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Home My WebLink About23477-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24784 Date DECEMBER 5, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 625 GLENN ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 2 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 10, 1996 pursuant to which Building Permit No. 23477-Z dated JUNE 4, 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. The certificate is issued to ROBERT W. QUINN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A C, Building Inspect Rev. 1/81 FORK NO. 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) M 234'77 Z Date ................ ........... ..............., 19..... Permission is hereby granted to: .................!� ........... .. . . .................. .......1.7. . .� .x1olle-............ to 114a-u . .. . .. . . .. . atpremises located at ..............� .............................................. ...................................................... .. . .. .. : � ........................................................... ................................................................................................................................................................. County Tax Map No. 1000 Section ...........4. Block ...................... Lot No. . .�.�.../............ pursuant to application dated .................. . ... ..A ........... 19.Z� and approved by the Building Inspector. Fee f"-� Building I or Rev. 6/30/80 Form No. 6 17 ,7e15IW1c4 . TOWN OF SO UTHOLD BUILDING DEPARTMENT TOWN HALL /�re-3 765-1802 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: I . 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 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer r responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. 3. 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. .eeS 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 - .25r,-. z- . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15./00, Commercial 815.00 Date . . . . . . . . .1. L`L�l.z. . . . . . . . . . . . . . . . . . . 'Jew Construction. . .. . . . . Old Or Pre-existing Building. . . . . . . . . . . vocation of. Property. . . . . . �. � . . .(f Le.:�!/.r . . . . . . . . . . . . . �v J:rG�U. . . . . . . . . . . . . . . . . . . House No. Street Hamlet )nwer or Owners of Property. . . . .��3�7. . .�: . . .}� . . . . . . '� . . . . . . . . . . . . . . . . . . . . . . . . . . . . •ounty Tax Map No 1000, Section. . . . . . . . . . . . . .Block. . . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . �u'bdivision. . . (./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . .. . . . . . . ermit No� J . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . --lealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . 'fanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . .eauest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . . . ::ee Submitted : $ . . . . . �. . / . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . - A I'PT.1 rnNT l 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ �IWIUAJ CATION [ ] FRAMING • [ [ ] FIREPLACE & C IMNEY REMARKS: � IC 162� 2 Z&7 DATE INSPECTOR 1:0111111A V I Mf ruulu)n-rlull (21n)) I --_,_..-�............... .__._.. -_,-n�.,:�,.,,o_.m�m�a ti®...,o��..,n�....�.,.,_... �. I Il)A-I- It 000 1 A 111; ........... I V I 011 y STA 1 1, ComF .. d. ........ ............... 1; 1 IIAI, ----------------------- ------------ AI)1)1'1'1011AI. ----------------- ........................... ....................... ........... ........ —------------ ------------------- ................ ................. ........... ----------- rr M BOARD OF REAI.111 . . t U N ? FORM NO. 1 - 3 SETS OF PLANS . . .Of... . . . . . . . • . . f . . . . . . . 'TOWN OF SOUTHOLD �. SURVEY .GJ�,-. . MAY I 0 1996 �'Ij . . . . . . . . . . . . . . . . . . . . BUILDING DEPARTMENT s.. CHECK GJC..�_ . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . BLDG.DEPT. SOUTHOLD, N.Y. 11971 i_d•_TOWN OF SOUTHOLD TEL: 765-1802 NOTIFY: / 9 CALL _ Examined. ....... -, 19l r (�y MAIL TO: _ ��!'! �c/J •��+` Approved ..., 19 Permit No '!.<../�.�.... ......p6 A i..... l../�/.!X./i�� -Y Disappa/c ............................. .................................... ilding Inspector) AP. CATION FOR BUILDING PERMIT Date.j. A/_ . . INSTRUCTIONS a. This application mast 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 an the diagram which is part of this appli.cation- c. The work covered by this application may not be co rienced 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 sliall have been granted by the Building Inspector.. APPLICATION IS uwm. MADE to the Wilding 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 constniction 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 buildi for neces in, tions. -•r (Signature of applicant,•or name, if a corporation) 61 .. ............... ... .................,/. s > . (K-jiling address of applicant L p State'whether applicant is`owrer; lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ...........:...._...�_ :....... ....®_ce....!�1 ........................................................ Name of owner of ices _ :... !�.�_.f� L�. . ' . t-**.�` ....................................... preen .. ... .. (as on the tax roll or latest deed) If applicant is a corporation; signature o.f.. duly authorized officer. _........,..................................F..1A...... (Name and title of corporate officer) At_lililei-s License No. ..................... .;E;lumbprs,�icense No. ......................... Electricians License No. .................... Other Trade's License No. .................... 1. Location of land on which proposed work will be done.............................................................. 1-1 ....� ......G �......�....?? : .............�d...!1... ........................................... blouse Number Street o lanlet ('amty Tax Map No. 1000 Section ....... Block .. ON_......... Lot .. ............ Subdivision ...................................... Filed Map No. ............... Lot ............... 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ........................................... ..................._......... AZ b. Intended use and occupancy .............. 7.c. . ............/ .. ` ' i ........ `,..r.f' ,c 3. Nature of work Wieck whicda alalalicable): NL-w Ikaildinl; . - ...... Nldition .......... Alteration ........ .. Repair ............ Removal ............. I"x)lition ............ Other [kark 4. Estivalate<I Cost ..<.�?.�...�......... fee ......... 3f.: ..................... (to be paid cxa filing this application)• 5. 1 f ckoel l ing, nxaber of dwelling traits _A�/T._.. Cumber of. thoel 1 ing units on eacda floor ................ If garage, amber of cars .............I--10 1A................ / 6. If. Ixasiness, ccymaercial or nixed occupancy, specify nature and extent of each type of use...11V14........... 7. Dimensions of existing stnacLuares, if any: Front................ Rear Delith ................. lk:iglat ......................... Umber of Stories ...................... Dimensions of sane structure wil.la alterations or additions: Front ............... hear ............... Depol .................... lleiglLL ........ Mnber of Stories ............... 11. Wtensions of entire new construction: Front ........ . .._. hear .1Ar........... Depth .............. Ileil;iat ......... .,< ........... Unber of Stories .. ................... 9- Size of lot: Front ..................... Rear .................... Depth .................... 10. Nate of Purchase .31W --.--- Nance of Former Owaaer ..._. .d-q--•. ...Z?o. 0 .............. 11. Zone or use district in w[aicli premises are siLuatecl ............................................................ .. 12. Ikbes proposed construction violate any zcxring law, ordinance or regulation: ........ 0 13. Will lot he regraded ....... ....... Will excess fill be removed from premises: YES ®RM) 14. &-saes of Owner of premises ...�?G.: Q��i�/.v..._--. Aclrlress `.y rGG[y'`',t!-� ...---....- Phone No.7�! -3 io iJixne of Ardritect ...... .... Address .............................. P[►one No. P&/c o�-� /1�,��L/ �G.... waob ��5� d�S �j�.vcr N<nae of Goatracr�r A _ _ '`Okklress .Naone No. 15. Is this property within 300 feet of a tidal wetland? * YES ......... ( ...... *IF YES, SOl1J1)(ND 'lIl m 'IRLISRE.S mau r MAY m RIs(X11R1 D. PLOT DIAGRAM I.cx:aLe clearly and distinctly all buildings, whether existing or proposed, aaxl irxlicate all set-back dimensions Frcx» property lines. Give street and block nnber or description according to deed, and show street rksaes and indicate %i►ether interior or corner lot. "APP D AS NOTE B.P. D DA Y, FE :— DlN `f N FY BUILDING DE 76 -1802 S AM 710 4 FOR THE r, F LLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST 0 URANCY Ou R BE COMPLETE FOR C.O. stn•n: a-' ram Ycxuc, ,4LL CONSTRUCTION SHALL MEET (xzrNtY Ix . ��9!d.Grb� :...... �� USE � � STATE REQUIREMENTSI THE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR /1 l Aff y' a ili `4�n l DESIGN OR CONSTRUCTIONIERRORS 4. �_y..f._.cN : _ ( t<(. F' � " , es aaxl says that he as the a a al ic<ant HOUT (Namx> of iaxlividual. signing contract) alx)ve auxnecl, 0, C A GIk! is [lie ........... (,j3F ._._..._.................._._......_......._..............._........ (Contractor, agent, corporate officer., etc.) of said cxnaer or owners, aixl is duly authorized to perform or have perfoniied Lhe said work and to na<ake aixl file Lhis application; that all statements contairx-d in this application are true to Lhe best of his knowledge and Ixil.ief; and that Lhe work will be perfonmecl in the nvan►er set forLh in Lae application filed therewith. :Acorn Lo ��before ne this .........(. ....(lay of ..!.:C . ....19.?.(�_.._ Notary Prbl is ..!:C.... `.. QJ>U ZiSlgl . .. ................. 1AARGARET ILHEI✓NAN • Cure of Applicant) NOWARY PUBLIC, State of New, YoA No.30-6829765 Qualified in Nassau County C—f. filed'with Nassau:County Chw, ;rm &T-I£es S ' _(,.aJ J is•�:-,;�• � r• •��..�. f •L AN To�i XT rcw.,q OF SOU 8 ,. a J QCOj O CD _42 rLrLilJ LL do z N _ 2. 140.00 - lao.o'To�' tti66'31`�p•�„� _ -- c_._._.__ - I GLENN ROAD � \ h _. - - -- - - -- -- - -- - -- - - 1 - cH1CAGO-ITLM ir+k•Q^,,4CF•: ry-pA-.;�:.,;:� -ems EST.^ •-St4C-�' RffFEt2.?L�_�"11PtYi WEST GPf--EK Ylt _6 in1 .9UIR1�tK du►vi.!CL P KS • - _kr�N��• ter+: s�:rn:•r� . _ , . •�Y:mow!. I �: • r MAY 0 1,9,9, rzw� �y F zz \ U.\ \ 'Z ` vf r4 �� @gF�yp R Z A \ \\3 \ tea.�\��nn� \.�\\ x\O \. \may `•�\�\�� \ ��\��\� \ 3��' \�. \�\,� \ � �\ �i" ,.�" ��\��,�a�\�. The The Quaker Gable, A-Frame This is the roomiest shed going. It uses are anything ®r Cottage from sales office to pool house or even studio - the An excellent addition to your property. 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