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Home My WebLink About16780-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17127 Date JULY 28~ 1988 THIS CERTIFIES that the building. Location of Property lB00 SHIPYARD LANE House No. County Tax Map No. 1000 Section 35 Subdivision ACCESSORY Street Block 8 Filed Map No. EAST MARION~ N.Y. Hamlet Lot 5.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12, 1988 pursuant to which Building Permit No. 16780-Z dated MARCH 9, 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 STABLE AS APPLIED FOR. The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HFJtLTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GUSMARREALTYCORP. (owner, X~) N/A Bu±ld±n~ Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17128 Date JULY 28, 1988 THIS CERTIFIES that the building. ACCESSORY Location of Property 1800 SHIPYARD LANE EAST MARION,NY House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 8 Lot 5.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 12~ 1988 pursuant to which Building Permit No. 16780-Z dated MARCH 9~ 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 CHICKEN COOP The certificate is issued to of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED GUSMAR REALTY CORP. (owner, Building Inspector Rev. 1/81 lt~urn' NO. · 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°-16780 7.. o:r,~..~....~.,..~.:.%!.!..,..~ .... .................................................................................................... County Tox Mop No. lO00 Section ..... ,~.,.~.,~.. ...... Block ...... ~ ..... Lot No...~'..~ ......... Building Inspector. and approved by the Building Insl~ctor Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD 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 ,~ ~ to the Building Inspec- tor with 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, ~ndustrial buildin§s, Multiple Residences and similar buildings and installa- tions, a certificate 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 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 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. O0 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction ...... Old or Pre-existing Building ......... . .. Vacant Land ............. Location of Pro erty .... .~800 Shipyard Lane East Marion House No. Street Nam/et Owner or Owners of Property GU.S.MAR REALTY CORP.... County Tax Map No. 1000 Section 35 Block 08. 5.3 Subdivision ................................. Filed Map No ........... Lot No .............. (BARN) Permit No..I.6.7..8.0.Z... Date of Permit . .3/?./..8.8..Applicant .. p.u.s.m..a.r..~e..a.l.t.y...C.o.r.p.: ./.P.e.~.e.r...Fakiris Health Dept. Approval ........................ Labor Dept, Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ...... X. ................ Fee Submitted $ 10.00 Construction on above described building and/p~ermit meets,~l applicab~codes and regulations. Applicant ' /:- ' . ................... Rev. 10-10-78 '11 FORM NO. 6 TOWN OF SOUTHOLD 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 m ~,,--,---- to the Building Inspec- tor with 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, a certificate 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" lend uses: 1. Accurate survey of property showing all propertv 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. Cert[f[cate of occupancy New Dwelling $25.00, Accessory '$[0.00 Business $50.OO 2. Certificate of occupancy on pre-existing dwelHng $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 4.Vacant Land C.O. $ 20.00 5.Updated C.O. $ 50.00 Date .................... NewCOnS truc%ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property 1800 Shipyard Lane East Mar ion House No. Street Ham/et Owner or Owners of Property .... GUSMAR REALTY CORP. County Tax Map No. 1000 Section 35 Block 08 5.3 Subdivision ................................. Filed Map No ........... Lot No. (BIRD COUP) ............. PermitNo. !~.~q~... Date of Permit .......... Applicant Gusmar Realty Corp./Peter Fakiris Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate .. Fee Submitted $ 10.00 Construction on above described building end ermit m ts~alt plicabte codes and regulations. · ..... : ................... Applicant Rev. 10-10-7e ?'iELD i:,S:'E'C?iO,' {IDATE }t COf~M£NYS FOUNDATION { 1 s t) FOUNDATION (2nd) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: BOARD OF HEALTH ...... 3 SETS OF PLANS ....... 'FORM NO. 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. TOWN HALL $OUTHOLD, N.Y. 11971 TEL.: 765-1802 CALl, ................ ...~.OA&..q .... 19'~.~. Permit No. l .~.~.0 .%. Approved Disapproved a/c ..................................... (Building Inspector) MAIL TO: APPLICATION FOR BUILDING PERIVIIT 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 part 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, bu/h~.g code, h~gusi:~g code, and regulations, and to admit authorized inspectors on premises and in building for necessary i~pefltions.//~ ~,o/~/~ (Signature of applic)sn~, or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. / __ Name of owner of premises .... "'~"' '~''''' '~'~-'-~: :'n' :~a'x' :o'l~ ;: ia't~Je'O~ ..................... If a~ is a corpj~atio2a, signature of duly authorized officer. :aa :itle arporate ......... ALL CONTRACTOR'S/MUST BE SUFFOLK COUNTY LICENSED Builder's License No .......................... Plumber's License No ......................... Electrician's License No ....................... Other Trade's License No ...................... Location of land on wliich proposed work will be don~¢ .................................................. House Number ff /~/ Stre t Hamlet County Tax Map No 1000 Sect%n ..... ."~.-~ Block oC7: Lot ~ -~ Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and Qccupancy of proposed construction: a. Existing use and occupancy ........................................ ~ ............................ b. Intended use and occupancy .......... .~a¢c<r~.....~~. ~ ~ 3. Nature of work (check which applicable): New Building ..... · ..... Addition .... ~ ...... Alteratl~on ~ ,/.. ;'. .... Repair .............. Remoyal .............. Demolition ............. 4. Estimated Cost ' .7-~. 7f.(J~. ................... Fee ............................... " (to be Paid on filing this applicatio~)[~! 5. If dwelling, number of dwelling units ............... Number of dwelling units on'6'ach 'floor... ~ .... i'... ,~'... if garage, number of ears ..... ~ ............................................................ 6. If business, commercial or mixedjoccupancy, specify nature and extent of each type of use . ).'. ..... . ..... 7. Dimensions of existing structures~, if any: Front ................ Rear .............. Depth .. ' ............. Height Number of Stories ~ ' Dimensions of same structure wi!h alterations or additions: Front ................. Rear .................. Depth ..................... i · Height ...................... Number of Stories ...................... '- 8. Di~nensions of entire new construction: Front .......... ' ..... Rear ............... Depth ............... Height ............... Number of Stones .......... , .......................................... 9. Size of lot: Front .......... i ...... Rear.., .,~ , Depth 10. Date of Purchase ............ : ................. Name of Former Owner ............................. 1 I. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction violdte any zoning law, ordinance or regulation: ................................ 13. Will lot be regraded .......... : .................. Will excess fill be removed from premises: Yes No 14. Name of Owner of premises....~.~ ............... Address ................... Phone No ................ Name of Architect ........... , ................ Address ................... Phone No ................ Name of Contractor .......... ~ ................ Address .... : .............. Phone No; ..~: ........... 15, Is this property located ~ithin 300 feet of a tidal wetland? *Yes ..... No ..... · If yes, Southold Town TruStees Permit maybe required. i PLOT DIAGRAM I,ocate clearly and distinctly all buildings, whether existing or proposed, and~ indicate all set-back dimensions from property lines. Give street and block ~umber or description according to deed, and show street names and indicate whether interior or corner lot. STATE OF 'NEW YORK, S.S COUNTY OF ................. ' .............................. i ................... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......................................................................................... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is dul5 authorized to perform or have performed the said work and to make and file this application; that all statements conta:'ned 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 th,is ............. ./.-q.~ ........ day of ....... ~ ........ 19 .~ Notary Public ..... ~_~,~... ~...~. ~.. ~.../~'f-w~..., County ~ "'~''"~' ~~e i~n't HELEN K. DEVOE IV01;t RT P~IR~¢, ~'ta~e uf New ~ No. 4707878, Suffolk Count~. Term Expires March: 30,19 fi/