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Home My WebLink About22993-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24156 Date FEBRUARY 8, 1996 THIS CERTIFIES that the building ACCESSORY 6860 NEW SUFFOLK AVE & Location of Property 95 DONNA DRIVE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 115 Block 16 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 21, 1995 pursuant to which Building Permit No. 22993—Z dated SEPTEMBER 6, 1995 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 SHED TO CODE AS APPLIED FOR. The certificate is issued to DONALD & DOREEN KIRBY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector 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........... NR 22993 Z Permission Is hereby granted to: .......................... r .....CIiCC`/ Cs�/'� . ........ ....... t0 ............. ............. ........ (f� r✓ .... s............. .�. . . .. ......... ........ .. ...... . .�- Z-4v . .................................................................................................................................................................. / at premises located at.....7J .. g?' ,-Jl-Z....... .................................................... ..............................................................................•...................................................................,............. County Tax Map No. 1000 Section . .... Block•.....6��........... Lot No. ............................ ........................................1 19... land approved by the pursuant to application dated ..../ . Building Inspector. Fee Building Inspector Rev. 6/30/80 1 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 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: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final. Appr-Dval 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 1.7 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 Building -• '$100.00 3. Copy of Certificate of Occupancy - $20.00 4: Upda.ted' Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date . . . . . 3 / f,.95o. . . . . . . . . . . . . . . . . . . . . . . . New Construction. . . . . . Old Or Pre- stin B n . . . Location of Proper � . . . . . . . . . . . 07T_i 7V&AL�� . . . . . ! . . . . . . . House o. Street Hamlet Onwer or Owners � 63Pt-� g ' .J A) of Property. . . . . . . .�. . .P . . . . . . Ca . . . . !�' . . . . . . . . . . . . . . . . . . . . . . . . County Tax Map No 1000, Section. . l./ . . . . . . .Block. . & . . . . . . . . .. .Lot. . . . . . �. . . . . . . . Subdivision�� ,iTl)( �,'��,�/L. .1_5�1'E . Fi.l.cd Map. . . . . . . . . . . . . . .��. . . . . . . . . . . . . f .Lot Permit No. . . . .. . ;3 , ,�. , ,Date Of Permit. ! -` . �>S . . . , . .ApplicantkL?�!f �4A. .. . � W •. . . , . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . . . . . . Planning Board .Approval. . . ... . .. . . .. . . . . . . . . . . . . . . Request for:. Tempor/ary Certificate. . : . : : . : : : . FIMI C" icate. . . . . . . . . . . Fee Submitted: po��7� � . . . 4AM AP 1_.-17 jJDAT_. iI WIL11E.NTS • `H�.p� F OU14DATION ( 1st) FOUNDATION (2nd ) 2 . . • z o� ROUGH FRAME & • � 'PLUMBING . cn cQ 3 . mac\ r� INSULATION PER N. Y. y STATE ENERGY CODE . 1A 4 . FINAL ADDITIONAL COMMENTS : X 9 • y w _ y -cir.Y:cis:etlw:.:-.tie«Fa1._.i-. .. :::a rNsw•.�w'_','A .,:.:. ... .. ... .. .,.. ... .... .,. .. ,.. .. v,.....'t ..tF_-.: .... .,:.rn.-..:,.u«;s,: �.usi..:.> Kacu f oa d Country Sheds ` Gaczebos A Div i o iifold� •3'11�j}l�l,fi;� y,p'Ln Y - � ison f Ka s Countr'y. Flvrl t an,S' Inc: 724 MIDDLE COUNTRY RD RIDGE, N.Y. 11961 U� ,F (516) 924 1265 - -- _ JF j i, • wo Standard Cons tructzon & [F'eatu res 240 lb.20 Year 112"C.D.X. giiarnnice asphalt. Plywood roof Double gucscted.roof self-scaling shingles sheathing unrnatchc(1 F. \ � Jr stren 111 x g Finis f Iaintcnancc Free alunliriutil drip beauty edge or painled wood corners \ wca . '' / • lights Overhang on l all four sides clitninates ' streaking froln rig j. water runoff Full2X j Kiln dric Aluminum stud wall . .IaloUsic windows Willi screens& e S T5 I11111Cl Or choose optional '1 Y Ow wind .. 1 l:, w, Late c/actyh xtcnor Stain ili your PRESSl1RE t';, ,, PRESSURE TREATED choiCc of colors or clear scaled a D ,r ,� xt Lr 4"X4"foundation beams TREATF !. D.C. 5 ply plyw�oo(i fioot4 rr, ttsl„� Maintenance Free Durntcrnp® t ' ';� Fir texture 1-1 l Siding Jacks&hcaders in all(loorTrntnmg ", #£i r PRESSURETREA7ED or choose Optioiral Wood Clapboard io meet all State and LJoeal Building Cocks r z 16"O C iloor�oists « the . ; hi :h ule :build. Quality is foundation o w TEMP® T-11 SIDINGli WHAT'S SPECIAL ABOUT KAUFOLD. S DURA„h3 f i ONO boat patches • Doesn't crack, spll,.t or check • N;earata any weat�rer or temperature �9 Keeps* its dint at least twice as.long_ 0 Guaraaiteed.•2C Xel�TB t'• Won't show dent®or hammer marks p hellveiy arld Wide Load Permit fees may Pp a 1 Y. 5 YEAR PLUS Written Warranty �S Another KAUFOLD'S Exclusive ��u rV1l�•r �11 f _ '/ 1 = . t /VEW SUFFOL K qV ENUE I Aw O9' � I � �I . I I O v w I q wer31,' I I •�; 9s.e' 0 It q AREAS a � \ I 1 0 11 \ HOUSEf 1509SO.Fr ' a `1 GARAGE= 290 SO.FT. \K a..- 1 IR It �y o41 Lot 45 1 �' 4 Area 23/25 sq.ft. h Lor 46 - N.87'/9 /20.00 r :. Lot 7/ i NOTE •MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY_O MN 28, /965 AS FILE NO. 425Fi REVISIONS YOUNG, & YOUNG ✓AN.20,1975 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK FEB,7, 1975 ALDEN W. YOUNG HOWARD W.YOUNG FE8./0,/975 PROFESSIONAL ENGINEER AND LAND SURVEYOR MAR.21,1975 LAND SURVEYOR, N.Y.S. LIC. NO,12845 N.Y.S. LIC. NO.48893 SURVEY FOR: UNAUTHORIZED ALTERATION OR ADDITION TO •� THIS SURVEY IS A VIOLATION OF SECTION BEN MENDOZZ A 7209 OF THE NEW YORK STATE EDUCATION LAW. LOT NO. 45 II DEEP HOLE CREE 11 COPIES OF THIS SURVEY MAP NOT BEARING qf.`'1f E"'r� THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDEREDTO BE A VALID TRUE COPY AT fl , oL;D,SAI!rNGs e. K GUARANTEES INDICATED HEREON SHALL RUN MiATT I T UC K /CA60 ONLY TO THE PERSON FOR WHOM THE town of SOUTHOLD /TL _JNSURAWECi`J.SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL - 666... AGENCY AND LENDING INSTITUTION LISTED - !•' - HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y. LENDING INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL SCALE: II I DATE: f{y INSTITUTIONS OR SUBSEQUENT OWNERS. I = 40 AUG. 1 l�l ENS 3� K&E 17 5153 5-73 40588. BOARD ' OF HEALTH - FORM NO. 1 ,..o3 SETS OF PLANS . . . . . . . . . . TOWN OF SOUTHOLD (SURVEY 24 W BUILDING DEPARTMENT C11ECK . . . . . . _ _ _ . . . . . . . _ . TOWN HALLSEPTIC FORM _ . . . . . . . • • CL�' •D`:'I: { SOUTHOLD, N.Y. 11971 OF SOUTHOLD TEL.: 765-1802 t;oTl Fy CALL . . . . _ . . . . Examined . . . . . . . 19 . . MAIL TO : . . . . . . . . Approved (p. . . . . . . . : ., 19Cj,5Permit No. Disapproved a/c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I1 9 4(.Builg I 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 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 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 issued 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. APPLICATION IS HEREBY 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 appli able Laws, Ordinances or Regulations, for the construction of buildings, additions'or alterations, or, emoval or demol' ion, as herein described. The applicant agrees to 'comply with all applicable laws, ordinances, buil mg ode, housing c e, and regulations, and to admit authorized inspectors on premises and in building for necessary ins ctio s, - (Signature of ap` ; ant, o name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer; general contractor, elect ir`an, plumber or builder. O. . . . . Name of owner of premises D.�L. . . � . . �d�L-�N • • „• (as on the tax roll or latest deed) If applicant is a-corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plurnber's License No. . . . ... ... ... . . . . . . . . . . . . . . . Electrician's License No. Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed:ork will be de . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . I-Iouse Number Street Hamlet - .County Tax Map No. 1g00 Section . . . :. 11�. . . . . . . . Block . . .� . . . . . . . . : Lot .. . . . . . . . . . . . . . . . Ct�C. - Flc CSrtf1 � Subdrvrsro��. C . . Fried Map No. Lot . . . . . . . . . . . . . (Name) 2.. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . . . . . . . .u. . . .4�`�.�. r• `1J . . . . . . ^:..". . . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . . . . . . -. �. �� / . . . . . . . . . . . . . . . . . . -3. Nature of work (check which applicable): New Building a Addition . . . . . . . . . . Alteration Repair . . . . . . . . . . . . . . Removal . . �. . . . . . . . . . . . . . Demo i ion . . . , . . . , , . . , , Other Work . . . . . . . . . (k;! rip*tion) 4. Estimated Cost . . . .� o�,v0. . . . . . . . . . . . . . . . . . . . . . . . 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 Depth Height . . . . . . . . . . . . . . . Number of Stories . . . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or addition's: Front Rear . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . • • • • . . �. . : Number of Stories . . . . . . . . . . . 8. Dimensions of entire new construction: Front . . . . . . Rear . Depth .Height . . . .. . . . . . . . . . . . Number of Stories . . . . . . . . . . . ... . . . . . . . . . 9. Size of lot: Front . . . . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Rear. :. . . . - • • Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be regraded . . . . . . . . . . . . . . . . . . . . . Will excess fill be removed from premises: Yes No 14. Name of Owner of premises . . . . . . . . . . . . . . . Address . . . . . . Phone No. Name of Architect . . . . . . . . . . . . . . . . . Name of Contractor • • • '. . . . . . . . . . Address . . . . . . . ; . . . . . . . . . .• • Phone No. . . . . . . . . . .. . . . . . . . . . . . . • • • • • • . . . AddressPhone No. 15. Is this property within 300 feet of a tidal 'Wetland?. 9cyeS„ 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. STATE OF NEW YORK, O OF . . . . . . . . . . . .S.S being duly sworn, deposes and says that he is the applicant (Name of i dividuA signing contract) above nall-, He is the . o. . . . j 01}.F! . . . . . . . . . . (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this . . . . . . . . . . . . . . . . . . . . .day of. . . . . , 19 g Notary Public, . . . . . . , . , , , • • , • • • • . . . County n � \ ( '� f -LINDA.,I.COOPER . . . . . ..Notary Public,State of New York No.4822563,Suffolk County (Signature of applicant) Term Expires December 31,19._.�