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HomeMy WebLinkAbout22955-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23869 Date SEPTEMBER 14, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 1330 SALT MARSH LANE PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 68 Block 3 Lot . 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 1995 pursuant to which Building Permit No. 22955—Z dated AUGUST 21, 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 REPLACE ACCESSORY STORAGE SHED IN FRONT YARD AS APPLIED FOR. The certificate is issued to ANTHONY D. HUGHES (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A' PLUMBERS CERTIFICATION DATED N/A /6Auilding 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.. NP 22955 Z Permission Is hereby granted to; ....� !!!........ ..:....� ?C r ............................ 4.0 .....c . ....... ... ............/ew,03...... to .... ........... �..............l.... ...� .......... ....................... i.......................................... ........ .............. .. ..s........................................................%......... .................................................................................................................................................................. ....................................................................................................................................................I............. ................................................................. ./ s:................................................................... at premises located at........./ .1 ..... °T. - '.:.! ��. /1�....... .............................. ................................................................................ s........;........................................... County Tax Map No. 1000 Section ......V,�........... Block...... ............ Lot No. ................. pursuant to application dated .......... P.. ..... , 19.....0-7 and approved by the Building Inspector. Fee $...` `........��..... ..................... ..:'�... . ............................... Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTEIOLD SEP " 11995 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: 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 1-7 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00•, Commercial $15.00 Date . . . .9 W/7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XX New Construction. . . . . . ... . . . Old Or Pre-existing Building. . . . . . . . . . . . . . . . . Location of Property. . . . . .1330. SALT MARSH LANE, PECONIC House No. Street Hamlet Onwer or Owners of Property. . . ANTHONY D: HUGHES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : ounty Tax Map No 1000, Section. . . 68. . . . . . . . .Blucic. . . . . .• . . . . . . . . .Lot. . . . . . 3. . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FJ1.cd Hap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . 22955Z 8/21/95 SAME Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . . . . . . .Applicant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval . . . . . . . . . . . . . . . . . . . . . . . . . 'lanni.ng Board Approval. . . . . . . . . . . . . . . . . . . . . . . . :tequest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .XX. . . . 'ee Submitted: $. . . . 25:00 AQ � a 1�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L r^ 1 3 � @ r The Mini Barn Another very popular model, which will surely complement the natural landscape of your property. Like other morinls, the double doors are 5' wide and 6' high which will accommodate everything'from tools to heavy lawn &garden tractors. PIELt) 'IT.90rCTION RrPORT DATE COMMENTS ___----------------- _FOUNDAT ION ( I ST) II II FOUNDATION (2ND) II ROUGH FRAME S ----�� o� PLUMBING 11 I H INSULATION PER N. T. STATE ENERGY �I H CODE if u 17 II II 1 FINAL NNI jl ADDITIONAL COMMENTS: \� • � v H H O x � E� a 765-1802 BUILDING DEFT. INSPECTION ] FOUNDATION iST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I�TION [ ] FRAMING [ . FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 61e�A z�57 DATE � , INSPECTOR � /,� i VOL.8363 PACE 59 - EY[HIBIT "A" ' i Chemical Bank - Hughes-Hulme Premises: Sound Shore Road - - Peconic, New York I ALL that certain plot, piece or parcel of land, situate, lying and being at Peconic, in the Town of Southold, County of Suffolk .I and State of New York, more particularly bounded and described y as follows: i BEGINNING at the southwesterly corner at a point on the northerly 1j side of a certain 33 foot wide private roadway and which point i is easterly a distance of 80 feet from the southeasterly corner of lands heretofore conveyed to Robert H. McIlroy, measured along the northerly line of the said private right of way on a Dist. ; course running North 82 degrees 49 minutes 00 seconds East; run- 1000 Ij ning thence along land now or formerly of Greene and on a line i parallell to the easterly line of the land of said Robert H. Sec. McIlroy North 31 degrees 20 minutes West a distance of 278 feet to the mean highwater line of the Long Island Sound; thence along. the mean highwater line of the Long Island Sound on a• tie line Blk ! bearing North 68 degrees 01 minutes 10 seconds East 78.60 feet 1 3 I to the southwesterly side of land now or formerly of Rock; thence + along said land, South 31 degrees 20 minutes East and on a line parallel to the westerly line of the premises herein described i Lot 3 a distance .of 300 feet to the northerly line of said private i, right of -way; and thence along the northerly line of .the said ;i private right of way South 82 degrees 49 minutes 00 seconds West a distance of 85 feet to the point or place of BEGINNING. I TOGETHER with a right of way to the North Road, 33 feet in width running along the southerly line of the premises herein described ; and the northerly line of said right of way running the follow- I ing courses and distances: (1) North 82 degrees 49 minutes East ' 352.30 feet, (2) North 67 degrees 50 minutes 30 seconds East 263.62 feet, 3 North 81 degrees 22 minutes East 355.37 feet continuing easterly to Mill Lane, TOGETHER with a right of. way 20 feet in width leading from said above described right of way through other lands of said Nelson Axien and continuing through lands now or formerly of Henry Smith : and thence continuing one (1) rod in width along the easterly j side of lands of George Stepnoski, or continuing in a southerly Idirection over Henrys Lane, a town highway, to C.R. 27. i This is a purchase money mortgage. The premises herein may be improved by a one or two family dwelling . dw g only. � i ' I !� - 4 - O�OOFFOt/(�®G Town Hall,53095 Main Road y Fax(516)765-1823 P. O. Box 1179 %® Telephone (516)765-1802 Southold, New York 11971 �i®1 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD '' June 14, 1995 - y_ R95 Mr. Anthony Hughes 1250 Salt Marsh Lane Peconic, NY 11958 Re: Premises : 1330 Salt Marsh Lane, Peconic NY Suff. Co. Tax Map #1000-68-3-3 Dear Mr. Hughes : It has been brought to the attention of the Building Department that a shed has been erected without first obtaining a Building Permit. According' to the Code of the Town of Southold a Building Permit is required before any construction can be undertaken. Please contact this office as soon as possible so this matter can be resolved. I thank you for your anticipated cooperation. Very truly yours, SOUTHOLD TOWN BUILDING DEPT. Gary J. Fish Building Inspector GJF:cmt (Cert. Mail) ( 1' BOARD ' OF HEALTH _-=_- -_-- FORM NO. 1 ] SETS OF PLANS TOWN OF SOUTHOLDSURVEY . . . . _ _ _ _ . . . . . . . . 2 (995 BUILDING DEPARTMENT /CHECK . . . . . . . _ . . . _ _ _ _ - - , . I; TOWN HALL SEPTIC FORK _ . . . . . . . . . . . . . T. SOUTHOLD, N.Y. 11971 _ TOWN OF-SOlLMHO!_!�_ TEL.: 765-1802 t.0i I Fy : _ zv© /r �. . . . . ' 19 .�� CALL . . . . _ _ . . .. . . . . . . . . . Examined . . . . / MAIL TO : Approved . . . (( ,�. . . . 19 .Permit NO. `®` .`� . . . . . . - - - . . . . . . . . . : . Disapproved.a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . : /nse . . . . . . . . ' dingtor) APPLICATION FOR BUILDING PERMIT / Date G� % . . .(�. . . . . ., 1974� 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 s 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 applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for.re Aor•,de'mol ion, as herein described. '/a... The applicant agrees to comply with all applicable laws, ordinances, buildin e, housil c'o e; and regulations, and to admit authorized inspectors on premises and in building for necessary inspe- ians... '' _.._. . . . . . . . . . . . . (Sign'rfure of'a"pplicant,'or' me,-if a'corporation) (Mail-}ng address.of:applicant) State /whether aGpplicant ,iss o %ner,,,y lessee,,kagent, architect;; engineer, general contractor, electrician, -plumber or builder. . � ;1%F A !% �.� �. 71 h�rr 44, tea{ Yy f . . . . . . . . . . . . . . . Name of owner of premises . . . . . . f7�d`. . . . . . . . . . (as on the tax roll br'latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. Plumber's License No. . . . . . ... . . . . . . . . . . . . . . . . . - Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . l. Location of land on which proposed work will Jbe'-done. ... : . . . . . . . . . . . . . . . . House Number Street Hamlet QQ County Tax Map No. 1000 Section . . . �Q.Q. . . . . . . . Block .77?. . . . . -"� . . . . . . . . . . Lot . . . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . Filed Map Lot No. . . . . . .. . . . . . . . . . (Name) ; . . . . . . . . 2: State existing use and occupancy of premises and intended use and occupa cy of proposed construction: a. Existing use and occupancy ��. . ! . . . .`� IQ.US�. . . . . . . . . . . . . . . . . . . b. Intended use and occupancy . .�� d . . . . . . . `. . . . . . . . ( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •3. Nature of work (check which applicable): New Building . . . . . . . . . .. Addition . . . . .•. . . . . Alteration . . . . . . • Repair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . . . . . . . . . Other WorkP�.¢c %j (Description) 4. Estimated Cost . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (to be paid on filing this application) 5. If dwelling, number of dwelling units . .. . . . . . . . . . . . . , Number of dwelling units on each floor . ... . . .. . . . . . . . . . . Ifgarage, number of cars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use . . . . . . . . . . . . 7. Dimensions o�existing structures, if any: Front . . . . . . . . . . . . . . . Rear. . . ... . . . . . . . . . . Depth td Height . . . . . . . . . . . . . Number of Stories . . . .© ry ",- . . . . . . . . Dimensions of same structure with alterations or additions: 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . ."Phone No. . . . . . . . . . . . . Name of Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . : . . . . . . Phone No. . . . . . . . . . . . . . . 15. Is this property within 300 feet of 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 des'bription according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED DATE: Z B.P.# 4l sr�� FEE•1 NOTIFY BUILDING DEPARTMENT AT 765-1802 9 AM TO 4 PM FOR THE (� �!�/ p .� 1. FOUNDALLOWING TION -TWO REQUIRED OCCUPANCY OR FOR POURED CONCRETE USE IS. UNLAWFUL 2. ROUGH - FRAMING 8t PLUMBING. 3. INSULATION WITHOUT-CERTIFICATE. 4. FINAL - CONSTRUCTION. MUST ®F OCCUPANCY BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET- THE REQUIREMENTS' OF *HE N.Y. .. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK, S.S COUNTY OF . . . . . . . . . . • • • • • . . . •V• • •':�• U C�• •14?' . . . . . . . . . . . being duly sworn;-deposes and says that he is the applicant (Name of individual signing contract) above named. ej Heis the .".I. . ... . . . . . . . . . . . . . . . . . . . . . . . . . ... ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . (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 . . . Notary Public,--. . . . . . . . .�. . . . ounty HELENE D.HORNE Notary Public,State of'New York . . . . . . . . . . . . . No.4951364 Qualified in Suffolk County Q 7 ignature of applicant) Commission Expires May 22, 191_-.