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Home My WebLink About16873-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19591 Date DECEMBER 18~ 1990 THIS CERTIFIES that the building Location of Propert~ 285 LINNETT ST. House No. County Tax Map No. 1000 Sectlon 048 Subdivision ACCESSORY BUILDING GREENPORT Street Hamlet Block 02 Lot 34 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this offlce dated MARCH 25~ 1988 pursuant to which Building Permit No. 16873Z dated APRIL it 1988 was issued, and conforms to all of the requirements of the applicable provlszons of the law. The occupancy for which this certificate ls issued zs ACCESSORY BUILDING AS APPLIED FOR. The certlflcate is issued to DAVID MEARNS (o~ner) of the aforesa!d building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ~'~ Bulldlng Inspector Rev. 1/81 · 0~ NO. J TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAt& SOUTHOLD, N. Y. BUILDING PER~IT [THIS PEP. MIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No- 16873 z Perm~sston is hereby gr~nted to: ..~'~..I..~.8 ............................................. · .~....~.,.'4.,...t.L~.7. .............. at premises Iocoted at ..~..~..~. ..................... C~nty Tax Map No 1000 Sect,on , .(:~.~ Bilk . .(~..~ ..... Lot No ...:~..~. pursuant to apphcatlon dated ... ,.~&...~' ....... )9.~., and approved by the Budding Inspector. Rev 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 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 insCaliatioas, a ~ercificate of Code Compliance from architect or engineer 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: I. Accurate survey of property showing all property lines, streets, building and unusual natural or topographzc features. 2. A properly completed application and a 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. i. Certificate of Occupancy - New dwelling $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 Buzldzng- $I00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 :ew Construction ........... Old Or Pre-existing Building...%' ............. .ocatzon of Property....~....~_~, .~>~. ~~ ~..~. ~.~.~ ........ House No. Street % Hamlet )nwer or Owners of Property ~.~ .~X~ .... ]ounty Tax Map No 1000, Section .... ~% ..Block ~ .Lot... ~ubdivlsion ............................... . ... Filed Map ............ Lot ...................... 'ermlt No ................ Date Of Permit. {ealth Dept Approval .. 'lanning Board Approval ................. Applicant ............ ...... Underwriters Approval ......................... %equest for: Temporary Certificate ..... 'ce Submitted: , .... I ..... Final Certicate ........... APPLICANT FOUNDATION (1st) FOUNDATION 2. ROUGH FRAME & PLUMBING e INSULATION PER N. STATE ENERGY CODE [2nd) FINAL ADDITIONAL COMMENTS: OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY INSPECTORS (516) 765-1802 VICTOR LESSARD, Pnnczpal CURTIS HORTON, Semor VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Asststaut Ftre Braiding luepector~ THOMAS FISHER GARY FISH scorEL. HARRIS, Superv,sor Southold Town Hall P O Box 1179, 53095 Matn Road Southold, New York 11971 Fax (516) 765-1823 Telephone {516) 765-1800 OFFICE OF BUILDING INSPECTOR TOWN OF $OUTHOLD November 1, 1990 Rev. Bradford Hess Box 1SA Orient, N.Y. 11957 RE: B.P. ~16873Z April 1, 1988 David Mearns for Accessory Shed Dear Mr. Hess: I am writing to you regarding the above permit. This permit has expired and you have not called for a final inspection. If the work zs done please call the inspection and if it passes please file for a Certificate of Occupancy. am enclosing and application. The fee is $25.00. I Your prompt attention to this will be appreciated as the permit expired 10/1/89. Thank you. Enc, Yo~rs truly, Secretary DEC IO 1990 Examined _~ . Approved ~ Disapproved a/c BOARD OF HEALTH ...... 3 SETS OF PLANS ....... FORM NO 1 SURVEY .......... TOWN OF SOUTHOLD CHECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL SOUTHOLD, N.Y. 11971 ,~.,.~[.~.,.~ [ TEL.: 765-1802 CALL _ ...... MAIL TO: , i9~ Permit (Budding Inspector) BLDG. DEPT, TOWN OF, SOUTHOLD APPLICATION FOR BUILDING PERMIT Date ........ 19 INSTRUCTIONS a This application must be completely filled in by Wpewnter or in ink and submitted to the Budding Inspector, with - sets of plans, accurate plot plan to scale Fee accordmg to schedule b. Plot plan showing location of lot and of buddings on premises, relationship to adjoining premises or pubhc street or areas, and giving a detmled description of layout of properW must be drawn on the dlagmm winch is part of thru apph canon. c. The work covered by tins apphcatlon may not be commenced before issuance of Budding Permit d, Upon approval of this application, the Building Inspector will issued a Budding Permit to the apphcant Such perml shall be kept on the premises available for mspectmn throughout the work e. No bmldmg shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupanc- shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Buzlding Permit pursuant to th Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o Regulations, for the construction of buddings, additions or alterations, or for removal or demohtlon, as hereto described The apphcant agrees to comply with all apphcable laws, ordmances, budding code, housing code, and regulations, and t, admit authorized mspectors on premises and m bmldmg for necessary ~nspectlons (Signature of applicant, or name, if a corporaUon) (Mahng address of apphcant) State whether applicant IS owner, lessee, agent, architect, engjneer, general contractor, electncmn, plumber or builder o. o /oer ................... Name of owner of premises J~"~' V~/p /'~c=:~/~tv£ (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 BE SUFFOLK COUNTY LICENSED Builder's License No ,,~L15'/' F"- Plumber's License No .... Electrician's License No Other Trade's License No ........ 1. Location of land on whlch proposed work wdl be done . .~ ?./.m~..e.~/ ~.*t . Cr.e~.,,,p.?.~. ......... ........... House Number Street Hamlet County Tax Map No 1000 Section ~/rV Block....o~.. ....... Lot . .~..~.. Subdivision Filed Map No . .. Lot ......... (Name) State cresting use and occupancy of premises and intended use and occupancy of proposed construction a. Exmtmg use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable) New Bmldmg .. Add]hon .. Alteration ._ Removal ...... Demolition .... Other Work ~ . . i. Repair ~ff'4 ~ ¢~ rt~t otc ~osr,~ *'awl ~A~t Z ~c~'e~ I~ a,~r- (DescnpBon) 4 Esnmated Cost ............... Fee ...................... ' (to be prod on filing th~s application) 5. If dwaihng, number of dwelhng umts. '.'. Number of dwelling umts on each floor . ~ ...... If garage number of cars "' 6. If busmess, commercml or m~xed occupancy, specify nature and extent of each type of use ' .. 7 D~menmons ofex~stlng §tructures, if~ny Front .. . Hexght ...... Number'of Stones .. Dnnenmons of same strip,re w~th alteratmns or additions Front Depth ....... *,;~, ..... Height ...... 8. D:menmons of entire new construction Front / ~ ' .. Height ~' ' Number of Stones / 9. Slzeoflot Front ~-'. Rear ...~.o.' Rear ...... Depth ..... ..... Rear ...... Number of Stones ....... Rear /6: ....... Depth .~.~ .. .... Depth ././3.~ ..... ' ..iii.ii 10. Date of Purchase ...................... ~ame of Former Owner I I Zone or use d~stnct ~n which premises are s~tuated .~.~.~.~ld~r2 ~.t ~.(. . 12 Does proposed constructmn vmlate any zomng law, ordnance or regulation /qo .............. 13. Will lot be regraded .......... Will excess fill be removed from premises Yes Nc 14 Name of Owner ofpremmes.,. ~ .... Address ........... Phone No .......... Name of Architect -. - ,J/off4~ · - . Address ......... Phone No Name of Contractor .. ~(.-~.. v. ............ Address .......... Phone No ........... 15. Is this property ~ocated wzthin 300 feet of a t~dal wetland? *Yes ..... No ..... · If yes, Southold Town Trustees Permmt maybe requzred. PLOY DIAGRAM Locate clearly and dmtmctly all buildings, whether ex~stmg or proposed, and indicate all set-back d~mens]ons from property hnes G~ve street and block number or description according to deed, and show street names and mdmate whether interior or corner lot. COUNTY OF .4:5r 6zSV/. ~ ?.e .,~ S.S (Name of ~n&v~dual s~mg contract) above named. bemg duly sworn, deposes and says that he ~s the apphcant He m the ... ~ ....................... (Contractor, agent, corporate officer, etc) of said owner or owners, and ~s duly authorized to perform or have performed the smd work and to make and file tlus apphcation, that ail statements contamed m th~s apphcatmn are true to the best of hm knowledge and behef, and that the work wdl be performed tn the manner set forth m the appkcaUon filed therewith. Sworn to before me thru ........ IiI~l~~¥~ ., / ff (S,gnatu;e of apphcant)