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Home My WebLink About23828-z �fE � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24762 Date NOVEMBER 27, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 630 SOUTHERN CROSS ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 110 Block 3 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 1996 pursuant to which Building Permit No. 23828-Z dated NOVEMBER 26, 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 ACCESSORY STORAGE SHED "AS BUILT" AS APPLIED FOR. The certificate is issued to ARTHUR VANDERBECK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 9- Brding nspector Br Rev. 1/81 FORK NO. $ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. i BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 23828 Z Date ....... 26,, 1996 19....... Permission is hereby granted to: F. MICHAEL HEMMER (VANDERBECR) ................................................................................ P.O. BOX 331 ................................................................................ SOUTH JAMESPORT, N.Y. 11970-0331 ................................................................................ CONSTRUCT ACCESSORY STORAGE SHED "AS BUILT" AS APPLIED FOR. to ............................................................ ............................................................................................ ................................................................................................................................................................ at premises located at ....630..SOUTHERN CROSS RD. CUTCHOGUE, N.Y. ............................................................................................................. ................................................................................................................................................................ ................................................................................................................................................................. County Tax Map No. 1000 Section .............1.10...... Block .......1............ Lot No. ......9................ pursuant to application dated .........NOV:...15,................................ 19.96..., and approved by the Building Inspector. Fee $......35.00 ............... ... . . ....................... . .. .. ..... .. ... . B Ing I for Rev. 6/30/80 Form No. 6 • r TOWN OF SOUTHOLD - } BUILDING DEPARTMENT TOWN HALL 765-1802 !"iv APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building 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 from Health Dept. of water supply and sewerage-disposal(S-9 form) 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of la lead. 5. Commercial building, industrial 'building, multiple residences and similar buildings and-installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B: For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and . "pre-existing" land uses: 1 . Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent_to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasoris therefor in writing to the applicant. C. Fees 1 . Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00 , Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25-o�, 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $13.00 Date . . .&A�/�� . . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . . . ...2. Old Or Pre-existing Buiildding. . . . . . . . . . Location of Property. . .P7�. . fpJ � -�41�!. House No. Street Hamlet Onwer or Owners of Property. . . CAW- VAWDIVIG,-&�. . . .!i?V. Z 0= . County Tax LIap No 1000, Section. . . 1`® . . . . .Block. . . . . : . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed yap. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . Fee Submitted. $ . Q 51QI . . . . . . . . . . . . . . . . . . . . . IQ saw 9� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " \Xc— _�pPLIC.!_VT Cd-2,a 760 Ff�tlfll N 1 •_ r o. 1 TOWN OF SOUTHOLD V5 BUILDING DEPARTMEN7. TOWN HALL N,Y. 11971 �OUTHOLD, jI TEL., 76 -1802 Y . Ill.On - - q� Received . . . . . . , . . . . } . . .I. , 19 . 19 hl�rovcd . . • . . . • 113�kt prov4d of c . . . . . . . ; . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . Bui cling. I11spector) APPLIcATION FOR BUILDING PERMIT 1/ INSTRUCTIONS application must be completely filled in by typewriter or ill'ink and submitted to the Building Inspector, will) 3 a. This al t- �ets of plans,accurate plop plan to stale. ree according to scliediule• to ublic streets b, Plot plan showing, location of lot and of buildings on , t be drawn tileadi gra ntg vl ich isspart of this appli- or areas, and giving a detailed description of layoutproperty cation. �' ec by this application may not be commenced before issuance of Building Permit c. The work cover applicant. Such permit d. Upon approval a ' this appli cation, the Building ltlspeetor will issued a Building Pernlit to the app shall be kept on the premises available for inspection througllo�lt the �vork. ose whatever until a Certificate of Occupancy e. No building shall; be occupied or used in whole or in art for any pur p shall have been granted ty the Building Inspector. APPLICATION IS I EREBY MADE to the Building I)epartmalit for the issuance of a Building LnLV it Pursuant Ilc1f1CC5lor Building Zone Ordinanceof the Town of Southold, Suffolk County, New York, and other applicable r far remor s herein describ . Regulations, for the col struction of buildings, additions or alterations, o ,11 us in eil a ode, andregulat o 1s5andc10 The applicant agrees to. comply with all applicable I�ws, ordinances, building code, adirlit authorized inspectors on premises and bi building for necessary ins i s- I . . •. . . . . . . . . . . . . . . (Sigllatlire of applicant, or name, if a corporation) i (Mailing address oC applicant) „ lumber or builder. State whether applicant is owner, lessee, agent, architect, elloirleer, general contractor, electrician, p Name of owner of prc[plises . . . II (as 011 the tax roll or latest deed) I If applicant is a corpoi?ation, signature of duly authorized officer. . . . . . . . . (Name and title of corporate officer) Builder's License!No. . . . . . . . . . . . . . • • • . . . . . . I Plumber's License No. . . , . . . • . • . i:leclrician's ;.ice.ilse No. . . . . . . . . • • • • • • . . . Other Trade's 1.1 ense No_ • . 1. Location of land 11 which proposed work will be done_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . llousc: Nui�ibrr street hamlet Lot - - County Tax Malmo. 1000 Section 9• • . . . . . . ;ubdivi5ion . . . . . . . . . • . . . . . . . . . . Filed Map No. . . . . . . . , . . . Lot . . . . . . . . . . . . . . •�• {Tiaillc) 2. Slate existing us and occupancy of prelllises-Ind intended use and ccupancy of proposed construction: a- l:xistill f use ap(l Occupancy . . .Sm b. Inlcndcd use land occupancy 3. tare of work (check which applicahlc): New Building . . .'!. . . , . _ Addition . _ _ . . . . . . . Alteration . - _ _ . . . . . _ Repair . . . . _ _ . _ , . - - • Removal . . . . , � . Demolition . . . . Other Work . . . . . . . . . . . . . . . ,� � � (Descril7tic�n) . . . . . . . . . . . . . . . . . 4. Estimated Cost . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . � _ . . . . . . . . . . . . . . (to he paid on filing this application) 5. If dweiline. r.•:rnber of dwelling units . . . . • ,I. . . . . . . . . Number of dwelling units on each flgor . . . . . . . - . . . . , . . . If garat� -'Ter of cars . . . . .�. . . b. If busim .-ommercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . 7. Ditnensioi;s of existing structures, if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . D�ptIt _ . . . . . . . . . . . . Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diittensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rearl. . . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . NumberofStories . . . .j_ ,/ . . . . . 8. Dimensions of entire new construction: Front . . . . ..� . . . . . . Dear . . . . . . . . . De:rth . - . _ - - _ . . . . , . Height . . . . . .6 . . _ . . . _ Number of Stories . . . . . . . .V_r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9- Size of lot, Front . . . . . . .10!q. . . . . . . . . . Rear . . _ . . . .A 46.4 . . . . . . . . Depth /Po . . . . . . . . . . . . . 10. Date of Purchase . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Former Owner . . . . . . . . . .j . . . . - . . . . . . . . . . . . . 1 1. Zone or use district in which premises are situated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . - _ . . . . . . . . I2. Does proposed construction violate any zoning law, ordinance or regulation: . . . . . . . . . . . . . . _ . , . . . . . . . . 13. Will lot be regraded . . . . . . ...; . . . . . . . . . 1 Will excess fill be removed from premises: Yes Nc) 14. NaTTie of Owner of premises ff: ,Y ► . . Phone No. . . . . , , . . . . . . . . . Name of Architect . . . - . , . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone 'No. . . . , . . , . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . Phone No. . . . . . . . . _ . . . . . PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and,indicate all se(-back dimensions from property lines, Give street and block number or description according to deed, and show street rtamjes and indicate whether interior or corner lot- j APPROVE AS NO-9 4: DATE: FEE: 3S�0"t.) 8�; A OCCUPANCY OR NOTIFYSUILoii�ly OcPAR MtNT AT 765-18-0_2 9 AM TO 4 PM FOR THE USE IS UNLAWFUL 1. FOUND TIIst'E�;TITWO �. FOUNDATION - TWO REQUIRED : FOR PORED CONCRETE WITHOUT CERTIFICATE 2. ROUGH - FRAMING & PL�MBING OF OCCUPANCY 3. INSULATION 4. FINAL - CONSTRUCTIOO MUST BE COMPLETE FOR C.O. j ALL CONSTRUCTION SMALL MEET THE REQUIREMENTS OF T E N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS I i STATE OF NEW YORK S S r I COUNTY OF . . . . . . . • �! !�G47�, In.In/.��. . . . . . . . being duly sworn, deposes and Says that he is the applicant (Name of individual signing contract) above named. 1Ieisthe . . . . . . . . . . . . . . . . . ./If C . . . . . . . . . . . _ . . . . . . . . - _ , . . . . . . . . . . . , I . . . . . . . . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work a id to make and file this application; that all statements contained in this application are true to the best of his knowledg and belief;and that the work will be perforrTted in the manner set forth in the application filed therewith. Sworn to before, me tlmjs ,... . . I .. . _. . . -day of . . . . . - , 19 Notary Public Notary Publ:c State of New York I / No.4951364 / Qualified in;ufEail<County G !. . . , Lur,�rr,issic��i E=,pims May 22, 19 ` / (Signattim, of applicant): 1 LOT 8 N/F _ REV. RAYMOND NUGENT l MON MON N57'42'0099E 166.00' FND FND — �— — (O GRAVEL DRIVEWAY �o tic CA CA-0 L4 ti° ?9 C, Z 36.1 �,Q9 Aq�o� oo LOT AREA = m W �F Sj, �' 'ss, p 16,300t SQ. FEET C r'v O 0.374t ACRES C m O �6 �5,�� `�ti 39.2' I�'1 0 n �� y �, �� LOT 10 O 0 < C� REV. WALTER G. MURPHY m GRAVEL Z+ DRIVEWAY lO 0 o oo„ CERTI FI ED T0: CA o F. MICHAEL HEMMER BRIDGEHAMPTON NATIONAL BANK _ _ FND SON YM A — STATE OF NEW YORK FNDFND MORTGAGE AGENCY — —� — � — —� — — — — S57.42`00"W 160.00' FIDELITY ,NATIONAL TITLE INSURANCE L EDGE OF PAVEMENT - COMPANY. OF N.Y. No. 2017742 SOUTHERN CROSS ROAD" Field Warlc Project No: FMH DLM PLSC 96-01 F. MICHAEL HEMMER BEARING A UNAUTHORIZED ALTERATION OR ADDITION E A SURVEY MAP D'"—&H SO CROSS DWG BEARING A LICENSED LAND SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209.SUB—DIVISION 2.OF THE NEW YORK STATE a,e FMHY $C°I1 — 20- PROPERTY SITUATE AT EDUCONLY COPIES uw REFERENCE: R FMHY OCT. 30, 1996 630 SOUTHERN CROSS ROAD ONLY COPIES FROM ,HE ORIGINAL OF,HIS SURVEY MARKED Rev1slons: CUTCHOGUE, NEW YORK 1NTH AN ORIGINAL OF THE LAND SURVEYOR NT®'S SEA`'OR "MAP OF EASTWOOD ESTATES SITUATE ON EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COUNTY OF SUFFOLK, TOWN OF SOUTHOLD COPIES. FLEETS NECK, TOWN OF SOUTHOLD, SUFFOLK DISTRICT 1000 SECTION 110 BLOCK 3 LOT 9 CERTFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY COUNTY, NEW YORK" FILE MAP No. 3683, WAS PREPARED IN ACCORDANCE KITH THE D(ISTING CODE OF FILED NOVEMBER 15, 1962. Prepared By PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE A TH OF PROFESSIONAL LAND SURVEYORS. SAID F. Michael Hemmer, L.S. CERTIFICATIONS TIONS SHALL RUN ONLY TO E PERSON FOR WriON THE SURVEY IS PREPARED,AND ON THEIR BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION �I P.O. Box 331, 252 South Jamesport Avenue LISTED HEREON, AND THE ASSIGNEES OF THE LEN DNG INSTITUTION. South Jamesport, New York 11970.0331 CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTI— TUTIONS OR SUBSEQUENT OWNERS. �g Sheet Title: TITLE SURVEY ' 1 OF 1 04 WO •Y Wk ., - Ap 41-1 r t _ Jam,.' �,.�',,• � + _`� ��' f, h�