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Home My WebLink About23487-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24405 Date JUNE 7, 1996 THIS CERTIFIES that the building STRUCTURE Location of Property 2265 LONG CREEK DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 52 Block 8 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1996 pursuant to which Building Permit No. 23487—Z dated JUNE 7, 1996 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 39" x 38" STORAGE BIN HOUSING WATER PUMP "AS BUILT" AS APPLIED FOR. The certificate is issued to CHARLES & BARBARA DIGNEY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B�xiidin4 inspo6tor Rev. 1/81 FORM NO. f 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® 23487 Z Date .......June.6'..................................... 19..96. Permission is hereby granted to: Paul A. Caminiti_, Atty a/c Chas.& Barbara Digney ................................................................................ P.O. Box 992 ................................................................................ Southold, N.Y. 11971 ................................................................................ CONSTRUCT A 39' x 38" ACCESSORY STRUCTURE HOUSING WATER PUMP to ............................................................................................................................................................ "AS BUILT" AS APPLIED FOR. ................................................................................................................................................................ of premises located at ........2265. LONG CREEK DR. SOUTHOLD N.Y. .....................................................................t.............................. ................................................................................................................................................................. ................................................................................................................................................................. County Tax Map No. 1000 Section ........52........... Block ........8........... Lot No. .........4............. June 4, pursuant to application dated ............................................. 19 96 , and approved by the ........... ........ Building Inspector. Fee $.......35:00 _......... .... ....... . .. ....r... .... ... ".""". ................... 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House No. S=rear e= F :'ewer o= Owners of ?rope==-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - 1 . . . . . . 2 :ours;' s `aD No �000. Sec==ea. _ . _� . . . _ - .Bloc:_ . . -�. - - . . . . . . .:.,oc_ . . . . . . . . . . . . . . . . . . No. . . . . . . . . . . . . . . .Da=a 0= ?e .. . . . . - - . - - - -ppllean=. . . . . . . . . . . . . . . . . . . . . . . . . . . . . DeD=. A.7D=oZia!. . . . . . . . . . . . . . . . . . . . . . . . . .ndervz=Cers . . . . . . . . . . . . . . . . . . . . . . . . . 3Oc_,,. DDrova_. . . . . . . . - . . . . _ . . . . . . . - ^_L'e5= e� Grca_ ___.c= _ _ _n -- - .. . . . . . . . ae .;l!D^.__==?C. . . . .�. �� . . . . . . . . . . . . . cc� �a�l� o I ll•.I,I1 Ill;il'I:l,l Il)ll Ill: ~ �•I �l 4 ' AI'IUII FIIAHV 1 I1111111,n'1'11111 1'1?Il 11 . y . A 111 1;.111;It(;Y _..............._..... I I IIAI. ti .,...,.,,,.,�............... ADDI'I IOIIAI. (j)IIIIIIII , _.,.....,... . ,..._...,...... z� ..... ..... ... ... ......... ............ .. ..... ......... .............. ................... ....... .. ........ ..... I' , 1 J"/TLE�AF TITLE INSURANCE SERVICES 45 Executive Drive•Plainview,New York 11803•516/349-0600•Telefax 516/349-0646 Lisa Lubrano I r r i rBOARD OF HEALTH . . . . . . . . . . . . . . . gg FORM NO- 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN Or SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . JUN y 5 199 BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 TOWN OF SOUTHOLD TEL: 765-1802 NOTIFY: QQ CALL . . . . . . . . . . . . . . . . . . Exmined.....61-7....... 19.,c; 22. Q MAIL. TO: . . . . . . . . . . . . . . . . . . . . Approved.....L1 7....... 19.�& Permit No.p� :d�8.��..:. .................................... Disapproveda/c .................................. .................................... ...................................................... ................ (Wilding Inspector) APPLICATION FOR BUILDING PERMIT .Date. . �- - - - - - . . 190 INSTRUCTIONS a. This application mist be completely filled in by typewriter or in ink and submitted to the Building Inspector wit' 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 application. c. 'Ihe work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throug1iout 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• APPLICArKN IS HEREBY 1VTE 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 o r applicable Laws, Ordinances-.or Regulations, for the construction of buildings, additions or alterations, or removal emolition, as herein described. The applicant agrees to comply with all applicable laws, ordi bui c e, housing code, and regulations, and to admit authorized inspectors on premises and in build' sa in • -- - --(S'. to eof applict, or name, if acorporation) .....1?..... . .... .................... (Mailing ad ress of applicant) State whether applicant owner, les agent, architect, engineer, general contractor, electrician, plumber or builder. ................... ................. ......................................... Name of owner of premises ..--- f/;CC� ....�.. /4,..�J/7.... ... .4 I M/.............................. . (as on.the tax roll or latest deed) If applicant is a corporation,_sigmt6re of duly authorized officer. • - • • • . • .-••••-•• '•-••••(Name and title of corporate, officer) Builders License No. ......................... Plumbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be clone.......:S^- ......................................... House Number Street t County Tax Map No. 1000 Sect on 7!.. .... Block .............. Lot Subdivision .... reA' Filed Map No. .802..... Lot ..�......... (Nave) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: fi. J,.. ,9 O a/ fib�. v a. Existing use and occupa -.4/ (1�.-.`.. .. . �. g .. .-,t�. r .. ........f�.. b. Intended use and occupancy ..fi�41n^.(�...i3 I f!...3 9- rV_ l '/. vC'L PV Il't ............ I' 3. Kiliiee of work Gliet-A VAli(JI applicable): New Ikjildinj. .......... A&I i t ion .... .....' . Alteration .......... ltelxj i r ............. Renma I. ............. Deml it ion ............ Other Work ................................... (Description) 4- EsLhRaLed Cost ............... fee ................................................... (to be paid on filing this application) 5. If dwe I I i ng, jxvi)er of (1-?e I I i Tip, units ............ Umber of dwelling imits on each floor ................ If garage; nuRber of cars ...................................... 6. If Ixisiness, cannercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: Front................ Rear ............... Depth ................. lk--ighL ......................... Kzd)er of Stories ...................... Dimensions of saine strtwLure with alterations or wklftions: Front .......I........ Mar ............... DepLh .................... 11eiijmL .................... Uji6er of Stories ............... 8. Dimensions of entire new construction: Front ................ Rear ............... Depth .............. Ileioit ......................... 1AM)er of Stories ..................... 9. Size of lot: Front,. .................... Rear .................... Depth .................... 10. Date of hirchase ..................... Mine of Former (Mier ........................................ 11. Zone or use district: in A)ich premises are situated .............................................................. 12. Does proposed exxistruction violate any vAming law, ordinance or regulation: ........................ 13. Will lot be regraded .................... Will excess fill be reRmed from premises: YES NO Ili. Nanies of Owner of premises ........................... A(kIress ................. .............. Phone No. ...........IT Mwie of Ardiftect .................................... Arldress .............................. Phone No. .......... None of Contractor ................................... Address ...............................Plione No. ...........k'.. i 15. Is Lhis property within 300 feet of a tidal weLland? * YES .......... NO ........... *IF Yl-:S, WnUD IXAJN TRUSlrT-,S PERMIT MAY IIE, RUiAJlW,,D. PI.0T DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions frorR property lines. Give street and block mirber or description according to deed, and rJiow street names and indicate wiieLlwr interior or corner lot. e a eV ft----------------— 0� pie jo_� AS/;gr_ �CA / NOTED DATE FEE: BY: NOTIFY BUILDING DEPAR*MENT AT 766-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS:, 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. ul-NII-.1 (w "EW Yow" STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR Q A IN Iy (A. ...... . ...... DESIGN OR CONSTRUCTION ERRORS ...................... ....................... _'.being; duly ;s%,xmi, deposes aoxl says. 9h li.a� he: is Lhe applicant (Nnile of intlividual. signing contract) above wined, Ik! is Lhe ....Q,.V1 .Qc .. _r ...................................................... (ConL racLor, a\gent, corporate officer, etc.) of said owner or cmwws, and is (July auLhorized to perform or have performed the said work awl to make and file Lhis alTplication; LhaL all sLaLeinents contai.ne.d in this application are Lnx- to Lhe best of his kn(Vledge and Ix-lief; atxl/,,". that Lhe work will be perfonned in Lhe inanner set forth in Lhe application-filet] therewith. �M)rn Lo Irefoyg Re Lhis .e..... . . .... .... ...191f .. NotaryINJI)ti . . . . .. .... ...................... .. .... .... ........ M Me HRV'� • :cared AIq)ti.Cz1n0 Public'stall'a of New yc* No.4872093,County Of Suf 101 Term expires September 22,1 w 1'Y i" Y I 11 e FROM