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Home My WebLink About17276-z ~ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18234 Date AUGUST 1, 1989 THIS CERTIFIES that the building ADDITION Location of Property 385 SHEPARD DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 1 Lot 18 Subdivision Filed Map No, Lot No. conforms substantially to the Application far Building Permit heretofore filed in this office dated JULY 21, 1988 pursuant to which Building Permit No. 17276-Z dated NLY 28, 19$8 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 AS APPLIED FOR The certificate is issued to THOMAS & THERESA BERKHAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE Nq. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 abaas xo. 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) No 017276 Z Date 5 19..~~' Permission is here anted to: . /~O. .....................................7 .....~.a?~:~. ~....~r.~~........ ~ 9. ro .L?c~!,~t~4~1,~~...L.~r...G~n.~~.~........,!r.Z~3~~.'~i~t..., jal..e'~-.'~.~:I~......d..ue p .....~~:...~?.~r~..~...~.~~....~d ct premises focoted of c.~..~.w~......... __Jf . ~ ...............................................5~ .~G!/................................................................................ ...............................................................................1..............................``.................................................. County Tax Map No. 1000 Section ...~s~............ Block ...........,1.......rt~Lot No............~Q...... pursuant to application doted .................l~.Z..~........................, 19.0.!/.., and approved by the Building Inspector. O~ Fee . . . uildin nspector Rev. 6/30/80 v za B•o.6~' 3g5 FORM N0.6 Rq u TOWN OF SOUTHOLD .fug. Building Department Town Hall BLDG. DEPT. Southold, N.Y. 11971 TOWN OF SOUTHOLD 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted 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, 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" land 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 Dwelling $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 5.Undated C.O. $ 50.00 Date NewCons truc tion _ , , , , , OId or Pre-existing Building Vacant Land Location of Property • • • • 3 $ `J• • • • • • J. ~ c`d• • . a.~~o.~Cl . House No. II --T--~ Street 1 Hamlet Owner or Owners of Property ~y?v .?4'IG:~.. ~°...I..Y.1 e!'.~S!L. , ,~'Ct!',~ ln,ci ?q),~y, , , • • • • , County Tax Map No. 1000 Section J..0...... Block 1......... Lot 0, . Subdivision ~es~C.~'.r. ~~.k. ~s:f~.~'~s ..Filed Map -N~.o~~........'.-.L~o't No . . Perm it No.~~.7.~~~~DateofPermit ~ ~~~.l.~~Applicant . J.(4®lnay° t• J•j~to-C,g~ • ~;Cf•J~;huh Health Dept. Approval ........................Labor Dept. Approval , , . Underwriters Approval ........................Planning Board Approval , . Request for Temporary Certificate .....................Final Certificate . Fee Submitted $ Construction on above described building and~ppermit meets all applicable codes ~jnd regulations. Applicant ~ . 6~<~.;Y!~!~?,~e.~?~- . Rev. 10-1078 C3,cc• 3'780 CO `'zl$a?3~ TEL.'C,5-18Q2 ~~,~fFOl..~cC~ T0~'PI Ur SOUTIIOLD s c 1~~~~ r;4 Ol~l'iCli 0[: fSUILDING INSI'I:CTOR r=-u ~,%~,y~~~s!v z I'.O. [30`C 1 179 ~ a ~ TOWN IIALL • C',y SOl)'I'ItOLD, N.Y. 1 1971 3 .~8~e,~,c~,-~,~. ~..e~ J~~Q. ~ 'Yl To 47hcm This May Concern, FTe arc unable r.o complete your Certificate of Occupancy because ,of the following reasons. An application for Certificate of Occupancy is not nn fil.c. / *:o Underwriters Certificate on £ile. 'Phe cLcc}: .i:: (mod/nut on file.) ~o7s. rTC~ No ncal.th nept. Approval on file. P:o final insi~r_ct:ion has been made. Plc;asc contact our office on this matter. - Thank you for your cooperation. T:uilc]incJ Pcrm.it-. ~f 1 ~ ~ ~ Z IIuilclinq Dept. ' tlo I'lumbcr ;;older Cert.ificatc on file. ( all permits involving plwnbing briny .issued after ,1pri.1 1,1984 ) ~~IELD If:SPEC:I0,1 ~~DATE COMMENTS ~ -v N 1 . ;i ` a (v(`. H _ _ _ H FOUNDATION (1st) C FOUNDATIOW (2nd) m _ N~~ 2. z o p;, ROUGH FRAME & PLUMBING (j„ N H 3 . by rn IIdSULATI0D1 PER N. Y. • • `3 STATE ENERGY CODE FIiJAL~ ADDITIOPIAL COMMENTS. x~ ~ ~ Di1'~ 2f~~ ~ i ' x ro H 9 H H O z C [s7 A • r~ H - ~ b m H _ BOAKD OP' HEALTH ~~~'xa~,~.,.e 3 SETS OF PL ANS • • • - ~~qy ti@~~C~.l~ Bpy, FORM NO. 1 SURVEY , z TOWN OF SOUTHOLD CHECK - i BUILDING DEPARTMENT SEPTIC FORM TOWN HALL NOTIFY SbWN SU? n1OL~ 8OUTHOLp, N.Y. 11971 CALL TEL.: 765.1802 MAIL T0: Examined/y ~ 19~.1~. Approved .~~1i~ • • . • 19 Permit No. ~ Disapproved a/c . (Buil ~y~Inspector) APPLICATION FOR BUILDING PERMIT Date ~J.v~.Y...2/........., 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 whiclf 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 avallable 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~Occirpancy 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, buIld~ de, housin code, and regulatio'lt's, and to admit authorized inspectors on premises and in building for necessary insp do ' t~ ` . (Signature of ap scant, r name, if a corporation) (Mailing address of applicant) ~~7G~-y3do State whether applicant is owner, lessee, agent, architect,. engineer, general contractor, electrician, plumber or builder. uJ. ..y.-.-.I . Name of owner of premises ....I..J.~'.S ( /`Q/~P~~- ~•e';'•.••'~"""' (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) ALL CONTRACTOR`S MUST U F K COUNTY LICENSED Builder's License No. . Plumber's License No. . Electrician's License No. . Other Trade's License No . . - 1. Location of land on which proposed work will be done . . . House Number Street ~ Hamlet Lot . County Tax Map No. 1000 Section ..../..~vt Block • • ~ • • • Subdivision~J ~ . ~.Q-.Q'.~.. • ~ • • • • • Filed Map No . Lot . (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .''~-71,J.L~ . ~ . • • • • . b. Intended use andoccupancY •2:~~ ~6 A{uno~~y~aoap saaiax~ uoiss~wwo~ (IuEOIIddE;o em;EUB[S) I 0 MlopnS ul petlllnnD v',~ i r i ; : ~ ; ; ; , 9098L84 ! ~ ;C;unoQ ~ ~ ^i ,~nd XiE~oH 6'i s s?qI aut azo;aq o3 uzon~s •tIIlMazaq; pall uor~EatlddE aq; uI rllzo3;as zauuEUr aq} uI pauuo3zad aq II?M Xzom aqI }ELJ~ pUE :3allaq puE aBpa[MOU~[ III JO ;saq aq; O~ a,nz; azE UOi~EaIlddE SIi{~ ui paurE;uOa S;Ua Ula~E;S IIE ;ELI ' UO[~EOTIddE s?u; aI?3 puE aKEUZ oI puE xzoM plus au; pauuo3zad anEu zo urzo3zaci oI pazuoulnE ,ilnp st puE `szauMO zo zaun~o plES ;o (•aIa `zao?33o a3EZOdzoo `1uaBE `zo~oEZ;uoO) ....................I ~~m .................................aulsraH •paureu anogE ' (IoEZluoo Bu?uBrs IEnp?n?pu? 3o aurEl~I) ~uEO?IddE aq; s? aq IEq~ s~cES puE sas'I dap `uzoms ~Slnp Butaq • • • • • • • • y ~ ~~•y:L . . • o e F,y, ~c ~C y-a ! . vc ~ y S S 8~ ~ s's ~~.~vy , ao ,~.I,Nno~ xx MAN ao aiyis . /s ~ ' 7- J" v~ Qy0'~ c0 ~ -a 1 ~-e i ` ! • ` ~ -e .`V ~a ~ ~ ~Qa q, ~ ~ 9/"~a/ ~i~~ •~oi zau.io~ zb zoua~u? zaulaum a~Eaipul puE saurEU Iaazls sous puE `paap o~ Bu?pzoaoE uo?;du~sap io.zaqurnu~xaoiq puE;aaz;s an?O •sau?I ;fl.radozd uioz3 suoTSUaunp xoEq-;as IIE a}EOrpu?'puE `pasodozd .io Bu?Iscxa zaglagm ``s$ucpl?nq IIE ~illaul;s?p puE ;Slzzalo alEOO7 Y~Iy~IOyIQ .L~O'Td •pa.xzn az aq am ~iurzad saa~snzy uMOy pToganos 'saf 3I~ ; o oud...sl!a~~ tPuET~aM TEPT} E 3o zaa3 00£ uFg3zM pa;eool 6~zadozd sTq~ sI ST ssaz PPy zoloEZluo03o aureN ................ol`I auoud ssazPPy ;oa;?dozy 3o auzELl L`'E'JS r,~`•~ G'oN auogd . , I,. ~..~yyry.~yf 'C$ S ssazppy .......-:..''<(~'~Z19 ..:l sas?urazd 3o zaump;o aurEN 'bI oTI sat :sas?urazd uroz3 anoutas aq n?; ssaoxa IIIM • • • • • • • • • • • • • • • • • • papEZ$az a4 poi IiIM '£I ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' :uo?;ElnBaz zo aausu?pzo `MEI $uTUOZ ,SuE aaElo?n uo?aonz~suoo pasodozd saoQ 'Z I Q• ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ~ ' ' • ~ • • • pa;En;?s azE saslurazd qo?qm u? Io?z;stp asn zo auoZ ' I I da zauMp zauuog;o aurErl asEuoznd 3o a3EQ 'OI / °I,`, • u7 Q~. Q zeag ~y~h.,~ .......O~/... Iuoz3 :Iol;o az?S 6 auo;g ozaqurnN`7/•y~'~'~-~~G~u$IeI.I ...........~~~.,~yy ;S ~ P~' zeal Iuoz3 :uol~onzlsuoo`ma azI}ua3o suocsuauirQ •g dzea 3o zaqum1l.......... i~raH ......................g3daQ ................u;. Q g . ' • • .''I• • • • • • • • • • • • Iuoz3 :suoI3IPPE}o suol~EZaIIE u3IM azn~onz;s acuES }o.suorsuaur?Q . ' ' sauo o za' urn $ra 1 • u;daQ. • . • • . • • •pe7. •zeag .........A ? ~uoz3 :,CuE 3I `saznlonzls Burs?xa 3o suolsuaur?Q 'L • • •asn;o ad;i; goEa3o;ua~xa puE asn;EU K~?oadS;`~iouednoao pax?ur zo IElazaurutoo `ssau?sng3I '9 ! szEO;o zaqurnu `aBEZEB 3I ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' • zoos goea uo sjzun BuglaMp 3o zaquinl.I • • • • • • • • • • sI?un 8u?tiax,p 3o zaqurnu `Buliia^+P 3I 'S (uor;EartddE sI43 Bu?Ir,~ uo p?EC{ aq oI) 1 aag ~so~ pa;EUr?;sg •y ' !I C1'a.~~ $ M u30 .l.I Q I 2I 2I zo za ~ uor r'oura , • Enoura zrEda uorlEZa3Iy ,_-~j%J 2'I(~'uoI;IPPy $ulpl?ng MaI~I :(algEO?IddE uolgm xoago) ~IzoM3o aan~El~I i ~1 ~1 f 7~ 76Sd802 / BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG, [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING ( FINAL REMARKS: ~ DATE ~ INSPECTOR ~~°'J TI ~ ~ ~ U s ~~q~ ~ ,'cc, ~ 7C ~ ~ o~i . ~ j ~ v~ i N ,~e3- x x ~ I ~ ~ ~ ~ ~ ~ = I i.._.___ _ T ~ ~ -,o ~ ~ ~ ~ ~ ~ i n ~ ~ ~ ~ ~ ~ I ~ - ~ ~ ~ ~ ~ ~ ~'w ~ J ~ ~ __.__I____._I .~_I___-._ 0 c~~~; I _ s ~ - ~ s ~ ~ ~ c.~ ~ - f - - - J ~ ~ I ! j ~ ~ ~i _ ~ 1--~=~;_____ d ~_L_~~1_ I ' i ~ T ~o o b r ~ ~ ~ D !7 N -i \1j""~' m0-12r AWN Tv~T Z y m ~7 ccF~~ m z f~A 0 0 0 ~m 1~1 ~mOnDCC~~pCO ~ v ~ZZCeZn S'rDrSpO A Vv ~~Cmhm®zDaay~2 O \o, ~pQC~ni~1 Z2 n0~ O z - al p 9~g~ z m ~ ~l aa'~2m ~ ~ ~ 3 N o ; ~ tna«^~ -vii Gf ~D, ~ t~ 3 ~ - -