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Home My WebLink About16929-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z-. 16837 Date May 3, 1988 THIS CERTIFIES that the building ACCESSORY SHED 2225 Delmar Dr~_ve Laurel, N.Y. Location of Property I:l(~s$ County Tax Map No. 1000 Section 127 .Block 4 .Lot 16 Subdivision ............................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated Apr~_l 12, I988 16929 Z ..................... pursuant to which Building Permit No. ' dated ......................Apr £ 1 28, 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 SHED The certificate is issued to GREGORY 6, SHARON DOROSKI ..................... ~dd, tie'r,'l~X'J~Tt .~...,~ ..................... of the aforesaid building. N/A Suffolk County Department of Health Approval .......................................... ~/A UNDERWRITERS CERTIFICATE NO .................................................. N/A PLIII~IBERS CERTIFICATION DATED: Building Inspector ...... Rev. 1/81 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°_1672c) Z Permission is hereby granted to: / . /~ , .... .~..~.~...~,.~-:~.....~ ....... ..... .................. .... ~ .......................................... Z~ ....... ~'"";) .............. ~ ........... i ...................................... at ~/remises located at . ..~.. ~ ~ ~ . . ~ ~ /~.~-Z~.. ........ County Tax Map No. 1000 Section ....... ./~..~. ...... Block .......... ~ ...... Lot No ....... ~..~.~.~.... pursuant to application doted ...~.././...:~.. ........................................ , 19~.....~.., and approved by the Building Inspector, F, ee $...~.....~.,~ Rev. 6/30/80 Memorandum from.... BUILDING INSPECTORS OFFICE TOWN OF $OUTHOLD TOWN H^LL, SOt~THOLV, N. Y. 11971 765-1802 Dear Mr. Doroski: Sept. 28, 1988 I am writing to you regarding your Certificate of Occupancy for the Accessory shed done under B.P. #16929Z. When the Certificate of Occupancy was done the Section Block and lot were taken from the Building Permit sheet, however the assessors have notified us that the number is incorrect. Would you please return the original C.O. to us and I will correct yours to the correct numbers. Correct tax numbers 127-4-05 Incorrect 127-4-16 Thank you. Yours truly, Secretary FORM NO. 6 TOWN OF $OUTHOLD 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" land uses: 1. Accurate survey of p~operty showing all property lines, streets, buildings and unusual natural or topograph ic 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 Dwell~ng,$25.QO, Accessory',,$10.O0 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 5 0 ,. 0 0 4.Vacant3' Copy of certificate of occupancYLand C.O. $ 20.0055.00, over 5 years $ l0 .,OO j ~,~f~f~- -I~'}j 5.Updated C.O. $'50.00 Date ........................ NewConstructi°n ...... Old or Pre-existing Building ............ Vacant Land ............. Location of Property . .~..'.'~..'~...'.'~.. '~.. I K"~'~ // .'"~.?"~.... L/- ~ ~'~ House No, ~ Street ~ , Ham/et Owner or Owners of Property., .~.~,(',~, ~.~ .~..., ,~, ./~, .~. ,Y'. ,~,.. ','~. ?. ,1':~ ~. !.C~. ................ CountyTax Map No. 1000 Section . J ............. Block .... .~. ........ Lot...."~... ......... Subdivision ................................. Filed Map No ........... Lot No ......... : .... Permit No. Date of Permit ..~. App cant... .~.< ~..~..'.. ~ .~?..~..~. ..... 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 permit meets all applicable codes and regu lations. Rev. 10-10-78 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] I/NSULATION []FRAMING r~FINAL ~ DATE INSPECTOR BOARD OF HEALTH ...... 3 SETS OF~PLANS ....... FORM NO. 1 SURVEY ..... %..- TOWN OF SOUTHOLD CHECF ~.l~. ~.~,/J'"0 ' BUILDING DEPARTMENT SEPTIC ~OR~ ............. : TOWN HALL 8OUTHOLD, N.Y. 11971 ~/~ TEL.: 765-1802 Examined .~...~. O~ , 19J'wt~ ' 7.'.'L ............ ~ Approved .,~/~ ....... 19 ~Pe~it No.~ ~ ~. Disapproved a/c ..................................... . ~ ~ ,~ $~ ~ ~ % ~ t~mng tnspecror) USE]O"O I ,~HU}~LJ'i~g[' ~g~/~r" H APPLICATION FOR BUILDING PERMIT NOTIFY CALL .............. MAIn TO !i U)~ .~BLDG. 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 givh~g 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 whateLe? until a Certificate of OccupanC'~ shall hav~ been granted by the Building Inspector. : lkPPLICATION 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!iding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for'nec~s~fix:y i~pecti0ns~ ~ _ · ' .... (Sign~ure o~' applfcant, or name, if a corj~oration) ...... (Mailing address of applicant) State whether applicant is~owner, lessee, ~gent, architect, engineer, general contractor, electrician, plumber or builder. .... .(d3Jdgr2g/..~. ............................. :... A.PPROyEO AS NOTED . .· ......... ~;,:~:¢"1'~'~1~"~;;;,'?"~'~,5~" ........ (as on the tax r~¥~ g~~- If applicant is a corporation, signature of duly authorized officer. 765-1802 9 AM YO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED (Name and title of corporate officer) - FOR I~URED CONCRETE ALL CONTRACTOR'S MUST BE SUFFOLK COUNTY LICENSE~' ROUGH- FRAMING & PLUMBING : Builder's License No .......................... 3. INSULATION Plmnber's License No. ~. · .~'~<Q... Electrician's License No ....... ~ ..... Other Trade's License No ................ ..~... 4. FINAL CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS 1. Location of land on which p~posed work will be done ............... .~ ................................... .~.~ .~.d.~. · .~..~.. . . o &q. ...... . ............ House Number Street ~ 1,~7 ~lock q m' /_~ County Tax Map No. 1000 Section .................................... Lot ................... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) S ' tale existing use and occupancy of premises and intende,d use apd occupancy of proposed construction: a. Existing use and occupancy · .~.~.~~~ ........ .... i..... .......................... b. Intended use and occupancy . 7... '...--~. .... '.". ................. :.: ................................. 3. Nature ofwork (check which ipplicable): New Building ............. Alteration .~ ......... Repair .............. Removal .......... Demolition ........... :.. Other Work ' (Description) 4. Estimated Cost .............................. Fee ...................................... I I ' (to be paid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling units on each floor ............. '... ~ ilfghrage number of cars ' 6. If business, commercial or mix,ed occupancy, 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 with alterations or additions: Front ................. Rear .................. Dept ' ' ' ......... r2; '~ .... i. · · Height ....................... Number of Stones ...................... Dimensions of e&tire n~w Construction' Front ~.. ' Rear f~ n~,,+h / · - cig t .. ~.. ~ ......... Number of Stories ...... /. ................................................ 9. Size of lot: Front .......... 1 ............ Rear ...................... Depth ...................... 10. Date of Purchase .......... ~ ................... Name of Former Owner ............................. 1 1. Zone or use district in which premises are situated ..................................................... 12. Does proposed construction vi{?late any zoning law, ordinance or regulation: ......................... '2~.~'... 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 ......... i .................. Address ................... Phone No ................ Name of Contractor ........ , .................. Address .... : .............. Phone No ................ 15. Is this property locatediwithin 300 feet of a tidal wetland? *Yes No · If yes, Southold Town TrUstees Permit maybe required. , PLOT DIAGRAM Locate clearly and distinctly al,1 buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whethe{ ~interior or corner lot. STATE OF NEW YO .g,K,. ~ ~ .~/' COU~Y ~F,: '~ '~ ~.e-e~e' ,~3~· Oc.~ i.'.~(.> ~ ~ ,(~mk eF ~h'~fS~l e~g contract) above namSd)~ ')JLn ~(e4[~2~ }(*~.~, .;' -':~' .~ being duly sworn, deposes and says that he is the applicant 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 all statements cont'ained 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 this Notai3~ Public,. · .~. ·.. Z!~E-, .~..'~-.. ;~1.£1~ K. I1£ g0£ ..... Coun~~~ ,. No. 4707878, 8u~lk ] ,erin Expires Mat~:h:30,19..2~ (Signature pf applicant)