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Home My WebLink About16926-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17374 Date SEPTEMBER 30~ 1988 THIS CERTIFIES that the building. Location of Property 1870 House No. County Tax Map No. 1000 Section 126 ACCESSORY BRAY AVENUE LAUREL Street Hamlet Block 7 Lot 20 Subdivision. George I. TUTHILL Filed Map No. 861 Lot No. 77 conforms substantially to the Application for Building Permit heretofore filed in this office dated AJ?RIL 11, 1988 pursuant to which Building Permit No. 16926Z dated APRIL 27, 1988 was issued, and conforms to ail of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ACCESSORY BUILDING. The certificate is issued to RICHARD T. STAPLETON (owner, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 TOWN OF $OuTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N~ 16926 z Permission is hereby granted to: /~ a . ~/ ~ / ......................... ...... z.,~~...~.y.. ........ ~.~ ....................... ~ .,~ ,o .~~....,,.....~..../.....~.~:....~ ....... ~ ......... · / 7~ ~ e~-~'L'5 at prem,ses located at ........~ .................... ~ ............................................................................ County Tox Mop No. I000 Section ...... ../,,.~..,,~,. ....... Block ........ ,'Z,, .......... Lot No ......... ~ ........ pursuant to application dated ........ . .~r~..?.../. .................................... , 19..~....~.., and approved by the Building Inspector, /~ding Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Southold, N.Y. 11971 765 - 1802 BLDG. DEPT. TOWN OF,$OUTHOLD APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions A. This application must be filled in typewriter OR ink, and submitted ,~llmm~m to the Building Inspec- tor with the following; for new buildings or new use: I. 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. · rs. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings {prior to Apri~ 1957), Non*conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of pzoperty 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 $100.00 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 ............... New Cons tr'uc t ion ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property o/. ~,, ~.~ ..... RAY....A ........ /' House No. Street Ham/et Owner or Owners of Property ./.'.~./.~.l~/J~j.~.L~....~..¢~i.~.~.?.~.'.~.'.~.~.,..A~.,.-'~ ~' o, .................. /.z...6.. 7.' 2o County Tax Map No. 1000 Section ............ Block ............... Lot ........... Subd,v.mon .~)~'4>??.~..1.¢... ' .~.~'/:/./.K.~...%~..<~./¢.kjj~$Filed Map No.'~..-~.(-¢....~.~.,/¢Lot No .............. Perm t No./.~.~'..Z..~... Date of Permit ~/.~.~..~.Appl,cant .~..~;2~.~.t[{~..~...~.: .~.~.:~.//'..~.~ .~/... Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate .............. Final Certificate Fee bm t ed*...\E ........ ....... Rev, 10-10-78 ,,;,~r~ ~..rr~,...ic~?~ TO'¢'N OF SOUTHOLD ~, -',~ f V, ~ P.O. BOX728 ~, *~ ~;~ ~K ~:// TOW N 1 IA LL v~, ~/~ ,_ ,~'~ SOUI'IIOLi), N.Y. 11971 TEL. 765-1802 To W}lom This May Concern, We are urlable to complete your Certificate of Occupancy becau.~e .of the following reasons. /~ An application for Certificate of Occupancy is not on '/~lo Underwriters Certificate on f~le /~/ J'he check is(~/not ou file.)'~/~,~ /~/ No Health Dept. Approval on file. No final inspection has been made. P]ease contact: our office on this matter. Thank you for your cooperation~~ BuildJ. nq Permit t~ I ,~ --~ ?q?, ~ Z Buildin?[ Dept. ***/_-/ No Plumber Solder Certificate on file. ( all permits involving plumbing being .[s:~ued after April 1,1984 ) 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [~FINAL REMARKS: INSPECTOR~~~ 765-1802 BUILDING DEPT. INSPECTION [~OuNDATION 15T [ ] ROUGH PLBG. REMARKS: FOUNDATION 2ND [ ] INSULATION FRAMING [ ~] FINAL DATE /~ ~(~/~ INSPECTOR, 5UNDATION (2nd) DUGH FRAME & -PLUMBING ~SULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: BOARD OF HEALTH ...... 3 SETS OF PLANS ....... ~FORM MO. 1 SURVEY .......... ·'' TOWN OF SOUTHOLD CHECK .......... "BUILDING DEPARTMENT SEPTIC F0RM ............. : TOWN HALL ~ SOUTHOLD, N.Y. 11971 Ap 9v-d · .r Z:- -~. ....... ,19. Pe~it No .......... NOTIFY CALL ........ ., .... MAIL TO: OCCUPANCY OR USE IS UN WFUL Disapproved a/c ..................................... ' "" !/dTHOUT CERTIRCATE ........................................'"'".," ' ' :q. ,. . · OCCUPANCY '""' ' "' ' ' XBuild~,gqnspector) ' -,"',," . , ,, .... ., r', '.' .... "'" '"'APP LI,CATIO N,. , ,...~' .~ ,, ,,'-'-', FOR BUILDING PERMIT ~/// 19~ :':" ' ,~-,~, .d, · Date ......... , ... "' ' . >:, ,~,' ..... INSTRUCTIONS "' a~" T~s application must be completely rifled in by ~pewfiter or in ink and submitted to the Building Inspector, with 3 ;et~of plans, accurate plot plan to scale. Fee according to schedule. '", '.~L 'Plot pl~ show~g location of lot and of bulldogs on premises, relationship to adjoin~g premises or pubic streets ~r"~eas, and giv~g a det~led description of layout of property must be drawn on the diagram which is pa~ of t~s appQ- ," "ck .The work covered by t~s application may not be commenced before issu~ce of Bu~d~g Permit. .: d. Upon approval of this appflcation, the Building Inspector will issued a Bufld~g Pe~it to the appUc~t. Such pe~it ~h~ be kept on the premises available for ~spection throu~zout the work. '.:e.. No bu~d~g shall be occupied or used in whole or in p~t for any purpose whatever unt~ ~ Ce~ificate of Occup~cy sh~ have been grated by the Bulldog Inspector. ". ~PLICATION IS HEREBY MADE to the Bulldog Dep~ment for the issuance of a B~lding Pemfit pu~uant to the' Building Zone Ordinance of thc Town of Southold, Suffolk County, New York, ~d other applicable Laws, Ord~ces or Regulations, for the construction of bu~d~gs, additions or alterations, or for removal or demoflQon,.as ~fibed. The applicant agrees to co~ly with aQ appQcable laws, ordinances, bufld~g code, ~us~g code, ~~ns,.~d to t"."..'.. ' . ' . ......~..;G.':~'. '-~,'.~ (Szgnature . ~' (Mailing address of applicant) State:whether applicant is owner, lessee, agent, ~chitect, engineer, general contractor, electrician, plumber or builder. APP ED AS Nme 9f owner of premises .. ~GO{~ ~ . . . / .... ~ .~..~ . .; .............. ,.~[~)~'~. ~ .............. (as on the tax roll or latest authorized olfice If applicant is a co~oration, signature of duly · N~I~ DE~E~ (Name and title of corporate officer) · ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSED ':' . Builder's License No ..... P'~ ............ '... Plumber's License No ......................... : - Electrician's Lidense No ....................... . ..Other Trade's License No ...................... 765-1802 9 AM TO 4 I~,YOR TIlE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO I~EQU~ED FOR POURED CONCflE~E 2. ROUGH - FRAMING & IR.UMSING 3. INSULATION 4, FINAL CONSTRUCTION MU~T BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERI~Y CODES. NOI RESPONSIBE~ Y08 F. Location of land on which proposed work will be done~ .................... OE-SIC~N. OR'CONSTRUCTION ERRORS' ' House Number ~- Street . County Tax Map No. I000 Section ..... ~.. Block .................. Lot .............. r ' re i (Name) 2. ' State existing use and occupancy of premises and intended use and occupancy of proposed construction: ' Existing use and occupancy '.: b Intended use and occupancy ppli ) .~.'. .... ~/3:,~,,/,Nature. of wot check which a cable.: New Building .. .... Addition... Alteratl6n: ,~ ...... '... ',.~ 'Repmr ........ RemoVal "~' " '" ' ' ...... ......... Demolition ....... ~. 'Other Work 4;', Estimated Cost...,.. ' ': Y' ' .... ' ', ''7® ~ ...... ~ ....... Fee. ................................... ,~ . ~,' ~,~, - ' (to be paid on filing this application) 5;, ' ' ' '"' If dwelhng, number of dwelhng umts ............... Number of dwelling units o8 each floor ................ ~'.' Ifg ' '" ~ ' , ,. arage, number of c~s ....... ~ ............................. ' ' ' ' d ¢ ~ fly t~'fl ~h't~p;'o lc'. [J .................. 6., If business, commercm[.ogmixe ccupancy, spec nature and exten a f u ................ '7¢: .D~mensions of exist.ifig st~ctures, i(any: Front .- ......'... ·... Rear Depth ,l,,:,Heigl~t ....,'...:;f[.,':~, :~Numb~ro~Stoms .............................. . ...,...,........... 2 ',.D~enmons'of same structure' '~'w~tg' alteratmna or additions: Front " ........................ Rear ~ :", 'Depjh .............. ' [ Height ;' ' ~,,, ~. ~-,;, , , ,' ,, ~ ....... ~ .... ~i~...mumDerolStones ........... o. ~menmons 6f,ent~re new construction Front '~ /~ g ~__ /~ "~ * ~ ., ,~ 'a - ,me,grit ..~m .... ~...NumberofStones. ~.. .~ .1 ................. 9':/.Size of lot Front' fq [. ' ,~ n~ -(O' ~ ' ~ .... ~2,', ....... .~ , ~ ...... :~/~ ~' ¢. ~',,~ ............................. ~epm ../.o.o .......... ~u;, Dam o~rurcnaso '.. ~j .1 ..... ~ · · ~ .... ';'. .... ',, N~me of Fomer Owner . ~ggOP'P~..~[/t(&~ ....... h: .,'Zone or use district i~ ~hich premised'are situated '" . } ....................................... 2..," Does proposed constructio~a violate any zoning law ordinance or regulation' .. . .~ ., · · ,~ ,-,. ~ .~, , .~-. ,~m excess fill De removed from premises: Yes ' t/~o ' ,/'; Nm'ne of Architect .:. ,,~.,~..~.. ! ............... Address ............. ~. Phone No . 15,~':,7, Ig'this property locate~'~hi~ 300 feet or a tidal wetland? *Yes ..... No .~... · ,If.. yes, Southold~ Town Trustees Permit maybe required. ~' Lbcate clearly and distinctly all bhildings, whether existing or proposed, and, indicate all set-back dimensions from ;ntenor~r°perty', ' orlines'c.ornerGiVelot.Stre'e't", .... , and bl~ock m~mber[, ,. ':,~ ,~J,°,~r.'~,descripti°n', , ,,, , , according to deed, and show street names and indicate whether .' ,,,~ 1,~,,~,~; ,,,'" ' '(]~ ' '-' 'e O~ l.',,,A,la~y¢fl,ual, slgnmg' ....................... , ,-. . !contract) .... being duly sworn, deposes and says that he is the applicant ' (Contractor agent corporate officer etc ) ........................... Said owner or ownem, ~d is duly ahtho~ed to perform or have performed the said work and to m~e and file t~s 9plication; that all statements contained ~ this application are true to the best of his knowledge and belief; and that the 'ork will be perfo~ed in the m~ner seit for~ ~ the application filed therewith, worn to before me this :,