlandY Ye,s *If yes, Southold Town Trustees Permit ma be reqgu~ired. ~ PLOxI' DIAGKAM Locate clearly 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 w ether interior or corner I ~3~2 farm Ion - - ~ ; farm land 4242 ; ao ~ - 1036" - 156' S 2 ~ci W ~ E ~ 14' I j 68 35<6<~ HOUSE 6<~-- N RC~~ hr I t' a~ i6q a~ NOT Vocont lo>1d of Burks 60' I' Res.of Hotoier STATE OF NEW YORK, ~ R (~I75O) 1685 0 Qltl C~-~, COtiNTY OF S.S • • • • • • • • • • • • • • • • • • • • • • • • • • • • • being duly sworn, deposes.and says that he is the applicant (Name of individual signing contract) v„ i above named. Heisthe (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 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 7. .day of 19~~ Notary Public, County Q ~ ~ //~1, NOfARYfP~UBEt C~Sh to~New Yak ...~G~ :w`.I/Y!~CA.. < : ~I~•.. ; t~/~CtlcS~ , Na~707878,8utfolkCaunq i (Signature of applicant) Term Eiiplres Much 30,19,