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Home My WebLink About27891-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29061 Date: 11/07/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1425 ESPLANADE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 6 Lot 13.42 Subdivision Filed Map No. __ LOt No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 2, 2001 pursuant to which Building Permit No. 27891-Z dated NOVEMBER 9, 2001 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 "AS BUILT" ACCESSORY STORAGE SHED AS APPLIED FOR. The certificate is issued to JOSEPH & JOSEPHINE DRAGO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u N/A N/A ~t~ i re Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUITDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27891 Z Date NOVEMBER 9, 2001 Permission is hereby granted to: JOSEPH & JOSEPHINE D~AGO 1425 THE ESPLANADE SOUTHOLD,NY 11971 for : CONSTRUCT AN ACCESSORY STORAGE SHED IN REQUIRED REAR YARD AS APPLIED FOR. at premises located at 1425 County Tax Map No. 473889 Section 088 pursuant to application dated NOVEMBER Building Inspector. ESPLANADE SOUTHOLD Block 0006 Lot No. 013.042 2, 2001 and approved by the Fee $ 75.00 Rev. 2/19/98 COPY Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCC!UpA c¥ 6 ' ' This application must be filled in b~/typewriter or ink and submitted to the Building Department with the follo~ng: A. For new building or new use: . ' v p,.~_ # 1. Final survey of property with accurate location of all buildings, property lines, streets, and unuS~?g~ral or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or en~neer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957)'non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Co New Construction: Location of Property: Fees 1. Certificate of Occupancy - New ~twelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 / / Date. , Old or Pre-existing Building: "~ (check one), House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section , Subdivision Permit No. 2 7 ~ q ['- .~- Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Block t ~ Filed Map. Applicant: Underwriters Approval: Final Certificate: Hamlet Lot: (check one) Fee Submitted: $ d- Al~pliCant Sig~t~''e ~ ) ilo 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~'~INAL [ ]FIREPLACE&CHIMNEY REMARKS://U//~ ~~ DATE FIR~)'I'N~PECT~OH.p, EPO~T'- · ~N~0LAT~ON PER N. ¥.: CODE. DATE COHHE~'~S ~'A~DXTIONA~. CQ~I~.~S: TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 76~1802 t A~p~-owd ~!] ~ ,20 0 I Disapproved a/c PERMIT NO. ~ ') ~ ~ / BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health 3 sets of Buildlug Plans Survey t/' Sq~tic Form N.Y.S.D.E.C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS ,200° / 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 ofbuildlngs on premises, relationship to adjoining premises or public streets or areas, and waterways. · c. The work covered by this application may not be commenced before issuance of Building P~mit. " d. Upon approval of this application, the Building lmpector will issue a Building Permit to the applicant. Such a pexmit fihall 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 what-so-ever until a Certificate of Occupancy is issued by the Building ln~ector. APPLICATION IS HEREBY MADE to the Building Department for the issuance ora 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, housing code, and regulations, and to admit authorized in.qpectors on premises and in building for necessary inspections. (signature of applicant or-amc, ff a corporation) (Mailing fd[drejs of applicant) //7 ?/ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises t~SWff/-/ q~ cTo$&-{°Hlw~' ' lD/~q'~-o (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will__be done: House Number Street County Tax Map No, 1000 Subdivision /'{A~ ~-~-L- (Name) s o,, Block (_o . Lot Filed Map No. 77,~? Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ,,kf~ b. Intended use and occupancy. ~ o Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Addition Alteration Other Work~ ~ ~. Cl (Description) (to be paid on filing this application) Number of dwelling units on each floor 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 Height. Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height , 8. Dimensions of entire new construction: Front Height Number of Stodes 9. Size of lot: Front Rear Number of Stories Rear Depth Depth 10. Date of Purchase Name of Foimer 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 retgraded Will excess fill be removed from premises: YES NO 14. Names of Owner of premises Name .of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15. Is this property within 100 feet of a tidal wetland? *YES NO · IF YES, SOUTHOLD TOwN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey, STATE OF NEW YORK) SS: cou-rcrY OF ) ~0~,, 0 ~ Pr'40"' $0 being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)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 file this application; that ali statements COIltained in this application are true to the best of his knowledge ~md belief; and that the work will be performed in the manner Set forth in the application filed therewith. Sworn to before me this ~,~~ay of '~ Notary Public HELENE D. HORNE Notary Public. Stat~ of New Yo~ No. 4851364 Qualified in Suffolk County c~mt~Eo ONLY TO DESTIN G GRAF N.YS LtC No 50067 SURVEY DATg //] ] DESTIN G. GRAF LAND SURVEYOR 73 WOOOLAWN ROAD ROCKY POWT, k'~W ¥OqK 11778