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Home My WebLink About16994-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18160 Date JULY 1, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 300 PRIVATE RD. ~25 OFF SOUNDVIEW AVE. SOUTHOLD~N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 059 Block 09 Lot 26.13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 28¢ 1988 pursuant to which Building Permit No. 16994-Z dated MAY 13~ ~988 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 GARAGE AS APPLIED FOR The certificate is issued to (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED REV. DONALD Wo McKINNEY N-073699 - MAY 26, 1989 N/A Buildin~ Inspector Rev. 1/81 FORJI~ NO. ~ 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°- 16994 Z Permission is hereby ...~.~..~....L!.!..! ............................................... County Tax Mop No. 1000 Sectio~-~,yl~....~'...fl ....... Block ....... .~..Cl. ....... Lot No..~..~.'./...~ ...... pursuant to application doted ..... ~' ..... ..~.~.. .................. , 19.~...~., and approved by the Building Inspector. Fee $~:...~... Building Inspector Rev. 6/30/80 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF Instructions A. This application must be filled in typewriter OR ink, and submitted m'mm'"'mm' 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- lions, 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. 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 featu res. 2.Sworn statement of owner or previous owner as to use, occapancy 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 $25.00, Acc?_~s~gry ,$ ~0.00 Business $50.00 2. Certificate of occupancy on pre-existing dwelling $ 50.00 3. Copy of certificate of occupancy $ 5.00, over 5 years $10.00 5.Updated C.O. $ 50.00 Date .......................... NewConstruction......''~ Old or Pre-existingSuilding ............ Vacant Land ..... .... . ... House No. Street Hamlet Owner or Owners of Property ~....~: .'~.. ,ma . . . . . . . .W~r?. ,.. ~. ,. ~. ~.--~. . ! ~ .~r.~.V. County Tax Map No. 1000 Section .... ~ .~-..~ ..... Block .... ~ ......... Lot .... ~ ~. ).'~. .... Subdivision ................................. Filed Map No ........... Lot No .............. Permit No. ] ....... Date of Permit ..... pplicant .. ~.~O 0 ~.'~ %..a-rt.& ~ c. Health Dept Approval "" Labor Dept Approval Underwriters Approval Planning Board Approval Bequest for Temporary Certificate ..................... Final Certificate ....................... Construction on above described building and permit meets all a~codes and regulations. AOP cant ~ · }~..'~. ~ ~ Rev, 10-10-7a C o 'Z. I IGD THE NEW YORK BOARD OF FIRE UNDERWRITERS t BUREAU OF ELECTRICITY V 85 JOHN STREET, NEW YORK, NEW YORK 10038 Dat~ dpplle~tlon No. on file THIS CERTIFIES THAT .' ' ~ ~ t ~ ~ Section Bilk Lot ~s examined on and found to be in compliance ~'ith the req~iretnents qf this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS SWITCHES FLUORESCENT OTHER DRYERS FURNACE FUTURE APPLIANCE FEEDERS TIME CLOCKS MULTI-OUTLET DIMMERS SYSTEMS NO, OF FEET SERVICE DISCONNECT S E R V I C OTHER APPARATUS: NO, OF CC COND A W.O. NO OF HI,LEG A W G, NO OF NEUTRALS A W G, PER ~' OF CC, COND OF HI-LEG O~ NEUTRAL This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be GENERAL. MA~I~AGER Per_ their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF SOUTIIOLD OI"[:ICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTttOLD, N.Y'. 11971 TEL. 765-1802 To Whom This May Concern, We are unable to complete your Certificate of Occupancy because ,of the following reasons. /_--// An application / I~1 I-_I I-~1 for Certificate of Occupancy is not on file. No Underwriters Certificate on file. Tile check is(outdated.) No Health Dept. Approval on file. No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. BuiJding Permit tt I ~ ~ ~ ~/Z Building Dept. ***/~/ No Plumber Solder Certificate on file. ( all permits involving plumbing being issued after April 1,1984 ) IIDATE II FOUNDATION (1st) FOUNDATION ( 2nd ) ROUGH FRAME & .PLUMBING INSULATION PER N. STATE ENERGY CQDE FINAL ADDITIONAL COMMENTS: 765-1802 BUILDING DEPT. INSPECTION ]~FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION I' ] FRAMING [Z~FINAL REMARKS: 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND[] INSULATION ~/FRAMING [] FINAL .....,~s: ~~ ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION 2ND [ ] INSULATION [ ] FINAL FOUNDATION FRAMING REMARKS: DATE INSPECTOR , 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [/-~INAL DATE INsPEcTOR //~C~ ~/~ (Bnilding Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD CIIECK .......... BUILDING DEPARTMENT SEPTIC FORM ............. : TOWN HALL NOTTFY SOUTHOLD, N.Y. 11971 CALL ................ TEL.: 765-1802 MAIL TO: I APR 2 8 il ti! I1\\/ i¢ i, Date..~¢~. ~O 19 ~ IN STRUCTION S a. Tiffs 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 par~ 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, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspectinn~;~//f...~*,r~./. (Signature of applicant, 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 . ~..q,4.9..i. 0.°..w.~. [~',~ . .l~.:.../~. q_. !~.L,,.~ .,~.1. ........................................ (as on the taWx 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 ~,U~.FOLK, COUNTY LICENSED Builder's License No. ~ . [.~.~../.~. .... bP/.. Plumber's License No ......................... Electrician's License No... ~ ~/.2_:... ~ ............ Other Trade's License No ...................... Location of land on which proposed work will be done...~.('~. ?.c.~.~....~.~.:...o.~.~ . .~.~..O,~-:..~.q( .e~...~....S.O.~..~7... House Number Street Hamlet o,0 ~,, 13 County Tax Map No. 1000 Section .... .E).~.. q ..........Block ..... f ........... Lot.....~~ ...... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ..................................................................... use and occupancy ...... ~. e4-,. ~ . .~.~C~..~. .......................................... b. Intended 3. Nature of work (check which applicable): New Building . . . .~-~.'. .... Addition . 'i ........ Alteration .......... Repair .............. Removal .............. Demolition .......... 4... Other Work ............... i (Descrip.tion) ~ ~ tO0o Fee 4 Estimated Cost (to beipaid on filing this application) 5. If dwelling, number of dwelling units ............... Number of dwelling unilts on each floor ................ If garage, number of cars .... ~ ...................................... ~, .................. 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 ......! ....... Depth ............... Height ............... Number of Stories ........................... ~ ............................ Dimensions of same structure with alterations or additions: Front .... ....... i ,.. Rear ..,, .............. Depth ...................... Height ...................... Number o~ Stories ...................... · '$. Dimensions of entire new construction' Front [¥ .......... Rear . J.~. ....' ....... Depth .-~.2~, .......... Hmght ./.Z. ......... ., :.. Number of Stories . . . [. 9. 10. Date of Purchase Name of Former Owner 1 I. Zone or use district in which premises are situated ...................... ! ............................ 12. Does proposed construction violate any zoning law, ordinance or regulation: i ~..c> .......................... 13. Will lot be regraded . .~o.. ....................... Will excess fill be removed from premises: ~ Yes No Name of Architect . .x ....... .~ .. .............. Address ........... Name of Contractor .~xou~.~o....~.w'~.k~%~ .......... Address ~:.o-,< l.ll[ ,.~o~'' Phone No ................ 15. Is this property located within 300 feet of a tidal w~;~? *If yes, Southold Town Trustees Permi~ maybe required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and, mldmate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. STAT OF NSW COUNTY O~/~W~.~., .o .(lc~ . .......... ~ ~N '~' ~ ~ .... ~ .~. ~.~ ...... being duly sworn, dep6ses and says that he is the applicant (Name of individual' iigning c' ontract) above named. He is the ...................... ~'' '~ ....................... hi ............................ ~ ~C°ntra~,agent, c°rp°rate°fficer, etc')l' of said owner or owners, ~d is dilly autho~perform or have perfonned the s&id work and to m~e ~d file this application; that all statements contained ~ this application are true to the best ofh~s knowledge and belief; and that the work will be perfomed in the m~ner set forth in the application filed therewith. Sworu to before me this ~ ~~4~ i (Signature of applicant) 14 :1 Tll I APFF, OYEO AS NOTED 4. FINAl. - CONSTRUCTION MUST ,' A~ CONSTRU~ION SHALL ME~ THE REQUI*EME~ OF THE N.Y. US~ I~ STA~CON~N m ~ERGY WITHOUT