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HomeMy WebLinkAbout23413-z ! T FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24401 Date JUNE 6, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 3180 ORCHARD STREET ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 27 Block 3 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 19, 1996 pursuant to which Building Permit No. 23413-Z dated MAY 6, 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 AN ACCESSORY BUILDING IN THE REAR YARD AS APPLIED FOR. The certificate is issued to FREDRICA L. WACHSBERGER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Ins ector Rev. 1/81 FORM NO.3 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) Date ................ ........ 19.. N2 23413 Z Permission Is hereby granted to; 49, ......, ,.......................................... to ....... ......... ....... ......,,��'`,� .......�1 ...... ............... �,�...... !�-........ .. •,Gi ................................ ...„� e .................................................................................................................................................................. .................................................................................................................................................................. ................................................................. ..�,�.. i/yS� � / .................................................. at premises located at............ a......... / '-!.........!.!.r......................................... ; ....................... ��``oo.................................I...... ` 1 ................................................... ............ County Tax Map No. 1000 Section ....�2........... Block.........� ......... Lot No. ..... .. ............. pursuant to application dated ............... .... ../...............,........, 19./f ....... and approved by the Building Inspector. Fee $... A..`............ ........... . ............................... Building Inspector Rev. 6/30/80 lOrM No. b J � TOWN OF SOUTHOLD BUILDING DEPA_RT`�'NT TOWN BALL i 65-1802 APPLICATION FOR CERTI7ICATE OF OCCL-'t.NC_' _. This aDDllcdti On mL'St be fi!led in by _,TDewriter OR ink and Submitted to tale bllildiP_g inspector with the followinz: for new building or new use: 1 . Final Survey Of DrODerty with accurate 'location of all bui!dingS, ,DroDert- lines, Streets, and unusual natural Or toDOgraphic features. 2. Final Approval from Health Dept. Of water Supp17 and Sewerage-disposa1(S-4 form) . 3. ADDroval of electrical installation from Board of fife Underwriters. 4. Sworn statement from Diumber certifying that the solder used in system contains less than 2/10 of 11. lead. 3. Commercial building, industrial building, multiple residences and similar buildings and installations, certificate of Code Compliance from architect or engineer resDOnsib!e for the building. 6. Submit Planning Board Approval of completed Site plan requirements. 3 r e_ i c Q r' 0 c rbuildings ]. :O_ �iSt-n� buildings (prior t0 April , 1907) non-con=ormin, uSflS, O� � and "Dre-existing" land uses: 1 . Accurate Survev of property Showing all property lines; Streets, building and unusual natural Or tODOgraDhic features. 2. A oroDeriv comb leted aDp lication and a consent to inspect. Signed by the applicant. I_- a Certii_icate of Occupancy is denied, the Building Inspector shall state the reasons therefor in w'ri zing to the aDplicant. '_ . Certificate of OccuDancy - New dwelling S23.00, Additions to dwelling S2o.00 , Alterations to dwe_lingJS2o..00, Swimming Dool S25.00, Accessory .building S25.00, Additions to accessory building a25.00. Businesses S50.00. 2. Certificate Of Occupancy on Pre-existing Building - 5100.00 3. Copy of Certificate of Occupancy - .25c. 4. updated Certificate Of Occupancy - $50.00 3. Temporary Ceti=irate of Occupancy - Residential $1II5.00, Commercial $15.00 Date . ) ���. o.L I�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,ew Construction. . . . . . . . . 01d Or Pre-e_zis�ing Building. . . . . . . . . . . . . . . . . _Ocation Of Property. �.�O. . .Q. �!�� . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . House No. I y (� `j (� Street( �'(� Hamlet :�nwer or Owners of Property. . T. . �/�! �!.PL 15 . . \J.C� ' • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ounty Tax Maa No 1000, Section. `! Block. . . . Q . . . . . . . .Lot. . . . . . • . �uDd .ViSiOn: . . �. V`lN�!J. _ ..: . . Filed NidD.!�' .� .✓. . .Lot_ . .` . . . . . . . . . . . . . . . . . . -)ermit No.�9. 4.�. Date 0f permit. 1b. �/. Y�a : 4DDlican-t. N�j� rl U ":eal--h Dept. ADproval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters ?DDroval. . . . . . . . . . . . . . . . . . . . . . . . . _anniP2 Board ADDroval. . . . . . . equeSt for: ,emporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . :ee Submitted: �... . . ... . . . . . . . . . . . . . . . . . �P?LICANTT M_180Z BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ON [ ] FRAMING [ INAL [ ] FIREPLACE & CHIMNEY REMARKS: ....................... DATE S INSPECTOR F ; -I , IU:;i,F C u Lull Imrolt-I DA I........... 1:0111111ATI Ol I .......... ....... FOIIIIDATI Ol I ........ L-7 ----------- --------- - ------ --------------- --------------- ltl)ll(;Il ........... ---------------- ---------- ------ --------- -------------- ------------------------ S(I I.AT I()II C o 1;1 IIAL ---------- -------- ------- --------------------------------- ------------------- ------ -------- ADDFj'1011AI. ------------------- ------------------------------- . ----- ,rl I IN Ns Qj o��g�FFO�,�cD c� y Z Town Hall,53095 Main Road p • Fax (516)765-1823 P. O. Box 1179 A Telephone(516)765-1802 Southold,'New York 11971 ��j OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD May 14, 1996 Ms . Fredrica Wachsberger Box 347 Orient, NY 11957 To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons : xx An application for Certificate of Occupancy is, not on file. (Enclosed) No Underwriters Certificate on file. xx The check is not on file. $25.00 No Health Department Approval .on file. No final inspection has been made. No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 23413-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. FF � I_. ) \\� •:Y � F # �F 4 .t � F } $ _ t !`'ate� �� x a� � a�2"���^�.3�\��\\ �.ax'a\... � � \. �. ,.. �\\ < •+,��. + s.�aa.a\i x u,ex a - .,�.\�'a\ �.`a��xx , �'3 •' x r\ \"'? a `Ni\ �•�` �s\�a`tg,%-, '.-a...a..m..,. ..aail�. . aw�s.�:�a���.,x•.s�•.�:3�12,;.:�Saic � ����•a h����" �� _. ��;. .�•ki,°3 The The Quaker Gable, A,-Frame This is the roomiest shed going. It uses are anything or Cottage from sales office to pool house or even s ,..;.-,j excellent addition to your property. Great for possibilities are endless. y jp� rage space and comes in a variety of sizes. Window I'I is ir� lyded for that extra special look APR 2 21996 s:. BGi fFPT wT O SMITHOtR" ��• b1NPl i FF .iT z �� " r�\�`?,� € #j#i{ E z - �d x L st &,: ,:, E E ,t : Ali"•-;—r F' E _ vm qq \ .• •n \�fi-eta aa.`ztkya\.E e w az a .•�� �. ...s .«.T._ � ^�\\ a ,°aa"t "tee a as��' �O .�� ..:.W\�� a� .ea.,�a,......� .ate .wuA .se&..:a Ji�"'rcta_rA. .w..,v`:y s. i�.Ao\...a.e.:.• ,2.''ku aa°`a The The High Side Barn Outch Barn High sides and double dutch doors make this shed This Colonial looking barn has enough space for the great for storing light equipment and tools of all sorts. modern day homeowner. The usable space includes room for shelves, a loft,and even a work station. You'll enjoy the look and get the space. WE BUY THE BEST MATERIALS,TO BUILD THE BEST PRODUCTS,TO SELL TO THE BEST PEOPLE-OUR CUSTOMERS ti NORTH FORK WOOD _DESIGN PAUL'S LANE & RT. 48• PECONIC, NY 11958 PHONE: (516) 765-3090 n FAX: (516) 765-0013 Okck X�QS To;; i,''�r, '`r s.i �� Date Address Phone# (H) 2 -3 City i'h.�' �� State '� �} Zip \� (W) Source Load Truck f; Description Size- Colors: RoofWall , Trim ` ^� z [ 7 d^W Special Instructions: / J v PRICE AMOUNT —NOTICE— Options: TO ALL CUSTOMERS BEFORE YOU MAKE YOUR PURCHASE! •If site is not prepared properly and driver must prepare site,there will be an additional charge. f1 7Q •If site is inaccessible to our truck and we must return with shipment, up to 10%transportation cost will be charged. ; �!l -� / '� I I f Cj •Can we drive directly to the location you've chosen for your shipment? •Are there any overhead obstructions lower than 12'? •You the customer are responsible for any building permits and _ boundary lines! TOTAL _7 0 ` •We're going into your yard at your request,therefore we do not 1 -` accept any responsibility for damages which occur! Tax e) ' •Placement of Shed. Our drivers must assume whatever instructions '� (� given by person(s)present,in accordance with the buyers wishes or Subtotal in event no one is present,we do not assume responsibility whatso- ever for misplacement of shed. Any relocation will be done at the buyer's expense. Deposit •Wood.when it is exposed to the elements has a tendency to shrink BALANCE DUE and expand. Because of this,we cannot accept responsibility for chipping,cracking,minor warping,etc. If there is a problem,please �~ I let us know. V Signature s'�aue� '111ce Z�cuy� ' BOARD ' OF HEALTH . . . . . . . . • FORM NO. 1 3 SETS OF PLANS . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . ... . . . . BUILDING DEPARTMENT CHECK . . . . . . _ _ _ . . . . . . . . . TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 �J J� TEL.: 765 1802 y ,f. . . . . (,� .. CALL . . . . . . Examined . . . . . 19 //' rr// t1A I L TO : Approved . . . . . . . . . ., 19loPennit No:. �?��� . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . B it ino his ector\) APPLICATION'FOR BUILDING PERMIT Date . . . . . . . . . . . . ., 19% . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 street or areas, and giving 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 i"ssued a Building Permit to the applicant. Such permi 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 Occupanci shall have been granted by the Building Inspector. APPLICATION I514EREBY.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 o. Regulations, for the constriction of buildings, additions of 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 t( admit authorized'inspectois'oT;Y preriifses and in building for necessary a tions. ( ignature; .of applicant, or name, if a corporation) . .3. .Z. . der . . . . . . ... . . (Mailing address of applicant) State whether ,applicant is owner, lessee, "agent, architect, engineer; general contractor, electrician, plumber or builder. . . . . . . . . . . . . . . . . . . . .0 w Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . ... . . . . Name of owner of premises (as on the tax roll or latest deed) if applicant is a corporation, signature of duly authorised officer.' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) f2 0 lY1 f2 Builder's License No. . . p Q [5^•_-,U l5 APR 2 219% f, Plumbers License No. . . . . . ... . . . . . . . . . . . . ... . . . Electrician's License No. BLDG.DEPT. TOWN OF SOUTHOLD Other Trade's License No. . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . ... . . . . . . . . : . . . . . . . . . . . . . . . . House Number Street Hamlet County Tax Map No. 1000 Section . . . P F . . . . . . . . . Block . . . . . . . : . . . Lot PD .°. . 0 J ' R t Subdivision � 'U �.v [ . �. , . . . . . . . . ... Filed Map No. �.��7 . . . . . Lot . .f . . . ; . . . . . . . . (Name) 2; State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . :.,1:�f�1PoIC � . . °'•F; . _'.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy -3. Nature of work (check which applicable): New Building . : . . . . , • • . Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . Removal Demolition Other Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Description) 4. Estimated Cost : .J.7!C. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . . . . . . . . . . Number of dwelling units 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. Height . . � . . . . . . . . . . k-f�. . . . . . . . Depth ./V. . . . . . . . . . . g l�• . . . . . . . . Number of Stories . Dimensions of same structure with alterations or additions: Front Rear Depth . . . , , . , Height : Number of Stories 8. Dimensions of entire new construction: Front �<o f < ' ' ' ' ' ' ' ' ' . • • • Rear Depth . ./, z° .Height . . . . . . Number of Stories . / � � � • • � � . • . • . ' • ' . " " " " " 9. Size of lot: Front . . /. qb. . j . . . . . 10. Date of Purchase f Rear. . . . .)• . , . . , , , . • . , Depth . �0 Q -7 Name of Former Owner .7 �+� ,.� toe •y0 E 11. Zone or use district in which prLses are situated . . . , •?.�}`�, .12. Does proposed construction violate any zoning law, ordinance or regulation: .Aj0 . . ' . 13. Will lot be regraded 'VQ. • . • , . Will excess fill be removed from premises: Yes 14. Name of Owner of premises ° •(+�I.JA-C-ti� E't2 . . Address ,/��,3.�f 7. 01?1.6L)X . . Phone No.!57-.3,3,5� J; , Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . Phone No. Name of Contractor Address . Phon o. 15. Is this property within 300 feet of a tidal wetland? *Yes , • No. , *If yes, Southold Town Trustees Permit may. be required. � � � � � " PLOT DIAGRAM Locate ,clearly and distinctly all 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 whether interior or corner lot. TUI�A 0� her Oit� E: �AP OYED AS NO= s3� DAT ®.P.# . Fes°" 3 e.✓ S�Bi 1 . NOTIFY BUILDING �DEPARTMENT AT 7654802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION. - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING & PLUMBING 3. INSULATION INAL - CONSTRUCTION MUST BE LETE FOR C.O. y�y3 ALL CONSTR N SHALL MEET THE RFO,l11REMENTS THE N.Y. STATE CONSTRUCTION & NERGY CODES, NOT RESPONSIB E FOR S S bESIGN OR CONSTRUCTION RRORS TATE OF NEW YO'RK, OUNTY OF S.S being duly sworn, deposes and says that5he is the applicant (Name of individual signing contract) )ove named. eisthe . ... . . . . . . . . . ..�G.• .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this-application are true to the best of his knowledge and belief;and that the ork will be performed in the manner set forth in the application filed therewith. vorn to before me this . . . 1.1`... . . . . . . . . .day of. . . AT19 4 otary Public, . . . . . U... . . . . . . . . . . . . . . . County DEBORAH DOTY %myt Publk:,State of New York • • • . . . . . . . . . . . . . . . . . . No.o2D041329478•Suffolk County (Signature of applicant) . , t>p[res February 28,JWe - d y+i t ,i u :f f f . _._ -» L r` ' ..6f✓F„f"v� .+°D r'J 4 'a+7rr ..,Y Y.+ 7 C" ..t.1(� ':` / $Y "J'-.:' i ?' r, .... QI . / 2 �ra��+- j{i' -- > � �.i ly�� �. i� rr F y � d `1. 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