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Home My WebLink About22247-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the' Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23261 Date OCTOBER 4, 1994 THIS CERTIFIES that the building ACCESSORY Location of Property 385 PINE TREE ROAD EXT. CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 1 Lot 7.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 21, 1994 pursuant to which Building Permit No. 22247—Z dated AUGUST 10, 1994 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 ACCERSSORY STORAGE SHED AS APPLIED FOR The certificate is issued to HAROLD & MAUREEN WICKS (owners) - of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4// Bullilding 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) 0 Date ............ .............�..� ..................... 19. N� 22247 Z Permission Is hereby granted to; .....� ��.......�"� ..... ... w f / .. .. ..�...... to .......6—...... ....... ...... .d.... .... ....,... Y ev ..................................................................................................................................... .................................................................................................................................................................. .................................................................................................................................................................. at premises located at......... ......... //0.0`e....71-eeo .�&...... f...................... ..................................................... . ... ....�....... y............................... (�a "Gf> Coun Tax Ma No. 1000 Section % Block Lot No. !..'.. .{".ty p ................ .................. �' pursuant to application dated ..........Jul ................... ........ .�........... 19.....�..., and approved bythe Building Inspector. Fee$ ............. 4............. ................... ........ ...... ...b, ....�`! .... Building Inspector Rev. 6/30/80 f Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT OC► D /I�' 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 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: 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 Buildiniz - $100.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential /$15.000,, Commercial $15.00 Date . . . :J. J. l ./ . . . . . . . . . . . . . . . . . . . . . New Construction. . . . ./) . . .c. Old Pre-existing Building. . . Location of Property. . .Ia.6. . . ,117e. ./lee. . . '1 ..... �.`. . . . . . . . . .C. �t.�.6U&_". . . . . . . . . . . . . . . . House No. - Streeter. ./ ._._._.._ .._.Hamlet Onwer or Owners of Property. . P.9W c4c% S„ , , , , , Ae- County Tax Map No 1000, Secon. . . . .Block. . . . . . . . . . . . . . .Lot. . . . . . . . . . . . . . .. . . w y 1RW_l Subdivision. . . . . . . . ... . . . .Filed Map. . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . . Permit No. :2 .� . . Date Of Permit , '.��:` e MOApplicant. . . @ � . . �: ��, , . , , , .Health Dept. Approval. . . .(`: ... . . . . . . . . . . . . . . . .Underwriters Approval. . . . N� . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . .. . . . Final Ceilticate. . . . . . . . . Fee Submitted: $. . . . . . . . . . . . . . . . . . . . . . . Qp Lj gS32 . . . . . . . . . . . . . . G2. . . . . . . ... . . . . . . . . APPLICANT . . . o��g�FFO(��oG Town Hall, 53095 Main Road y Fax(516)765-1823 P. O. Box 1179 Telephone (516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 14, 1994 Mr. & Mrs . Harold Wicks Box 298 Cutchogue, NY 11935 To Whom This May Concern: We are nable to complete your Certificate of Occupancy because o he following reasons : xx An application for Certificate of Occupancy is not on file. (Enclosed) No Underwriters Certificate on file. The check is not on file. $25.00 No Health Department Approval on file. ®GI00 No final inspection has been made. op 53 No Plumber Solder Certificate on file. r J (All permits involving plumbing being issued after April 1, 1984) . l z�_ BUILDING PERMIT # 22247-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. 1 Town Hall,53095 Main Road y Z Fax(516)765-1823 P. 0. Box 1179 O Telephone(516)765-1802 Southold, New York 11971 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD September 14, 1994 Mr. & Mrs . Harold Wicks Box 298 Cutchogue, NY 11935 To Whom This May Concern: We are unable to complete your Certificate 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 # 22247-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. )7,7�7_ 765-1802 BUILDING DEFT. INSPECTION [ ] FOUNDATION 15T [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL REMARKS: vlt'�'l . C "o ZZ DATE �'� I/ � INSPECTOR �" d - :C':: ...•.- � ..a:, ..+ I .........-�••w:_..,..y r� '. .. fir.[-� �-� ��--w•�+.1 "V L.. _u:! JIJh , . I COMMENTS )UNDATION _ ,( 1st) v UNDATI011 r' (2nd ) m UGH FRAME `• -PLUMBING j . y i C*] SUL;,TIOP! PER N. Y. STATE ENERGY CODE 3 AkV OKA# •� . ellI V 2 •FINAL . ADDITIONAL COMMENTS : x •\��••• x H 0 -7 2G,S.l?�!r:rn,�.i•+�•r'-�}.o.,.+�sl:-�4.s_:,�f !�v.31ti• '►t+..:• . r .. .. .. .. � , _' ... _,.._....,.. I B0ARD OF HEALTH . . . . . . . . . FORM NO. 1 3 SETS OF PLANS I if SURVEY . . . . . = = _ .. -TOWN OF SOUTHOLD Z i 1994 BUILDING DEPARTMENT 1GCK . . . . . - . . . . . . . . . . TOWN HALL SEPTIC FORK _ _ _ . . . _ BLDG. T. SOUTHOLD, N.Y. 11971 Q�/CL sj(, —35�— �� - �r TOWN OF 0 OLD TEL.: 765 1802 r:�T;FY , Examined . . �Q 19` 111 CALL ..7. . . . _ _ . . . . . . . . . . MAIL TO : Approved ., 19 Permit No.bKd � . . . . . - - - • • . . . . . . ; . . . . . . . . . . . . . . . . . . . Disapproved a/c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ?(Building Inspector) APP FOR BUILDING PERMIT C l Date V �iG y. f . . . 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 Ordinanee.,gf the Town of Southold Suffolk County, New York, and other applicable Laws,Ordinances or Regulations,,�;`-fdr'tnexconstnietion of-buildings, additions or alterations or for removal or demolition, as herein described. The applicant,arees,to •com'ply.,kith all applicable laws, ordinances, building code, housing code, and regulations, and to admit*autf 6hzed inspectors on premises and in building for necessary inspections. • . . . . . . . . . . . . . . . . . . . . . . . . . . . (Signature of applicant, or name, if a corporation) •�job. . ��./ Cv Ll( . . . . �3s— (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. i�lame of owner of premises �20�-� �� `� /f// (/r/�P!� �, • �� C• �C S • • . . • . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. . . . • . (Name and title of corporate officer) r Builder's License No. � Uc klcJ O 1� � • . . . . . • J Plumber's License No. . . . . . .... . . ... . . . . . . . . . . . . . Electrician's License No. . . . . . . . . . . . . . . Other Trade's License No. I. Location of land on which proposed work will be done. � :!.'fir'16-?� C?c cvT�� . .� � �� • . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . House Number . . . ... . _ . . Street Hamlet County Tax Map No. 1000 Section . . . : q. . , . .. . . Block . . . . . . Lo 4 . pry t . ./ ;�� . . . . . . . . . Subdivision . . . . . . . ... . . . . . . . Filed Map No. . . .. . . . . . . . . . ... Lot (Name) ; : . . . . . . . . State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy . . . . f� �C,C_ . b. Intended use and occupancy . . . /.d . . . ,V< L, �l/UG- . . . . . . . . . . . . . . . . . . •3. Nature of work (check which a ' pplicable): New Building Repair • • • . . , . Removal . Addition . . . . . . . . 'terafion , • , , ; • . . . . . . . . . . . . Demolition Other Work . . . 4. Estimated Cost �C7 O (Description) . . . . . . . . . . . . . . . Fee . . . . . . . . . . . (to be paid on filing..S.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 occu anc. s ecif • ' • • • • • • • • • • • ' . . . . ' ' ' ' ' ' ' ' ' ' • • • • • • . P Y, P y nature and extent of each type of use ... . . . . 7- Dimensions of existing structures, if any: Front`./., , ' ' ' ' Height .,1. . sue,- . Rear . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . / . Number of Stories . Dimensions of same structure with alterations or add' � � � . . . . . ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' . Depth . . . . . . . . ,additions: Front Rear . . . . . . . . . . 8. Dim • • • Height . . . . . . . . . . . . . . :. . Number of(Stories . Dimensions of ent're new construction: � ' • • • • • • • • . .Hefight n: Front Z. . . . . . . Re �. . . 9. Size Nu ber f Stories . . .l. . . . . . . . .ar .l . . Depth .17�.Q. . . . . . . . of lot: Front . :. T �.`Vj' Rear:.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Date of Purchase ./!?v. . ,IV,;;-- ' ' Depth . . . • , II. - Zone - ' ' ' • • • • • • • • Name of Former Owner c!�� . . . • • ' or use district in which premises are situated . ' ' ' ' ' ' ' ' • • • • • - .12. Does proposed construction violate any zoning law, ordinance or regulation:. • . . • - . • . . . • . .13. Will lot be regraded • - df/o - • • • - • • . . . . . �• • • • • • • Will excess fill be removed from premises/1/4 Yes No . 14. Name of Owner of premises �{., •(c KS - .Address-�e� o �e� rirk. Name of Architect • • . Phone No. Name of Contractor . • • • ' ' ' ' ' ' . • • • • • Address . . . . . . . .. . . . . . . . . . . Phone No. . . . . . 15. Is this property within 300 feet of . • • ' . . Address . . . . . . . . . .. . . . . . Phone No. . . . . . . . . . a tidal wetland? * • • • • • • • •V *If yes,, Southold Town Trustees Permit may. be required. - . . . No. . . : • - , PLOT DIAGRAM ' Locate 'clearly and distinctly all buildings, whether existing or proposed, an&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. APP OVED AS DOTED DATE: FEEBY : •�-�� _ NOTIFY BUILDING DEI- ENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUND AT - T111,'O REQUIRED taa ! CONC.RETF. 01 Le IAJ vcy CS Uj ct j�aE kF8' to ft)t.9 SHALL fO,1 ET Or ( EF 1 I I3 M"•s if ... +q <b.t v€�f SITIUCTION Ekfiok w t� 3TA ,OU OF TS Y OF NEW YO C � S • . . . . . . . . . being duly sworn, deposes and says that he is the applicant bove named. (Name of individual signing contract) Ieis the . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. (Contractor, agent, corporate officer, etc.) ' ' ' ' ' ' f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this )plication; that all statements contained in this-application are true to'the best of.his knowledge and belief;and that the ork will be performed in the manner set Torth in the application filed therewith. ,vorn to before me this . . . . . .day of. . 19 .� Dtary Public,1�.X�! � County ' t HELENE 1).H®RIVE Notary Public,State of NewYork ' ' ' • • • • • • • • • • • - • • . . . . . . . . . . . No.4951364 (Signature of applicant) Qualified in Suffolk County S� Commission Expires May 22, 19 mom TITLE NO. 0.3 Na S 580 42' 10" W 36 1 . 1 1 --- �F-E: o.L - 5 1 wE5T 7 MULE 5 mon. i, F� ��I 21.o Zz•o \ ?2.0 ?o.o p�==-=.-- _ 7v/i,� r` I -- c`Do I _ LO&M ,y 0) ® CLAY3.5 vig57 �.,/� 0) TIfS O•L, __/ n L {J N W J 23 ® o o � 80 Ur Q /SRt� 99.809cc I] I°J•7 I (�Tq�-sg "EsT�---..JJJ -��Yf NoLE111"` I � 4, cons. mon. NY ?i cc 1�,( z j ``f 3 S o �' .,ram o• ' /00, _ a WOT 7p SCdI� Asp wu- _Ai `- (V - CD coot.mon. .O coot, n• � LL #3 Z Y•S N 63° 24' E Q 3 48. 28' I pe 21.g reputed Iond I now or formerly of Lo Grande o o- / ( / d PINE TREE R'OAD MAP OF PROPERTY HORIZE�SIGNATURE PRES. - BLOCK -- ' 1 LOT AS- SHOWN M.r DEPT.-OUTHO AM Nn ♦iLh+„4p, �yge'_'rs:-_-_..1 .� TAB^ ` 7i � } � 'SS4•+ � }' �� .ya"�'°v*:`�;�,��,��i��y4�+!�cr�i��?`�''�,'a s sr 4 �� 1 ,, r .,. ,,, .� ;,�••_ .�3v"R��4"�3'I��3'jt;Fi' ��,�s. '^(S 1;" tY ua�� , r .• ',a •- ' , -- ._�,.r.-..... - ,._,..__.. t.. '-,: xr.✓.L`tx.2fhcfx....i�tuibia.a�.�LAYaIL.AttiS`,c>�i,��.�,. mz &. The The Gualker Gable, A*F rame This is the roomiest shed going. It uses are anything or Cottage from sales office to pool house or even studio - the An excellent addition to your property. Great for possibilities are endless. storage space and comes in a variety of sizes. 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