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HomeMy WebLinkAbout23870-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24824 Date DECEMBER 27, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 560 DEERFOOT PATH CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 7 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1996 pursuant to which Building Permit No. 23870-Z dated DECEMBER 20, 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 IN REAR YARD AS APPLIED FOR "AS BUILT" The certificate is issued to FREDERICK & CYNTHIA RICHARDS (owners) ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. s 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° 23870 Z Date ...... ...�.�.�.. ........................ 19 Permission is hereby grant t 4.4: ... ............. ....... ....... ........................... .......: :- ............ ..i� ....... :.......................... ............ .. ............. ...... . � ... .... ... ......... ..... ... ........ ........ z/ premiseslocated at ................... �d.............. . .......... ............................................. ................................................................................................................................................................. County Tax Map No. 1000 Section .......... e .... Block .........7............. Lot No. ..X.7............. pursuant to application dated ..................� .... /,?......... 19.zj� and approved by the Building Inspector. Fee $................../ . .... ...................... Building Inspecto Rev. 6/30/80 U TOWN OF SOUTHOLD n BUILDING DEPARVMNT TOWN HALL 765-1802 DEC 18 APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OF, 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 17 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 reasons 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 Buildins - $100.00 3.. Copy of Certificate of Occupancy - .25,q.. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.0/0_, Commercial $15.00 / Date . �ed.-. 14.71.1 . . . . . . . . . . . . . . . . . . . . New Construction. . . .Y. .. .. Old Or Pre-existing Building. . . . . . .. . .. . . . . Location of Property �P O ...lJ.!e.�( o. ..Bak A. .... . . ..... . . . .... . .. . . . . . . .. . .. . . . . .. . . . . . . House No. �A St-r/eet Hamlet Onwer or Owners of Property.. .1.��fl �Gt-: ..,!"1.•. `..t4- . . . . . .. . . . . ... . . . . . . . . . . . . . . ... .. County Tax Map No 1000, Section. . .�.a .......Block. .. .../... .. . . . . .Lot. . . J.7. . . . . . . . Subdivision. . . .. .. '. ....... . . . . .. .. . . .. . . . . . . . .... .Filed Map.. .. .. . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No.,;tIF S� . . . .Date Of Permit . . . .Applicant. . .. . . . . . . . . . . . . .. . . . . . . . . . . . Health Dept. Approval. . . .. . ./..... . . . .. . . . . . . .Underwriters Approval.l�.� ... . . . . . . . . . . . . . . . Planning Board Approval. . . .. . ... . . . . . . .. Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: $. . . . c:?? . . . . . . . . . . . . . . . . . . . . . . . . ��• �o2.y� � APPLICANT 3S17 70 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & REMARKS• d DATE �� INSP I loll Imi,olvi, V I'M I I IOAT I ON To I FUMIDAT 1011_ -------------------------- Itllllfal FI(MM I NO -------- -- -------------- --------- III-fNII.ATION I,11-'.I( ti. y . CODF. --------------------- '14 -——---- I' l IIAI. -------- ---------- L........................ -------------- -------------------- ------- ----------- ----------- 0 VI BOARD OF HEALTH . . . . . . . . . . . . . . . _ FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . DEC_.1 8 looms BUILDING DEPARTMENT CHECK . . . . : . . . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOUTHOLD, N.Y. 11971 --, TEL: 765-1802 NOTIFY: �etc9-,��c Llv�v S _- _ CALL . . :7.31 Examined... ...�, JQI' MAIL TO: . . . . . . .. . . . . . . . . . . . Approved—, .., I� Permit No. .. ............... .................... Disapproved a/c ........................... .. ...................... .....................................)LICATTON ilding Inspector) FOR BUILDING PERMIT Date /L9. . . , 195.� INSTRUCTIONS a. This 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 part of this application. 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 issue 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. . AMACNrION IS I1-RE11Y MAD- 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 bui ng for necessary ins ioms. _ :. .��J .......... ( :0L Sigture of applicant, or name, if a corporation) (Mailing address of applica 4- State whether applicant is owner., lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. .......OW1)tr...................). .............. �../....................................................... Name of owner of premises ..C�A-TA .. :.,1.':l:--�d'' Ct'9:1-4-�................................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... PlumbersLicense No. .......................... El-ectricians License No. ..................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. ......n4 P...hce*.-OT.Bqt" ..................................0r�c�` ��Q c UIC .................... House Number Street Ibamcl t County Tax Map No. IOW Section ...q.".7........ Block ...... ........ Lot .....4.i?_...L-7. Subdivis.ion .............................:......... Filed Map No. ............... Lot ............... (Nam) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....pi-/UA'' .C-Al !1 j........................................... b. Intended use and occupancy .... ??r e.-.s.h��t.......................... . . .. ... ........r; ��N➢ 'i-' ;i;�;SuuaU:2'm 1. Kilure ol.' ►ooik ((i►eck FA►di a14)licable): New Ikr'tlrlinl; .......... AMit'ion ... ....... Alteration Itep air ............ Rer►oval ............. Iklrxol ikon 01.11er Work (Descry lit ion) .r 4. lisl:iilk►ted Cost ...---.li?zz .......... fee .............................................. (Co be paid on filfrig Lhis application) 'i. IF (k.)elling, umber of (knelling units ............ Umber of (knelling units (x► each floor ........... ..... 'If garage, moodier of cars ...................................... 6. If: Ixisiness, rxxmiercial or mixed occrtl)arx:y, specify mature aril extent of each type of use....... ............... 7. )lmensiot►s of existing stnrc:LArres, if any: Fr(xiL...T.......... Rear ....9......... Depth :.. ,(............ lk:ighl: ...$.I.................. Nrnber. of Stories .... ................ Dimensions of sane sLnrcLArre Frill► alterations or rxklitions: Front .......... ..... Rear .....:......... I>Lp(h .................... lleigl►L .................... Rnber of Stories il. )imensions of entire new consm.I icxr: Front ................ Hear .... ........... Depeh .............. ))eilll►l: Nxiber of Stories ..................... 9- Size of lot:: Frcxrl' ... ............ Rear .......... Depth .................... ID_ Rile of P(rrchase ........•...•........ thine of Former O,.r►rer ........................................ 11. Mile or use district in wl►ici► prenises are siLualed ............................................................ . .. 12. ik)es prolxosed cot►sLmetion violate any zoning law, ordina►►ce or regulation: ...4160.................. 13. Will lot lie regrrxied .................... Will excess fill be romwed f-rorn p/reniseeir: YES IX) 14. Mm es of Wrier of pren't ses e�h[{LlF4 l :., f G Q ��S�klress Q: Qx.7.�!U.i.a4akO��Y+f.Qli►orx Nance of Ar(J►itect .................................... Address .............................. 11►one No. .............. PL•n►e of Contractor .................................... Address ...............................1'1►cnre No. .............. 15. is (his pmperL'y within 300 feet of a tidal wedarxl? * YC.R .......... N() ./.1...... *ir, YI?S, wrlml) 'i"m 71(L mms PIiItMI'l' k1AY It13 ItIUi1 imm. PLOT DIAGRAM Locate clearly and distinctly all lxrildings, whether exisl:ing or proposed, aril indicate all set-back dimensions hoiii prolx:rfy,lirres. Give street six] block nnb►er or description according to (teed, awl slow street r►rvrres aril itxlicare cn!►etlx!t- interior or corner l-ot. r Pp r a�S MOTE® G DATE: �.� 30 7o rt ; . # z -q �rl r7 1� x tl 9 tr a FEE: �Y NOTIFY BUILDING DE PAR iWAY 765-1 R02 S AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: . r-OIJNDATION - TWO REQUIRED �' r7 err`l,x,p 4 ' � FOR POURED CONCRETE f i t s fi g r 2- ROUGH -.FRAMING & PLUMBING � re �.. ' r f- a, r, , ' ; ' . II�ISIJLATION FINAL CON'STRiYCTION BUST Y ,V RE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENT'S OF TidE N.Y. STAVE CONSTRUCTION fit; ENERGY CODES. NOT RESPONSIBLE FOR IV rs:w Y( tK, 5s DESIGN OR CONSTRUCTION ERRORS ... ...............being duly wmrn, delxrses atxl says that he is Lhe appl icimt. (Mane of indivi(Irkrl. signing contract) rrlxrve ruxled, Iktin ll►e .....0..O.A EF!................ ................................ ......_ ... (C ntLracl'o•r, nl;enl,,�(:,rlxrri►l_e off icer., etc.) of said owner or oxirs, awl,in duly authorized to Ix--rforn( or have wr performed the said work arxl to nrrl(e aril file ll►is .rppl icarLion; that al I. sCatenents contained in this application are Lme Co Lhe betrL of Ids kwuledge arxl Ix61.ief; arxl Ili-it. the work will perf:onned in the arnnmr set' forth in Lhe appl.icat:ion filed therewith. `ax►nt to before yee this .. ._ .. ...��.. ...(lay of ........ 19.4 Notary L'(tbl.tc �. ... --• .�!� _/.1�•����.c%LL... -Signa :ure_'< l' �j►plii:anC) VARIE A.WOODS Np 11NOS0186600 Yotk "CuafiAd h Su6o8t Cotrth► Gmvdsft FJON August 15.lk � � � , �,. .r. a.,•--=r'c v �:i'�ms�l[ t".-,ar,T'"w.- r _ _ „r -.S y. '-a. �+s�r�} '�3 ��i�+^ ,a. --, r �, - .a;i.. � £'a- .��.wlj,., x? t ,}zaQ �1:�, - o.R` -,s''-' o� :�a m" - .Ha.�^ :"�,•t?�`i.Y-r, sst,,,� �, �•. � ._ •�a ...?._.�. 1 .:: :r :..s-• ! _." .�: .: ,r � Ke �-< '.R.':�4':.Y s`-.ye"y,�.iai�',-�"'i;:: _.� ;"-:c 3:.' *,y � �yS'.'.�db r.t.,.✓_�' t- e l �.%{.. 3. S � •!i qF:` Y RT .�-'n+Y .F•�L#. '.r`:`"M' F,..Sa:�\ ,,,x .. ....� . ;• ,- '..-_. -:. �. .-- � � � t T 1':1 �' .Y y1. 't ' 'G,.yv J" "L.:# �5 �'f' y.:5;?'2 I h, ti S 1. 9 i y TES LE p • , t ll R Et# _ 7S Of SOU, OLD t11.Y TES HOLE o 1 fr; -_v i:•,yC::m'i ; GROUND D. 14 N ::`. Eetfihswayio-avlolstien"ot, ul Section T208 of the Nary YMrf#sl. ' Education fat f 1 Capiasa'1hL � ; not ftelandsuveyors"Seefor Gwc;,YCars`cEG� tG -tile- SeCUY;f'e Tt �t'c } �. scrbossedseafdW[nof6s f� ; ,p Ube a valid mn?dersd �� (C1.Yti-, CGi?tF3aF*:y aNd tt] f '_ TJoI liuxaraee� {h dfufre«rsbatay F�1 {� �s1r 1C aHC( TYNS4 CO>,N taOri.$ QI5 "tothapersontarwframffusrars/ n, _ .iec Gt.4FreXrad,and oa his behalf loOle f 7` {�6 fft company,govemmordalapetioyo/ yfandi:tg in=ut u^n 1sted heteaa at16tonethe ie:rding."vtffii.sC� E.L . imu,urdl,icu.umiurffiar �'L ° '`�� E E� sryraac SFo 1 RIOT f� Nv�,.R Tv T 1+ r "i COJE.. ON FILE :tit canto `• TF-iE StJF><OLK:MUN7Y i.L.EP-u'S; OFFICE AS ViA.P N0.32 J. UCE4�S LAI{✓: t.'i�?'t EY02 ELEVATIQy5 5Hv�^M ARE'BASEZ ON AN A55UMF—Q AT L f_i�F 17,0 AT COF QOAp-OPPOS1 s E N.E.COQNEROf=Lo ��l :� ..