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Home My WebLink About34980-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34027 Date: 10/2G/09 THIS CERTIFIES that the building ACCESSORY SHED Location of Property: 1530 NEW SUFFOLK RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 109 Block G Lot 13 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2009 pursuant to which Building Permit No. 34980-Z dated SEPTEMBER 3, 2009 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 "AS BUILT" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to MICHAEL D TRUE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A thorized Signature Rev. 1/81 EC [ E OCT 2 1 2009 Form No.6 TOWN OF SOUTHOLDX BUILDING DEPARTMENT BLDG.DEPT. TOWN HALL 73 TOWN OF SOUTH➢LD 765-1802 / APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: -A. 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. Eor.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. .7. A properly completed application and 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$15.00,.Additions to accessory building$15.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $56.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 Date. New Construction Old or Pre-existing Building: (check one) Location of Property: �. House No. Street Hamlet Owner.or Owners of Property: �� _ �/ oc Suffolk County Tax Map No 1000, Section Block ,6 Lot Subdivision 3 �1�5(7 � _ - b Filed Map. Lot: Permit No. P Date of Permit. Applicant: �e_.k.r`f e.[ Health Dept. Approval: Underwriters Approval: Planning Board Approval: .Request for: Temporary Certificate Final Certificate: � (check one) Fee Submitted: $ �e0 C_'10 0 a Ile I ZA-04/7 G�� l Applica t Signature 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) PERMIT NO. 34980 Z Date SEPTEMBER 3 , 2009 Permission is hereby granted to: MICHAEL D TRUE 1530 NEW SUFFOLK ROAD CUTCHOGUE,NY 11935 for AS BUILT ACCY 1OX14 SHED IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at 1530 NEW SUFFOLK RD CUTCHOGUE County Tax Map No. 473889 Section 109 Block 0006 Lot No. 013 pursuant to application dated AUGUST 28 , 2009 and approved by the Building Inspector to expire on MARCH 3 , 2011 . Fee $ 200 . 00 Authorized Signature ORIGINAL Rev. 5/8/02 Il COMMTNTS FIELD INSPECTTON REPORT DATE `d FOUNDATION(1ST) S - ------------------------- ----- FOUNDATION(2ND) • z O LTA W lY ROUGH FRAMING& y PLUMBING t� y INSULATION PER N.Y. STATE ENERGY CODE r FINAL ADDITIONAL COMMENTS O z rn z d a TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD, NY 11971 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey SoutholdTown.NorthFork.net PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees 2 Flood Permit Examined > 204 Storm-Water Assessment Form qContact: Approved \� '20 0 + Mail to: Disapproved a/c 19 Phone: Expiration ,20 E Building Inspector D AUG 2 8 2009 PPLICATION FOR BUILDING PERMIT Date , 20 BLDG.DEPT. INSTRUCTIONS TOWN OF SOUTHUD a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. 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,building code,housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. r • ALL CONSTRUCTION SHALL ignature o applican or name,if a corporation) MEET THE REQUIREMENTS OF THE D X �CODES OF NEW YORK STATE. CERTIFICATION O &Jdwi� NAILING & CONNECTIONS (Mailing address of applic t) RETAIN STORM WATER RUNOFF RR Qll IlIRED. 9 Cj >�UWThT ijnwner, lessee, agent, arc 1 ec , engineer, general contractor, electrician, plumber or builder OF THE TOWN CODE. APPROVED AS NOTED ` bLuz-) - DATE:1L2LZL B.P.# Name of owner of premises Tc- i v. (As on the tax roll DEPARTMENT AT' If applicant is a corporation, signature of duly authorized officer 765-1802 8 AM TO 4 PM FOR THE A I FOLLOWING INSPECTIONS: (Name and title of corporate o PANCY OR -1. FOUNDATION - TWO REQUIRED f 'I FOR POURED CONCRETE Builders License No. USE IS UNLAWFUL 2• ROUGH - FRAMING & PLUMBING Plumbers License No. WlTwni IT ,nrDTI -s^ 3. INSULATION Electricians License No. r�ATE 4• FINAL - CONSTRUCTION MUST Other Trade's License No. r BE COMPLETE FOR C.O. WY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW 1. Location of land on whic pro sed wo k will be done: YOR TATE. T RESPONSIBLE FOR DES & T N ERRORS. House Number Street Hamlet County Tax Map No. 1000 Section Block CP Lot Subdivision Filed Map No. Lot ,A 2. State existing use and occupancy of premises ano int nde se al occ/pancy of proposed construction: a. Existing use and occupancy S'� c n b. Intended use and occupancy / �' to 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work 4&0710 (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 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 i ' 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? YES NO 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES NO 14. Names of Owner of premises Address Phone No. Name of Architect Address Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation-at any point on property is at 10 feet��or be'1'oyv,°must provide//topographical data on survey. �j��1(��{'��7�P!kl.yf.`'f„1 :' .:�i. t-`•1/'^gyp; 18. Are there any covenants and restrictions with respect,tdi�lrs,l5roperty? * YES NO ` * IF YES, PROVIDE A COPY. STATE OF NEW YORK) Q : COUNTY OFv tSS �-Q-_ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (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 2 _day of 20 VICKI Ti TH Notary Public State of New York Notary Public Qualified in Suffolk County ,✓� Signature of Applicant Commission Expires July 28,20 l 5URVEY OF PROPERTY N 51TUATE: GUTGHOCGUE � J TOWN: 5OUTHOLD W o E 5UFFOLK COUNTY, NY 5URVEYED O"7-29-99 s 5UFFOLK GOUNTY TAX# 1000- 109 -6 - 13 CERTIFIED TO. MATTHEW D.TRUE R05LYN NATIONAL MORTGAGE GORP. 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