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Home My WebLink About23521-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24500 Date JULY 16, 1996 THIS CERTIFIES that the building ACCESSORY Location of Property 5245 PEQUASH AVE. CUTCHOGUE, N.Y. House No. Street. Hamlet County Tax Map No. 1000 Section 110 Block 4 . Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 30, 1996 pursuant to which Building Permit No. 23521-Z dated JUNE 18, 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 ANN BENSON-HILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ing Inspector Rev. 1/81 FORM 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) N Date ........ . ............� .............. 1 94 23521 Z .. 9 Permission is hereby granted to: �r . !Y.... . ... .......... .............. ............................... .<<...-..........:.. ..�..l...��J to ... . ....... ...... .�/ .. ...... .. .. - .. ......... . . ... = at premises located at ._ ...................................................................... .��................................. ............................. County Tax Map No. 1000 Section ......//0..... Block .............. Lot No. f� pursuant to application dated ..........:........... .:.G (/ ......., 19..�1 and approved by the Buildina Fee $... ........ .....(� ... ....� ....... . ... . ..... .. . Building Inspector / Rev. 6/30/80 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR -ji,IN7f13C1'ION REPORT DATE COMMENTS W FOUNDATION ( 1ST) II II ---- --- -- -- i-- -��- -- 44 II _II if FOUNDATION (2ND) II _II t�7 _________________________ ________ ----------_------------- ------ II II ROUGH FRAME & - PLIJMIBING II II II _ II II H INSULATION PER N. Y. II II------11 y STATE ENERGY II }1------II CODE If 11 It-- II II ' if . G II FINAL __.—_ _II _ II ADDITIONAL-COMMENTS_====____________________ C t a _ r \ ro H eucfm wu. u d nn TOtvTL\T OF SOUTHOLD V D f i BUILDING DEPARTMENT k TOWN HALL JUL �"-�519% � 765-1802 BLDG.DEPT. PPLIC:iTION FOR.CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD 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 1% 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: i . 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 325.00, Alterations to dwelling 525.00, Swimming pool $25.00, Accessory b �?uding $25.0 Additions to accessory building �25.00. Businesses �3 . 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - .25 . 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . �S . . . . . . . . . . . . . . . . . . . . . New Construction. . .'. . 01d Or ire-existinig- Bu' ding. . . . _. . . . Location of Property - •:��Q,. . . .p .V��. . . . . . . . . .C . . .G.Cj_V: House No. I Street 11 Hamlet Onwer or Owners of Property. . .1�/�.✓� I(�. "' . ►. .^. .� . .\l . . . . . . . . . . .... . . . . . .. . . . . . . . . . . County Tax Iap No i000, Section. AO. . . . . . . .Block. . . ` .. ... . . . . . . . .Lot:. . . . . .(P . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . N .. . . . . . . . .Filed 211ap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . Permit vo.L:�. . . . . . . . . . .Date Of Permit. . 3ealth Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . / Reauest for: Temporary Cartizicata. . . . . . . . . . . Final Certicate. . . . . . . . . . . Fee Submitted: J . . . . . . . . . . . . . . . . . C D�21 APPLICANNT �l� �� I11Nu(II In 111.l11.111 . . . . . . . . . . . . . . . /' PORM NO. I l SETS OF PLANS . . . . . . . . . . . . . . . ►UT 3� r�J� TOWN OF SOIT HOLD /SURVi?Y . . . . . . . . . . . . . . . . . . . . . . . . IM I LH i NG DEPARTMENT �(;IIi'sCR . . . . . . . . . . . . . . . . . . . . . . . .. TOWN HAL1, I ' q jtRg6 SOIITHOLD, N.Y. 11971 TEE: 765- IIIO"7_ NO7'll?Y: 1 MAli. TO, . . . . . . . . . . . . . . . . . . . . I?x;lrni tied.. 19. Al pr(rvc>d..... ....�. , 19; Pe rm i t: No 4 '�` / •• ....... ..........................'.. . 1)isa pit i-(Yve(I a/c ............ .............. ........ ....... r ...... ........W. lilding inspector) API' . CAT iON FOR I111ILDING PER" Date. . . . . . . . . . . . . . . . 119. . . . INSTRUCTIONS n. Tills ng>piWition most be catlpletely filled in by tyl"-Yrit.er or in ink and sultrnitted to the iblilding inspector wi 7 set:.^, of: plans, accurate plot: plan to scale. Fee according to schedule. b. Plot plan slxrwing locaticxr of lot: and of Ixtildings (m premises, relationship to adjoining; premises or public streets or areas, and giving a detailed description of laycxtl: of property nlnlnt be dt.mnr On the dirip which is gram or. Olin 1ppI ication_ c. The work c(mered by this apgilicatJoll 1-cly not be c(limenced before issum -.e of. ikril.ding Perrnit. d. Ilp(n approval of this airplAcaticn, die Milding Inspector will. issue n iktilding Permit to the agrplicant. Such permit• shall be kept cxt the preinises available for inspection l.hrmoilmnt the weak. e. Nor boilding rdtnll be occopied or used in whole or. in part for any ixtrpose kimt.ever until n Certificat.e of (kc7gr rxy r 1,11.l hnve Ixten granted by Lhe iUd Iding ins w-T.Lor. APPl:1CAVION 1S IT-REIN MNJf to file iltlilding Mparinnnt for the i smmwe of n iktilding Permit pllrralant to Lite Iltlilding 7.cxe Otilinattc:e of: the Taal of Scxtlhold, F-Alf.follc Cexnty, Nei-i York, and other appl.ic:able laws, Ordim--luees or Rrguln0oos, for Lite c(mstnWH011 of bxrildings, a(klitioos or alterations, or for rerxrval or da of ition, an herein described. 'the applicant agrees to caTgrly with all nppil1 cob le lawn, ordittancest lxtiI(Iing code, liaising (:ale, m)(I rrgptlati(ns, alxl to retail rnitlxtrize(I inspectors ar inrnines and in IrlilLlng,.Alo' - rece. inslx>cfi(ns. �7 ` (9,rg appli.cnnt, or nam., if a corpxrrnlicn) (Mli I ing Kl(lreV,, of appl i cant)bcj - ti l �J itl Stale wbelher npplicarit. is (xner, lessee, agent., architect, engineer, geter.al contractor, electrician, pit.nber or btnildp on .......... .. .......... I....... ........................................ ....................... Mxiv- of owner of. prcnises Q•lZSG�_.-. . � 1.L.................'....._.. ......._....... ........ ... . . .. (.as at tile. lax roll or latest deed) � 77.7;)) if nppl.icrint iq a corporation, signature of duly rnntlmrized officer- Lr, ...- -- •............. t Y 01996 1 - l�, CIA 3 01 (Nat>tr, arxl:-I:il:le of corpxoral.e o(ficer). l -• _ = j BLDG.DEPT. I?tii,l der License:No_ ...........:.....•---••••• TOWN OF SOUTHOLO P111rrier.n Lic:enne No. ............ ............. Electriciann license No. .............. .. ..... Oliver Trade's license No. .................... I. Location of: 1nrx1 cn which proplosed work will le done..�.Z_`t-.�--..-�.��.lJ•Co's ............ ! "\U. .� .d`� l�,Gl'?................... Ikxtse N(rri)er Street Ar1et (cxnrty Tax iktp No. I(XX) Sectionilcx_k .....o4...... lot ....K;....... &Ilxlivisicnt ..................................... . FileoiFttp No. ........... .... Lot ......._....... (Nate) 2. State existing use and oc:cllP;loy of premises and interxled use and occugnntcy of proposed construction: a. Existing use atxl cx ctnp>atx:y ..._....��._``... ........ ................. ................ ....... ................ b. int-etxlad tine arxl occl,l xtrx:y ...... ................ ........ ................................. RAI ilre of: %X)tl( %-Adch all)l icable): tk,%4 jkji)(ji .. ..... . 1V k I i t i or, .......... A]terat ion .. ........ Mlia i r ............ Itelivival ............. I k-1110 I i 1:1 of I ............ Other R)i k 1Aitivited t 2-Cos 4 6 - .................... fee ......... .... ....... (ro I X! pa i(I of I f il i fill, (1 8 appl i ca L i oi i) ing, mid)er of (k,-ell ing, units .. ...... .... UIII)er of (1%41--Iling UniCs oil each floor .... ......... ... I'f garage, mvd)er of cars ....................... .. .. If Ixisinesq, (ximiercial or mixed (xxxjI)anc.y, specify nature wxl extent: of each lylx- of use........ .......... .... Diuk-risiciiis of existing sLrAlCt1lres, if any: Fl-01A............ ..... Rear ..... .... ...... Depth .. . ........ ..... . 11LAWIC ......................... Uad)er of: Stories . ....... .. ... ... ... . ... Difix!l1siOns of same striwAure With alt.Lral.ioiis or ;xIdit:iolls: J."l-Olit ..... .. .... .... Rear ... .. .... .. . . .. Depth .................... lleij;llt .................... Uji6er of Stories ....... ........ Dilliensions of entire oew (xxisLn)c.*Liou: Prolit: . ..... ...... .... [tear .... .... ....... Depth ... ........... I k!ijlit .......................... I,&Aljlel- ()I: Sl:ories . ....... .. .. .. ...... . Size of lot: Front: .................... Itear I)ep I I I k4e of hirdiasL. ..................... Millie of Foinier (Amer Zoile or use district in tAtich prendses are situaLed ................. ........... ... ...... ........................ .. lNx!s prolx)sed cotist:rucL i oo violate any zoidrig 1w, ordinalwe or regiflation: ... ...................... Will 101. be Vegratled .................... Will excess fill he rmoved froin pre5nises: Y13.S NO 11--viies of Owner of preinises ........................... tuklress ................ ......... ..... 11 ioi ie R). ......... ..... Mrile of Ardd tea ................................ .. .. Mdress .. ......... ......... .......... tivone No. .............. M-wx- of: C(mitractor ................................... Atkiress ... ............................ljjoje U) is Ibis prolx!rtly within :MX) feet of a tidal wel:laixi? * YI.-"-'; ...... . . .. iJ0 ....... .. . *IF yI.S, RXIIII(ND '1114N 'ITOJSIEE3 111i'ItIfIT MAY 111?, IM(Allidg), ITOT DIAGRAM lAx.-ate clearly awl (Iisj:ijjct:ly all Wildings, tAietlier existing 017 1)rolx)se(l, njul indicate all set-liack dimensions I)rolx--i-ty lilies. Give stneel: arxi blwk rimber or descripLim according to deed, awl sh(A4 street naines and indicate Aber interior or corner lot. 4� 'elpR Y. D'A NQT A. Q nATO' Rio I ATE, FEE*r NOTIFY,BUILDING DEPA 765-1802 9 AM 10 4 PM FOR THE OR FOLLOWING INSPECTIONS; I I U L 1.1 FOUNDATION - 'TWO REQUIRED_ NN'" FOR POURED CONCRETE UT Z. ROUGH - FRAMING & PWM131NG nioA 3. INSULATION L T1, r TE w 4, FINAL - CONSTRUCTION MUST CBE COMPLETE FOR C.O.V V1 ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY VIE, IN, raga Y(ft, CODES. NOT RESPONSIBLE FOR DESIGN OR EMRORS It'!ly (He ........... ..... .. ..... ...... ....... .. ........ ......lx!ilig duly sworn, delioses am says that be is the applicantNIX! of ilklivi(IMI. signing Contract) We 11MILId, is I'lle ....... (Qmtract,or, ngeiit, corilorate officer, et:c.) said (AAier or omlers, aix] is (July atithorize41 to lxn-fomt or have IK!rkmiied the aixi t.0 nxiiw alXI file Ibis )I icaLion; 1-haL all sLaL(-3irz!iiLs cont-aiiwd in this appi icadon are trix-- Lo the best: of his Iuxydle(ige ;)ixl jwtiefl; a1XI It. the wrk will he performed in the tivaniler set: forth in the application filed Overewit-11. mi Lo lx:fore ne this .... ..3.6.. .....day of ....... ....... 19...17C. .. .... . ... ... . . .. ..... . ... .. ......... . JOYCE M.WILKINS ilm e of- Applicayil:) o ary Public,State of Now York No.4952246,Suffolk Cou gy Term Expires June 12,Ve