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Home My WebLink About22996-z ' 3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23949 Date OCTOBER 12, 1995 THIS CERTIFIES that the building ACCESSORY 445 BENNETT LANE & Location of Property 800 CUSTER AVENUE SOUTHOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 1995 pursuant to which Building Permit No. 22996-Z dated SEPTEMBER 7, 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 IN THE REAR YARD AS APPLIED FOR. The certificate is issued to CHAELS FARRELL (owner) 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.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 � � �� 22996 Z Permission Is hereby gra ed to: . X.. ................................................... �- 1 ................ to .... 1 . ................................................5?-1... . ...... .......... ......... �.................f.I......�� - ......... ............................................. .................................................................................................................................................................. .................................................................................................................................................................. ...................................:................................r ...... ....................................................... _7-r at premises located at............ 7`5.....A�;11N�...................... ......— ............................................... ....................... ................................... ............................................... . ............ County Tax Map No. 1000 Section ......7 .......... Block......./................ Lot No. ....�e.............. pursuant to application dated ......., Cr�.�f� ';'e........... 19...��.. and approved by the Building Inspector. Fee$......................... ....................... ..yam'.," ............................... Building Inspector Rev. 6/30/80 MaS TOWN OF souTllo LD tt 6 1995 1- BUILDING DEPARTMENT TOWS`! }IALL SLUG. KEPT. 755-I802 TOWV4 OF SOUTHOLD APPLICA"rION FOIZ CERTIFICA,rE 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.)val from Health Dept. of water supply and sewerage-disposal(S-9 form) . 3 . Approval of electrical installation from Board of Fire Underwriters. /1. 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 S25.00 , 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 G . Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00-, Commercial 515.00 Date . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .`. . . . . . . . . . . New Construction. . . . . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Lkl Location of Property. . . .` . . . . . . . . ��J . I . . . �!v . . . . . . . . . . . .. . .�. . . . . . . . . . . House No.a Street Hamlet 0 n w e r or Owners of Property. � ounty Tax Map No 1000, Scction . . . . .70. . . . . . l,J.tt.,cic. . . . . . .l . . . . . . . .Lot. . .Z.Q . . . . . . . . . . . Subdivisi.on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FJIC Hop . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . %��ermi t No. ./.�6.�. . .D,:ate OC f ermit . . . . ... . . . ilen1Lh DepL. Approval . . . . . . . . . . . . . . . . . . . . . . . . . .Ui0erwriLers Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanning Board Approval . . . . . . . . . . . . . . . . . . . . . . . . t '?equest for: Temporary Certifica Le. . . . . . . . . . . Final CerticaLe. . . . . . . . -ee Submitted : S .2J. .. . . . . . . . . . . . . . . . . . . . . . . wr 5M-33 o��g�FFO�,�cO o� Gy�c GO Z Town Hall,53095 Main Road p • Fax(516)765-1823 P. 0. Box 1179 ' A Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 29, , 1995 Robert Bohn Contracting P.O. Box 55 Peconic, NY 11958 Re: Charles Farrell - SCTM#1000-70-9-20 Prem: 445 Bennett Lane, Southold NY To Whom This May Concern: We are unable to complete your Certif'ic,ate of Occupancy because of the following reasons: xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate. on file. xx The check is not on file. $25.00 No Health Department Approval on file. No final inspection has been made. No, Plumber Solder Certificate on file. (All permits involving plumbing being issued after -April 1, 1984) . BUILDING PERMIT # 22996-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ION [ ] FRAMING INAL [ ] FIREPLACE & CHIMNEY REMARKS: Z) DATE � INSPECTO .INSPEC-TTON REPORT DATE _ _ COMMEN•TS II 'd FOUNDAT TON - ( I S_T) --- - it----; -- ------ r•UUNDATiON (ZND) ------------------------- --------II------ — — ----------------------------------------- I - - ROUGir FRAME tx ----_JI— --- -- �' PLUMBING - -I` --------------- I I� I INSULATION PER N. Y. _I' H STATE ENERGY CODE i I I II FINAL it j ADDITIONAL, _________- ri O r� BOARD OF HEALTH . . . . . . 3 SETS OF PLANS . . . . . . . FORM NO. 1 SURVEY . . . _ . . . . . o TOWN OF SOUTHOLD CHECK - . - • - - _ . . . BUILDING DEPARTMENT SEPTIC FORM . . . . . . . . . . . . . ; TOWN HALL SOUTHOLD, N.Y. 11971 NOTIFY TEL.: 765-1802 CALL - . A t � .01 MAIL TO Examined . . . . . . , . . . ., 19 1. Approved . . . . .�/�. . , . 19 `Permit No. Disapproved-a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Buildi Spector) 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 propert cation. y must be drawn on the diagram which is part of this appli- 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 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, b ilding code, housing ode, and regulations, and to admit authorized inspectors on premises and in building for necessary i pection� _cy� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of'Wlicant, or name, if a corporation) . . • . . . . - (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer g�contractor, ectrician, plumber or builder. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises . . CRAl L;G5 . . .FAA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) ALL CONTRACTOR' S MUST BE, �SUF OLK COUNTY LICENSED Builder's License No. . . . . (�:(-�' , Plumber's License No. . . . . . . . . . . . . . . . . . . . . . . . . AUG 2 8 1995 Electrician's License No. l' Other Trade's License No.. . . . . . . . . . . . . . . . . . . . . . 1. Location of land on which proposed work will be done. . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . .. . . . .s�+.. . . . . . . . . . . . . . . ./.Sr . . . . . . . �, v`I i`fU,�j . . . . . . . . . . ... . . . . .. House Number Street Hamlet ``--�� 01 County Tax Map No. 1000 Section . . . . . . .1.0 . . . . . . . . Block . . . , , .! , , , , , , , , , . , Lot . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot (NaIne) . . . . . . . . . . . . . . 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . l!� t�-'. . . 1 ��— .. . . . . , s . . . , , , . . b. Intended use and occupancy . . . . L. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Nature of work (check which applicable): New Building . ��1';/f� Addition . . . . . . . . . . Alteration Repair , , , , , , , , , , . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . . . . . . Other Work . . . . . . . . �4. Estimated Cost . . : ..�'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . .(Descripxion) (to be paid on filing this application) ' . . S. 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 additions: Front . .. . . . . ' . Rear ' . . . . . . . Depth . . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of Stories . S. Dimensions of entire new construction: Front . . . . . . . . . . . Rear . Depth . . ' • . . ' Height . . . . . . . . . . . . . . . Number of Stories . " " 9. Size of lot: Front. . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..-.. . . . . . . • • Depthepth 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,premis`es . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . Phone No. Name of Architect . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . • ' . Phone No. . . . . . . Name of Contractor . . . . Address . . . . : . . . . . . . • .Phone No. . . . . . . . . . . . 15. Is this property located 300feetof a tidal wetland? *Yes 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. _-_.._._-. ---- ---- - �---- ZLf, �i 1 . STATE OF NEW PORK- OCiNTY OF . . �7 :�L.7-`41�c. . . S.S • . . . . . . . . being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) .rbove named. :le is the . . . . . . . . . . . . . . . . . . . . . . . . ' Contractor, a ent, corporate officer, etc.) ' . ' • . • . . ' . ' )f said owner or owners, and is duly aut prized to perform or have performed the said work and to make and file this application: that all statements contained iri'this application are true to the best of his knowledge and belief;and that the .vork will be performed in the manner set forth in the application filed therewith. 1. 'Jworn to before me this . . . . . . . . . . . . .. ,� . . .day of. . .�.� �.S` :: . . . ., 19�5 ,otar}�Public, Count VA I t . . . . . . . . . . . . -... . . E ra.SLM=@ ANN IUCVILLE (Signature of applicant) NuUey Public,State of N,-vv York No, 52-81 258w0,Suffolk Cou I Tern ,xc it s l:•..c idr�;', l v s J � � ice_- TS :T�; .,4 _••- ; • 1 ' Cu-sT= /�.�_ ENV TO TNIS SURVEY 15 A VIC'U.1;CN SECTION 7209 OF THE i-Mr .- tt I-VCATION LAW. •.5.80�1.9 2-0. EE !60.00 -•---- � COPIES JF`fi^,5 5-.:vt, ^:-Jr:.':. .-.•k:.." • `i O L� tE.�:::;, :�sr vrc:, �:5,.- ...L•Y, •N'J I - - -- r rv.:.t_•ASS::N-.3 OF M ''r. AYf i •�/ BL1ltfC-"c'OP PfZ. }- r.� ._T;..,.at it- ,i:n: 4 L--T F. JL CIQ Ir rn N. 80`19,20"h! aura-t o �r� Y ot- 5ov-r r.i.-ro, Y. Lo-r C;-WCAI.O-rl-r"r. I►jvQw,^0••Q C-c,. A..`its NORr►i FcuVrK i NOT it : LOTNV"osr-j c Swoldhi kL4Pcir TO 15^r.CK •# Tlt,1ST Ccp. A-- SvPvEycr- fi:OV, , :le S.3 Rw PXJXI< f:r t►i SjfrF:-Q ( a ID E f-1 C L: VA N: T:- / ! x Co.,NrY C,_cc)13 @crlcc A,s MAP Np 3349S Ltcr`r,+�ea L-��,a 5vreveYor•.S SuF�: CO- TAX PPri4CI.;.- : 1000 -070 --9 - 7,r0 r G R K CN(7p K r T n1 C1,v Yp OK K ,. 14Y `s1 F 1 - a s=LA)St4 (vIROCK5 2 4 :Tnlsr6 a t W (` -- - ------LA�JL__ l 3L DEED' N 'rKj PAC 3„ .� C 9 v eNE lip ----- -- 36'• IDA ; f)<q ccA PC*71 APPROVED AS NOTED DATE: 7 .P.# 22q�6�- FEE: BY: NOTIFY BUILDING DEPARTMENT AT 765-1602 9 AM TO 4 PM FOR THE i FOLLOWING INSPECTIONS: �. 1. FOUNDATION - TWO REQUIRED FOR ED 2. ROUGHUR FRAMINGETE& PLUMBING OCCUPANCY OR 3.4. FINALS- CONSTRUCTION MUST USE 6S UNLAWFUL BE COMPLETE FOR C.O. WITHOUT CERTIFICATE F ALL CONSTRUCTION SHALL MEET _.._ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY OF OCCUPANCY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS